Biogen Idec and Elan Provide Update on Utilization and Safety of TYSABRI(R) in Patients with Multiple Sclerosis



    Biogen Idec (NASDAQ: BIIB) and Elan Corporation, plc (NYSE: ELN)
    today announced new data on the global utilization and safety of
    TYSABRI(R) (natalizumab), citing that as of the end of September 2007
    approximately 17,000 patients are on commercial and clinical therapy
    worldwide, and that the safety data to date continue to support a
    favorable benefit-risk profile for TYSABRI. These data will be
    presented as part of the companies' symposia being held on Friday,
    October 12, 2007 at 6 p.m. CEST at the 23rd Congress of the European
    Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS)
    in Prague, Czech Republic.

    As of the end of September 2007:

    -- In the US, approximately 10,500 patients are on TYSABRI
    commercially and over 2,100 physicians have prescribed the
    therapy;

    -- In the EU, approximately 5,500 patients are on TYSABRI therapy
    commercially; and

    -- In global clinical trials, approximately 1,000 patients are on
    TYSABRI therapy.

    TYSABRI is available in the United States through the TOUCH(TM)
    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 TYGRIS and the pregnancy registry, making this the largest
    long-term patient follow-up effort undertaken for any MS therapy.

    According to data available to the companies as of mid-September
    2007, there have been no new reports of confirmed cases of progressive
    multifocal leukoencephalopathy (PML). The safety data to date continue
    to support a favorable benefit-risk profile for TYSABRI. The companies
    plan to continue to provide similar updates at future medical
    meetings.

    "Neurologists and patients are increasingly choosing TYSABRI given
    its significant impact on clinically meaningful and relevant
    endpoints, including relapses and disability progression. Ultimately,
    we believe the full potential of TYSABRI will be realized, making it
    the leading MS therapy," said Michael Panzara, MD, MPH, Vice President
    and Chief Medical Officer, Neurology Strategic Business Unit, Biogen
    Idec.

    "Continued patient experience and ongoing clinical research will
    further differentiate TYSABRI as a valuable treatment option for MS
    patients around the world. TYSABRI is currently approved in more than
    20 countries, and we hope to offer this therapeutic alternative to
    more patients in the future," said Gordon Francis, MD, Senior Vice
    President, Global Clinical Development, Elan.

    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 opportunistic
    infections (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
    to 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.

    Adverse event reporting in the post-marketing setting is
    voluntary. 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

    TYSABRI is a treatment approved for relapsing forms of MS in the
    United States and relapsing-remitting MS in the European Union.
    According to data that have been published in the New England Journal
    of Medicine, 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).

    TYSABRI increases the risk of progressive multifocal
    leukoencephalopathy (PML), an opportunistic viral infection of the
    brain that usually leads to death or severe disability. Other serious
    adverse events that have occurred in TYSABRI-treated patients included
    hypersensitivity reactions (e.g., anaphylaxis) and infections. Serious
    opportunistic and other atypical infections have been observed in
    TYSABRI-treated patients, some of whom were receiving concurrent
    immunosuppressants. Herpes infections were slightly more common in
    patients treated with TYSABRI. 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. Common adverse events reported in TYSABRI-treated patients
    include headache, fatigue, infusion reactions, urinary tract
    infections, joint and limb pain, and rash.

    In addition to the United States and European Union, TYSABRI is
    also approved in Switzerland, Canada, Australia, New Zealand and
    Israel. TYSABRI was discovered by Elan and is co-developed with Biogen
    Idec.

    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.