10.06.2008 20:00:00
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Bristol-Myers Squibb and Pfizer Initiate New Study in the Apixaban Phase 3 Clinical Trial Program
Bristol-Myers Squibb Company (NYSE: BMY) and Pfizer (NYSE: PFE)
announced today the start of a new Phase 3 clinical trial to assess the
effect of apixaban in patients with venous thromboembolism (VTE), a
potentially fatal disease process that begins with blood clots in the
leg veins or lungs. Apixaban, which is currently being developed by the
two companies, is an investigational oral, highly selective factor Xa
inhibitor, a new class of agents with therapeutic potential to prevent
and treat blood clots.
The AMPLIFY (Apixaban after the initial Management of Pulmonary embolism
and deep vein thrombosis with First-line therapy) trials are part of the
EXPANSE program - the global Phase 3 clinical development trial program
for apixaban. AMPLIFY and AMPLIFY-EXT are two major clinical trials
involving approximately 7,300 patients with deep vein thrombosis (DVT),
a blood clot in the vein, or pulmonary embolism (PE), a potentially
fatal condition caused by a blood clot blocking a vessel in the lung.
"The initiation of this apixaban Phase 3 trial
represents Bristol-Myers Squibb’s and Pfizer’s
commitment to furthering research in the treatment of VTE, a serious
disease that affects 1.3 million people annually in the US and Europe,”
said Jack Lawrence, Vice President, Research and Development,
Bristol-Myers Squibb. "Current oral drug
treatment options for the treatment of patients with VTE are primarily
vitamin K antagonists (VKA), such as warfarin. Limitations of VKAs
include a slow onset of action, a narrow therapeutic window
necessitating regular coagulation monitoring and dose adjustment, and
multiple food and drug interactions.” New Apixaban Phase 3 Clinical Trials
The AMPLIFY-EXT (Apixaban after the initial Management of PuLmonary
embolism and deep vein thrombosis with First-line therapY- EXTended
treatment) trial has initiated enrollment and will include approximately
2,430 patients who will receive, for an extended 12-month period,
apixaban 2.5 mg dose or 5 mg twice daily compared to patients taking
placebo to determine the effects of apixaban on recurrent VTE. Prior to
entering the trial, patients will have completed 6 to 12 months of
treatment for DVT or PE.
The AMPLIFY trial is expected to begin in the next few months, and will
enroll approximately 4,800 patients with acute DVT or PE and will
investigate the safety and efficacy of apixaban 10 mg twice daily for 1
week followed by 5 mg twice daily for 6 months compared to enoxaparin
plus warfarin, the two drugs used as the current standard of care.
About Venous Thromboembolism (VTE)
Venous thromboembolism can take two forms: either as a deep vein
thrombosis (DVT), a blood clot in a vein, usually in the leg that
partially or totally blocks the flow of blood, or as a pulmonary
embolism (PE), a blood clot blocking a vessel in the lungs. PE can be
associated with significant hemodynamic deterioration or death.
VTE continues to be a major cause of morbidity and mortality in the
western world, with an incidence of one to two per 1000 people, and
represents one in 10 hospital deaths. In addition, post-thrombotic
syndrome and pulmonary hypertension occur in 10 percent of DVT and five
percent of PE patients, respectively.
The first year incidence of recurrent VTE is approximately 7.7 percent,
and the risk of recurrence continues after anticoagulant treatment ends
at an average of 3% per year over the next ten years.
About the Apixaban Phase 3 Program:
EXPANSE
The EXPANSE apixaban clinical trial program has seven ongoing Phase 3
clinical studies involving approximately 45,000 patients worldwide. In
addition to the recently initiated VTE treatment program, the EXPANSE
program also includes trials studying potential use for prevention of
venous thromboembolism in patients undergoing orthopedic surgery and in
hospitalized medically ill patients at high risk of VTE, and trials
studying prevention of stroke and other thromboembolic events in
patients with atrial fibrillation (AF). The VTE prevention program
consists of:
ADVANCE-1, 2, and 3 trials are investigating the safety and efficacy
of apixaban 2.5 mg twice daily compared to enoxaparin in patients
undergoing major orthopedic surgery. Results from the first trial are
targeted for presentation at the American Society of Hematology in
December 2008.
The ADOPT study is investigating apixaban 2.5 mg twice daily for one
month compared to standard of care (enoxaparin for at least 6 days
followed by placebo) for the prevention of VTE in hospitalized
patients who are medically ill and at risk of VTE.
Apixaban is also in Phase 3 trials studying the prevention of thrombotic
events, such as stroke in patients with atrial fibrillation (AF). The AF
program consists of:
The ARISTOTLE trial, which is investigating apixaban 5 mg twice daily
compared to warfarin in approximately 15,000 patients with atrial
fibrillation.
The AVERROES trial, which is investigating apixaban 5 mg twice daily
compared to aspirin in approximately 5,600 patients with atrial
fibrillation who are ineligible for VKA treatment or haven’t
tolerated previous VKA treatment.
Apixaban has also recently completed enrollment in a Phase 2 trial in
patients with acute coronary syndrome (the APPRAISE trial). The results
of this trial will be presented at the European Society of Cardiology
meeting in September 2008.
About Bristol-Myers Squibb
Bristol-Myers Squibb is a global biopharmaceutical company whose mission
is to extend and enhance human life. For more information visit www.bms.com.
About Pfizer
Founded in 1849, Pfizer is the world's largest research-based
pharmaceutical company. Pfizer is taking new approaches to advancing
better health as it discovers, develops, manufactures and delivers
quality, safe and effective prescription medicines to treat and help
prevent disease for both people and animals. Pfizer also partners with
healthcare providers, governments and local communities around the world
to expand access to medicines and to provide better quality health care
and health system support. At Pfizer, more than 85,000 colleagues in
more than 90 countries work every day to help people stay happier and
healthier longer and to reduce the human and economic burden of disease
worldwide. For more information visit www.pfizer.com.
PFIZER DISCLOSURE NOTICE: The information contained in this release is
as of June 10, 2008. Pfizer assumes no obligation to update any
forward-looking statements contained in this release as the result of
new information or future events or developments.
This release contains forward-looking information about a product
candidate, apixaban, including its potential benefits, that involves
substantial risks and uncertainties. Such risks and uncertainties
include, among other things, the uncertainties inherent in research and
development; decisions by regulatory authorities regarding whether and
when to approve any drug applications that may be filed for any such
product candidate as well as their decisions regarding labeling and
other matters that could affect its availability or commercial
potential; and competitive developments.
A further description of risks and uncertainties can be found in Pfizer’s
Annual Report on Form 10-K for the fiscal year ended December 31, 2007
and in its reports on Form 10-Q and Form 8-K.
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