AMGEN & AZ BRODALUMAB PHASE III RESULTS


AMGEN AND ASTRAZENECA ANNOUNCE POSITIVE RESULTS FROM PHASE III STUDY OF
BRODALUMAB

(AMG 827) IN PATIENTS WITH MODERATE-TO-SEVERE PLAQUE PSORIASIS

Study evaluating novel investigational IL-17 receptor antibody

meets all primary and secondary endpoints

AstraZeneca and Amgen today announced that the Phase III AMAGINE-1TMstudy
evaluating brodalumab in patients with moderate-to-severe plaque psoriasis met
all primary and secondary endpoints for both evaluated doses. Brodalumab is the
only investigational treatment in development that binds to the interleukin-17
(IL-17) receptor and inhibits inflammatory signaling by blocking the binding of
several IL-17 ligands to the receptor. Primary endpoints were patients achieving
at least a 75 percent improvement from baseline in disease severity at week 12,
as measured by the Psoriasis Area Severity Index (PASI 75), and patients
achieving clear or almost clear skin at week 12 according to the static
Physician Global Assessment (sPGA 0 or 1).

A significantly higher proportion of patients treated with brodalumab achieved a
PASI 75 response (primary endpoint), as well as PASI 90 and PASI 100 responses
at week 12 (secondary endpoints) compared to placebo. Results showed that 83.3
percent of patients in the 210 mg group and 60.3 percent of patients in the 140
mg group achieved PASI 75 responses compared to placebo (2.7 percent). Results
also showed that 70.3 percent of patients in the 210 mg group and 42.5 percent
of patients in the 140 mg group achieved PASI 90 responses compared to placebo
(0.9 percent). Further, 41.9 percent of patients in the 210 mg group and 23.3
percent of patients in the 140 mg group achieved PASI 100 responses compared to
placebo (0.5 percent). Of the 661 patients enrolled in this study, 46 percent
reported prior biologic use and 28.7 percent weighed more than 100 kilograms
(kg) at baseline (mean weight for the study population was 90.8 kg).

A PASI score is a measure of psoriatic plaque redness, scaling and thickness and
the extent of involvement in each region of the body. Treatment efficacy is
often measured by the reduction of PASI from baseline (i.e., a 75 percent
reduction is known as PASI 75, a 90 percent reduction is known as PASI 90 and
PASI 100 is total clearance of skin disease).

The most common adverse events that occurred during the placebo-controlled
period in the brodalumab group (more than 5 percent of participants) were
nasopharyngitis, upper respiratory tract infection and headache. Serious adverse
events occurred in 1.8 percent of patients in the 210 mg group and 2.7 percent
of patients in the 140 mg group compared to 1.4 percent for placebo during the
placebo-controlled period.

“Data from the AMAGINE-1 study suggest that brodalumab may offer a new level of
efficacy for patients with moderate-to-severe plaque psoriasis, a disease that
affects more than 100 million people globally,” said Sean E. Harper, executive
vice president of Research and Development at Amgen. “This is the first read-out
from our Phase III psoriasis clinical programme and we look forward to obtaining
additional Phase III data from our two head-to-head studies versus ustekinumab
later this year.”

Psoriasis is a non-contagious chronic disease in which the immune system causes
skin cells to grow at an accelerated rate. Instead of being shed, skin cells
pile up, causing painful and itchy, red, scaly patches.

“Moderate-to-severe plaque psoriasis is a serious disease, and despite available
treatments, there is still a significant need for more effective therapies,”
said Briggs Morrison, executive vice president of Global Medicines Development
at AstraZeneca. “We are encouraged by brodalumab’s emerging profile and look
forward to presenting the full data in the appropriate scientific forum.”

AMAGINE-1 is one of three Phase III studies designed to assess the efficacy and
safety of brodalumab in patients with moderate-to-severe plaque psoriasis.
AMAGINE-2 and AMAGINE-3 are designed to evaluate the efficacy and safety of
induction and maintenance regimens of brodalumab at different dose schedules in
patients with moderate-to-severe plaque psoriasis compared to ustekinumab and
placebo.

 AMAGINE-1 Study Design

AMAGINE-1 assessed the safety and efficacy of brodalumab given every two weeks
via subcutaneous injection at two doses (140 mg or 210 mg) compared to placebo
in patients with moderate-to-severe plaque psoriasis. Another purpose of the
study was to assess safety and efficacy when patients treated with brodalumab,
who responded to treatment, began receiving placebo compared to the patients who
continued receiving brodalumab.

The Phase III study began with a 12-week, double-blind, placebo-controlled
induction phase. During this phase, patients were randomised in a 1:1:1 ratio to
receive 210 mg of brodalumab, 140 mg of brodalumab or placebo every two weeks.

At week 12, patients originally randomised to receive treatment with brodalumab
who achieved clear or almost clear skin according to their sPGA (0 or 1) were
rerandomised 1:1 to receive placebo or continued treatment with brodalumab at
the current dose. Rerandomised patients losing disease control were treated with
their original brodalumab dose. All patients originally randomised to placebo
and any patient not qualifying for rerandomisation (sPGA > 1) received 210 mg of
brodalumab every two weeks.

sPGA is a physician’s rating of psoriasis severity at a given point in time
based on plaque, scaling and redness. A physician can rate a patient’s psoriasis
as clear (0), almost clear (1), mild (2), moderate (3), severe (4) or very
severe (5).

About Brodalumab (AMG 827)

Brodalumab is a novel human monoclonal antibody that binds to the interleukin-17
(IL-17) receptor and inhibits inflammatory signaling by blocking the binding of
several IL-17 ligands to the receptor. By stopping IL-17 ligands from activating
the receptor, brodalumab prevents the body from receiving signals that may lead
to inflammation. The IL-17 pathway plays a central role in inducing and
promoting inflammatory disease processes. In addition to moderate-to-severe
plaque psoriasis (Phase III), brodalumab is currently being investigated for the
treatment of psoriatic arthritis (Phase III) and asthma (Phase II).

About the Amgen and AstraZeneca Collaboration

In April 2012, Amgen and AstraZeneca formed a collaboration to jointly develop
and commercialise five monoclonal antibodies from Amgen’s clinical inflammation
portfolio. With oversight from joint governing bodies, Amgen leads clinical
development and commercialisation for brodalumab (Phase III for moderate-to
-severe plaque psoriasis and psoriatic arthritis, Phase II for asthma) and AMG
557/MEDI5872 (Phase Ib for autoimmune diseases such as systemic lupus
erythematosus). AstraZeneca, through its biologics arm MedImmune, leads clinical
development and commercialisation for MEDI7183/AMG 181 (Phase II for ulcerative
colitis and Crohn's disease), MEDI2070/AMG 139 (Phase II for Crohn’s disease)
and MEDI9929/AMG 157 (Phase II for asthma).

About Amgen

Amgen is committed to unlocking the potential of biology for patients suffering
from serious illnesses by discovering, developing, manufacturing and delivering
innovative human therapeutics. This approach begins by using tools like advanced
human genetics to unravel the complexities of disease and understand the
fundamentals of human biology.

Amgen focuses on areas of high unmet medical need and leverages its biologics
manufacturing expertise to strive for solutions that improve health outcomes and
dramatically improve people's lives. A biotechnology pioneer since
1980, Amgen has grown to be the world's largest independent biotechnology
company, has reached millions of patients around the world and is developing a
pipeline of medicines with breakaway potential.

For more information, visit www.amgen.com and follow us
on www.twitter.com/amgen.

About AstraZeneca

AstraZeneca is a global, innovation-driven biopharmaceutical business that
focuses on the discovery, development and commercialisation of prescription
medicines, primarily for the treatment of cardiovascular, metabolic,
respiratory, inflammation, autoimmune, oncology, infection and neuroscience
diseases. AstraZeneca operates in over 100 countries and its innovative
medicines are used by millions of patients worldwide. For more information
please visit: www.astrazeneca.com

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12 May 2014

-ENDS-

Anhänge

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