FDA Approves TYSABRI(R) for the Treatment of Moderate-to-Severe Crohn´s Disease



    Elan Corporation, plc (NYSE: ELN) and Biogen Idec (NASDAQ: BIIB)
    today announced the approval of a supplemental Biologics License
    Application (sBLA) by the U.S. Food and Drug Administration (FDA) for
    TYSABRI(R) (natalizumab). TYSABRI is now approved for inducing and
    maintaining clinical response and remission in adult patients with
    moderately to severely active Crohn´s disease (CD) with evidence of
    inflammation who have had an inadequate response to, or are unable to
    tolerate, conventional CD therapies and inhibitors of TNF-alpha.
    TYSABRI will be available for the treatment of CD upon the completion
    of key implementation activities related to the approved risk
    management plan. The companies anticipate TYSABRI will be available to
    Crohn´s patients by the end of February 2008.

    "The FDA´s approval of TYSABRI is an important step forward in the
    treatment of Crohn´s disease," said Dr. Stephen Hanauer, Professor of
    Medicine & Clinical Pharmacology & Chief of the Section of
    Gastroenterology at the University of Chicago Pritzker School of
    Medicine. "A significant number of patients either fail or cannot
    tolerate current therapies. The unique mechanism of action of TYSABRI
    affords us a new class of therapy in our fight against this
    debilitating disease."

    The FDA granted approval based on its review of TYSABRI CD
    clinical trial data and overall safety data. The approval is
    accompanied by robust labeling with safety warnings; and a CD-specific
    risk management plan (including the mandatory TOUCH(TM) Prescribing
    Program) designed to inform prescribers, patients and infusion centers
    about the use of TYSABRI and to minimize potential risk of progressive
    multifocal leukoencephalopathy (PML) and other opportunistic
    infections.

    "We are delighted that TYSABRI will be available for Crohn´s
    patients and their physicians, who continue to need new therapeutic
    options with novel mechanisms of action," said Gordon Francis, MD,
    Senior Vice President, Global Clinical Development, Elan. "We are
    committed to providing therapeutic choice to those patients who can
    benefit from TYSABRI, and will continue to work with the FDA and the
    medical community to implement the TOUCH(TM) Prescribing Program for
    Crohn´s patients."

    "We are pleased with the FDA´s decision to make TYSABRI available
    to Crohn´s patients suffering from this chronic, debilitating
    disease," said Evan Beckman, MD, Senior Vice President, Immunology
    Research and Development, Biogen Idec. "Despite the therapeutic
    advances of the TNF-alpha inhibitors in CD, there remains a
    significant unmet need for Crohn´s patients who have inadequate
    responses to, or are unable to tolerate, current CD therapies."

    TOUCH(TM) Prescribing Program

    The TOUCH(TM) (TYSABRI Outreach: Unified Commitment to Health)
    Prescribing Program was developed in conjunction with the FDA to
    facilitate appropriate use of TYSABRI and to assess, on an ongoing
    basis, the incidence and risk factors for PML and other serious
    opportunistic infections associated with TYSABRI treatment. This
    program represents Elan and Biogen Idec´s commitment to making the
    unique benefits of TYSABRI available in a responsible manner. The
    program already has been implemented for patients receiving TYSABRI
    therapy for MS.

    About Crohn´s Disease

    An estimated 500,000 people in the United States have Crohn´s
    disease, a chronic and progressive inflammatory disease of the
    gastrointestinal tract, which commonly affects both men and women.

    The disease usually causes diarrhea and crampy abdominal pain,
    often associated with fever, and at times rectal bleeding. Loss of
    appetite and weight loss also may occur. Complications include
    narrowing of the intestine, obstruction, abscesses, and fistulas
    (abnormal channels connecting the intestine and other organs,
    including the skin), and malnutrition. Most patients eventually
    require surgery, which has both risks and potential short- and
    long-term complications.

    Crohn´s disease can have a devastating impact on the lifestyle of
    patients, many of whom are young and active. Currently there is no
    medical or surgical cure for Crohn´s disease. Many patients fail to
    respond to current therapies, including biological therapies such as
    agents that inhibit tumor necrosis factor alpha (TNF-alpha). Due to
    this failure of current therapies in CD, therapies that have alternate
    biological targets provide patients and physicians with therapeutic
    options.

    About TYSABRI

    Data from the ENCORE trial showed that TYSABRI induced response
    and remission among patients with moderately to severely active
    Crohn´s disease, and objective evidence of inflammation, as measured
    by elevated C-reactive protein. After 12 weeks of therapy, 60% of
    TYSABRI-treated patients attained response, compared to 44% of placebo
    treated patients, and 48% of patients had sustained response at both
    weeks 8 and 12, compared to 32% of placebo treated patients (p less
    than 0.005 for both). Among the patients who had inadequate response
    to prior treatment with inhibitors of TNF-alpha, 38% achieved
    sustained response at weeks 8 and 12.

    Data from the ENACT-2 showed that an additional year of TYSABRI
    therapy sustained response and remission among patients with an
    initial response to TYSABRI after 3 months in ENACT-1. Of patients
    with response in ENACT-1, sustained response during ENACT-2 was seen
    in 61% of patients treated with TYSABRI at every visit through an
    additional 6 months of therapy, compared to 29% for placebo. This
    treatment difference was also sustained through 12 months of
    additional therapy (54% vs. 20%). Remission was sustained at every
    visit with an additional 6 months or 12 months of TYSABRI in 45% and
    40% of patients, respectively, compared to 26% and 15% of placebo
    treated patients (p less than 0.005 for all comparisons). Among the
    patients that had previously failed TNF-inhibitors, response and
    remission was sustained at every visit through an additional 6 months
    of TYSABRI in 52% and 30% of patients, respectively. Among patients on
    steroids and in whom a clinical response was achieved, approximately
    two-thirds were able to discontinue steroids within 10 weeks of
    beginning to taper steroids.

    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 and CD clinical trials, the
    incidence and rate of other serious adverse events, including serious
    infections, were similar in patients receiving TYSABRI and those
    receiving placebo. Common adverse events reported in TYSABRI-treated
    MS patients include headache, fatigue, infusion reactions, urinary
    tract infections, joint and limb pain, and rash. Other common adverse
    events reported in TYSABRI-treated CD patients include respiratory
    tract infections and nausea. Clinically significant liver injury has
    been reported in patients treated with TYSABRI in the post-marketing
    setting.

    TYSABRI has previously been 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 less than 0.001) in the annualized relapse rate compared
    to placebo and reduced the relative risk of disability progression by
    42-54% (p less than 0.001). In addition to the United States and
    European Union, TYSABRI is also approved for MS 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 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.

    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.

    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.