New Data Confirm Durable Response of TNX-355 Regimens Through 48 Weeks in Treatment-Experienced HIV Patients
August 17 2006 - 2:00PM
PR Newswire (US)
Novel viral-entry inhibitor antibody shown to be well-tolerated
TORONTO, Aug. 17 /PRNewswire-FirstCall/ -- New data presented today
by Tanox, Inc. (NASDAQ:TNOX) confirm that TNX-355, when used in
combination with an optimized background regimen (OBR) of
antiretroviral drugs, produced a sustained virologic response in
treatment-experienced HIV patients through 48 weeks. The findings
are part of an analysis of 48-week data from a Phase 2 clinical
trial of TNX-355 presented at the 2006 International AIDS
Conference in Toronto. Data presented at the conference included
several 48-week secondary endpoints of the study, including
percentage of patients who achieved a viral- load reduction of at
least 0.5 log10 and at least 1.0 log10, median time-to- loss of
virologic response and change in number of CD4+ cells. As
previously reported, the study met its primary endpoint of mean
viral-load reduction from baseline at Week 24. In the 10 mg/kg dose
arm of TNX-355 plus OBR, 44 percent of patients had a viral-load
reduction of at least 0.5 log10 at 48 weeks (p=0.014), while 39
percent of patients in the 15 mg/kg dose arm achieved at least a
0.5 log10 decrease in viral load (p=0.029). In the placebo arm, 11
percent of patients achieved a decrease of at least 0.5 log10. A
0.5 log10 reduction in viral load is considered to have clinical
benefit for patients. Although the 82-patient trial was not
designed to demonstrate statistical significance with a 1.0 log10
viral-load reduction at 48 weeks, a clear trend was observed. In
the 10 mg/kg dose arm, 37 percent of patients had a viral- load
reduction of at least 1.0 log10, while 32 percent of patients in
the 15 mg/kg dose arm achieved at least a 1.0 log10 reduction. In
the placebo group, 11 percent of patients had at least a 1.0 log10
viral-load reduction. A 1.0 log10 reduction in viral load is
equivalent to a 90 percent decrease of HIV in the bloodstream.
Additionally, the durability of the antiviral activity of the
TNX-355 regimens plus OBR at 48 weeks was greater than that of
placebo plus OBR when assessed by another secondary endpoint --
median time-to-loss of virologic response. At Week 48, the median
time-to-loss of virologic response was 230 days in the 10 mg/kg
dose arm and 253 days in the 15 mg/kg dose arm. Both of these
results were statistically significant (p=0.003). Median
time-to-loss of virologic response was zero days in the placebo
group. "These results show that TNX-355-based regimens were able to
suppress viral loads for nearly one year in a considerable number
of treatment- experienced patients in the study," said Dr. Stanley
Lewis, Tanox medical director for TNX-355. "The durable response
demonstrated by TNX-355 plus OBR, compared to OBR alone in this
patient population, indicates that TNX-355 could be a valuable
therapy for patients who are faced with limited treatment options."
Impact on CD4+ Cells and Safety As previously reported, patients on
the TNX-355 regimens had greater CD4+ immune cell count increases
at 48 weeks than patients in the placebo arm. Patients in the 10
mg/kg dose arm had a mean CD4+ cell increase of 48 cells/mm3
(p=0.031), while patients in the 15 mg/kg dose arm experienced a
mean CD4+ cell increase of 51 cells/mm3 (p=0.016). Patients in the
placebo arm had a mean increase of 1 CD4+ cell/mm3. The number of
adverse events reported for the TNX-355 regimen arms was not
statistically different from the number reported for the placebo
group. No severe adverse events considered related to TNX-355 were
reported through 48 weeks and there were no reported infusion-site
reactions associated with the intravenous administration. TNX-355
did not appear to add toxicities to the background regimens and
discontinuation rates related to adverse events were comparable
between the treatment arms and the placebo arm. In addition to the
Phase 2 study oral abstract presented today at the conference,
Tanox presented an abstract highlighting in vitro findings of TNX-
355's activity against enfuvirtide-resistant HIV. The abstracts and
slides from the oral presentation are available on the Tanox Web
site (http://www.tanox.com/). TNX-355 Phase 2 Study Design The
Phase 2 study, which is continuing to 144 weeks, is a double-blind
trial to compare the safety and efficacy of two dosages of TNX-355,
each combined with OBR, to OBR therapy alone in HIV-1
treatment-experienced patients. Patients were randomized 1:1:1 to
receive 10 mg/kg, 15 mg/kg or placebo every two weeks. Patients in
the 10 mg/kg dose arm also received a loading dose of 10 mg/kg
every week for eight weeks. About TNX-355 TNX-355 is the
most-advanced humanized monoclonal antibody in development to treat
HIV/AIDS. TNX-355 is distinct from other entry inhibitors in that
it binds to CD4 receptors -- the primary target of HIV infection.
The drug candidate has a Fast Track designation from the FDA. The
company is currently in discussions with the FDA regarding
clinical-trial design options for the next stage of TNX-355
development. About Tanox, Inc. Tanox is a biotechnology company
specializing in the development of monoclonal antibodies. The
company develops innovative biotherapeutics for the treatment of
immune-mediated diseases, inflammation, infectious disease and
cancer. Tanox's first-approved drug, Xolair(R) (omalizumab), is the
first antibody approved to treat moderate-to-severe confirmed
allergic asthma. Xolair was developed in collaboration with
Genentech, Inc. and Novartis Pharma AG and is approved for
marketing in the United States, Canada and major European
countries. Tanox is based in Houston and has a manufacturing
facility in San Diego. Additional corporate information is
available at http://www.tanox.com/. This news release contains
forward-looking statements regarding the potential for TNX-355 as a
treatment for HIV-1-infected patients. These statements are based
on Tanox's current beliefs and expectations, and are subject to
risks and uncertainties that could cause actual results to differ
materially. The therapeutic potential of TNX-355 as a treatment for
HIV-1- infected patients is subject to the risks inherent in drug
development. The conduct or timing of any future trials can depend
on many factors, including the company's discussions with the FDA,
whether Tanox chooses to partner the program, and availability of
sufficient quantities of clinical-trial material. Success in early
stage clinical trials does not ensure that later-stage or
larger-scale clinical trials will be successful, and the results
achieved in later-stage trials may not be sufficient to meet
applicable regulatory standards. Problems or delays may arise
during clinical trials or in the course of developing, testing or
manufacturing drugs. For more detailed information on the risks and
uncertainties associated with Tanox's drug development and other
activities, see Tanox's periodic reports filed with the Securities
and Exchange Commission. The Tanox logo is a registered trademark
with the U.S. Patent and Trademark Office.
http://www.newscom.com/cgi-bin/prnh/20050207/TNOXLOGO DATASOURCE:
Tanox, Inc. CONTACT: Steve Sievert of Tanox, Inc., +1-713-578-4211,
Web site: http://www.tanox.com/
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