Guest guest Posted August 18, 2005 Report Share Posted August 18, 2005 Genelabs Announces Results From Preliminary Analysis of an Open Label Study of Its Lupus Drug Prestara Thursday August 18, 8:05 am ET REDWOOD CITY, Calif., Aug. 18 /PRNewswire-FirstCall/ -- Genelabs Technologies, Inc. (Nasdaq: GNLB - News) today announced positive results from a preliminary analysis of an open label clinical trial, Study GL03-01, which has met its primary objective of maintaining the bone mineral density (BMD) of women with systemic lupus erythematosus (SLE or lupus) receiving glucocorticoids. This clinical trial measured the effect of Prestara on BMD for a 12-month period following completion of the company's 6-month double-blind, placebo-controlled clinical trial (Study GL02-01), the results of which were announced in October 2004. The primary endpoint of Study GL03-01 was maintenance of bone mineral density at the lumbar spine for patients receiving 200 mg of Prestara per day, which has been the standard dose Genelabs has used in clinical evaluation of Prestara. All patients in Study GL03-01 received Prestara, either 100 or 200 mg per day, with approximately two-thirds of the patients receiving 200 mg per day. While the trial was not designed with a placebo control, it was randomized and all of the patients' BMD scans were sent to a centralized reading site. All patients enrolled in Study GL03-01 were taking glucocorticoids, which normally cause a decrease in bone mineral density. Preliminary results of Study GL03-01 demonstrated that patients who received 200 mg of Prestara per day increased their BMD at the lumbar spine by approximately 0.9% during the 12 months they were enrolled in Study GL03-01. Results of Study GL03-01 also demonstrated that patients who received a lower dose of Prestara, 100 mg per day, did not increase their BMD during the clinical trial, and in fact lost a measurable amount of bone mineral density at the lumbar spine over the 12-month period of Study GL03-01. The patients who had previously received 200 mg per day of Prestara in the earlier Study GL02-01 and who were then randomized to continue receiving 200 mg of Prestara in Study GL03-01 experienced an increase in BMD at the lumbar spine over each successive 6-month interval in the 18-month duration of the combined studies. In addition, the safety profile for Prestara in this study was consistent with that seen in previous clinical studies. " The preliminary analysis of the results from this clinical trial are supportive of our belief that 200 mg per day of Prestara, the dose we have used in most of our clinical studies, improves the bone mineral density of women with lupus, and that these increases accumulate over time, " stated A.D. , President and Chief Executive Officer. " The validation provided by the data from this trial is an important consideration as we evaluate the future development options for Prestara for lupus. We strongly believe in the benefits that Prestara provides to patients suffering from the debilitating effects of lupus, and this trial indicates the protective effect of 200 mg of Prestara daily on the patients' bone mineral density. However, in determining our future development plans we must weigh these benefits against the standards required by the FDA for approval of this investigational drug. Our analyses of these study results are continuing, however we expect to be able to submit them to the FDA in advance of an upcoming meeting, which we hope will provide additional clarity on what may be needed going forward. " Study GL03-01 enrolled 115 women with lupus who were randomized into one of two Prestara treatment groups. Genelabs conducted this open label trial to determine the long-term effects of Prestara on bone mineral density beyond an initial six-month period (which was measured in the company's double-blind Phase III clinical trial, Study GL02-01). While Study GL03-01 provides useful data on the positive effect of Prestara on the BMD of women with lupus, the U.S. Food and Drug Administration (FDA) normally does not consider open label studies to be sufficient to support approval of a new drug. Genelabs has scheduled a meeting with the FDA to discuss the company's options for the development of Prestara for lupus, including the results of this clinical trial. Background of Prestara for Lupus and Bone Mineral Density Genelabs previously completed a placebo-controlled one-year Phase III clinical trial, designated Study GL95-02, which evaluated the ability of Prestara to improve or stabilize clinical outcome and disease symptoms in women with mild to moderate lupus. Nested within this clinical trial was a separate study to assess the effect of Prestara on bone mineral density in women with lupus who were taking glucocorticoids. An analysis of the patients who had pre- and post-treatment bone mineral density measurements showed that the group of patients receiving Prestara had significantly increased bone mineral density, compared to a decrease in bone density for the group of patients on placebo. The FDA subsequently issued an approvable letter to Genelabs, which required the successful completion of an additional clinical trial providing sufficient evidence to confirm the positive effect of Prestara on the patients' bone mineral density. Genelabs conducted a double-blind Phase III clinical trial, designated Study GL02-01, which was designed to satisfy FDA's requirement if the results were positive. In October 2004 Genelabs announced that the results of Study GL02-01 were not statistically significant in favor of Prestara. Patients who completed Study GL02-01 were eligible to enroll in Study GL03-01, a one-year follow-on clinical trial which treated all patients with Prestara. About Genelabs Genelabs Technologies, Inc. is a biopharmaceutical company focused on the discovery and development of pharmaceutical products to improve human health. We have built drug discovery and clinical development capabilities that can support various research and development projects. Genelabs is currently concentrating its capabilities on developing a late-stage product for lupus, discovering novel compounds that selectively inhibit replication of the hepatitis C virus and advancing preclinical development of compounds from this hepatitis C virus drug discovery program. We believe that these high-risk, potentially high reward programs focus our research and development expertise in areas where we have the opportunity to generate either first-in-class or best-in-class products that will address diseases for which current therapies are inadequate. For more information, please visit www.genelabs.com. http://biz./prnews/050818/sfth028.html?.v=23 Quote Link to comment Share on other sites More sharing options...
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