Bayer HealthCare Pharmaceuticals (NYSE: BAY) and Onyx Pharmaceuticals, Inc.
(Nasdaq: ONXX) today announced that the supplemental New Drug Application
(sNDA) for Nexavar(R) (sorafenib) tablets for the treatment of patients
with hepatocellular carcinoma (HCC), the most common form of liver cancer,
has been accepted for review and granted Priority Review status by the U.S.
Food and Drug Administration (FDA). Nexavar is currently approved in more
than 50 countries for the treatment of patients with advanced kidney
cancer.
Priority Review designation is intended to expedite the regulatory
review process for investigational agents or uses that address unmet
medical needs. Based on this designation, the FDA reviews the application
with a goal of taking action within six months of the date on which they
received the sNDA.
"This Priority Review underscores the potential of Nexavar to be a
significant advance in the treatment of liver cancer," said Susan Kelley,
M.D., vice president, Therapeutic Area Oncology, Bayer HealthCare
Pharmaceuticals. "If approved, Nexavar would be the first FDA-approved
therapy for patients battling this devastating disease."
The sNDA submission, completed in June 2007, was based on data from the
Phase 3 SHARP trial which demonstrated that Nexavar extended overall
survival by 44 percent in patients with HCC (HR=0.69; p=0.0006) versus
placebo. There were no significant differences in serious adverse event
rates between the Nexavar and placebo-treated groups with the most commonly
observed adverse events in patients receiving Nexavar being diarrhea and
hand-foot skin reaction. Based on this data, the companies also submitted a
Marketing Authorization Application (MAA) to the European Medicines Agency
(EMEA) in June.
"The incidence of liver cancer continues to rise in the United States
and around the world, highlighting the significant need for new therapies,"
said Hank Fuchs, executive vice president and chief medical officer of
Onyx. "Our comprehensive development program continues to identify new
areas where Nexavar's unique combination of multi-targeted activity,
tolerability and oral dosing may meet additional unmet needs in cancer."
HCC, the most common form of liver cancer, is responsible for about 90
percent of the primary malignant liver tumors in adults.(1,2) Liver cancer
is the sixth most common cancer in the world and the third leading cause of
cancer-related deaths globally.(3) Over 600,000 cases of liver cancer are
diagnosed globally each year(3) (about 19,000 in the United States(4) and
32,000 in the European Union(5)) and in 2002 approximately 600,000 people
(about 13,000 Americans and 57,000 Europeans) died of liver cancer.(6)
Nexavar's Differentiated Mechanism
Nexavar targets both the tumor cell and tumor vasculature. In
preclinical studies, Nexavar has been shown to target members of two
classes of kinases known to be involved in both cell proliferation (growth)
and angiogenesis (blood supply) -- two important processes that enable
cancer growth. These kinases included Raf kinase, VEGFR-1, VEGFR-2,
VEGFR-3, PDGFR-B, KIT, FLT-3 and RET. Preclinical models have also
demonstrated that Raf/MEK/ERK has a role in HCC; therefore blocking
signaling through Raf-1 may offer therapeutic benefits in HCC.
Important Safety Considerations for U.S. Patients Taking Nexavar
Based on the currently approved package insert for the treatment of
patients with advanced kidney cancer, hypertension may occur early in the
course of therapy and blood pressure should be monitored weekly during the
first six weeks of therapy and treated as needed. Incidence of bleeding
regardless of causality was 15% for Nexavar vs. 8% for placebo and the
incidence of treatment-emergent cardiac ischemia/infarction was 2.9% for
Nexavar vs. 0.4% for placebo. Most common treatment-emergent adverse events
with Nexavar in patients with advanced kidney cancer were diarrhea,
rash/desquamation, fatigue, hand-foot skin reaction, alopecia, and nausea.
Grade 3/4 adverse events were 38% for Nexavar vs. 28% for placebo. Women of
child-bearing potential should be advised to avoid becoming pregnant and
advised against breast-feeding. In cases of any severe or persistent side
effects, temporary treatment interruption, dose modification or permanent
discontinuation should be considered.
About Onyx Pharmaceuticals, Inc.
Onyx Pharmaceuticals, Inc. is a biopharmaceutical company developing
innovative therapies that target the molecular mechanisms that cause
cancer. The company is developing Nexavar(R), a small molecule drug, with
Bayer Pharmaceuticals Corporation. Nexavar is approved for the treatment of
advanced kidney cancer in more than 50 countries. For more information
about Onyx's pipeline and activities, visit the company's web site at:
onyx-pharm.
About Bayer HealthCare Pharmaceuticals
Bayer HealthCare Pharmaceuticals Inc. is the U.S.-based pharmaceuticals
unit of Bayer HealthCare LLC, a division of Bayer AG. Its research and
business activities are focused on the following areas: Diagnostic Imaging,
Hematology/Cardiology, Oncology, Primary Care, Specialized Therapeutics and
Women's Healthcare. The company's aim is to discover and manufacture
products that will improve human health worldwide by diagnosing, preventing
and treating diseases.
Forward Looking Statements
This news release contains forward-looking statements based on current
assumptions and forecasts made by Bayer Group management. Various known and
unknown risks, uncertainties and other factors could lead to material
differences between the actual future results, financial situation,
development or performance of the company and the estimates given here.
These factors include those discussed in Bayer's public reports filed with
the Frankfurt Stock Exchange and with the U.S. Securities and Exchange
Commission (including its Form 20-F). Bayer assumes no liability whatsoever
to update these forward-looking statements or to conform them to future
events or developments.
This news release also contains "forward-looking statements" of Onyx
within the meaning of the federal securities laws. These forward-looking
statements include without limitation, statements regarding the timing,
progress and results of the clinical development, regulatory processes, and
commercialization efforts of Nexavar. These statements are subject to risks
and uncertainties that could cause actual results and events to differ
materially from those anticipated. Reference should be made to Onyx's
Annual Report on Form 10-K for the year ended December 31, 2006, filed with
the Securities and Exchange Commission under the heading "Risk Factors" and
Onyx's Quarterly Reports on Form 10-Q for a more detailed description of
such factors. Readers are cautioned not to place undue reliance on these
forward- looking statements that speak only as of the date of this release.
Onyx undertakes no obligation to update publicly any forward-looking
statements to reflect new information, events, or circumstances after the
date of this release except as required by law.
Nexavar(R) (sorafenib) tablets is a registered trademark of Bayer
Pharmaceuticals Corporation.
References
1. World Health Organization. Hepatitis B. Available at:
who.int/csr/disease/hepatitis/whocdscsrlyo20022/en/. Accessed
April 10, 2007
2. Penn State Milton S. Hershey Medical Center College of Medicine.
Malignant Hepatoma. Available at:
hmc.psu.edu/healthinfo/m/malignanthepatoma.htm. Accessed April
10, 2007.
3. International Agency for Cancer Research. GLOBOCAN 2002. Available at:
www dep.iarc.fr. Accessed April 23, 2007.
4. Jemal A et al. CA Cancer J Clin. 2007;57:43-66.
5. International Agency for Cancer Research. EUCAN 1998. Available at:
www-dep.iarc.fr/eucan/eucan.htm. Accessed April 26, 2007.
6. Ferlay J, et al., GLOBOCAN 2002. Cancer Incidence, Mortality and
Prevalence Worldwide. IARC CancerBase No.5, Version 2.0. IARCPress, Lyon,
2004. Available at: www-dep.iarc.fr. Accessed April 10, 2007.
Onyx Pharmaceuticals, Inc. and Bayer HealthCare Pharmaceuticals
onyx-pharm
View drug information on Nexavar.