ABBOTT LABORATORIES RECEIVES FDA APPROVAL EARLIER THAN ANTICIPATED FOR HUMIRA™
(ADALIMUMAB) FOR THE TREATMENT OF RHEUMATOID ARTHRITIS (RA)
1/6/2003
—HUMIRA OFFERS SAFETY AND EFFICACY, CONVENIENT DOSING AND UNIQUE,
EASY-TO-ADMINISTER, PRE-FILLED SYRINGE FOR RA PATIENTS—
Abbott Park, Illinois, December 31, 2002 — Abbott Laboratories received
U.S. Food and Drug Administration (FDA) approval to market HUMIRA™ (pronounced
Hu-'mare-ah) (adalimumab)
(pronounced a-da-'lim-yoo-mab),
previously known as D2E7. HUMIRA is the first human monoclonal antibody approved
for reducing the signs and symptoms and inhibiting the progression of structural
damage in adults with moderately to severely active rheumatoid arthritis (RA)
who have had insufficient response to one or more traditional disease modifying
antirheumatic drugs (DMARDs). HUMIRA was created using phage display technology,
resulting in an antibody with human-derived heavy and light chains variable
regions and human IgG1:K constant regions.
"We're pleased to receive the approval of HUMIRA earlier than
anticipated," said Miles D. White, chairman and chief executive officer,
Abbott Laboratories. "The approval of HUMIRA is not only a milestone for
Abbott, more importantly it is an example of the positive impact pharmaceutical
innovation can have for people living with chronic and debilitating conditions
like RA."
HUMIRA will offer convenient every other week dosing by subcutaneous
injection (shot beneath the skin). A specially designed prefilled syringe for RA
patients whose hands may be affected by crippling joint destruction will be
available in pharmacies next month. Abbott is confident it can supply sufficient
quantities to meet patient demand and recently announced a manufacturing
expansion to meet future demand for HUMIRA, as well as other biologics in its
pipeline. The FDA's approval of HUMIRA comes only nine months after simultaneous
regulatory submissions in the United States and Europe.
Clinical Data Supporting HUMIRA Approval
The approval of HUMIRA was based on the efficacy and safety data obtained in
four controlled clinical trials in more than 2,000 RA patients. The efficacy of
HUMIRA was assessed by evaluating patients’ improvement in RA signs and
symptoms response scores and the inhibition of the progression of structural
damage in RA as measured by bone changes in X-rays. Safety was also
assessed in these trials, including one of the largest safety trials of a TNF
antagonist.
In these trials some patients experienced an improvement in RA signs and
symptoms as early as one week (22 percent, 14/63 patients).
American College of Rheumatology (ACR) responses have been seen in some patients
out to three years. HUMIRA is approved for use alone or in combination with
traditional DMARDs. For most patients, the recommended dose of HUMIRA is 40mg
every other week by subcutaneous injection, which is more convenient than
currently available medications.
"As rheumatologists, our goal in RA treatment is to treat the pain and
swelling as well as slow the progression, which is why it's exciting to have a
new option with HUMIRA," said Michael Schiff, M.D., director of clinical
research, Denver Arthritis Clinic, clinical professor of medicine, Rheumatology
Division, University of Colorado School of Medicine and a lead investigator for
HUMIRA clinical trials. "In my experience with HUMIRA, some patients see a
rapid improvement in their signs and symptoms as early as one week, which allows
them to participate in normal daily activities. Just as important is the ability
of HUMIRA to inhibit the progression of the disease, which means it slows the
damage to the joints that occurs over time."
HUMIRA resembles antibodies normally found in the body. HUMIRA works by
specifically blocking tumor necrosis factor alpha (TNF-a), a protein that plays
a central role in the inflammatory responses of autoimmune diseases such as RA.
Important Safety Information
Cases of tuberculosis (TB), frequently disseminated or extra pulmonary at
clinical presentation have been observed in patients receiving HUMIRA. Serious
infections and sepsis, including fatalities, have been reported with the use of
TNF-blocking agents, including HUMIRA. Many of these infections occurred in
patients on concomitant immunosuppressive therapy that in addition to their
underlying disease could predispose them to infections. Other invasive
opportunistic fungal infections have also been observed in patients treated with
TNF-blocking agents, including HUMIRA.
TNF-blocking agents, including HUMIRA, have been associated in rare cases
with exacerbation of demyelinating disease. The most frequent adverse events
seen in the placebo-controlled clinical trials (HUMIRA vs. placebo) were upper
respiratory infection (17 percent vs. 13 percent),
injection site pain (12 percent vs. 12 percent),
headache (12 percent vs. 8 percent), rash (12
percent vs. 6 percent) and sinusitis (11 percent
vs. 9 percent). Discontinuations due to adverse events were 7
percent for HUMIRA and 4 percent for placebo. As with any treatment program, the
benefits and risks of HUMIRA should be carefully considered before initiating
therapy.
"HUMIRA represents Abbott's commitment to finding innovative and
convenient solutions for patients by offering a new biologic treatment that
effectively slows the progression of joint destruction caused by their disease
and is easy for RA patients to use," said Jeff Leiden, M.D., Ph.D.,
president and chief operating officer, Pharmaceutical Products Group, Abbott
Laboratories. "The approval of HUMIRA is the latest advance in the
evolution of monoclonal antibodies and a result of outstanding commitment from
more than 300 Abbott scientists."
Specially Designed Syringe for HUMIRA
HUMIRA is available in a pre-filled syringe that was specially designed for
use by patients who may have limited use of their hands as a result of the
destructive progression of RA. The syringe has unique plastic wings that are
easy to hold and will allow those patients who are prescribed HUMIRA in the
pre-filled syringe to self-administer their HUMIRA at home without having to mix
or measure their medication. This unique design was reviewed by an independent
panel of people with arthritis and health professionals and received the
Arthritis Foundation Ease of Use Commendation Seal.
About HUMIRA
HUMIRA was discovered through a broad scientific collaboration between
Abbott and Cambridge Antibody Technology (CAT). As part of the collaboration,
Abbott had the right to select several target antigens for which a joint
Abbott/CAT research team would discover human antibody therapeutics. HUMIRA was
isolated and optimized by Abbott and CAT as part of this collaboration. Abbott
owns exclusive worldwide rights to HUMIRA, including responsibility for clinical
development, manufacturing, sales and marketing. Abbott will book all revenues
for HUMIRA, and CAT will receive a royalty fee based on HUMIRA sales.
The European Agency for the Evaluation of Medicinal Products (EMEA) accepted
Abbott's submission for HUMIRA for the treatment of RA in April 2002, and
approval is anticipated in mid-2003.
About RA
More than five million people worldwide suffer from RA, a chronic autoimmune
disease that causes pain, swelling and stiffness in the joints of hands, feet
and wrists, and often leads to the destruction of joints. Unlike osteoarthritis,
the most common form of arthritis, RA is an autoimmune disease where joints are
inflamed, resulting in eventual destruction of the joint's interior and the
surrounding bone.
The long-term prognosis for patients with RA is poor, and as a result, many
patients face increased disability and premature death. Patients interested in
more information about RA can visit the Web site, www.RA.com.
Abbott's Commitment to Immunology
Abbott is focused on the discovery and development of innovative treatments
for immunologic diseases. Founded in 1989, the Abbott Bioresearch Center in
Worcester, Mass., is a world-class discovery and basic research facility
committed to finding new treatments for autoimmune diseases.
Abbott announced the Access to Therapy (ACT) study in early October to allow
eligible patients who had failed treatment with at least one traditional DMARD,
and who were in need of another treatment option, to access HUMIRA until it
received FDA approval. Abbott is also working with other regulatory agencies in
countries around the world to initiate similar programs. Based on local
regulatory requirements, study design and protocol may differ. Currently, HUMIRA
has been made available via patient named basis programs or study protocols in
Europe.
Abbott Laboratories is a global, broad-based health care company devoted to
the discovery, development, manufacture and marketing of pharmaceuticals,
nutritionals, and medical products, including devices and diagnostics. The
company employs approximately 70,000 people and markets its products in more
than 130 countries.
Abbott will webcast its live conference call regarding today's news through
its Investor Relations Web site at www.abbottinvestor.com
at 9 a.m., Central time, on Thursday, January 2, 2003. An archived
edition of the call will be available after 11 a.m. Central time, on Thursday,
January 2, 2003.
More information about Abbott Immunology and HUMIRA, including full
prescribing information, is available on the Web sites, www.abbottimmunology.com
and www.HUMIRA.com.