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AGI Therapeutics announces preliminary
results of phase II trial of espindolol (AGI-001)
in irritable bowel syndrome.
Dublin, Ireland, 29 September,
2006 - AGI Therapeutics plc (AIM, IEX: AGI,
"AGI" or the "Company"), a speciality
pharmaceutical company focused on gastrointestinal
(GI) drug products, today announces the preliminary
results of a phase II trial of the Company's espindolol
(AGI-001) product candidate for the treatment of
irritable bowel syndrome (IBS).
The results of the trial in IBS patients did not
show overall efficacy of espindolol versus placebo
when all doses were taken into account. However,
they showed a positive response at the highest dose
level, which the Company believes may indicate a
possible pathway for further development of espindolol
in this indication.
AGI will now undertake a more detailed analysis
of the data in consultation with its medical advisory
board before deciding whether further clinical evaluation
is warranted.
Commenting on the results, Dr.
John Devane, CEO of AGI, said:
"There is evidence suggesting that espindolol
at the highest dose studied has a beneficial effect
on a number of individual IBS symptoms. The drug
appeared to have most positive effects on sensory-related
symptoms, as distinct from the more overt bowel
movement based symptoms, and therefore espindolol
may offer a novel approach to addressing a distinct
subset of IBS symptoms. We will review these findings
with our medical advisers before determining our
future development strategy for AGI-001."
An earlier phase II study of espindolol in functional
dyspepsia, reported by AGI in June, was inconclusive,
although this study showed most promise in the sub-set
of patients with the most severe manifestation of
symptoms.
Clinical Trial Results Summary
- Espindolol (AGI-001)
The clinical trial was a randomised, double-blind,
placebo-controlled, parallel group, forced dose
escalation study, which evaluated the efficacy of
espindolol versus placebo over a 12-week period
following an 8-14 day run-in period. Thereafter,
there was a 1 week down-titration to being drug
free. Espindolol was dosed in three divided doses
as 7.5 mg/day for the first 4 weeks, followed by
forced titration (providing the previous dose was
well tolerated) to 15 mg/day for the next 4 weeks
and further dose-escalated (providing the previous
dose was well tolerated) to 22.5 mg/day for the
last 4 weeks of therapy.
67 patients (male and female) meeting ROME II criteria
(modified) for IBS were randomised in the study.
Using an intent-to-treat analysis of the entire
12 weeks of dose-escalation therapy, the espindolol
treated patients failed to show any difference from
placebo in any of the primary endpoints or secondary
endpoints.
However, when considering each titration dose separately,
an espindolol dose- response relationship for a
number of the efficacy endpoints was detected while
the placebo groups remained relatively constant
for each dose titration step. Significant improvements
compared to placebo were noted at the highest dose
visit in change from baseline scores for severity
of illness, abdominal discomfort/pain, abdominal
bloating/distension, and certain individual Quality
of Life subscales (body image and food avoidance).
While the overall incidence of adverse events (AE's)
was similar for both espindolol and placebo treated
patients, there were more withdrawals (including
AE related) in the espindolol group. There were
no serious AE's.
Contact Information:
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
About Espindolol (AGI-001) and
IBS
Espindolol is an oral dosage form of the S-isomer
of pindolol which is being developed for the treatment
of both functional dyspepsia, a functional disorder
of the upper GI tract, and irritable bowel syndrome
(IBS) in both men and women.
IBS is a functional disorder (i.e. an abnormality
or disturbance of normal function which cannot be
directly attributed to anatomical or biochemical
defects) that comprises a cluster of gastrointestinal
symptoms which are likely to be life long and can
include diarrhoea, constipation, abdominal pain
and distension, which vary in intensity. Altered
intestinal motility is a major component of IBS
and patients are diagnosed and sub-typed according
to their predominant symptom of bowel disturbance
as either 'd-IBS', constipation-predominant ('c-IBS')
or mixed/alternating symptoms of diarrhoea and constipation
('m-IBS').
The prevalence of IBS has been estimated in US
population-based studies at between 10 and 20 per
cent and surveys conducted in Europe estimate a
similar range of IBS prevalence there. It is estimated
that there is an approximately equal prevalence
of each of the d-IBS, c-IBS and m-IBS sub-types.
IBS is reported to be about twice as prevalent in
women as in men. Although an estimated 75 per cent
or more of current sufferers remain undiagnosed
and untreated, IBS remains the most common diagnosis
made by gastroenterologists and leads to a substantial
reduction in quality of life, accompanied by considerable
socio-economic and psychological consequences.
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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