A new Australian drug has been shown to assist in protecting
patients with a rare genetic disorder that makes their skin toxic
to light and UV, and previously forced them to live in the
shadows.
Results released today from a Phase III trial of the drug
SCENESSE®, conducted by Melbourne-based Clinuvel Pharmaceuticals,
have shown that the drug has the ability to reduce and prevent
painful phototoxic reactions experienced by patients with
erythropoietic protoporphyria (EPP).
The 12 month European and Australian study of SCENESSE® (generic
name afamelanotide) is the first large scale study of a
preventative drug for patients with EPP, dubbed an 'orphan' disease
due to its rarity and severity. Clinuvel had to develop new study
methodology with global EPP experts to be able to successfully
evaluate SCENESSE® as a protective treatment.
EPP is characterised by intolerable pain: patients’ skin burns,
blisters and scars when exposed to normal levels of light and sun.
The disease is incurable and affects patients for life. As a
result, EPP patients are forced to live indoors or to 'shadow jump'
when outside; living so as not to expose their skin to a ray of
light. It is estimated that 10,000 individuals worldwide are
afflicted with EPP.
“Porphyria is a very severe disease causing great pain to
patients when their skin, even briefly, is exposed to light,
therefore changing their Quality of Life' said Dr Gianfranco
Biolcati, world expert in the disease and head of the Italian
Porphyria Centre at San Gallicano Dermatology Institute - IFO - in
Rome where 22 patients underwent treatment with SCENESSE® in the
trial. “Until now there has been no effective treatment for
EPP.”
Analysis of results from the Clinuvel study showed that
SCENESSE® treatment significantly reduced the average daily pain
severity scores experienced by EPP patients compared to
placebo.
Further results suggested that treatment with SCENESSE® allowed
patients to expose their skin to sunlight and spend more time
outdoors; previously unheard of in EPP. Importantly, SCENESSE® was
well tolerated by all patients with no serious safety issues
identified. Complete results from the study will be presented at
the 19th Congress of the European Association for Dermatology and
Venereology in Gothenburg, Sweden, in October.
“Since commencing treatment with SCENESSE®, we have seen marked
improvements in EPP patients’ abilities to lead normal lives,
without fearing pain during exposure to the sun,” Dr Biolcati said.
“As a physician, living this experience is, for me, a great
satisfaction and reward.”
“We have shown mathematically what we already learned from
anecdotal reports from our clinics: SCENESSE® has great potential
to help those patients with a genuine medical need for protection
from UV and light,” said Dr Hank Agersborg, Clinuvel’s Chief
Scientific Officer. “Perhaps more importantly, we have again seen
that the drug is safe for these patients longer-term.”
Clinuvel’s CEO, Dr Philippe Wolgen, said that the results were
very positive for EPP patients and the company’s overall program
for SCENESSE®.
“We are confident of being able to present an adequate dossier
for regulatory review. Board and management will convene around the
table the in the coming weeks to determine the optimum timing of
filing,” Dr Wolgen said.
“The past four and half years this team has shown diligence and
prudence in the way it works and approaches complex issues, and the
same approach will be applied in the European and US filing process
to ensure we stand the best chance of success for EPP patients and
our investors.” Dr Wolgen said.
- End -
Editor’s note: a complete release on the results from this
study, including statistical significance figures can be found at
http://www.clinuvel.com
About SCENESSE® (afamelanotide)
SCENESSE® is a first-in-class therapeutic being developed by
Clinuvel, with the generic name (or INN) afamelanotide. An analogue
of α-MSH, SCENESSE® is a linear peptide which activates the skin to
release eumelanin, the dark pigment which is known to have
photoprotective properties (providing skin protection against light
and UV radiation). SCENESSE® is administered underneath the skin as
a dissolvable implant approximately the size of a grain of rice.
SCENESSE® has been approved under law 648/96 in Italy, allowing it
to be prescribed to patients prior to formal approval in Europe; a
program initiated by the Italian Porphyria Centre at San Gallicano
Hospital, Rome.
SCENESSE® is a registered trademark of Clinuvel Pharmaceuticals
Ltd. For more information see scenesse.com.
About Erythropoietic Protoporphyria (EPP)
Porphyrias are a group of inherited disorders with enzymatic
deficiency in the blood synthesis pathway (also called porphyrin
pathway). They are broadly classified as erythropoietic porphyrias
based on the site of the overproduction and main accumulation of
porphyrin. They manifest with either skin problems, neurological
complications or gastro-intestinal problems (occasionally all).
EPP is a rare genetic disease found in people with fair skin. It
is characterised by severe phototoxicity (or intolerance to light)
of the skin resulting in intolerable pain, swelling, and scarring,
usually of the hands and face. The pain experienced and expressed
by EPP patients when their skin is exposed to light is reported as
intolerable. EPP patients are often forced to remain indoors,
severely affecting their quality of life.
About Clinuvel Pharmaceuticals Limited
Clinuvel Pharmaceuticals Ltd is a leading and innovative
Australian company focused on the development of SCENESSE®
(afamelanotide), its proprietary first-in-class
photoprotective drug. Clinuvel has identified five groups of
patients with a clinical need for photoprotection. Currently,
Clinuvel is in its final stages to complete testing of SCENESSE® in
Phase II and III trials in Australia, Europe and the United States.
Clinuvel’s ongoing focus is to demonstrate the safety and
efficacy of SCENESSE®. Pending positive clinical results, Clinuvel
aims to file SCENESSE® for its first market approval for the orphan
indication porphyria (EPP).
Clinuvel is currently testing SCENESSE® in five clinical
indications:
Indication Description Clinical Trial Status
Erythropoietic Protoporphyria(EPP) Absolute sun/UV
intolerance Phase III trial full reported July 2010
Confirmatory Phase III trial
approved August 2009
Actinic Keratosis (AK) andSquamous Cell Carcinoma (SCC) in Organ
Transplant Recipients (OTRs) Skin cancer in transplant
patients Phase II trialstarted October 2007 Polymorphic
Light Eruption(PLE / PMLE) Severe sun/UV poisoning
Phase III trial preliminary results reported December 2009 Solar
Urticaria(SU) Acute anaphylactic reaction to sun/UV
Phase II trial resultsreported July 2009* Photodynamic Therapy
(PDT) -systemic Phototoxicity following cancer treatment
Phase II trial resultsreported December 2009*
*Program deferred February 2010.
Phase I and II human clinical trials using SCENESSE® have
demonstrated that the drug is well tolerated and no significant
safety concerns have been identified to date. Following successful
conclusion of the development program, Clinuvel will work closely
with global regulators to facilitate marketing approval of
SCENESSE®. For more information see clinuvel.com.
Clinuvel is an Australian biopharmaceutical company focussed on
developing its photoprotective drug, SCENESSE (afamelanotide) for a
range of UV-related skin disorders resulting from exposure of the
skin to harmful UV radiation. Pharmaceutical research and
development involves long lead times and significant risks.
Therefore, while all reasonable efforts have been made by Clinuvel
to ensure that there is a reasonable basis for all statements made
in this document that relate to prospective events or developments
(forward-looking statements), investors should note the
following:
- actual results may and often
will differ materially from these forward-looking statements;
- no assurances can be given by
Clinuvel that any stated objectives, outcomes or timeframes in
respect of its development programme for SCENESSE can or will be
achieved;
- no assurances can be given by
Clinuvel that, even if its development programme for SCENESSE is
successful, it will obtain regulatory approval for its
pharmaceutical products or that such products, if approved for use,
will be successful in the market place
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