Osmetech plc (LSE:OMH) (�Osmetech� or the �Company�), the international molecular diagnostics company, announces that it has signed an agreement as principal supplier of Warfarin Sensitivity tests for a major new US trial sponsored by the US National Heart, Lung, and Blood Institute (NHLBI), part of the National Institutes of Health (NIH) in the US.

Investigators for the upcoming Clarification of Optimal Anticoagulation through Genetics Trial (COAG Trial) have selected Osmetech�s Warfarin Sensitivity Tests and eSensor XT-8 molecular diagnostics instrument platform for ten of the twelve sites identified to run the trial. The University of Pennsylvania is the Coordinating Center for the trial.

The study has been designed as a 1,238 patient, randomized, double-blind trial which will examine the utility of using genetic information for warfarin dosing. Specifically, the COAG Trial will test two approaches to determining the initial dose of warfarin in patients who are expected to need therapy for three months or longer. Half of the participants enrolled in COAG will be randomly selected to have their initial dose determined by clinical information alone. For the other half of the participants, the initial dose will be determined by using the clinical factors as well as information about the participant's genetic makeup, specifically his or her variants of the CYP2C9 and VKORC1 genes. All participants will be monitored for up to six months.

Researchers will assess how long participants in each group maintain the desired level of blood thinning, as determined by a blood test, at two and four weeks after starting therapy, as well as at three and six months. Researchers will also review bleeding problems and other complications, quality of life and cost of therapy.

James White, Chief Executive Officer, Osmetech plc, said:

"The high level of performance of our eSensor XT-8 System and Warfarin Sensitivity Test in the market since commercial launch in the second half of 2008 continues to gain recognition and this contract award should further enhance market acceptance of our platform.

"Osmetech has won an opportunity to participate in a major study which will demonstrate the significance of genetic and clinical data in the prescription of a patient�s initial warfarin dose. The strength of our eSensor XT-8 platform and pipeline of tests puts us in an excellent position to benefit from the growing trend towards personalized medicine."

Dr. Stephen Kimmel of the University of Pennsylvania and lead investigator of the COAG Coordinating Center said:

"We considered a number of alternative products and technologies for this important study, taking into account a number of factors including product performance and users� experiences. We are pleased to be using Osmetech�s eSensor XT-8 System and Warfarin Sensitivity Test as one of the trial�s main genotyping platforms which should provide accurate, reliable and timely results from an easy to use and low maintenance system."

Further information about the COAG trial can be found at: http://coagstudy.org/

NHLBI press release about the trial: http://public.nhlbi.nih.gov/Newsroom/Home/GetPressRelease.aspx?id=2623

Warfarin sensitivity testing

Warfarin is an oral anticoagulant widely used for the prevention of thrombotic events and to treat a confirmed episode of venous thrombosis, with approximately 2 million new patients each year in the US alone. Although highly effective, warfarin�s usability is limited by a narrow therapeutic range combined with a pronounced interindividual variability in the dose required for adequate anticoagulation. Clinical use of warfarin is further complicated by a substantial risk for hemorrhagic side effects, which is increased in patients with low-dose requirements. Warfarin is the second-most-likely drug, after Digoxin, to cause adverse events requiring hospitalization.

About Osmetech plc (www.osmetech.com)

Osmetech plc is an AIM-listed public company on the London Stock Exchange. The Company is a fast developing, international diagnostics business with operations in Boston and Pasadena in the US, serving the high growth molecular diagnostic market targeting hospitals and reference laboratories.

Osmetech has a strong portfolio of over 200 issued and pending patents and has launched its first generation eSensor 4800 platform, an electrochemistry-based array system, together with an FDA cleared in vitro diagnostic test for Cystic Fibrosis carrier detection.

Osmetech�s second generation platform, the eSensor XT-8, received FDA 510(k) clearance in July 2008 together with our eSensor Warfarin Sensitivity Test. These products are now being marketed in the US together with a 2C9 Genotyping Test for drug metabolism and a Cystic Fibrosis carrier detection test which are both available for research use purposes only.

In April 2009, Osmetech signed a five-year distribution agreement with Fisher HealthCare, a part of Thermo Fisher Scientific, whereby Fisher HealthCare will distribute Osmetech�s eSensor XT-8 instrument platform and molecular diagnostic tests and consumables in the US.

The eSensor XT-8 System is designed to support a broad menu of tests and Osmetech has scheduled for commercial launch a number of further tests including: extended warfarin panel with the proprietary 4F2 marker, venous thrombosis (Factor II, Factor V Leiden and MTHFR) and the RESPLEX II respiratory pathogen assay in-licensed from Qiagen. The System provides accurate results while minimizing technician involvement and its features compare favorably to those of other molecular detection systems. Its ease of use, readily interpretable results, speed and low maintenance are particularly suited to the needs of the decentralizing market.

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