Gilead Announces Preliminary Results From Phase III Study of Aztreonam Lysine for Inhalation in Patients With Cystic Fibrosis
Gilead Sciences, Inc. (Nasdaq:GILD) today announced that its Phase
III AIR-CF2 (CP-AI-005) study of aztreonam lysine for inhalation for
the treatment of people with cystic fibrosis (CF) who have pulmonary
Pseudomonas aeruginosa (P. Aeruginosa) met its primary efficacy
endpoint, the time to need for inhaled or intravenous (IV)
antibiotics, which was assessed by the onset of common symptoms
predictive of a pulmonary exacerbation. Data from the 247-patient
study demonstrated a significant improvement in time to need for
inhaled or IV antibiotics after a 28-day treatment course of aztreonam
lysine for inhalation compared to placebo, both following a 28-day
treatment course of tobramycin inhalation solution (pooled
p-value=0.007 by log rank test). The primary efficacy endpoint
analyzed the pooled data from both aztreonam treatment arms, as
pre-specified under a U.S. Food and Drug Administration (FDA) Special
Protocol Assessment (SPA). Full study results will be submitted for
presentation at an upcoming scientific meeting.
The most common treatment-emergent adverse events were cough,
productive cough, nasal congestion, respiratory tract congestion and
wheezing. The incidence of these events did not differ significantly
between the placebo and the aztreonam lysine groups.
"The completion of this study and achievement of its primary
endpoint is an important step toward our goal of developing aztreonam
lysine for inhalation as a new therapeutic option for people with CF
who have pulmonary Pseudomonas aeruginosa," said A. Bruce Montgomery,
MD, senior vice president, head of Respiratory Therapeutics, Gilead
Sciences. "Gilead appreciates the continued support and leadership of
the Cystic Fibrosis Foundation, and we thank the patients and
investigators who participated in this study."
AIR-CF2 Study Design
AIR-CF2 was a randomized, double-blind, placebo-controlled study
designed to assess the safety and efficacy of a 28-day treatment
course with aztreonam lysine, as well as its ability to maintain or
improve clinical status following a 28-day treatment course of
tobramycin inhalation solution therapy in people with CF who have
pulmonary P. Aeruginosa. Patients were randomized to receive 28 days
of treatment with 75 mg of aztreonam lysine or volume-matched placebo
administered twice or three times daily by the eFlow(R) Electronic
Nebulizer. Following an overall study period of 126 days, patients
were eligible to enter AIR-CF3 (CP-AI-006), an open-label follow-up
study for patients in AIR-CF2 and AIR-CF1 (CP-AI-007).
"We look forward to further defining the role of both the twice
daily and three times daily dosing in our ongoing open-label study,
where we continue to gather longer-term data on more than 190
patients," commented Dr. Montgomery.
Data from this analysis have not been reviewed by the FDA.
Aztreonam lysine is an investigational compound and has not yet been
determined safe or efficacious in humans.
About AIR-CF Phase III Clinical Program
AIR-CF2 is one of three Phase III studies in the AIR-CF clinical
program. The program, which also includes AIR-CF1 and AIR-CF-3, is
designed to determine the safety and efficacy of aztreonam lysine for
inhalation for treatment of people living with CF who have pulmonary
P. Aeruginosa.
AIR-CF1 is a double-blind, randomized, placebo-controlled study
designed to assess the safety and efficacy of a 28-day treatment
course of aztreonam lysine for inhalation in people with CF who have
pulmonary P. Aeruginosa. The primary endpoint is the change at Day 28
from baseline in respiratory symptoms as assessed by the CFQ-R
questionnaire (a patient-reported tool used to measure health-related
quality of life for people with cystic fibrosis). This study will
enroll 140 patients, who will be randomized to receive 28 days of
treatment with 75 mg aztreonam lysine for inhalation or volume-matched
placebo administered three times daily by the eFlow(R) Electronic
Nebulizer. This study is currently enrolling patients.
AIR-CF3 is an open-label, multi-center study of patients who
participated in the AIR-CF1 or AIR-CF2 studies. The primary objective
of the study is to evaluate the safety of repeated exposure to
aztreonam lysine for inhalation in people with CF. Each patient's
participation in the study will last up to 18 months. Patients will
receive treatment with 75 mg of aztreonam lysine for inhalation with
the same regimen they received in AIR-CF1 or AIR-CF2 (twice or three
times daily). Patients will receive up to nine 28-day courses of
aztreonam lysine for inhalation, each of which will be followed by a
28-day off-treatment period.
About Aztreonam Lysine for Inhalation
Aztreonam lysine for inhalation is an antibiotic candidate
currently being studied in Phase III clinical trials as a treatment
for people with CF who have pulmonary P. Aeruginosa. Aztreonam has
potent activity against Gram-negative bacteria such as P. Aeruginosa.
Aztreonam formulated with arginine is a U.S. FDA-approved agent for
intravenous administration. Aztreonam lysine for inhalation is a
proprietary inhaled formulation of aztreonam and has been designated
with orphan drug status by the U.S. FDA. It is delivered through a
novel inhalation device, eFlow(R), developed by PARI GmbH.
About Cystic Fibrosis
Today more than 30,000 people in the United States have CF. CF is
a chronic, debilitating genetic disease. A major characteristic of CF
is production of abnormally thick, sticky mucus in the lungs, trapping
bacteria and predisposing patients to lung infections, which
continually damage their lungs. Pulmonary infection with Gram-negative
bacteria, particularly pulmonary Pseudomonas aeruginosa, represents
the single greatest cause of morbidity and mortality among CF
patients. Currently there is no known cure for CF, and the goal of CF
therapy is to control symptoms and prevent further lung damage.
About Gilead Sciences
Gilead Sciences is a biopharmaceutical company that discovers,
develops and commercializes innovative therapeutics in areas of unmet
medical need. The company's mission is to advance the care of patients
suffering from life-threatening diseases worldwide. Headquartered in
Foster City, California, Gilead has operations in North America,
Europe and Australia. For more information on Gilead Sciences, please
visit the company's website at www.gilead.com or call Gilead Public
Affairs at 1-800-GILEAD-5 or 1-650-574-3000.
This press release includes forward-looking statements, within the
meaning of the Private Securities Litigation Reform Act of 1995, that
are subject to risks, uncertainties and other factors, including risks
related to Gilead's ability to develop and commercialize this product.
For example, the safety and efficacy data from additional clinical
studies may not warrant further development of this compound and
initiating and completing clinical trials may take longer or cost more
than expected. These risks, uncertainties and other factors could
cause actual results to differ materially from those referred to in
the forward-looking statements. The reader is cautioned not to rely on
these forward-looking statements. These and other risks are described
in detail in the Gilead Annual Report on Form 10-K for the year ended
December 31, 2005, filed with the U.S. Securities and Exchange
Commission. All forward-looking statements are based on information
currently available to Gilead and Gilead assumes no obligation to
update any such forward-looking statements.