IPSEN: Increlex(R) Receives Marketing Authorisation in the European Union



    Regulatory News:

    Increlex(R) is the First Recombinant Human Insulin-Like Growth
    Factor-1 Therapy Approved in Europe for Severe Primary Igf-1
    Deficiency

    Ipsen (Paris:IPN) today announced that the European Commission
    granted marketing authorisation for Increlex(R) (mecasermin) 10 mg/ml
    solution for injection in the European Union.

    The indication approved is for the long-term treatment of growth
    failure in children and adolescents with severe primary insulin-like
    growth factor-1 deficiency (severe primary IGFD).

    Increlex(R) was designated as an orphan medicinal product in the
    European Union on 22 May 2006. The European marketing authorisation
    provides Increlex(R) a ten-year marketing exclusivity for the
    treatment of severe Primary IGFD.

    In October 2006, Tercica Inc. granted Ipsen the development and
    commercialisation rights for Increlex(R) in Europe and certain other
    territories; Ipsen is now in the process of launching this drug from
    October 2007 in the European Union. According to the terms of the
    agreement, the approval of Increlex(R) marketing authorisation in the
    European Union triggers a EUR 15 million (approximately US$20 million)
    milestone payment by Ipsen to Tercica.

    "The effect of growth hormone (GH) is to a major part mediated by
    insulin-like growth-factor-1 (IGF-1). If the biochemical steps leading
    to the formation of IGF-I are interrupted then patients are suffering
    from primary IGF-1 deficiency and cannot respond to GH therapy.
    Replacement with IGF-1 is the pathogenetically appropriate therapy in
    these instances" said Professor Dr. Michael B. Ranke, Paediatric
    Endocrinology Section, University Children's Hospital, University of
    Tuebingen, Germany. "Increlex(R) (mecasernim), a recombinant human
    insulin-like growth factor-1 (IGF-1) thus opens a new field for the
    treatment of previously untreatable children with severely short
    stature."

    Christophe Jean, Executive Vice-President and Chief Operating
    Officer of Ipsen, and Board member of Tercica Inc., said "We are very
    pleased that Increlex(R) will be soon available to patients and
    physicians for the treatment of growth failure in children and
    adolescents with severe primary IGF-1 deficiency. Increlex(R) fits
    perfectly in our existing global endocrinology franchise, along with
    Somatuline(R) and NutropinAq(R) to provide endocrinologists with a
    comprehensive solution for the treatment of patients suffering from
    growth disorders."

    About the marketing authorisation

    (The European Public Assessment Report (EPAR) summary can be
    accessed at www.emea.europa.eu)

    This decision follows the filing by Tercica Inc., Ipsen's partner,
    of an application for marketing authorisation for Increlex(R) in the
    European Union in December 2005. The positive opinion, recommending to
    grant a marketing authorisation under exceptional circumstances for
    Increlex(R), was adopted by the Committee for Medicinal Products for
    Human Use (CHMP) of the European Medicines Agency (EMEA) on 24 May
    2007. Such authorisations are permissible for medicinal products for
    which the applicant can demonstrate that comprehensive data cannot be
    provided, for example because of the rarity of the condition, as long
    as it can be demonstrated on a regular basis that the benefits
    outweigh the risks. Every year, Ipsen and Tercica will review with the
    EMEA any new information that may become available.

    The positive decision of the EMEA is based on clinical data from
    76 patients who were treated with Increlex(R) for up to 12.5 years.
    The primary endpoint in the pivotal clinical study was height
    velocity, which increased from an average of 2.8 cm per year at
    baseline to an average of 8.0 cm per year (p less than 0.0001) in the
    first year of treatment and 5.8 cm in the second. The growth rate
    stabilised at around 4.7 cm per year from the fourth year of
    treatment.

    About Increlex(R)

    Mechanism of action

    The active ingredient of Increlex(R) is recombinant human
    insulin-like growth factor-1 (IGF-1). IGF-1 is the direct mediator of
    growth hormone's effect on statural growth, and must be present for
    normal growth of bones and cartilage in children. In severe primary
    IGFD, children's' serum IGF-1 levels are low, despite the presence of
    normal or elevated GH level. Without adequate IGF-1, children cannot
    achieve normal height. In children with this disorder, low IGF-1
    levels are due to growth hormone resistance associated with mutations
    in GH receptors, post-GH receptor signalling pathways, or to defects
    in IGF-1 gene expression. As such, these children cannot be expected
    to respond adequately to exogenous GH treatment. Some individuals may
    also have a range of metabolic disorders, including lipid
    abnormalities, decreased bone density, obesity and insulin resistance.

    Indication

    The summary of product characteristics defines severe Primary IGFD
    as:

    -- a height standard deviation score (less than or=) -3.0,

    -- basal IGF-1 levels below the 2.5th percentile for age and
    gender,

    -- GH sufficiency, and

    -- the exclusion of secondary forms of IGF-1 deficiency, such as
    malnutrition, hypothyroidism, or chronic treatment with
    pharmacologic doses of anti-inflammatory steroids.

    It is recommended to confirm the diagnosis by conducting an IGF-1
    generation test.

    Doses

    The recommended starting dose is 0.04 mg per kilogram body weight
    twice a day. The dose should be tailored for each patient according to
    the speed of growth and certain side effects. The maximum dose is 0.12
    mg per kilogram twice a day.

    Increlex(R) is given by injection under the skin, and the
    injection site should be changed with each injection. The injection
    should be carried out shortly before or after a meal or snack.

    Safety information

    The most common side effects with Increlex(R) (seen in more than 1
    patient in 10) are hypoglycaemia (low blood sugar levels), thymus
    hypertrophy (growth of the thymus gland, a gland below the breastbone
    that is involved in producing infection-fighting cells), headache,
    hypoacusis (hearing loss), tonsillar hypertrophy (growth of the
    tonsils), snoring and injection site hypertrophy (lumps at the site of
    injection). For the full list of all side effects reported with
    Increlex(R), see the Summary of Product Characteristics.

    Increlex(R) should not be used in people who may be hypersensitive
    (allergic) to mecasermin or any of the other ingredients. It should
    also not be used in patients who have, or are thought to have active
    neoplasia (abnormal cell growth). Treatment with Increlex(R) should be
    stopped if neoplasia develops. It should not be used in babies.

    Marketing

    Increlex(R) has been marketed in the United States by Tercica,
    Inc. since early 2006.

    Note to editors

    The regulatory status of medications as referred to in these
    materials may vary from country to country. Please refer to the local
    product label and prescribing information.

    About Ipsen

    Ipsen is an innovation driven international specialty
    pharmaceutical group with over 20 products on the market and a total
    worldwide staff of nearly 4,000. The company's development strategy is
    based on a combination of products in targeted therapeutic areas
    (oncology, endocrinology and neuromuscular disorders) which are growth
    drivers, and primary care products which contribute significantly to
    its research financing. This strategy is also supported by an active
    policy of partnerships. The location of its four Research and
    Development centres (Paris, Boston, Barcelona, London) gives the Group
    a competitive edge in gaining access to leading university research
    teams and highly qualified personnel. In 2006, R&D expenditure was EUR
    178.3 million, i.e. 20.7% of consolidated sales, which amounted to EUR
    861.7 million while total revenues amounted to EUR 945.3 million (in
    IFRS). 700 people in R&D are dedicated to the discovery and
    development of innovative drugs for patient care. Ipsen's shares are
    traded on Segment A of Eurolist by Euronext(TM) (stock code: IPN, ISIN
    code: FR0010259150). Ipsen' s shares are eligible to the "Systeme a
    Reglement Differe" ("SRD") and the Group is part of the SBF 250 index.
    For more information on Ipsen, visit our website at www.ipsen.com.

    Forward-looking statements

    The forward-looking statements and targets contained herein are
    based on Ipsen's management's current views and assumptions. Such
    statements involve known and unknown risks and uncertainties that may
    cause actual results, performance or events to differ materially from
    those anticipated herein. Moreover, the Research and Development
    process involves several stages at each of which there is a
    substantial risk that the Group will fail to achieve its objectives
    and be forced to abandon its efforts in respect of a product in which
    it has invested significant sums. Therefore, the Group cannot be
    certain that favourable results obtained during pre-clinical trials
    will be confirmed subsequently during clinical trials, or that the
    results of clinical trials will be sufficient to demonstrate the safe
    and effective nature of the product concerned. Ipsen expressly
    disclaims any obligation or undertaking to update or revise any
    forward looking statements, targets or estimates contained in this
    press release to reflect any change in events, conditions, assumptions
    or circumstances on which any such statements are based, unless so
    required by applicable law. Ipsen's business is subject to the risk
    factors outlined in its information documents filed with the French
    Autorite des Marches Financiers.

    About Tercica

    Tercica is a biopharmaceutical company committed to improving
    endocrine health by partnering with the endocrine community to develop
    and commercialize new therapeutics for pediatric and adult growth
    disorders, and for adult metabolic disorders. For further information
    on Tercica, please visit www.tercica.com.