Highlights Leading Role of VELCADE in Broad Range of Patients -
CAMBRIDGE, Mass., Oct. 15-- Millennium
Pharmaceuticals, Inc. (Nasdaq: MLNM) today announced that the U.S. Food and
Drug Administration (FDA) granted approval for VELCADE use, without dose
adjustments, in patients with impaired kidney function, including those
requiring dialysis. Impaired kidney function is a common complication related
to multiple myeloma (MM), affecting approximately 30 percent of patients at
diagnosis and a much larger percentage throughout the course of the disease.
"The ability to use VELCADE without dose adjustments in patients with
renal dysfunction differentiates it from other multiple myeloma therapies,"
said Paul Richardson, M.D., Clinical Director, Jerome Lipper Multiple Myeloma
Center at Dana-Farber Cancer Institute Boston and Associate Professor of
Medicine, Harvard Medical School. "Physicians treating multiple myeloma
patients want the confidence that therapies are not only efficacious, but also
can be used consistently and predictably."
"This expansion of the VELCADE label confirms that patients with impaired
kidney function can receive the full benefit of VELCADE," said Sundar
Jagannath, M.D., St. Vincent's Comprehensive Cancer Center, New York. "Since
renal impairment is not an uncommon complication of the disease, VELCADE has
the potential to benefit the entire population of multiple myeloma patients."
The label expansion is based on data from a prospective Phase I
pharmacokinetic trial in patients with varying degrees of kidney impairments.
The results of this study satisfy a post-approval commitment, which was
required by the FDA when VELCADE was approved in 2003.
"This label expansion underscores the role of VELCADE as the market-
leading therapy in relapsed multiple myeloma, and we believe it will be
important as we seek to further broaden the VELCADE label, using the data from
our Phase III VISTA trial, to include patients with newly diagnosed multiple
myeloma," said Christophe Bianchi, M.D., Executive Vice President, Commercial,
Millennium.
About Multiple Myeloma
Multiple myeloma is the second most common hematologic malignancy and
although the disease is predominantly a cancer of the elderly (the average age
of onset is 65 to 70 years of age), recent statistics indicate both increasing
incidence and younger age of onset. In the U.S., more than 50,000 individuals
have MM and 20,000 new cases are diagnosed each year. Worldwide there are
approximately 74,000 new cases and over 45,000 deaths annually.
About VELCADE
VELCADE is being co-developed by Millennium Pharmaceuticals, Inc. and
Johnson & Johnson Pharmaceutical Research & Development, L.L.C., (JJPRD).
Millennium is responsible for commercialization of VELCADE in the U.S.,
Janssen-Cilag is responsible for commercialization in Europe and the rest of
the world. Janssen Pharmaceutical K.K. is responsible for commercialization in
Japan. For a limited period of time, Millennium and Ortho Biotech Inc. are
co-promoting VELCADE in the U.S. VELCADE is approved in more than 80 countries
worldwide.
In the U.S., VELCADE is indicated for the treatment of patients with
multiple myeloma who have received at least one prior therapy. VELCADE is
indicated for the treatment of patients with mantle cell lymphoma who have
received at least one prior therapy. VELCADE is contraindicated in patients
with hypersensitivity to bortezomib, boron, or mannitol. VELCADE should be
administered under the supervision of a physician experienced in the use of
antineoplastic therapy. In the European Union and many other countries
worldwide, VELCADE is approved for patients with multiple myeloma after first
relapse.
Risks associated with VELCADE therapy include new or worsening peripheral
neuropathy, hypotension observed throughout therapy, cardiac and pulmonary
disorders, gastrointestinal adverse events, thrombocytopenia, neutropenia and
tumor lysis syndrome. Women of childbearing potential should avoid becoming
pregnant while being treated with VELCADE. Cases of severe sensory and motor
peripheral neuropathy have been reported. The long-term outcome of peripheral
neuropathy has not been studied in mantle cell lymphoma. Acute development or
exacerbation of congestive heart failure, and/or new onset of decreased left
ventricular ejection fraction has been reported, including reports in patients
with few or no risk factors for decreased left ventricular ejection fraction.
There have been rare reports of acute diffuse infiltrative pulmonary disease
of unknown etiology such as pneumonitis, interstitial pneumonia, lung
infiltration and Acute Respiratory Distress Syndrome in patients receiving
VELCADE. Some of these events have been fatal. A higher proportion of these
events have been reported in Japan. There have been rare reports of Reversible
Posterior Leukoencephalopathy Syndrome (RPLS) in patients receiving VELCADE.
RPLS is a rare, reversible, neurological disorder which can present with
seizure, hypertension, headache, lethargy, confusion, blindness, and other
visual and neurological disturbances. VELCADE is associated with
thrombocytopenia and neutropenia. There have been reports of gastrointestinal
and intracerebral hemorrhage in association with VELCADE. Transfusions may be
considered. Complete blood counts (CBC) should be frequently monitored during
treatment with VELCADE. Rare cases of acute liver failure have been reported
in patients receiving multiple concomitant medications and with serious
underlying medical conditions.
Integrated Safety Data: Safety data from phase 2 and 3 studies of single-
agent VELCADE 1.3 mg/m2/dose twice weekly for 2 weeks followed by a 10-day
rest period in 1163 patients with multiple myeloma (N=1008) and mantle cell
lymphoma (N=155) were integrated and tabulated. In these studies, the safety
profile of VELCADE was similar in patients with multiple myeloma and mantle
cell lymphoma. In the integrated analysis, the most commonly reported adverse
events were asthenic conditions (including fatigue, malaise, and weakness)
(64%), nausea (55%), diarrhea (52%), constipation (41%), peripheral neuropathy
NEC (including peripheral sensory neuropathy and peripheral neuropathy
aggravated) (39%), thrombocytopenia and appetite decreased (including
anorexia) (each 36%), pyrexia (34%), vomiting (33%), and anemia (29%). Twenty
percent (20%) of patients experienced at least 1 episode of .Grade 4 toxicity,
most commonly thrombocytopenia (5%) and neutropenia (3%). A total of 50% of
patients experienced serious adverse events (SAEs) during the studies. The
most commonly reported SAEs included pneumonia (7%), pyrexia (6%), diarrhea
(5%), vomiting (4%), and nausea, dehydration, dyspnea and thrombocytopenia
(each 3%). Adverse events thought by the investigator to be drug-related and
leading to discontinuation occurred in 22% of patients. The reasons for
discontinuation included peripheral neuropathy (8%), asthenic conditions (3%)
and thrombocytopenia and diarrhea (each 2%). In total, 2% of the patients
died and the cause of death was considered by the investigator to be possibly
related to study drug: including reports of cardiac arrest, congestive heart
failure, respiratory failure, renal failure, pneumonia and sepsis. This
integrated analysis does not include the phase 3, VELCADE plus DOXIL study.
For more information about VELCADE clinical trials, patients and
physicians can contact the Millennium Medical Product Information Department
at 1-866-VELCADE (1-866-835-2233).
About Millennium
Millennium Pharmaceuticals, Inc., a leading biopharmaceutical company
based in Cambridge, Mass., markets VELCADE, a novel cancer product, and has a
robust clinical development pipeline of product candidates. Millennium's
research, development and commercialization activities are focused in two
therapeutic areas: oncology and inflammation. By applying its knowledge of the
human genome, understanding of disease mechanisms and industrialized drug
discovery platform, Millennium is developing an exciting pipeline of
innovative product candidates. Millennium's website is www.millennium.com.
This press release contains "forward-looking statements," including
statements about the Company's growth and development of products. Various
important risks may cause the Company's actual results to differ materially
from the results indicated by these forward-looking statements, including:
adverse results in its drug discovery and clinical development programs;
failure to obtain patent protection for its discoveries; commercial
limitations imposed by patents owned or controlled by third parties; the
Company's dependence upon strategic alliance partners to develop and
commercialize products and services based on its work; difficulties or delays
in obtaining regulatory approvals to market products and services resulting
from its development efforts; product withdrawals; competitive factors;
difficulties or delays in manufacturing the Company's products; government and
third-party reimbursement rates; the commercial success of VELCADE and
INTEGRILIN(R) (eptifibatide) Injection; achieving revenue consistent with
internal forecasts; and the requirement for substantial funding to conduct
research and development and to expand commercialization activities. For a
further list and description of the risks and uncertainties the Company faces,
see the reports it has filed with the Securities and Exchange Commission. The
Company disclaims any intention or obligation to update or revise any forward-
looking statements, whether as a result of new information, future events or
otherwise.
Editors' Note: This press release is also available under the Media
section of the Company's website at: www.millennium.com.
SOURCE Millennium Pharmaceuticals, Inc.
CONTACT: Media, Jennifer Snyder, +1-617-444-1439, or Investors, Kyle
Kuvalanka, +1-617-761-4734, both of Millennium Pharmaceuticals, Inc. /
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