08.08.2007 08:00:00
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AVI BioPharma Announces Refocused Clinical Development Strategy
AVI BioPharma, Inc. (Nasdaq:AVII), today announced a strategic
refocusing of its clinical pipeline and a reprioritization of its
programs. AVI will focus on advancing NEUGENE®
product candidates targeting cardiovascular and genetic diseases,
optimizing compounds targeting infectious diseases, and testing new
technologies that leverage the NEUGENE antisense platform, such as
exon-skipping pre-RNA interference technology (ESPRIT).
"As announced in May, we have evaluated the
many potential treatment applications made possible by the versatility
of NEUGENE antisense and will focus our internal resources on those that
offer what we believe to be the most viable near-term market
opportunities,” said K. Michael Forrest,
interim chief executive officer of AVI. "We
continue to be impressed with the progress of our partner, Global
Therapeutics (a Cook Medical company), in developing NEUGENE compounds
targeting restenosis. We also expect to advance our own clinical
programs in the months ahead, including the ongoing NEUGENE trial in
coronary artery bypass graft (CABG) surgery and a new trial using our
ESPRIT technology in Duchenne muscular dystrophy (DMD).” NEUGENE Program Update Restenosis: Cook Medical
Global Therapeutics, which licensed NEUGENE product candidates from AVI
in March 2006 for use in cardiovascular restenosis applications,
recently completed a six-month follow-up analysis of the Phase II
APPRAISAL clinical trial. APPRAISAL was designed to study the effects of
AVI-4126, a NEUGENE compound delivered systemically via microparticles,
for the prevention of cardiovascular restenosis when used in conjunction
with the placement of one or more bare-metal stents. Global Therapeutics
recently announced that data from the trial is expected to be presented
at the Transcatheter Cardiovascular Therapeutics (TCT) conference in
October 2007 and expressed its desire to rapidly commercialize NEUGENE
products for the cardiology market, in a July 9, 2007, press release.
On July 25, 2007, Global Therapeutics also announced plans to conduct a
clinical trial for the inhibition of restenosis in patients following
angioplasty using a bare-metal cobalt chromium stent, a sub-selective
drug delivery catheter, and AVI-5126 — a
combination of AVI-4126 and a delivery peptide. The study, which Global
Therapeutics plans to begin in 2007 subject to regulatory approval, is
designed to incorporate up to 20 investigational centers throughout
Europe with the intent to support a CE-mark filing.
Coronary Artery Bypass Grafting (CABG)
A priority within AVI’s cardiovascular program
is the company’s evaluation of AVI-5126 for
use in CABG procedures. The CABG trial involves ex vivo (outside
the body) application of AVI-5126 to the saphenous vein following
harvest and before grafting into the coronary artery. The goal of this
study is to determine if AVI-5126 reduces the incidence of graft
re-blockage following the procedure.
No safety issues have been reported to date in this double-blind,
placebo-controlled trial for which enrollment is ongoing. The trial is
underway in the Ukraine, with additional sites soon to come on line in
Poland. Enrollment of the first 110 patients for the 600-patient trial
is expected by the first quarter of 2008.
Hepatitis C (HCV)
As part of the pipeline refocusing, AVI is discontinuing its planned
dose-escalating HCV trial using AVI-4065. Instead, AVI researchers will
apply recent innovations to HCV compounds with the goal of improving the
delivery to targeted cells, increasing potency and lowering overall
dosage requirements, potentially resulting in a more commercially viable
product.
Other Infectious Diseases
Other infectious disease therapeutics remain an important facet of AVI’s
research pipeline, highlighted by the collaborative efforts ongoing at
the U.S. Army Medical Research Institute of Infectious Diseases
(USAMRIID). These preclinical efforts, the most advanced of which
evaluate AVI compounds against the Ebola virus, provide an opportunity
to demonstrate NEUGENE antisense in a high-containment setting targeting
potential bioterror threats. Knowledge gained in this setting may be
transferable to other viral and non-viral targets. In addition, AVI is
continuing its H5N1 avian influenza program for the development of an
agent targeting this potential pandemic disease.
ESPRIT Program Update
ESPRIT technology holds potential as a potent tool for altering many
disease mechanisms. While conventional antisense blocks protein
production, ESPRIT compounds induce cellular machinery to skip an exon.
An exon is a packet of genetic information used in part to build a
protein. In some diseases, a genetic mutation results in one or more
exons being deleted. When this occurs, a needed protein may be altered
or not produced at all.
The ESPRIT mechanism provides a fine-tuned approach to interfering with
this disease process. Based upon favorable preclinical results in
Duchenne muscular dystrophy (DMD) animal models, AVI has selected DMD as
the first indication to pursue using ESPRIT.
Duchenne Muscular Dystrophy
DMD is a progressively debilitating and fatal disease caused by one or
more mutations in the gene that codes for dystrophin, a protein that is
crucial for muscle function. Most of the mutations cause subsequent
exons to be misread by the cell machinery so that no functional
dystrophin is produced. AVI’s objective is to
use the ESPRIT therapeutic AVI-4658 to skip exon 51, which would put the
subsequent protein back in the correct reading frame, creating a
shortened but functional version of dystrophin.
Research teams at the Imperial College London, U.K., are entering into a
proof-of-principle, controlled, dose-escalating trial using AVI-4658. In
the trial, up to nine boys with DMD will receive a single intramuscular
administration of the drug. Two to three weeks following injection, the
muscle will be biopsied and examined for molecular evidence of
dystrophin production.
In parallel, AVI is also aggressively pursuing expansion of a clinical
development program to include a multicenter, dose-ranging trial for
systemic administration of AVI-4658 for the treatment of DMD. This
product will be developed in conjunction with its cross-licensing and
development partner, Ercole Biotech. AVI intends to pursue additional
opportunities with the ESPRIT program.
About AVI BioPharma
AVI BioPharma develops therapeutic products for the treatment of
life-threatening diseases using third-generation NEUGENE antisense drugs
and ESPRIT exon skipping technology. AVI’s
lead NEUGENE antisense compound is designed to target cell proliferation
disorders, including cardiovascular restenosis. In addition to targeting
specific genes in the body, AVI’s antiviral
program uses NEUGENE antisense compounds to combat disease by targeting
single-stranded RNA viruses, including dengue virus, Ebola virus and
H5N1 avian influenza virus. AVI’s
NEUGENE-based ESPRIT technology is initially being applied to potential
treatments for Duchenne muscular dystrophy. More information about AVI
is available on the company’s Web site at http://www.avibio.com.
"Safe Harbor”
Statement under the Private Securities Litigation Reform Act of 1995:
The statements that are not historical facts contained in this release
are forward-looking statements that involve risks and uncertainties,
including, but not limited to, the results of research and development
efforts, the results of preclinical and clinical testing, the effect of
regulation by the FDA and other agencies, the impact of competitive
products, product development, commercialization and technological
difficulties, and other risks detailed in the company’s
Securities and Exchange Commission filings.
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