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Data Presented at the American Academy of Neurology's Annual Meeting Provide Update on Utilization and Safety of TYSABRI(R) in Patients with Multiple Sclerosis



    Biogen Idec (NASDAQ: BIIB) and Elan Corporation, plc (NYSE: ELN)
    announced today that new data from the TOUCH Prescribing Program(TM)
    and TYGRIS safety study confirm the safety profile from previous
    clinical studies of TYSABRI(R) (natalizumab). Also presented at the
    59th annual meeting of the American Academy of Neurology in Boston, MA
    were extension study data that showed that TYSABRI has a sustained
    treatment effect on clinical relapses and the risk of disability
    progression in multiple sclerosis (MS) patients treated for up to
    three years. The companies recently reported that as of mid-April 2007
    approximately 12,500 patients have been prescribed TYSABRI worldwide.
    The companies estimate that in both commercial use and clinical
    trials, there are currently over 10,000 patients on TYSABRI therapy
    worldwide.

    "The findings from the safety update combined with the data
    showing the sustained effect of TYSABRI in patients treated for up to
    three years, contribute to our evolving understanding of the
    utilization of this therapy as an important treatment option for
    people living with the debilitating effects of MS," said Paul
    O'Connor, MD, St. Michael's Hospital, Toronto, Ontario, Canada, lead
    investigator of the TYSABRI extension study.

    TYSABRI Update

    TYSABRI is available in the US through the TOUCH Prescribing
    Program. All prescribers, infusion sites and patients receiving
    TYSABRI are required to enroll in TOUCH. Safety information is also
    collected through ongoing clinical trials and registries, including
    STRATA, TYGRIS and the pregnancy registry. According to data available
    to the companies as of April 23, 2007, there have been no new reports
    of confirmed cases of progressive multifocal leukoencephalopathy (PML)
    or other serious opportunistic infections (OIs). The data confirm the
    safety profile from previous clinical studies of TYSABRI and will
    continue to expand the knowledge of the long-term safety and
    tolerability of TYSABRI.

    The combination of TOUCH, TYGRIS and the pregnancy registry will
    be the largest long-term follow-up undertaken for an MS therapy, and
    the companies plan to continue to provide similar updates at upcoming
    medical meetings.

    The companies recently announced that as of mid-April,
    approximately 12,500 patients have been prescribed TYSABRI worldwide.
    In both commercial use and clinical trials, there are currently over
    10,000 patients on TYSABRI therapy worldwide.

    -- In the US, approximately 6,600 patients are on TYSABRI therapy
    commercially. Approximately 10,000 patients have enrolled in
    the TOUCH program and 1,500 physicians have enrolled patients.

    -- In the EU, approximately 2,500 patients internationally have
    received TYSABRI infusions commercially, mostly in Germany and
    the Nordic countries.

    -- In clinical trial settings, over 1,000 patients are on TYSABRI
    therapy.

    TYSABRI Efficacy Sustained through Three Years

    Patients who participated in the Phase III TYSABRI program were
    eligible to enroll in an open-label extension study that evaluated the
    therapy's long-term effects. Included in this were patients from
    AFFIRM, a randomized, double-blind, placebo-controlled, two-year
    monotherapy study of TYSABRI that enrolled 942 patients (627 patients
    on TYSABRI, 315 on placebo). In AFFIRM, TYSABRI reduced the annualized
    relapse rate in patients with MS by 67% (p<0.001) and the risk of
    12-week sustained disability progression by 42% (p<0.001) compared
    with placebo.

    In the intent to treat analysis, the annualized relapse rate for
    patients treated with TYSABRI over the three-year period was 0.23,
    translating into an average of one relapse every 4.3 years. The
    relapse rate also continued to remain low over the three-year
    treatment period with TYSABRI: 0.27 during the first year; 0.20 during
    the second year; and 0.15 during the third year (based on 531 patients
    who entered the extension study, which includes approximately 250
    patients with nearly three years of continuous therapy).

    In addition, TYSABRI also decreased the cumulative probability of
    disability progression sustained for six months compared to placebo.
    The estimated proportion of patients who had 24-week sustained
    disability progression at two years was 11% in patients treated with
    TYSABRI compared to 23% in patients treated with placebo, a 54%
    relative reduction.

    This effect was maintained in patients treated with TYSABRI for up
    to three years with 13% showing 24-week sustained disability
    progression.

    About TOUCH and TYGRIS

    Before initiating treatment, all US patients, prescribers and
    infusion sites must be enrolled in the TOUCH Prescribing Program
    (TYSABRI Outreach: Unified Commitment to Health). TOUCH is designed to
    determine the incidence of and risk factors for serious OIs, including
    PML, and to monitor patients for signs and symptoms of PML while
    promoting informed benefit/risk discussions prior to initiating
    TYSABRI treatment. Physicians report on PML, serious OIs, deaths and
    discontinuation of therapy on an ongoing basis.

    TYGRIS (TYSABRI Global ObseRvation Program In Safety) is expected
    enroll 5,000 patients worldwide, including approximately 3,000
    patients from TOUCH. Patients in TYGRIS are evaluated at baseline and
    every six months thereafter for five years. Researchers will evaluate
    data including medical/MS history; prior TYSABRI use; prior use of
    immunomodulatory, antineoplastic, or immunosuppressive agents; and all
    serious adverse events, including PML and other serious OIs, and
    malignancies.

    The information provided here is derived from voluntary adverse
    event reporting. It is possible that not all reactions have been
    reported, or that some reactions are not reported to Biogen Idec or
    Elan in a timely manner.

    About TYSABRI

    In the US, TYSABRI is approved as a monotherapy treatment for
    relapsing forms of MS. TYSABRI increases the risk of PML, an
    opportunistic viral infection of the brain that usually leads to death
    or severe disability. Patients should be monitored at regular
    intervals for any new or worsening signs or symptoms suggestive of PML
    Because of the increased risk of PML, TYSABRI is generally recommended
    for patients who have had an inadequate response to, or are unable to
    tolerate, alternate MS therapies. It is available in the US only
    through a restricted distribution program called the TOUCH Prescribing
    Program. According to product labeling, after two years, TYSABRI
    treatment led to a 67% relative reduction (p<0.001) in the annualized
    relapse rate compared to placebo and reduced the relative risk of
    disability progression by 42% (p<0.001). TYSABRI treatment also
    resulted in sustained and statistically significant reductions in
    brain lesion activity as measured by MRI. Changes in MRI findings
    often do not correlate with changes in the clinical status of patients
    (e.g., disability progression). The prognostic significance of the MRI
    findings in these studies has not been evaluated.

    In the European Union, TYSABRI is indicated as a single
    disease-modifying therapy in highly active relapsing-remitting MS
    patients. Because of the increased risk of PML, it is for patients
    with high disease activity despite treatment with a beta-interferon or
    in patients with rapidly evolving severe relapsing-remitting MS.

    According to product labeling in the EU, after two years, TYSABRI
    treatment led to a 68% relative reduction (p<0.001) in the annualized
    relapse rate compared to placebo and reduced the relative risk of
    disability progression by 42-54% (p<0.001).

    Serious adverse events that occurred in TYSABRI-treated patients
    included hypersensitivity reactions (e.g., anaphylaxis), infections,
    depression and gallstones. In MS trials, the incidence and rate of
    other serious and common adverse events, including the overall
    incidence and rate of infections, were balanced between treatment
    groups. Herpes infections were slightly more common in patients
    treated with TYSABRI. Serious opportunistic and other atypical
    infections have been observed in TYSABRI-treated patients, some of
    whom were receiving concurrent immunosuppressants. Common adverse
    events reported in TYSABRI-treated patients include headache, fatigue,
    infusion reactions, urinary tract infections, joint and limb pain,
    lower respiratory infections, rash, gastroenteritis, abdominal
    discomfort, vaginitis, and diarrhea.

    For more information about TYSABRI please visit www.tysabri.com,
    www.biogenidec.com or www.elan.com, or call 1-800-456-2255.

    About Biogen Idec

    Biogen Idec creates new standards of care in therapeutic areas
    with high unmet medical needs. Founded in 1978, Biogen Idec is a
    global leader in the discovery, development, manufacturing, and
    commercialization of innovative therapies. Patients in more than 90
    countries benefit from Biogen Idec's significant products that address
    diseases such as lymphoma, multiple sclerosis, and rheumatoid
    arthritis. For product labeling, press releases and additional
    information about the company, please visit www.biogenidec.com.

    About Elan

    Elan Corporation, plc is a neuroscience-based biotechnology
    company committed to making a difference in the lives of patients and
    their families by dedicating itself to bringing innovations in science
    to fill significant unmet medical needs that continue to exist around
    the world. Elan shares trade on the New York, London and Dublin Stock
    Exchanges. For additional information about the company, please visit
    www.elan.com.

    Safe Harbor/Forward Looking Statements

    This press release contains forward-looking statements regarding
    TYSABRI. These statements are based on the companies' current beliefs
    and expectations. The commercial potential of TYSABRI is subject to a
    number of risks and uncertainties. Factors which could cause actual
    results to differ materially from the companies' current expectations
    include the risk that we may be unable to adequately address concerns
    or questions raised by FDA or other regulatory authorities, that
    concerns may arise from additional data, that the incidence and/or
    risk of PML or other opportunistic infections in patients treated with
    TYSABRI may be higher than observed in clinical trials, or that the
    companies may encounter other unexpected hurdles. Drug development and
    commercialization involves a high degree of risk.

    For more detailed information on the risks and uncertainties
    associated with the companies' drug development and other activities,
    see the periodic and current reports that Biogen Idec and Elan have
    filed with the Securities and Exchange Commission. The companies
    assume no obligation to update any forward-looking statements, whether
    as a result of new information, future events or otherwise.