10.12.2007 22:06:00
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AVAX Technologies Announces Successful Completion of Phase I / II Study of MVax(R) in Patients with Stage 3 and 4 Melanoma
AVAX Technologies, Inc. (OTC Market:AVXT.OB) announced today the
completion of its Phase I/II study for the treatment of patients with
melanoma. The study was designed to evaluate four doses of MVax®
with dose defined by the number of cells injected in each vaccine; the
doses tested were: 5x106 cells (high dose),
2.5x106 cells (medium dose), 0.5x106
cells (low dose), and 0 cells (zero dose). All dosages were administered
according to a previously developed optimum schedule, which included an
induction dose without adjuvant followed by low dose cyclophosphamide
and then 6 doses admixed with the immunological adjuvant, BCG, Endpoints
of the study were safety and an immunological endpoint of delayed-type
hypersensitivity (DTH), which is a T-cell-mediated immune response to
autologous melanoma cells. The study was also designed to demonstrate
that the frozen formulation of MVax® is
bio-equivalent to the original, freshly-prepared autologous,
hapten-modified vaccine.
The high dose arm of vaccine was highly effective immunologically with
positive DTH responses to hapten-modified autologous melanoma cells
observed in 22/29 (76%) patients following a course of MVax®;
baseline DTH responses were negative, as a condition of enrollment. In
contrast, the zero dose arm was ineffective. Linear regression analysis
of DTH responses of all evaluable patients showed a clear dose-response
relationship when DTH responses for each patient were plotted against
the MVax® dose received. These results are
important, because previously published studies by AVAX and others
showed a statistically significant relationship was seen between
survival and induction of DTH after MVax®
administration.
The safety profile of MVax® appeared to be
very favorable. There were no Serious Adverse Events attributed to MVax®.
Non-serious adverse events were similar to what has been observed in
previous trials of the autologous, haptenized vaccine: mild-moderate
injection site reactions in all patients, mild nausea from
cyclophosphamide in some patients, and mild constitutional symptoms,
such as fatigue, in some patients after MVax®
administration.
"We believe this is the first demonstration
of a dose response relationship using a cellular based cancer vaccine,
and the data extend our earlier published work in exploring the
immunopharmacology of MVax®,”
stated Dr. David Berd, Chief Medical Officer of AVAX and Inventor of MVax®.
"This study has provided us with additional
insight into the complex pharmacology of biologic therapies that we
consider to be critical for the future design and development of
therapeutics for the treatment of patients. This study also confirms the
fact that the re-engineered "frozen”
vaccine platform induces immunological effects similar to those induced
by the original freshly-prepared vaccine manufacturing platform.
Finally, the dose-response data generated by this study enabled us to
rationally choose a dosage range for the company’s
Phase III registration study of MVax®, which
has begun enrollment." MVax® Phase III Registration Study
AVAX’s Phase III Registration trial will
examine survival and anti-tumor response rate using modified response
evaluation criteria in solid tumors (modified RECIST criteria) in
Stage IV melanoma patients with soft tissue or lung metastasis. The
Phase III registration trial is being conducted under a Special Protocol
Assessment (SPA) agreement with the U.S. Food and Drug Administration
(FDA) for MVax® and in agreement with the FDA
the company will be eligible to file for accelerated approval of MVax®
based upon achieving a response rate endpoint. The double blind,
randomized trial is expected to enroll up to 387 patients to be accrued
over a period of 24 months. Patients will be randomized on a two to one
basis to the treatment arm or control arm, respectively. The treatment
arm consists of MVax® followed by a regimen
of low dose IL-2; the control arm consists of placebo vaccine followed
by low dose IL-2. Both treatment and control arms include BCG and low
dose cyclophosphamide.
MVax® in Metastatic Melanoma
In a phase 2 clinical study published in the International Journal of
Cancer, MVax® induced tumor shrinkage in
11/83 patients with surgically incurable stage IV melanoma. In a
subsequent paper published by Dr. Michal Lotem in the British Journal of
Cancer (British Journal of Cancer 2004, 90 773-780) patients treated
with their DNP modified tumor cells, using manufacturing techniques
similar to MVax®, followed by administration
of low dose interleukin-2, achieved a response rate of 35%. These
results were confirmed in a subsequent study conducted by the same
investigator that showed a 32% response rate, including 13% complete
responses and 19% partial responses.
MVax® in Stage III Melanoma
MVax® was the subject of a publication in the
Journal of Clinical Oncology that discussed 214 Stage III melanoma
patients that were treated with a regimen of MVax®
post surgery. No patients were lost to follow-up and they were split
between Stage IIIb & Stage IIIc melanoma. All patients on study had
completed follow-up and the reported five-year survival rate was 45%.
This compares to five-year survival published in similar patient
populations who underwent surgery alone of 22%. In addition, the data
showed a significant correlation between survival and delayed-type
hypersensitivity (DTH) responsiveness to patients’
unmodified tumor cells (P<.001). The
journal commissioned an editorial on the publication. In a separate
study of a similar patient population using a DNP-modified tumor cell
vaccine (British Journal of Cancer 2002 May 20; 86(10): 1534-9), Lotem
also showed a positive relationship between survival and DTH to melanoma
cells.
About Melanoma
Cancer of the skin is the most common of cancers while melanoma accounts
for approximately 3% of skin cancer cases. According to the SEER
CanQuest Database and the American Cancer Society, in the U.S. for 2007
it is estimated there will be 59,940 new cases of melanoma with an
expected number of deaths from melanoma of 8,110. The estimated
prevalence of melanoma in the U.S. in 2007 is 396,242 cases.
Further information on the Clinical Study
To obtain further information on the phase III clinical study, please
visit www.clinicaltrials.gov
and look up MVax® or use study identifier
NCT00477906. Additionally, the study has been assigned eudraCT number
2007-004406-26 by the EMEA. You may also contact Dr. David Berd or Ellen
Bloome, RN at AVAX Technologies, Inc., 2000 Hamilton Street, Suite 204,
Philadelphia, PA 19130 (215) 241-9760.
About AVAX Technologies, Inc.
AVAX Technologies, Inc. is a biotechnology company with operations in
the United States and Europe. The Company is engaged in the research,
clinical and commercial development of biological products and cancer
therapeutics. AVAX’s AC Vaccine platform is a
therapeutic cancer vaccine. In addition, the Company performs
contract-manufacturing services for biological products for other
pharmaceutical and biotechnology companies.
Except for statements that are historical, the statements in this
release are "forward-looking" statements that are made pursuant to the
safe harbor provisions of Section 27A of the Securities Act of 1933 and
Section 21E of the Securities Exchange Act of 1934. Forward-looking
statements involve significant risks and uncertainties, and in light of
the significant uncertainties inherent in such statements, the inclusion
of such information should not be regarded as a representation by AVAX
that the objectives and plans of the Company will be achieved. In fact,
actual results could differ materially from those contemplated by such
forward-looking statements. Many important factors affect the Company's
prospects, including (1) risk associated with a change in executive
management of the Company, (2) the need to obtain additional funding
(beyond the proceeds of the April 2007 private offering) in the future
to continue to finance the Company’s
development plans, (3) the results of clinical and laboratory testing of
its vaccine technologies, (4) possible future FDA or AFSSAPS questions
regarding the Company's products and manufacturing processes, (5)
exchange rate risks associated with financing the Company in U.S.
dollars but funding significant operating expenses in Europe with Euro’s,
(6) the Company's ability to maintain its rights under license
agreements and to meet funding requirements under its license
agreements, (7) the Company's ability to demonstrate the safety and
efficacy of product candidates at each stage of development and to meet
applicable regulatory standards and receive required regulatory
approvals, as well as other risks detailed from time to time in AVAX's
public disclosure filings with the Securities and Exchange Commission,
including its Annual Report on Form 10-KSB for the year ended December
31, 2006. AVAX does not undertake any obligation to release publicly any
revisions to these forward-looking statements or to reflect the
occurrence of unanticipated events.
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