Results support broad development program and underscore strength of
oncology pipeline
ORLANDO, Fla., May 14, 2005 /PRNewswire-FirstCall/ -- Millennium
Pharmaceuticals, Inc. (Nasdaq: MLNM) today announced positive results from
studies of VELCADE in lymphoma and lung cancer at the 41st Annual Meeting of
the American Society of Clinical Oncology (ASCO) taking place this week in
Orlando, Florida. Data for MLN2704, the Company's drug candidate for prostate
cancer, were also presented. Results included:
- In relapsed patients with mantle cell lymphoma (MCL), interim results
of a multicenter phase II study of single-agent VELCADE showed median
survival had not been reached after 10.5 months of follow-up, and
demonstrated an overall response rate of 42 percent;
- In non-small cell lung cancer (NSCLC), final data from the single-agent
arm of the multicenter phase II trial of VELCADE with or without
docetaxel showed a response rate and overall survival comparable to
approved agents for use in second-line lung cancer; and
- In patients with late-stage, hormone-refractory prostate cancer,
interim phase I/II results of MLN2704 showed four of six patients
receiving a high dose achieved a reduction in prostate specific
antigen, including two with a greater than 50 percent reduction.
"These data demonstrate the growth potential of VELCADE and the strength
of the Company's development programs in several areas including non-Hodgkin's
lymphoma," said David Schenkein, M.D., senior vice president, clinical
research, Millennium. "The early mantle cell data is consistent with results
from four previously presented trials and is particularly exciting considering
that these were heavily pre-treated patients and the toxicities were
predictable and manageable."
VELCADE is approved in the U.S. for the treatment of patients who have
received at least one prior therapy. Millennium and Johnson & Johnson
Pharmaceutical Research & Development, L.L.C. (J&JPRD) continue to investigate
VELCADE globally in phase I, II and III clinical trials in both hematologic
and solid tumors, including front-line MM, non-Hodgkin's lymphoma and lung,
prostate and ovarian cancers.
VELCADE® (bortezomib) for Injection in Relapsed MCL (ASCO Abstract 6563)
The second-stage interim analysis of the PINNACLE phase II study led by
Richard Fisher, M.D., University of Rochester, and presented by Andre Goy,
M.D., Hackensack University Medical Center, Hackensack, NJ, showed the median
survival for patients had not been reached at 10.5 months of follow up.
Preliminary results from 48 evaluable patients included:
- Overall response rate of 42 percent with a complete and unconfirmed
complete response rate of eight percent;
- Median duration of response was 6.2 months and median time to
progression was 4.3 months;
- Patients received 1.3 mg/m(2) of VELCADE for a median of 4.5 cycles;
and
- Adverse events were similar to those observed in other clinical trials
and toxicities were found to be predictable and manageable and included
fatigue, peripheral neuropathy and gastrointestinal events.
Millennium was granted fast track status by the FDA for VELCADE in MCL in
November 2004. In June, the Company will be presenting additional data from
other lymphoma trials at the 9th International Conference on Malignant
Lymphoma in Lugano, Switzerland.
VELCADE in Second-Line NSCLC (ASCO Abstract 7034)
Data from a multicenter phase II study, led by Joan Schiller, M.D.,
University of Wisconsin Comprehensive Cancer Center, and presented by Michael
Fanucchi, M.D., Winship Cancer Institute, Emory University, Atlanta, GA, were
reported. Investigator-assessed responses included:
Single agent results (n=75)
- Median survival of 7.4 months and one-year survival of 39 percent;
- Approximately eight percent achieved a partial response, and disease
control rate (stable disease or better) was 29 percent; and
- Median time to progression of 1.5 months.
Combination with docetaxel results (n=80)
- Median survival of 7.8 months and one-year survival of 33 percent;
- Approximately nine percent achieved a partial response and disease
control rate was 54 percent; and
- Median time to progression of 4 months.
Patients in the study received 1.5 mg/m(2) of VELCADE as a single agent
biweekly or 1.3 mg/m(2) of VELCADE biweekly plus 75mg/m(2) of docetaxel on day
one of every three weeks. Patients received a median of two cycles. Toxicities
were manageable and adverse events were similar to those observed in other
clinical trials of VELCADE such as gastrointestinal symptoms, fatigue and
peripheral neuropathy.
Millennium and J&JPRD remain committed to further development and plan to
commence randomized, phase II trials of VELCADE in combination with Tarceva
(erlotinib) and Alimta (pemetrexed), two new therapies in the treatment of
NSCLC. The companies also recently announced the initiation of the phase II
PEAK trial in brochioloalveolar carcinoma.
MLN2704 in Late-stage Hormone Refractory Prostate Cancer (ASCO Abstract
4615)
Preliminary data from an ongoing multicenter, open label phase I/II
clinical trial led by Howard Scher, M.D., Memorial Sloan-Kettering Cancer
Center, and presented by Matthew Milowsky, M.D., Weill Medical College of
Cornell University, were reported. Responses were evaluated based on a
sustained 50 percent prostate specific antigen (PSA) decline and by measurable
disease (RECIST criteria). Investigators reported the following results:
- Four of six patients receiving MLN2704 at 330mg/m(2) achieved a greater
than 25 percent reduction in PSA, two of which achieved a greater than
50 percent reduction;
- In the study overall (n=29), three patients achieved a decrease of PSA
greater than 50 percent that was sustained 10 weeks in one patient and
greater than 31 weeks in another patient. Five additional patients
achieved a decrease of PSA between 25 and 50 percent that was sustained
between four and 13 weeks;
- Of the seven patients with measurable disease, four achieved stable
disease by RECIST criteria; and
- Toxicities have been generally low-grade (Grade 1 and 2) and
manageable, including neutropenia, neuropathy, fatigue and
gastrointestinal symptoms; the only dose limiting toxicity was
increased serum alanine transaminase.
"MLN2704 is a conjugated monoclonal antibody that shows activity in
prostate cancer tumors in a novel way," said Howard Scher, M.D., Chief of
Genitourinary Oncology at Memorial Sloan-Kettering Cancer Center in New York,
and the study's lead investigator. "We are continuing with early phase I/II
trials to assess the optimal dose and schedule of MLN2704."
About VELCADE® (bortezomib) for Injection
VELCADE is indicated for the treatment of multiple myeloma patients 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.
Risks associated with VELCADE therapy include new or worsening peripheral
neuropathy, hypotension, cardiac disorders, gastrointestinal adverse events,
thrombocytopenia and tumor lysis syndrome. Women of childbearing potential
should avoid becoming pregnant while being treated with VELCADE.
In 331 patients who were treated with VELCADE in a phase III study, the
most commonly reported adverse events were asthenic conditions (61%), diarrhea
(57%), nausea (57%), constipation (42%), peripheral neuropathy (36%), vomiting
(35%), pyrexia (35%), thrombocytopenia (35%), psychiatric disorders (35%),
anorexia and appetite decreased (34%), parasthesia (27%), dysesthesia (27%),
anemia and headache (26%), and cough (21%). 14% of patients reported at least
one episode of grade 4 toxicity; the most common grade 4 toxicities were
thrombocytopenia (4%), neutropenia (2%), and hypercalcemia (2%). A total of
144 patients on VELCADE (44%) reported serious adverse events (SAEs) during
the study. The most commonly reported SAEs were pyrexia (6%), diarrhea (5%),
dyspnea, pneumonia (4%), and vomiting (3%).
VELCADE® (bortezomib) for Injection is being co-developed by Millennium
Pharmaceuticals, Inc. and Johnson & Johnson Pharmaceutical Research &
Development, L.L.C. Millennium is responsible for commercialization of VELCADE
in the U.S.; Ortho Biotech and Janssen-Cilag are responsible for
commercialization in Europe and the rest of the world. Janssen Pharmaceutical
K.K. is responsible for commercialization in Japan. VELCADE is approved in
more than 46 countries worldwide, including the U.S., European Union and a
number of countries within Latin America and South-East Asia.
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 MLN2704
MLN2704 is composed of a deimmunized monoclonal antibody (MLN591) directed
at prostate specific membrane antigen (PSMA) conjugated to the
chemotherapeutic agent DM1. MLN2704 binds to PSMA, which is rapidly
internalized into the cell delivering a lethal dose of chemotherapy directly
to prostate cancer cells. Unlike the enzyme PSA which circulates in the blood,
PSMA is a protein expressed on the cell surface of virtually all prostate
cancer cells and its abundance on the cell surface increases as the disease
progresses and becomes refractory to hormonal therapy. PSMA has little
expression in normal tissues.
In April 2001, Millennium entered into an agreement with BZL Biologics,
L.L.C., for the joint development and commercialization of antibody-based
therapeutics targeting PSMA, including both chemotherapeutic agent conjugated
and radio-labeled products. These products include MLN2704 and MLN591RL.
Millennium currently has exclusive development and worldwide marketing rights
to these products. To develop MLN2704, Millennium conjugates the
chemotherapeutic agent DM1 -- licensed from ImmunoGen, Inc. -- to the MLN591
antibody, which targets PSMA. DM1 was developed by ImmunoGen specifically for
antibody-directed delivery to tumor cells.
About Millennium
Millennium Pharmaceuticals, Inc., a leading biopharmaceutical company
based in Cambridge, Mass., markets VELCADE, a novel cancer product,
co-promotes INTEGRILIN® (eptifibide) Injection, a market-leading
cardiovascular product, and has a robust clinical development pipeline of
product candidates. The Company's research, development and commercialization
activities are focused in three therapeutic areas: oncology, cardiovascular,
and inflammation. By applying its knowledge of the human genome, its
understanding of disease mechanisms, and its industrialized drug discovery
platform, Millennium is seeking to develop breakthrough products.
This press release contains "forward-looking statements," including
statements about the Company's growth, future operating results, discovery and
development of products and strategic alliances. 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® (bortezomib) for Injection and INTEGRILIN®
(eptifibide) 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.
Editor's Note: This release is available under the Media section on the
Company's website at http://www.millennium.com.
ASCO Abstracts: 6563, 7034, 4615
CONTACT:
Theresa McNeely
media
+1-617-679-7405
Kyle Kuvalanka
investor
+1-617-761-4734
Both of Millennium Pharmaceuticals, Inc.