Bayer HealthCare Pharmaceuticals, Inc. and Onyx Pharmaceuticals, Inc.
(Nasdaq: ONXX) announced the presentation of new clinical data from
the early clinical trials in the development program for Nexavar(R)
(sorafenib) tablets in multiple tumor types including lung, thyroid,
gastric and ovarian cancers. Nexavar is currently approved in more than 40
countries for the treatment of patients with unresectable liver cancer and
in more than 70 countries for the treatment of patients with advanced
kidney cancer.
"Findings from these early phase studies are encouraging and will be
integral in informing our development strategies for the ongoing Nexavar
clinical program," said Henry Fuchs, MD, executive vice president and chief
medical officer of Onyx Pharmaceuticals. "We are committed to maximizing
the potential of Nexavar and look forward to its ongoing study with
international study groups, government agencies and individual
investigators in a wide range of cancers."
Lung Cancer
A Randomized, Discontinuation Phase 2 Study of Sorafenib vs. Placebo in
Patients with Non-Small Cell Lung Cancer (NSCLC) Who Have Failed at Least
Two Prior Chemotherapy Regimens
Preliminary findings from this randomized discontinuation Phase 2 study
showed that treatment with Nexavar yielded encouraging results in heavily
pre-treated patients with NSCLC. The study showed that patients who
remained on Nexavar experienced a longer period of disease control and
disease stabilization than patients who discontinued Nexavar after the
initial run-in phase of treatment. In the study, the most common
treatment-emergent adverse events included fatigue, hand/foot syndrome and
skin rash.
The lead investigator for this study is Joan Schiller, MD, professor
and chief of the hematology/oncology division at the University of Texas
Southwestern and Andrea L. Simmons distinguished chair in cancer research,
Dallas, TX. (abstract #8014).
Thyroid Cancer
A Phase 2 Study of Sorafenib in Metastatic Thyroid Carcinoma
Findings from this single-arm Phase 2 study showed that treatment with
Nexavar resulted in meaningful anti-tumor activity in the majority of
patients with encouraging overall clinical benefit (disease stabilization
and partial responses) in patients with advanced thyroid cancer. In the
study, Nexavar was well-tolerated; the most common treatment-related
adverse events included fatigue, rash, diarrhea, palmer-plantar erythema,
musculoskeletal pain and weight loss. Patients enrolled in this study had
been diagnosed with metastatic, iodine-refractory, unresectable or
locally-advanced thyroid cancer.
The lead investigator for this study is Marcia S. Brose, MD, PhD,
assistant professor, director of cancer genetics laboratory, University of
Pennsylvania Health System, Philadelphia, PA. (abstract #6026).
Gastrointestinal Stromal Tumors
Activity of Sorafenib in Patients with Imatinib and Sunitinib-Resistant
Gastrointestinal Stromal Tumors (GIST): A Phase 2 Trial of the University
of Chicago Phase 2 Consortium
Findings from this single-arm Phase 2 study suggest that Nexavar is
active and well tolerated in patients with Gleevec or Gleevec and Sutent
resistant GIST. The most common treatment-emergent adverse events included
hand-foot syndrome, hypertension, rash and diarrhea.
Gastric/GEJ
A Phase 2 Study: Combination of Sorafenib with Docetaxel and Cisplatin
in the Treatment of Metastatic or Advanced Unresectable Gastric and
Gastroesophageal Junction (GEJ) Adenocarcinoma (ECOG 5203)
Findings from this single-arm Phase 2 study provide encouraging data
for the potential use of Nexavar in combination with docetaxel and
cisplatin to treat patients with metastatic/advanced gastric/GEJ
adenocarcinoma. The most common treatment-emergent adverse events included
neutropenia, fatigue, anorexia, hand-foot reaction, nausea, diarrhea and
dehydration.
The lead investigator for this study is Weijing Sun, MD, assistant
professor of medicine, University of Pennsylvania, director of the Upper GI
and Pancreatic-Biliary-Hepatic Cancer Group and the associate director of
the GI Cancer Program. (abstract #4535).
Ovarian
Phase 2 Trial of Sorafenib in Persistent or Recurrent Epithelial
Ovarian Cancer or Primary Peritoneal Cancer: A Gynecologic Oncology Group
Study
Preliminary findings from this Phase 2 study suggest that Nexavar is
active and tolerated in patients with recurrent epithelial ovarian cancer.
The most common treatment-emergent adverse events were dermatologic and
metabolic.
The lead investigator for this study is Daniela Matei, M.D., Ph.D.,
assistant professor, department of medicine, Walther Oncology Center,
Indiana University, Bloomington, IN. (abstract #5537).
"We continue to be encouraged by Nexavar's potential activity as a
single agent or in combination with other chemotherapeutic agents in these
early stage clinical trials in tumor types with high unmet treatment
needs," said Susan Kelley, MD, vice president, Therapeutic Area Oncology,
Bayer HealthCare Pharmaceuticals. "The more data we compile from various
studies in multiple tumor types, the better informed we are to determine
the appropriate direction for further development of Nexavar in additional
clinical cancer settings."
Nexavar's Differentiated Mechanism
Nexavar targets both the tumor cell and tumor vasculature. In
preclinical studies, Nexavar has been shown to target members of two
classes of kinases known to be involved in both cell proliferation (growth)
and angiogenesis (blood supply) -- two important processes that enable
cancer growth. These kinases included Raf kinase, VEGFR-1, VEGFR-2,
VEGFR-3, PDGFR-B, KIT, FLT-3 and RET.
Nexavar is also being evaluated by the companies, international study
groups, government agencies and individual investigators as a single agent
or combination treatment in a wide range of cancers, including metastatic
melanoma, lung cancer, breast cancer and as an adjuvant therapy for kidney
cancer.
Important Safety Considerations For Patients Taking Nexavar
Based on the currently approved U.S. package insert for the treatment
of patients with unresectable hepatocellular carcinoma and advanced kidney
cancer, hypertension may occur early in the course of therapy and blood
pressure should be monitored weekly during the first six weeks of therapy
and treated as needed. In HCC patients, bleeding with a fatal outcome from
any site was reported in 2.4% for Nexavar and 4% in placebo. The incidence
of treatment-emergent cardiac ischemia/infarction was 2.7% for Nexavar vs.
1.3% for placebo. In RCC patients, incidence of bleeding regardless of
causality was 15% for Nexavar vs. 8% for placebo and the incidence of
treatment-emergent cardiac ischemia/infarction was 2.9% for Nexavar vs.
0.4% for placebo. Most common adverse events .20% related to Nexavar for
both HCC and RCC were fatigue, weight loss, rash/desquamation, hand-foot
skin reaction, alopecia, diarrhea, nausea, and abdominal pain. Grade 3/4
adverse events in HCC and RCC patients, respectively, were 45% for Nexavar
vs. 32% for placebo and 38% for Nexavar and 28% for placebo. Women of
child-bearing potential should be advised to avoid becoming pregnant and
advised against breast-feeding. In cases of any severe or persistent side
effects, temporary treatment interruption, dose modification or permanent
discontinuation should be considered.
About Bayer HealthCare Pharmaceuticals Inc.
Bayer HealthCare Pharmaceuticals Inc. is the U.S.-based pharmaceuticals
unit of Bayer HealthCare LLC, a division of Bayer AG. One of the world's
leading, innovative companies in the healthcare and medical products
industry, Bayer HealthCare combines the global activities of the Animal
Health, Consumer Care, Diabetes Care, and Pharmaceuticals divisions. In the
U.S., Bayer HealthCare Pharmaceuticals comprises the following business
units: Women's Healthcare, Diagnostic Imaging, Specialized Therapeutics,
Hematology/Cardiology and Oncology. The company's aim is to discover and
manufacture products that will improve human health worldwide by
diagnosing, preventing and treating diseases.
About Onyx Pharmaceuticals, Inc.
Onyx Pharmaceuticals, Inc. is a biopharmaceutical company committed to
improving the lives of people with cancer. The company, in collaboration
with Bayer HealthCare Pharmaceuticals, Inc., is developing and marketing
Nexavar(R) (sorafenib) tablets, a small molecule drug. For more information
about Onyx, visit the company's website at onyx-pharm.
Forward-Looking Statements
This news release contains forward-looking statements based on current
assumptions and forecasts made by Bayer Group management. Various known and
unknown risks, uncertainties and other factors could lead to material
differences between the actual future results, financial situation,
development or performance of the company and the estimates given here.
These factors include those discussed in our annual and interim reports
filed with the Frankfurt Stock Exchange. The company assumes no liability
whatsoever to update these forward-looking statements or to conform them to
future events or developments.
This news release also contains "forward-looking statements" of Onyx
within the meaning of the federal securities laws. These forward-looking
statements include without limitation, statements regarding the timing,
progress and results of the clinical development, safety, regulatory
processes, and commercialization efforts of Nexavar. These statements are
subject to risks and uncertainties that could cause actual results and
events to differ materially from those anticipated. Reference should be
made to Onyx's Annual Report on Form 10-K for the year ended December 31,
2007, filed with the Securities and Exchange Commission under the heading
"Risk Factors" and Onyx's Quarterly Reports on Form 10-Q for a more
detailed description of such factors. Readers are cautioned not to place
undue reliance on these forward- looking statements that speak only as of
the date of this release. Onyx undertakes no obligation to update publicly
any forward-looking statements to reflect new information, events, or
circumstances after the date of this release except as required by law.
Nexavar(R) (sorafenib) tablets is a registered trademark of Bayer
HealthCare Pharmaceuticals, Inc.
Onyx Pharmaceuticals, Inc.
onyx-pharm
View drug information on Gleevec; Nexavar; Sutent.