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Clinical study supports the pharmacokinetic
and safety profile of RezularTM
Dublin, Ireland, 21 February
2008 - AGI Therapeutics plc ("AGI"
or the "Company") (AIM, IEX: AGI), a speciality
pharmaceutical company focused on gastrointestinal
drug products, today announces the key findings
of a clinical study to assess the pharmacokinetic
profile of RezularTM (AGI-003), which is in Phase
III clinical trials for the treatment of diarrhoea-predominant
irritable bowel syndrome (IBS-D).
The pharmacokinetic study was conducted in healthy
human volunteers and compared the drug exposure
profile (in terms of both peak plasma concentration,
or "Cmax", and area under the plasma concentration
curve, or "AUC") after administration
of 80mg of Rezular, under fed and fasting conditions,
to 160mg of a marketed form of racemic verapamil.
Rezular contains arverapamil, the purified R-isomer
form of verapamil, whereas racemic verapamil contains
equal amounts of the R- and the S-isomer.
The key findings of the study were:
(1) There were no detectable levels of the S-isomer
following Rezular administration under fasting conditions
and thus no evidence of any inter-conversion of
Rezular to the S-isomer in vivo. Administration
of Rezular under fed conditions resulted in some
increase in AUC of the R-isomer compared to fasting
conditions, while the S-isomer was only detected
in the plasma at trace levels matching the trace
amounts known to be present in the purified form
of Rezular. These data indicate that the gastrointestinally
active R-isomer, arverapamil, contained in Rezular
can be administered to humans without exposing them
to clinically relevant levels of the S-isomer, the
form of verapamil which is most potent on cardiac
and vascular tissue; and
(2) Under both fed and fasting conditions, both
the Cmax and AUC of the R-isomer after Rezular administration
were less than those seen after administration of
racemic verapamil. This indicates that patients
taking clinically relevant doses of Rezular will
be exposed to lower systemic levels of the R-isomer
compared to currently approved forms of racemic
verapamil, and further supports the NDA 505(b)2-based
development approach agreed with the US Food and
Drug Administration (FDA) for Rezular.
Commenting on the results, Dr John Devane, CEO
of AGI, said:
"Verapamil has been on the market in the US
for over 20 years, however the presence of the S-isomer
does not allow the use of racemic verapamil to safely
treat gastrointestinal conditions such as irritable
bowel syndrome. We believe that Rezular has important
safety benefits in the treatment of gastrointestinal-related
disorders. The findings from this pharmacokinetic
study further support the safety profile of Rezular
and the development strategy being pursued by the
Company."
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
Deborah Scott/Lara Mott
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Tel:
+44 (0) 20 7269 7182 |
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Financial Dynamics
- Ireland
Aisling Garvey
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Tel:
+353 1 663 3607 |
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Piper Jaffray Ltd
Neil Mackison
Will Carnwath
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Tel:
Tel: +44 (0) 20 3142 8700 |
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Davy
John Frain
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Tel:
+353 1 614 8761 |
For further information please see www.agitherapeutics.com
Notes to Editors:
About the study
The pharmacokinetic study was a single-dose, open-label,
randomized, three-way crossover study in 16 healthy
subjects (8 males, 8 females). The treatments were
RezularTM (80mg) administered under fasting and
fed conditions and Calan® (160mg) administered
under fasting conditions. Calan is an FDA-approved
form of racemic verapamil which is used to treat
cardiovascular disorders. Blood samples were taken
periodically up to 48 hours after each administration.
Plasma concentrations of the R- and S-isomers of
verapamil were measured using a validated Liquid
Chromatography/Mass Spectrometry/Mass Spectrometry
(LC/MS/MS) method. All treatments in the study were
well tolerated.
About Rezular
Rezular is an orally administered triple-action
intestinal regulator, a first-in-class mechanism
for the treatment of IBS-D. Rezular contains arverapamil,
the pure R-isomer form of the racemic drug verapamil.
Unlike the currently available commercial forms
of verapamil (a racemic mixture of two isomers,
R and S), Rezular shows a dominant activity in treating
the symptoms of IBS-D without the traditional cardiovascular
actions exerted by the S-isomer component of the
racemic drug. The efficacy and safety of Rezular
in IBS patients has already been established in
a Phase II trial, the preliminary results of which
were reported by the Company in 2006 and presented
at the 2007 Scientific Meeting of the American College
of Gastroenterology. Rezular is currently in Phase
III clinical trials (ARDIS) for the treatment of
IBS-D.
About ARDIS
ARDIS represents AGI's Phase III programme for
Rezular in the treatment of IBS-D and consists of
three pivotal studies.
ARDIS-1 is a randomised, double-blind, placebo-controlled,
parallel group, Phase III study in IBS-D patients
(both men and women). There are four treatment arms
(placebo and three dose levels of Rezular) and patients
will be treated for 12 weeks of double-blind therapy.
At the end of double-blind therapy in ARDIS-1, patients
will become eligible to enrol into ARDIS-3. It is
planned to randomise 1,200 patients into ARDIS-1.
ARDIS-2 is a confirmatory Phase III efficacy/safety
study to be conducted in IBS-D patients upon completion
of ARDIS-1.
ARDIS-3 is an open-label safety study designed
to capture 1 year extended safety in approximately
100 patients on continuous Rezular therapy.
About IBS-D
Irritable bowel syndrome (IBS) is a functional
disorder that comprises a cluster of gastrointestinal
symptoms which are likely to be life long and which
affect between 10% and 20% of the population in
developed markets. IBS remains the most common diagnosis
made by gastroenterologists and can lead to a substantial
reduction in patients' quality of life, accompanied
by considerable socio-economic and psychological
consequences. Altered intestinal motility is a major
component of IBS and patients are diagnosed and
sub-typed according to their predominant symptom
of bowel disturbance. Diarrhoea-predominant irritable
bowel syndrome (IBS-D) is estimated to occur in
one-third of all IBS patients. IBS-D represents
a significant unmet medical need as there are currently
few safe and effective therapeutic options available
to these patients.
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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