WESTMINSTER, Colo., Sep 25, 2009 (BUSINESS WIRE) -- Allos Therapeutics, Inc. (Nasdaq:ALTH) today announced that last night
the U.S. Food and Drug Administration (FDA) granted accelerated approval
for FOLOTYNTM (pralatrexate injection) for use as a single
agent for the treatment of patients with relapsed or refractory
peripheral T-cell lymphoma (PTCL). FOLOTYN is the first and only drug
approved by the FDA for this indication and represents a new treatment
option for patients with relapsed or refractory PTCL. This indication is
based on overall response rate. Clinical benefit such as improvement in
progression free survival or overall survival has not been demonstrated.
Allos expects to make FOLOTYN available to patients in the U.S. in
October.
"Individuals with peripheral T-cell lymphoma have a very poor prognosis
and almost always relapse or become refractory to initial therapy.1
As a result, there is an urgent need for new therapies to treat patients
with this challenging disease. FOLOTYN has demonstrated its efficacy and
safety in the PROPEL clinical trial, and I believe it will be a welcome
addition for physicians who treat patients with relapsed or refractory
PTCL," stated Owen A. O'Connor, MD, PhD, principal investigator in the
PROPEL study of FOLOTYN; deputy director for Clinical Research and
Cancer Treatment, NYU Cancer Institute; chief, Division of Hematologic
Malignancies and Medical Oncology; professor of Medicine and
Pharmacology at the NYU Langone Medical Center.
PTCL comprises a biologically diverse group of aggressive blood cancers
that has a poor prognosis.2 The Company's New Drug
Application (NDA) for FOLOTYN was based on data from the PROPEL trial.
The Company believes PROPEL is the largest prospective, multicenter,
international trial ever conducted in patients with relapsed or
refractory PTCL.
"We are enthusiastic about providing this new therapy to patients with
relapsed or refractory PTCL," said Paul L. Berns, president and chief
executive officer at Allos Therapeutics, Inc. "The approval of FOLOTYN
is a transformative event for Allos representing our first U.S.
indication. We thank the many patients and clinical investigators who
participated in the PROPEL study. Moving forward, we plan to continue
advancing the FOLOTYN clinical development program."
"Aggressive peripheral T-cell lymphomas have been a largely ignored
group of diseases," said James O. Armitage, MD, The Joe Shapiro
Professor of Medicine, Department of Internal Medicine, University of
Nebraska Medical Center. "It is exciting to have the first FDA-approved
therapy for relapsed or refractory peripheral T-cell lymphoma."
Allos is dedicated to patient access and has established a patient
assistance program named ASAP (Allos Support for Assisting Patients) to
provide reimbursement support. Commencing in October, more information
regarding ASAP will be available by calling the Hotline at 1-877-ASAP102
(272-7102), Monday to Friday, 8 a.m. to 7 p.m. Central Time or by
visiting www.getASAPinfo.com.
"The approval of FOLOTYN brings a new treatment option to patients
afflicted with peripheral T-cell lymphoma," said Peter L. Saltonstall,
president and chief executive officer of the National Organization for
Rare Disorders (NORD). "We at NORD are excited about this approval and
will continue our efforts to focus national attention on rare diseases
and on the fact that most rare diseases have no FDA-approved treatment
at this time."
In connection with the accelerated approval, Allos has agreed to
undertake additional clinical studies to further verify and describe the
clinical benefit of FOLOTYN in patients with T-cell lymphoma.
FOLOTYN was discovered by Sloan-Kettering Institute for Cancer Research,
SRI International and Southern Research Institute and developed by Allos
Therapeutics.
About PROPEL
The FOLOTYN approval was based on the results from PROPEL, an
open-label, single-arm, multi-center, international clinical trial that
enrolled 115 patients with relapsed or refractory PTCL, 109 of whom were
considered evaluable for efficacy according to the trial protocol.
Patients were considered evaluable if they received at least one dose of
FOLOTYN, their diagnosis of PTCL was confirmed by independent pathology
review, and they had relapsed or refractory disease after at least one
prior treatment. Patients were treated with FOLOTYN at 30 mg/m2
once weekly by IV push over 3-5 minutes for 6 weeks in 7-week cycles
until disease progression or unacceptable toxicity. In addition,
patients received 1mg of vitamin B12 intramuscularly every
8-10 weeks and 1.0-1.25 mg of folic acid orally on a daily basis.
The primary efficacy endpoint was overall response rate (complete
response, complete response unconfirmed and partial response) as
assessed by International Workshop Criteria (IWC). The key secondary
efficacy endpoint was duration of response. Response assessments were
scheduled at the end of cycle 1 and then every other cycle (every 14
weeks). Duration of response was measured from the first day of
documented response to disease progression or death. Response and
disease progression were evaluated by independent central review using
the IWC.
The results of the trial demonstrated that 29 of 109 evaluable patients,
or 27%, responded to FOLOTYN. The median duration of response was 287
days, or 9.4 months (range 1-503 days). Thirteen of 109 evaluable
patients had a duration of response greater-than or equal to 14 weeks (range 98-503 days). The
most common grade 3/4 adverse events were thrombocytopenia, which was
observed in 33% of patients; mucositis in 21% of patients; neutropenia
in 20% of patients; and anemia in 17% of patients. See below for
Important Safety Information.
The median number of prior systemic therapies was 3 (range 1-12).
Approximately one-fourth of patients (24%, n = 27) did not have evidence
of response to any previous therapy. Approximately two-thirds of
patients (63%, n = 70) did not have evidence of response to their most
recent prior therapy before entering the trial. The initial response
assessment was scheduled at the end of cycle 1. Of the responders, 66%
responded within cycle 1. The median time to first response was 45 days
(range 37-349 days).
Important Safety Information
Warnings and Precautions:
FOLOTYN may suppress bone marrow function, manifested by
thrombocytopenia, neutropenia, and anemia. Monitor blood counts and omit
or modify dose for hematologic toxicities.
Mucositis may occur. If greater-than or equal to Grade 2 mucositis is observed, omit or modify
dose.
Patients should be instructed to take folic acid (1.0 -1.25 mg orally on
a daily basis) and receive vitamin B12 (1 mg intramuscularly
every 8-10 weeks) to potentially reduce treatment-related
hematological toxicity and mucositis.
FOLOTYN can cause fetal harm. Women should avoid becoming pregnant while
being treated with FOLOTYN, and pregnant women should be informed of the
potential harm to the fetus.
Use caution and monitor patients when administering FOLOTYN to patients
with moderate to severe renal function impairment.
Elevated liver function test abnormalities may occur and require
monitoring. If liver function test abnormalities are greater-than or equal to Grade 3, omit or
modify dose.
Adverse Reactions:
The most common adverse reactions observed in PROPEL were mucositis
(70%), thrombocytopenia (41%), nausea (40%), and fatigue (36%). The most
common serious adverse events (>3%), regardless of causality, were
pyrexia, mucositis, sepsis, febrile neutropenia, dehydration, dyspnea
and thrombocytopenia. Forty-four percent of patients experienced a
serious adverse event while on study or within 30 days after their last
dose of FOLOTYN. Twenty-three percent of patients discontinued treatment
due to adverse reactions.
Drug Interactions:
Co-administration of drugs subject to renal clearance (e.g., probenecid,
NSAIDs, and trimethoprim/sulfamethaxazole) may result in delayed renal
clearance.
Use in Specific Patient Population:
Nursing mothers should be advised to discontinue nursing or the drug,
taking into consideration the importance of the drug to the mother.
For additional important safety information, please see the full prescribing
information for FOLOTYN at www.allos.com.
Conference Call and Webcast Information
Allos will host a webcast conference call on Friday, September 25, 2009
at 9:00 a.m. ET. Participants can access the call at 877-941-8631 (U.S.
and Canada) or +480-629-9820 (international). To access the live audio
webcast or the subsequent archived recording, visit the "Investors -
Presentations and Events" section of the Company's website at www.allos.com.
Webcast and telephone replays of the conference call will be available
approximately two hours after the completion of the call. Callers can
access the replay by dialing 800-406-7325 (domestic) or 303-590-3030
(international). The passcode is 4164756#. The webcast will be recorded
and available for replay on the Company's website until October 7, 2009.
About Allos Therapeutics
Allos Therapeutics, Inc. (Nasdaq:ALTH) is a biopharmaceutical company
committed to the development and commercialization of innovative
anti-cancer therapeutics. FOLOTYN is the first and only drug approved in
the U.S. for the treatment of patients with relapsed or refractory
peripheral T-cell lymphoma. Allos is also developing FOLOTYN in other
potential indications. Allos retains exclusive worldwide rights to
FOLOTYN for all indications. The Company is headquartered in
Westminster, CO. For additional information, please visit www.allos.com.
Safe Harbor Statement
This press release contains forward-looking statements that are made
pursuant to the safe harbor provisions of the Private Securities
Litigation Reform Act of 1995. Such forward-looking statements include
the Company's statements regarding the potential for FOLOTYN to offer an
important new treatment option or become a new standard for patients
with relapsed or refractory PTCL; the Company's anticipated timeline for
making FOLOTYN available to patients in the U.S.; the Company's intent
to advance the FOLOTYN clinical development program; and other
statements that are other than statements of historical facts. In some
cases, you can identify forward-looking statements by terminology such
as "may," "will," "should," "expects," "intends," "plans,"
"anticipates," "believes," "estimates," "predicts," "projects,"
"potential," "continue," and other similar terminology or the negative
of these terms, but their absence does not mean that a particular
statement is not forward-looking. Such forward-looking statements are
not guarantees of future performance and are subject to risks and
uncertainties that may cause actual results to differ materially from
those anticipated by the forward-looking statements. Important factors
that may cause actual results to differ materially include, but are not
limited to, the risks and uncertainties associated with developing
adequate sales, marketing and distribution capabilities; the acceptance
of FOLOTYN in the marketplace; the status of reimbursement from third
party payors; the Company's dependence on third party manufacturers; the
Company's compliance with applicable regulatory requirements, including
the healthcare fraud and abuse laws and the Company's post-marketing
requirements; and the Company's access to capital to support its future
operations, including product development and commercialization plans
for FOLOTYN. Additional information concerning these and other factors
that may cause actual results to differ materially from those
anticipated in the forward-looking statements is contained in the "Risk
Factors" section of the Company's Quarterly Report on Form 10-Q for the
quarter ended June 30, 2009, and in the Company's other periodic reports
and filings with the Securities and Exchange Commission. The Company
cautions investors not to place undue reliance on the forward-looking
statements contained in this press release. All forward-looking
statements are based on information currently available to the Company
on the date hereof, and the Company undertakes no obligation to revise
or update these forward-looking statements to reflect events or
circumstances after the date of this presentation, except as required by
law.
Note: The Allos logo and FOLOTYN name are trademarks of Allos
Therapeutics, Inc.
References:
1Savage KJ, Chhanabhai M, Gascoyne RD, et al.
Characterization of peripheral T-cell lymphomas in a single North
American institution by the WHO classification. Ann Oncol
2004;15(10):1467-75.
2Armitage J, Vose J, Weisenburger D. International peripheral
T-cell and natural killer/T-cell lymphoma study: pathology findings and
clinical outcomes. J Clin Oncol 2008;26(25):4124-30.
SOURCE: Allos Therapeutics, Inc.
Allos Therapeutics, Inc.
Monique Greer, 720-540-5268
mgreer@allos.com