PAION and ERGOMED Report Full Data of CNS 5161 Phase IIa Study in Neuropathic Cancer Pain
April 09 2009 - 10:01AM
Business Wire
The biopharmaceutical company PAION AG (ISIN DE000A0B65S3;
Frankfurt Stock Exchange, Prime Standard: PA8) and ERGOMED Clinical
Research Limited today announce data from the open-label Phase IIa
study with the NMDA receptor antagonist CNS 5161 which was
completed in December 2008. The final reported data confirm that
the substance is safe and well-tolerated within the applied
administration scheme which covered a large dose range. Adverse
events were of mild and moderate intensity, relating mainly to the
cardiovascular and the nervous system and were completely resolved
following end of treatment. Importantly, none of the psychomimetic
side effects normally associated with NMDA antagonist have been
observed whilst signs of pain reduction were noted even at the
second lowest dosing.
The study was intended to explore the optimal schedule for
infusion of CNS�5161 in the management of neuropathic cancer pain
and included 24 patients with opioid-refractory cancer pain. Its
primary objective was to define the maximum tolerable dose and to
assess the relationship between the plasma concentration of CNS
5161 and changes in pain level.
In total, 24 patients received study treatment of which 22
patients received complete course of treatment. The patients were
divided into six dose cohorts receiving cumulative dosages between
750 and 4,500�mcg which were applied as six short i.v. infusions
every four hours over 20 hours. In the study no dose limiting
toxicity was observed.
Efficacy signals were observed in all but the lowest dose
cohort. On the 10-grade numerical pain rating scale (NPRS), mean
values dropped by 3.0 points from 6.2 to 3.2 at 32 hours, excluding
the first (lowest dose) cohort. This represents an approximately
50% reduction in pain in these patients. EMEA guidelines for
neuropathic pain indicate that a 30-50% reduction in pain can be
considered a response.
Dr Wolfgang S�hngen, PAION�s CEO commented: �Based on the
encouraging results of the study, good tolerability paired with
efficacy signs already at low dosing, we are positive that CNS 5161
warrants further testing in opioid refractory cancer pain. The next
logical step would be an extended placebo-controlled Phase�II study
in order to show proof-of-concept. This could be achieved with a
reasonable investment. Together with our partner ERGOMED we have
come to the conclusion that we seek third party (co)-funding.�
Dr Miro Reljanovic, CEO of ERGOMED added, �As co-development
partner we are very pleased with the results of this study and are
looking forward to working with PAION to find a partner to continue
to work with us on the further development of CNS 5161.�
###
About opioid refractory cancer pain
Pain is an inevitable consequence of most solid cancers. It has
been estimated that nearly three million patients in the seven
major markets will require treatment for cancer pain annually and
that more than 70% of late stage cancer patients suffer from
moderate to severe pain (Source Apex Healthcare) with a neuropathic
component. Opioids are commonly used for managing moderate to
severe neuropathic cancer pain, but it has been estimated that
around 20% of patients will experience opioid-refractory pain which
is notoriously difficult to treat leading to a considerable medical
need. Existing NMDA antagonists are being used as a last resort to
treat these patients. However, their usability is limited by
psychomimetic side effects. CNS 5161 could fill this gap.
About PAION
PAION is a biopharmaceutical company headquartered in Aachen,
Germany. Since the acquisition of CeNeS Pharmaceuticals, which was
completed in June 2008, the company has a second site in Cambridge,
UK. The company is specializing in developing and commercializing
innovative drugs for the hospital-based treatment of central
nervous system (CNS) disorders and thrombotic/cardiovascular
diseases, indications for which there is a substantial unmet
medical need. PAION intends to further expand its portfolio of
drugs by exploiting its core expertise in identifying
high-potential compounds, licensing or otherwise acquiring them and
advancing them through the clinical development and regulatory
approval process. Where appropriate, particularly during the late
stages of the clinical development and approval process and the
commercialization phase, PAION seeks to collaborate with
experienced partners.
About ERGOMED Group
ERGOMED is a specialized international clinical development
company offering contract clinical research and co-development
partnerships to biotechnology and pharmaceutical companies
worldwide in the fields of neurology, oncology and immunology.
ERGOMED�s approach to clinical research ensures effective patient
recruitment, reducing the time and costs of clinical trials and
complementing the drug discovery capabilities of its customers and
partners. The company has a dual business model offering standard
clinical trial management contracts and also co-development
partnerships to share the risks and rewards of clinical
development. For further information visit www.ergomed-cro.com
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