Long-Term Data from a Landmark Phase III Trial Show Survival Benefit at Three- and Four-Years in Patients with Glioblastoma mult
30 Outubro 2007 - 10:00AM
PR Newswire (US)
LOS ANGELES, Oct. 30 /PRNewswire-FirstCall/ -- Schering-Plough
Corp. and the European Organisation for the Research and Treatment
of Cancer (EORTC) announced long-term follow-up results from the
landmark Phase III trial conducted by the EORTC and the National
Cancer Institute of Canada (NCIC) that showed the combination of
TEMODAR (R) chemotherapy (temozolomide) Capsules and radiation
therapy significantly prolonged survival in patients with
glioblastoma multiforme (GBM) versus radiation treatment alone and
that a survival benefit remains with longer follow up. These data
were presented at the 49th Annual Meeting of the American Society
for Therapeutic Radiology and Oncology (ASTRO). "In 2004, the data
demonstrated that temozolomide therapy, taken during and following
radiation, offers significantly greater median overall survival
than radiotherapy alone (14.6 versus 12.1 months, p less than
0.0001)," said Dr. Rene-Olivier Mirimanoff, professor and chairman,
Department of Radiation Oncology, University Hospital, Lausanne,
Switzerland. "With longer follow-up, the data continue to show
patients benefit from the combined therapy with potential increased
long-term survival outcomes." In the study, the two-, three- and
four-year survival rates for the combination temozolomide/radiation
therapy compared to radiation therapy alone were respectively 27.2
percent versus 10.9 percent, 16.0 percent versus 4.4 percent and
12.1 percent versus 3.0 percent. "In 2004, the addition of
temozolomide to radiotherapy demonstrated a statistically
significant survival benefit with an oral therapy that has very
acceptable toxicity and a favorable benefit-risk profile," said
Robert J. Spiegel, M.D., FACP, Chief Medical Officer and Senior
Vice President, Schering-Plough Research Institute. "These
follow-up survival findings should provide further hope for
patients and physicians fighting this terrible disease." In the
study, 573 patients were randomized between July 2000 and March
2002. Patients between the ages of 18-70 years with newly diagnosed
GBM were eligible. Patients received either focal radiotherapy plus
temozolomide at 75mg/meters squared daily continuously for 42 (up
to 49) days, followed by up to six cycles of adjuvant temozolomide
(150-200 mg/meters squared daily for five days every 28 days) or
focal radiotherapy alone. Primary endpoint of the study was overall
survival, with secondary endpoints of progression-free survival and
quality of life. Initial study results presented in 2004 at the
annual meeting of the American Society of Clinical Oncology and
fully published in the New England Journal of Medicine in March
2005, found a median overall survival of 14.6 months in patients
treated with TEMODAR concomitantly with radiotherapy and then as
maintenance treatment compared to a median survival of 12.1 months
in those treated with radiotherapy alone. The hazard ration (HR)
for overall survival was 0.63 (95 percent CI for HR equal to
0.52-0.75) with a log-rank p less than 0.0001 in favor of the
TEMODAR arm. About Glioblastoma multiforme Glioblastoma multiforme
is a rapidly growing tumor of the central nervous system, most
often located in the brain. It is the most common and deadliest
type of primary brain tumor. GBM is more common among males,
particularly men between the ages of 40 and 60 years, and occurs
more frequently in Caucasians. The overall annual incidence of
primary malignant brain tumors is six to seven per 100,000 people.
(1) Important Information Regarding U.S. Labeling for TEMODAR
TEMODAR(R) (temozolomide) Capsules are indicated for the treatment
of adult patients with newly diagnosed glioblastoma multiforme
concomitantly with radiotherapy and then as maintenance treatment.
In newly diagnosed glioblastoma multiforme, during the concomitant
phase (TEMODAR plus radiotherapy) side effects including
thrombocytopenia, nausea, vomiting, anorexia and constipation, were
more frequent in the TEMODAR plus radiotherapy arm. The most common
side effects across the cumulative TEMODAR experience were
alopecia, nausea, vomiting, anorexia, headache and constipation.
Forty-nine percent of patients treated with TEMODAR reported one or
more severe or life-threatening events, most commonly fatigue,
convulsions, headache and thrombocytopenia. Patients treated with
TEMODAR Capsules may experience myelosuppression. Geriatric
patients and women have been shown in clinical trials to have a
higher risk of developing myelosuppression. Grade 3/4 neutropenia
(lab and AE combined) occurred in eight percent and Grade 3/4
thrombocytopenia in 14 percent of patients treated with
temozolomide. In refractory anaplastic astrocytoma, Grade 3/4
neutropenia occurred in 14 percent and Grade 3/4 thrombocytopenia
occurred in 19 percent of patients treated with temozolomide.
TEMODAR Capsules are contraindicated in patients who have a history
of hypersensitivity to any of its components, or to DTIC. Caution
should be exercised when administered to those with severe hepatic
or renal impairment. TEMODAR may cause fetal harm when administered
to a pregnant woman. Nursing should be discontinued in women
receiving TEMODAR. The effectiveness of TEMODAR in children has not
been established. TEMODAR Capsules should not be opened or chewed.
If capsules are accidentally opened or damaged, rigorous
precautions should be taken with the capsule contents to avoid
inhalation or contact with the skin or mucous membranes.
Prophylaxis against Pneumocystis carinii pneumonia (PCP) is
required for all patients receiving concomitant TEMODAR and
radiotherapy for the 42-day regimen. There may be a higher
occurrence of PCP when temozolomide is administered during a longer
dosing regimen. However, all patients receiving temozolomide,
particularly patients receiving steroids, should be observed
closely for the development of PCP regardless of the regimen.
Please see full prescribing information available at
http://www.temodar.com/. Important Information Regarding E.U.
Labeling for TEMODAL Temozolomide is marketed as TEMODAL(R)
Capsules in the European Union and is indicated for the treatment
of adult and pediatric patients with newly diagnosed glioblastoma
multiforme (GBM) concomitantly with radiotherapy and subsequently
as monotherapy treatment. It also is indicated for the treatment of
malignant glioma, such as glioblastoma multiforme and anaplastic
astrocytoma (AA), showing recurrence or progression after standard
therapy. About the EORTC Created in 1962, the European Organisation
for Research and Treatment of Cancer (EORTC) is a not-for-profit
international cancer research organisation under the Belgian law.
The EORTC has the mission to develop, conduct, coordinate and
stimulate translational and clinical research in Europe to improve
the management of cancer and related problems by increasing
survival but also patients' quality of life. The ultimate goal of
the EORTC is to improve the standard of cancer treatment in Europe,
through the evaluation of new drugs and other innovative
approaches, and to test more effective therapeutic strategies,
using drugs which are already commercially available, or surgery or
radiotherapy. The EORTC has the aim to facilitate the passage of
experimental discoveries into state-of-the-art treatment by keeping
to a minimum the time lapse between the discovery of new
anti-cancer agents and the implementation of their therapeutic
benefit for patients with cancer. The EORTC promotes
multidisciplinary cancer research in Europe and is linked to other
leading biomedical research organisations around the world. EORTC
research takes place in over 300 hospitals, universities and cancer
centers in 32 countries, and the unique network of investigators of
the EORTC comprises more than 2000 clinicians collaborating on a
voluntary basis in 19 multidisciplinary groups.
http://www.eortc.be/ About Schering-Plough Schering-Plough
Corporation is a global science-based health care company with
leading prescription, consumer and animal health products. Through
internal research and collaborations with partners, Schering-Plough
discovers, develops, manufactures and markets advanced drug
therapies to meet important medical needs. Schering-Plough's vision
is to earn the trust of the physicians, patients and customers
served by its more than 33,500 people around the world. The
company's Web site is http://www.scheringplough.com/.
SCHERING-PLOUGH DISCLOSURE NOTICE: The information in this press
release contains certain "forward-looking" statements within the
meaning of the Private Securities Litigation Reform Act of 1995,
including statements related to potential market for TEMODAR.
Forward-looking statements relate to expectations or forecasts of
future events. Schering-Plough does not assume the obligation to
update any forward-looking statement. Many factors could cause
actual results to differ materially from Schering-Plough's forward-
looking statements, including market forces, economic factors,
product availability, patent and other intellectual property
protection, current and future branded, generic or over-the-counter
competition, the regulatory process, and any developments following
regulatory approval, among other uncertainties. For further details
about these and other factors that may impact the forward-looking
statements, see Schering-Plough's Securities and Exchange
Commission filings, including Part II, Item 1A, "Risk Factors" in
Schering-Plough's third quarter 2007 10-Q. Reference: (1)National
Brain Tumor Foundation Fact Sheet, "Who Gets Brain Tumors and Why";
2004 DATASOURCE: Schering-Plough Corp. CONTACT: Mary-Frances Faraji
of Schering-Plough, +1-908-298-7109, +1-908-432-2404 Cell; or
Nicole Heine of EORTC, +32-2-774-16-51 Web site:
http://www.schering-plough.com/ Company News On-Call:
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