ABBOTT LABORATORIES INITIATES CLINICAL TRIALS TO EXPLORE USE OF HUMIRA™ (ADALIMUMAB)
IN PSORIASIS AND PSORIATIC ARTHRITIS
3/4/2003
—ENROLLMENT UNDER WAY IN BOTH TRIALS—
Abbott Park, Illinois, March 3, 2003 — Abbott Laboratories announced today
the expansion of its immunology clinical trials program to include studies
evaluating the potential of HUMIRA™ (adalimumab) in psoriasis and psoriatic
arthritis. Psoriasis and psoriatic arthritis are autoimmune disorders in which a
human protein, tumor necrosis factor-alpha (TNF-á), has been
suggested to play a role in the disease development. Data from clinical studies
suggest that treatments that inhibit TNF-á may be effective in these
disease states. HUMIRA, which is a human monoclonal antibody that resembles
antibodies normally found in the body, works by specifically blocking TNF-á.
HUMIRA is the first human monoclonal antibody approved by the U.S. Food and
Drug Administration (FDA) 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) and can be used alone
or in combination with methotrexate (MTX) or other 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. 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.
"Abbott is committed to exploring the full therapeutic potential of
HUMIRA," said Jim Lefkowith, M.D., divisional vice president,
Immunosciences Development, Abbott Laboratories. "Based on the recent
approval of HUMIRA for rheumatoid arthritis, we're excited to be initiating
programs that will help us understand the effect of HUMIRA in other autoimmune
diseases as well."
Psoriasis Trial
HUMIRA will be studied in a randomized, multicenter, Phase II clinical trial
that will assess safety and efficacy in adult patients with moderate to severe
chronic-plaque psoriasis. Patient response to treatment will be assessed by
using the Psoriasis Area Severity Index score, which is a measure of a patient's
disease activity.
"We’re hoping that this trial will lead to an available treatment
option for the more than four million Americans living with psoriasis,"
said Ken Gordon, M.D., associate professor of medicine, division of dermatology,
Loyola University Medical Center. "Psoriasis can have a significant
emotional and psychological impact on a patient's quality of life and by
investigating the use of HUMIRA in psoriasis, we’re hoping to see improvements
in treating the disease."
Psoriasis is a non-contagious, chronic skin disease characterized by red
plaques covered with white scales that presents in different forms and varying
degrees of severity. The most common form of psoriasis is "plaque
psoriasis," which accounts for approximately 80 percent of
psoriasis cases. Plaque psoriasis can appear on any skin surface, although the
knees, elbows, scalp, and trunk are the most common locations.
Psoriatic Arthritis Trial
A Phase III study has been initiated that will evaluate HUMIRA in
improving signs and symptoms of psoriatic arthritis in adult patients with
moderate to severe disease. Patients in the trial will be randomized to receive
HUMIRA or placebo, and responses will be measured by improvements in signs and
symptoms as measured by American College of Rheumatology response scores.
"Psoriatic arthritis patients experience the often unmanageable symptoms
of arthritis combined with psoriasis," said Philip Mease, M.D., clinical
professor of rheumatology at the University of Washington. "This trial is
designed to assess the effect of HUMIRA in the treatment of these patients and
on the progression of the disease."
Flares and remissions characterize the course of psoriatic arthritis, which
is an autoimmune disease. If left untreated it can be a progressively disabling
disease. The arthritic manifestations often include not only debilitating
disease of the hands and feet as is seen in rheumatoid arthritis, but also
arthritis of the spine and painful inflammation of tendon insertions.
Epidemiological studies indicate that psoriatic arthritis affects as many as 30
percent of the people who have psoriasis. Common symptoms include varying
degrees of psoriasis activity along with stiffness, pain, swelling and
tenderness of the joints that can lead to a reduced range of motion and
potential severe joint destruction.
More information about HUMIRA clinical trials can be obtained by calling
Abbott Medical Information at 1-800-633-9110.
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.
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.
Additionally, clinical trials are currently underway evaluating the potential
of HUMIRA in juvenile rheumatoid arthritis (JRA) and Crohn's disease.
Abbott's Commitment to Immunology
Abbott Laboratories is committed to the discovery and development of innovative
treatments for immunologic diseases. Founded in 1989, the Abbott
Bioresearch Center in Worcester, Massachusetts, is a world-class
discovery and basic research facility committed to finding new treatments for
autoimmune diseases. Abbott Bioresearch Center employs
leading-edge technologies, discovery and manufacturing processes, including
proprietary phage antibody display technology, and mammalian cell expression
systems to produce fully human monoclonal antibodies.
In January 2003, Abbott announced the initiation of the HUMIRA Medicare
Assistance Program, which ensures that Medicare-eligible seniors in need of a
biologic treatment for rheumatoid arthritis who do not have prescription drug
coverage can receive HUMIRA at no cost until a Medicare prescription drug
benefit is enacted. Eligible seniors can receive HUMIRA directly from their
health care provider, and access continues as long as they continue to meet the
eligibility criteria.
More information about Abbott Immunology and HUMIRA, including full
prescribing information, is available on the Web sites, www.abbottimmunology.com
and www.HUMIRA.com. Prescribing information
is also available by calling Abbott Medical Information at 1-800-633-9110.
About Abbott
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 more than 70,000 people and markets its
products in more than 130 countries.