Two Landmark Studies Show That Taxotere(R) Significantly Improves Survival in Men With Prostate Cancer
07 Junho 2004 - 2:00PM
PR Newswire (US)
Two Landmark Studies Show That Taxotere(R) Significantly Improves
Survival in Men With Prostate Cancer Taxotere(R)-based regimen is
the first and only treatment with proven significant survival
benefit for men with androgen-independent (hormone-refractory)
metastatic prostate cancer BRIDGEWATER, N.J., June 7
/PRNewswire-FirstCall/ -- Aventis (NYSE:AVE) announced today that
the results of two landmark phase III trials using Taxotere(R)
(docetaxel) Injection Concentrate based regimens in the treatment
of androgen-independent (hormone-refractory) metastatic prostate
cancer have been presented at the plenary session of the annual
meeting of the American Society of Clinical Oncology (ASCO) in New
Orleans, LA. The clinical trials, TAX 327 and SWOG 9916, were led
by investigators from the Johns Hopkins Kimmel Cancer Center and
NewYork-Presbyterian Hospital/Columbia University Medical Center
and the Southwest Oncology Group (SWOG). The trials involved nearly
1,800 patients and demonstrated that Taxotere(R)-based regimens
significantly reduced the risk of death by 24 percent and 20
percent, respectively. Investigators in the TAX 327 trial also
reported that Taxotere(R) significantly improved patients' PSA
responses by 43 percent (p=0.0005) and improved pain responses by
59 percent (p=0.0107), relative to mitoxantrone response rates. The
SWOG trial investigators reported a 27 percent increase in disease-
progression-free survival and a 55 percent increase in objective
response rate in the Taxotere(R)-containing arm. In addition, the
majority of patients had a PSA decline of more than 50 percent.
"These studies are the first to show that a chemotherapy agent,
Taxotere(R), can deliver a significant survival benefit in
androgen- independent (hormone-refractory) metastatic prostate
cancer patients, giving hope to thousands of men worldwide," said
Daniel Petrylak, MD, Associate Professor of Medicine at Columbia
University College of Physicians & Surgeons, Director of the
Genitourinary Oncology Program at NewYork-Presbyterian Hospital.
"These data represent an important new treatment option for men
with prostate cancer because it can help some patients live
longer." Prostate cancer ranks third worldwide in cancer incidence
and sixth in cancer mortality among men. In the United States, more
than 230,000 men will be diagnosed with prostate cancer this year,
and more than 29,900 will die of the disease. "The results of these
studies mark a significant milestone in cancer care. Taxotere(R) is
the only drug approved for patients with breast, lung and prostate
cancer, three of the most prevalent cancers in the world today,"
said Frank Douglas, MD, PhD, Executive Vice President of Drug
Innovation and Approval and a Member of the Board of Management at
Aventis. TAX 327/SWOG 9916 Study Protocol The TAX 327 study
reported by Mario Eisenberger, MD, Dale Hughes Professor of
Oncology and Urology at the Johns Hopkins Kimmel Cancer Center,
enrolled patients at 240 sites in 24 countries. One thousand six
(1,006) eligible patients were randomized to receive one of three
treatment regimens. Taxotere(R) 75mg/m(2) once every three weeks
plus daily prednisone, or Taxotere(R) 30 mg/m(2) every week for
five out of six weeks plus daily prednisone, or mitoxantrone
12mg/m(2) every three weeks plus daily prednisone, the established
standard of care. The majority of the patients were over the age of
65. The SWOG 9916 study reported by Dr. Petrylak randomized 770
patients in the United States to one of two treatment arms:
Taxotere(R) 60 mg/m(2) every three weeks and estramustine 280 mg
three times daily for 5 days or mitoxantrone 12 mg/m(2) every three
weeks and prednisone 5 mg twice daily. Taxotere(R) was well
tolerated and had a generally predictable and manageable safety
profile in both studies. The most commonly observed adverse events
in TAX 327 were alopecia, fatigue, and nausea, but the rates were
comparable to mitoxantrone. Hematological events seen in the trial
were consistent with the expected safety profile for both
treatments, with grade 3- 4 neutropenia reported more frequently in
the Taxotere(R) group than the mitoxantrone group (32 percent vs
21.7 percent, p=0.004). However, complications of neutropenia
appeared comparable in both groups. In the SWOG 9916 study,
gastrointestinal and cardiovascular events occurred more frequently
in men treated with Taxotere(R) plus estramustine than those
treated with mitoxantrone. About Taxotere(R) Taxotere(R), a drug in
the taxoid class of chemotherapeutic agents, inhibits cancer cell
division by essentially "freezing" the cell's internal skeleton,
which is comprised of microtubules. Microtubules assemble and
disassemble during a cell cycle. Taxotere(R) promotes their
assembly and blocks their disassembly, thereby preventing many
cancer cells from dividing and resulting in cancer cell death.
Taxotere(R) is currently approved in the United States to treat
patients with locally advanced or metastatic breast cancer after
failure of prior chemotherapy, and patients with unresectable
locally advanced or metastatic non-small cell lung cancer (NSCLC)
in combination with cisplatin, who had not received prior
chemotherapy. It also is approved for patients with unresectable
locally advanced or metastatic NSCLC after failure of prior
platinum-based chemotherapy. On May 19, 2004, the U.S. Food and
Drug Administration granted approval of Taxotere(R) for use in
combination with prednisone as a treatment for men with
androgen-independent (hormone- refractory) metastatic prostate
cancer. Among patients receiving Taxotere(R) the most common severe
adverse events were low blood cell count, fatigue, diarrhea, and
mouth and throat irritation. The most common non-severe side
effects include hair loss, numbness, a tingling and/or burning
sensation, rash, nail changes, nausea, vomiting, and muscle pain.
Less common severe or potentially life threatening side effects
include fluid retention, infections, and allergic reactions.
Patients 65 years of age or older may experience some side effects
more frequently. For more information about Taxotere(R), visit
http://www.taxotere.com/ or see full prescribing information
including boxed WARNING. For more information about ongoing
clinical trials, please call 1-800-RxTrial or visit
http://www.aventisoncology.com/. About Aventis Aventis is dedicated
to treating and preventing disease by discovering and developing
innovative prescription drugs and human vaccines. In 2003, Aventis
generated sales of euro 16.79 billion (US $18.99), invested euro
2.86 billion (US $3.24) in research and development and employed
approximately 69,000 people in its core business. Aventis corporate
headquarters are in Strasbourg, France. The company's prescription
drugs business is conducted in the U.S. by Aventis Pharmaceuticals
Inc., which is headquartered in Bridgewater, New Jersey. For more
information, please visit: http://www.aventis-us.com/. Statements
in this news release containing projections or estimates of
revenues, income, earnings per share, capital expenditures, capital
structure, or other financial items; plans and objectives relating
to future operations, products, or services; future economic
performance; or assumptions underlying or relating to any such
statements, are forward-looking statements subject to risks and
uncertainties. Actual results could differ materially depending on
factors such as the timing and effects of regulatory actions, the
results of clinical trials, the company's relative success
developing and gaining market acceptance for new products, the
outcome of significant litigation, and the effectiveness of patent
protection. Additional information regarding risks and
uncertainties is set forth in the current Annual Report on Form
20-F of Aventis on file with the Securities and Exchange Commission
and in the current Annual Report -"Document de Reference"- on file
with the "Commission des Operations de Bourse" in France, recently
renamed "Autorite des marches financiers". DATASOURCE: Aventis
CONTACT: Lisa Kennedy, +1-908-243-6361, , or Marisol Peron,
+1-908-243-7592, , both of U.S. Product Communications, for Aventis
Web site: http://www.aventis-us.com/
http://www.aventisoncology.com/
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