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.