Biota Holdings Announces Successful Phase III Asian Clinical Trials of Its Second Generation Flu Treatment
Laninamivir Shown to Be Effective Against Swine (H1N1) and Avian (H5N1) Flu Viruses
WASHINGTON, DC--(Marketwire - August 10, 2009) - Biota Holdings Limited (ASX: BTA) today
announced successful results from the Asian Phase III clinical trials of
CS-8958, its second generation influenza treatment.
CS-8958 now has been assigned the new name of 'laninamivir' by the World
Health Organization under its International Non-proprietary Names (INN)
drug identification system. Laninamivir is a long acting neuraminidase
inhibitor (LANI) and is co-owned with Daiichi Sankyo.
In the Phase III trial in adults, a single inhaled dose of laninamivir was
shown to be as effective as oseltamivir (Tamiflu) administered orally twice
daily for 5 days (total of 10 doses). A parallel Phase II/III trial of
CS-8958 in pediatric patients also met the primary and secondary endpoints
compared to oseltamivir.
"The success of the multifaceted Phase III trials in Asia is significant.
Laninamivir offers a new therapeutic agent in the treatment of influenza
with particular advantages for stockpiling applications," said Peter Cook,
Biota's Managing Director.
Trial Results
The Phase III study was conducted by Daiichi Sankyo in Japan, Taiwan, Hong
Kong and Korea and enrolled approximately 1,000 adult patients who had
confirmed, naturally acquired influenza A or B. Patients in the trial
received either 20mg or 40mg of laninamivir as a single inhaled dose or
75mg of oseltamivir twice daily for five days. Participants in the trial
were distributed equally across three treatment groups. The primary end
point of the trial was time to symptom resolution, while the secondary end
point was time for body temperature to return to normal. Both doses of
laninamivir were as effective as oseltamivir and were well tolerated.
The parallel Phase II/III double-blind pediatric study of laninamivir was
conducted in Japan in approximately 180 children aged nine years or
younger. This study also compared the safety and efficacy of 20mg or 40mg
of laninamivir as a single inhaled dose with oseltamivir, administered at a
dose of 2mg/kg twice daily for five days. Approximately 60 children were
enrolled in each treatment arm of the study. The primary and secondary end
points used in this trial were the same as those used in the adult study.
Both doses of laninamivir were equivalent to oseltamivir and were well
tolerated by pediatric patients. There was also a trend towards the single
inhaled doses of 20mg or 40mg of laninamivir showing a faster time to the
alleviation of influenza illness than oseltamivir dosed at 2mg/kg twice
daily for five days.
Antiviral activity
Pre-clinical tests have shown laninamivir to be effective against influenza
A & B virus as well as against the H5N1 avian influenza virus. A recent
paper in the journal Nature published by University of Tokyo virologist
Yoshihiro Kawaoka et al indicated that laninamivir is also active against
the new swine originated influenza A H1N1 virus.
Future
Daiichi Sankyo has secured the rights to manufacture and market laninamivir
in Japan and funded the Japanese trials. Daiichi Sankyo is seeking
approval from the Japanese regulatory authority to market laninamivir in
Japan, with submission anticipated by March 2010. A clinical study for
prophylaxis of influenza is expected to commence in Japan in late 2009.
Biota will receive an undisclosed royalty on sales and a number of fixed
sum payments on the achievement of certain sales milestones.
Biota will continue to advance the clinical development program required to
support registration in North America and Europe. The US National
Institutes of Health has to date committed a total of $5.6 million to
support the western clinical development program.
A licensing partner is now being sought for all markets outside Japan,
including the US. Under the Commercialisation and Licence Agreement
between Biota and Daiichi Sankyo, the parties will share commercial returns
from licensing outside Japan.
A separate announcement will be made by Daiichi Sankyo in Japan today.
About LANI's (Long-Acting Neuraminidase Inhibitors)
Current neuraminidase inhibitors for influenza require daily or more
frequent dosing. The ability to dose patients on a weekly, or even less
frequent, basis offers numerous benefits. Firstly, any stockpile of
weekly-dosing drug will last longer and protect more people, in the case of
an influenza pandemic. Additionally, a weekly dose may improve patient
compliance over a more frequent regime.
About Daiichi Sankyo
A global pharmaceutical innovator, Daiichi Sankyo Co., Ltd., was
established in 2005 through the merger of two leading Japanese
pharmaceutical companies. Daiichi Sankyo discovered laninamivir and has a
key partnership with Biota for the development of the product.
*Further information, visit www.daiichisankyo.com
About Biota
Biota is a leading anti-infective drug development company based in
Melbourne Australia, with key expertise in respiratory diseases,
particularly influenza. Biota developed the first-in-class neuraminidase
inhibitor, zanamivir, subsequently marketed by GlaxoSmithKline as Relenza.
Biota research breakthroughs have included novel nucleoside analogues
designed to treat hepatitis C virus (HCV) infections, licensed to
Boehringer Ingelheim, and a series of candidate drugs aimed at treatment of
respiratory syncytial virus (RSV) disease. Biota has clinical trials
underway with its lead compound for human rhinovirus (HRV) infection in
patients with compromised respiration or immune systems. In addition,
Biota has a key partnership with Daiichi Sankyo for the development of
second generation influenza anti-virals.
Relenza™ is a registered trademark of the GlaxoSmithKline group of
companies.
*Further information available at www.biota.com.au