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Preliminary clinical data for mecamylamine
(AGI-004) and arbaclofen (AGI-006)
Dublin, Ireland, 1st February
2007 - AGI Therapeutics plc ("AGI"
or the "Company") (AIM, IEX: AGI), a speciality
pharmaceutical company focused on gastrointestinal
drug products, today announces preliminary results
of Phase II studies for mecamylamine (AGI-004, for
functional diarrhoea) and arbaclofen (AGI-006 for
functional dyspepsia). The results of these studies
follow the reporting last year of positive results
for other AGI products in development.
Both were pilot studies designed to identify clinical
signals that would indicate how to proceed to further
clinical development. Both studies showed statistical
significance in a number of endpoints, which point
to their potential clinical utility in certain related
GI indications, although the primary endpoints in
the specific patient populations were not met. Both
products will now be progressed into further clinical
trials for related, alternative indications.
Evidence from the mecamylamine study suggests that
mecamylamine has a beneficial effect on certain
diarrhoea-related symptoms, particularly stool consistency.
Based on the signals identified in the current study,
the mechanism of action of mecamylamine and the
pathophysiology of certain non-functional diarrhoea
conditions, this study suggested that mecamylamine
may be effective in treating diarrhoea-related symptoms
in conditions such as chemotherapy-related diarrhoea.
AGI intends to initiate further Phase II clinical
evaluation of mecamylamine in the second half of
2007.
The arbaclofen clinical study showed strong evidence
that arbaclofen has a beneficial effect on a number
of clinically important gastrointestinal symptoms
typical of dyspepsia. The symptoms affected appear
consistent with the prokinetic activity of arbaclofen
and may have particular relevance in the treatment
of dyspeptic symptoms associated with gastroparesis
in diabetics or with certain sub-sets of the functional
dyspepsia population, both of which are important
commercial markets. AGI expects to commence a larger
and more rigorous Phase II trial in the second half
of this year.
Dr. John Devane, CEO of AGI said:
"We are pleased with the positive signals
pointing to potential therapeutic benefit in both
these compounds and believe further clinical development
is justified. The result of these two trials completes
the current programme of clinical work on six products
which have been evaluated in a variety of GI diseases.
The results of the clinical trials on the other
four products were reported in 2006. We are highly
encouraged with the success we have had so far across
our portfolio and can now set out a strategy to
progress these products. We look forward to updating
our shareholders of these plans in the near future."
Contact Information:
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AGI Therapeutics
David Kelly, Chief Financial Officer
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Tel:
+353 1 449 3254 |
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Financial Dynamics
- UK
Sarah MacLeod
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Tel:
+44 (0) 20 7831 3113 |
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Financial Dynamics
- Ireland
Aisling Garvey
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Tel:
+353 1 663 3607 |
For further information please see www.agitherapeutics.com
Notes to Editors
Mecamylamine (AGI-004)
Preliminary results for mecamylamine in functional
diarrhoea:
The clinical trial was a randomised, double-blind,
placebo-controlled, parallel-group, forced dose-escalation
study which evaluated the efficacy of mecamylamine
versus placebo over a 12-week period following an
8-14 day run-in period. Mecamylamine was dosed once
daily as 2mg/day for the first 4 weeks, followed
by forced titration, providing the previous dose
was well tolerated, to 4mg/day for the next 4 weeks
and further dose-escalated, providing the previous
dose was well tolerated, to 6mg/day for the last
4 weeks of therapy.
82 patients (male and female) meeting ROME II criteria
(modified) for functional diarrhoea were randomised
in the study. Using an intent-to-treat analysis
and the entire 12 weeks of dose-escalation therapy,
the mecamylamine treated patients failed to show
a statistically significant difference from placebo
in the primary and secondary endpoints with the
exception of an improvement in stool consistency
at week 4 (the 2mg/day treatment period) based on
positive responses on at least 50% of the available
daily reports.
However, significant improvements in stool consistency
with mecamylamine treatment compared to placebo
were noted in a smaller modified per-protocol population
(n=35) for the entire dose-escalation as well as
for each dose treatment phase.
The overall incidence of adverse events (AE's)
was similar for both mecamylamine and placebo-treated
patients. Three patients (two on mecamylamine and
one on placebo) experienced a total of 4 serious
AE's all of which were assessed as unrelated to
study medication. There were more AE related withdrawals
in the mecamylamine group (11) compared with placebo
(6).
Arbaclofen (AGI-006)
Preliminary results for arbaclofen in functional
dyspepsia:
The clinical trial was a randomised, double-blind,
placebo-controlled, parallel-group, forced dose-escalation
study, which was designed to evaluate initial signals
of efficacy of arbaclofen versus placebo over a
6-week period following an 8-14 day run-in period.
Thereafter there was a 1 week down-titration to
being drug free. Arbaclofen was dosed in three divided
doses as 7.5mg/day for the first 2 weeks, followed
by forced titration, providing the previous dose
was well tolerated, to 15mg/day for the next 2 weeks
and further dose-escalated, providing the previous
dose was well tolerated, to 30.0mg/day for the last
2 weeks of therapy.
64 patients (male and female) meeting ROME II criteria
(modified) for functional dyspepsia (FD) were randomised
in the study. Using an intent-to-treat analysis
and the entire 6 weeks of dose-escalation therapy,
the arbaclofen treated patients failed to show a
statistically significant difference from placebo
in the primary endpoint based on patient global
impression.
However, the effect of arbaclofen on a number of
secondary endpoints was encouraging. More specifically,
positive trends in the change from baseline in upper
abdominal fullness and early satiety were observed
at all study visits (all doses) and in upper abdominal
pain/discomfort at the last visit (the highest dose)
compared to placebo, while significant improvements
were demonstrated for severity of illness, gastrointestinal
symptoms, bloating, and nausea at the highest dose
visit with trends to improvement in the overall
(all visits) treatment response. In addition, significant
differences in rescue antacid use were observed
at all visits, with the arbaclofen-treated group
showing overall lower antacid use. Further differences
showing improved quality of life symptom scores
for arbaclofen-treated patients were observed at
the initial treatment visit for emotional score,
the mental health score and the overall mental component
summary score with positive trends in the social
functioning score and the physical score. Although
primary endpoints for functional dyspepsia were
not met in this pilot study, the therapeutic benefit
was apparent based on the positive effect on numerous
secondary endpoints. .
The overall incidence of adverse events (AEs) were
similar between the arbaclofen and placebo treated
patients, however, the incidence of CNS adverse
events (headache, dizziness and somnolence) were
greater in the arbaclofen-treated group than the
placebo group. There were no serious AEs. The rate
of premature withdrawals (drop-outs) was higher
in the placebo group (9) than in the arbaclofen-treated
group (6).
About AGI
AGI is a speciality pharmaceutical company which
is focused on the development and commercialisation
of differentiated drug products for gastrointestinal
(''GI'') diseases and disorders. AGI's common shares
are listed on the Alternative Investment Market
of the London Stock Exchange ("AIM") and
on the Irish Enterprise Exchange of the Irish Stock
Market ("IEX") as "AGI".
The Company has a portfolio of product candidates
derived from the Known Molecular Entity (''KME'')
approach to drug re-profiling and development. KME
is a re-profiling methodology used by the Company
to identify existing therapeutic drugs which typically
have been marketed for a number of years, have established
safety profiles and can be developed for new clinical
indications or with improved profiles in their existing
clinical indications. In this way, the Company seeks
to reduce the risk, time and cost of new product
development as compared to the development of new
chemical entities.
AGI is developing a range of product candidates
to treat a variety of prevalent GI diseases and
disorders, including irritable bowel syndrome, functional
dyspepsia, ulcerative colitis and gastro-esophageal
reflux disease. The Company is targeting areas of
the GI therapeutic drug products market for its
product candidates where there are currently unmet
medical needs or where the effectiveness of existing
drug therapies can be further improved.
The Company has six clinical stage product candidates
which are either isomers or new drug delivery formulations
of existing approved drugs, and which have established
safety and tolerability profiles in their currently
approved clinical indications. These product candidates
are all in clinical development, including five
Phase II trials.
AGI intends to complete its ongoing clinical trials
and, dependent on the results of these trials, the
Company will initiate late stage development of
a lead product candidate and will also seek to enter
into licensing and development agreements with pharmaceutical
companies so as to enhance the global market reach
for its products and achieve optimal revenue and
value opportunities for the Company.
Statements contained within this press release
may contain forward-looking comments that involve
risks and uncertainties that may cause actual results
to vary from those contained in the forward-looking
statements. In some cases, you can identify such
forward-looking statements by terminology such as
'may', 'will', 'could', 'forecasts', 'expects',
'plans', 'anticipates', 'believes', 'estimates',
'predicts', 'potential', or 'continue'. Predictions
and forward-looking references in this press release
are subject to the satisfactory progress of research,
which is, by nature, unpredictable. Forward projections
reflect management's best estimates based on information
available at the time of issue.
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