Nuvelo, Inc.
(Nasdaq: NUVO) today announced the publication of Phase 2 clinical trial
results in the July 1st issue of the Journal of Clinical Oncology (JCO),
demonstrating that alfimeprase can quickly restore function to occluded
central venous access devices (CVADs).
This Phase 2 randomized, double-blind, controlled, dose-ranging study
compared the safety and activity of three fixed doses of alfimeprase (0.3
mg, 1 mg and 3 mg) against the approved dose of Cathflo(R)Activase(R)
(alteplase). Fifty-five patients were treated to re-establish patency to
their occluded CVADs. Catheter patency was assessed at 5, 15, 30 and 120
minutes after drug was given. If patency was not achieved at 120 minutes
after the first dose of either alfimeprase or CathfloActivase, patients
received a second dose. Adverse events, including bleeding events, were
assessed for a 30-day period after exposure to study drug. The results
demonstrated that at the highest dose of 3 mg, alfimeprase produced
cumulative patency rates of 40% at 5 minutes, 50% at 15 minutes and 60% at
30 and 120 minutes after the first dose, as well as 80% at 120 minutes
after the second dose. By comparison, CathfloActivase produced patency
rates of 0% at 5 and 15 minutes, 23% at 30 minutes and 46% at 120 minutes
after the first dose, as well as 62% at 120 minutes after the second dose.
No major hemorrhagic events were reported in any treated patients.
"Restoration of CVAD function within minutes is important because it
may facilitate timely delivery of prescribed therapies or enable early
identification of CVAD obstructions that require prompt catheter
replacement," said Steven R. Deitcher, M.D., vice president, medical
sciences for Nuvelo and former principal investigator (PI) for the trial.
"The ability to rapidly restore catheter function also may reduce patient
anxiety related to missed or delayed treatment and improve treatment center
efficiency."
"Based on these promising Phase 2 results, we have initiated two
overlapping, multi-national Phase 3 trials evaluating the 3 mg dose of
alfimeprase in catheter occlusion. We anticipate data from the first of
these trials, the SONOMA-2 trial, in the second half of this year, and hope
to confirm the ability of alfimeprase to restore function to occluded
catheters in 15 minutes or less," said Ted W. Love, M.D., chairman and CEO
of Nuvelo.
About the Phase 3 SONOMA Program
Nuvelo's ongoing Phase 3 clinical program evaluating alfimeprase in
catheter occlusion (CO) consists of two overlapping, multi-national trials.
The first trial, SONOMA-2 (Speedy Opening of Non-functional and Occluded
Catheters with Mini-Dose Alfimeprase), is expected to complete enrollment
in the second half of this year. This randomized, double-blind trial is
comparing the efficacy of 3 mg of alfimeprase with placebo in 300 patients
with occluded central venous catheters. Two-thirds of the participants are
receiving alfimeprase and the remainder are receiving placebo. The primary
endpoint is restoration of catheter function within 15 minutes. The second
trial, SONOMA-3, began enrolling patients in February 2006 and is an
open-label, single-arm trial that is evaluating the efficacy and safety of
alfimeprase in restoring catheter function in 800 patients.
About Catheter Occlusion
Patients with cancer and other serious diseases often receive a central
venous catheter to deliver vital therapies including chemotherapy,
nutritional support, pain management, antibiotics and blood products, and
to withdraw blood samples for testing. An estimated five million central
venous catheters are placed in patients each year in the United States, and
approximately 25%, or 1.25 million, become occluded by a blood clot. Known
as CO, this obstruction in a central venous catheter can impair the ability
to infuse fluid through or withdraw fluid from the catheter. Because
central venous catheters are primarily inserted in patients receiving
life-saving medications, it is critical to restore patency (flow) in a
timely manner with minimal risk to the patient. Currently, CathfloActivase
is approved in the United States for restoring function to central venous
catheters.
About Alfimeprase
Alfimeprase is an enzyme produced by recombinant DNA technology that
rapidly dissolves blood clots through a unique mechanism of action -- it
directly degrades fibrin, a protein that provides the scaffolding for blood
clots. In clinical studies, this direct mechanism of action has been shown
to provide rapid clot dissolution with a well-tolerated safety profile.
Alfimeprase's thrombolytic activity is localized to the site of delivery
because it is rapidly inactivated by alpha-2 macroglobulin, a naturally
occurring protein in the blood, as it moves away from the site of delivery
and into the general blood circulation. This clearance mechanism focuses
the thrombolytic activity to the site of the clot and, in clinical testing,
appears to minimize bleeding side effects.
Alfimeprase is also being studied in two pivotal Phase 3 clinical
trials, NAPA-2 and NAPA-3, for the treatment of acute peripheral arterial
occlusion (PAO), or "leg attack." Both trials are randomized, double-blind
studies comparing 0.3 mg/kg of alfimeprase with placebo in a total of 600
patients between the two studies. The primary endpoint in both trials is
avoidance of open vascular surgery within 30 days of treatment. Open
vascular surgery includes procedures such as surgical embolectomy,
peripheral arterial bypass graft surgery and amputation, but does not
include catheter-based procedures such as percutaneous angioplasty or
stenting. A variety of secondary endpoints are also being evaluated in the
two trials, including safety endpoints, such as the incidence of bleeding,
and pharmacoeconomic endpoints, such as length of hospital and intensive
care unit (ICU) stay.
In addition, Nuvelo plans to initiate a Phase 2 trial of alfimeprase
for the treatment of ischemic stroke in the second half of 2006 and an
additional Phase 2 trial of alfimeprase for the treatment of deep venous
thrombosis in 2007.
About the Bayer HealthCare Collaboration
In January 2006, a global collaboration was formed between Nuvelo and
Bayer HealthCare (BHC) for the development and commercialization of
alfimeprase. Under the terms of the agreement, BHC will commercialize
alfimeprase in all territories outside the United States and will pay
Nuvelo tiered royalties ranging from 15 to 37.5%. Nuvelo retains
commercialization rights in the United States and is eligible to receive up
to $385 million in milestone payments from BHC. In addition, BHC will be
responsible for 40% of the costs for global development programs and Nuvelo
will be responsible for 60% of the costs and will remain the lead for the
design and conduct of the global development programs.
About Nuvelo
Nuvelo, Inc. is dedicated to improving the lives of patients through
the discovery, development and commercialization of novel drugs for acute
cardiovascular and cancer therapy. Nuvelo's development pipeline includes
three acute cardiovascular programs: alfimeprase, a direct-acting
thrombolytic in four Phase 3 clinical trials for the treatment of
thrombotic-related disorders; rNAPc2, an anticoagulant that inhibits the
factor VIIa and tissue factor protease complex which recently completed
Phase 2 clinical development in acute coronary syndromes; and a thrombin
inhibiting aptamer for anticoagulation during medical procedures. Nuvelo is
also advancing an emerging oncology pipeline, which includes NU206 for the
potential treatment of chemotherapy/radiation therapy-induced mucositis, as
well as rNAPc2 for potential use as a cancer therapy. In addition, Nuvelo
expects to leverage its expertise in secreted proteins and cancer antibody
discovery to further expand its pipeline and create additional partnering
and licensing opportunities.
This press release contains "forward-looking statements" regarding the
timing and progress of Nuvelo's clinical programs, the potential
improvement or benefit that current and future clinical trial programs may
demonstrate, and the numbers of patients who may be eligible for treatment,
which statements are hereby identified as "forward-looking statements" for
purposes of the safe harbor provided by the Private Securities Litigation
Reform Act of 1995. Such statements are based on our management's current
expectations and involve risks and uncertainties. Actual results and
performance could differ materially from those projected in the
forward-looking statements as a result of many factors, including, without
limitation, uncertainties relating to drug discovery; clinical development
processes; enrollment rates for patients in our clinical trials; changes in
relationships with strategic partners and dependence upon strategic
partners for the performance of critical activities under collaborative
agreements; the impact of competitive products and technological changes;
uncertainties relating to patent protection and uncertainties relating to
our ability to obtain funding. These and other factors are identified and
described in more detail in Nuvelo filings with the SEC, including without
limitation Nuvelo's recent annual report on Form 10-K for the year ended
December 31, 2005 and subsequent filings. We disclaim any intent or
obligation to update these forward-looking statements.
Nuvelo, Inc.
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