Amkor Pharma, Inc. Completes All Clinical Activities for Its Phase I Study of Neu2000KL for Treatment of Acute Brain Injury



    Amkor Pharmaceuticals, Inc. today reports that all clinical
    activities of its Phase I, double-blinded, randomized

    placebo-controlled ascending intravenous (IV) single dose (both
    loading and maintenance infusion) study assessing the safety

    tolerance, and pharmacokinetics (PK) of Neu2000KL in 95 healthy young
    and elderly volunteers has been completed.

    Neu2000KL is a moderate N-methyl d-aspartate (NMDA) receptor
    antagonist and potent antioxidant which is designed as a dual-acting
    neuroprotectant for concurrent blockade of both NMDA receptor-mediated
    excitotoxicity and oxidative stress, two major pathways of neuronal
    cell death occurring in stroke and trauma. The drug has shown
    remarkable protection with extended therapeutic time windows in
    various animal models of transient and permanent ischemic brain
    injury. The therapeutic potential of Neu2000KL has also been verified
    in animals subjected to spinal cord injury and sudden cardiac arrest.
    Based upon these proof of principle efficacy and safety studies in
    various animal models, the phase I study of Neu2000KL was conducted in
    the USA under an investigational new drug application (IND) in
    collaboration with one of the largest contract research organization
    (CRO) in the world.

    The phase I study was performed as a three-part study to assess
    the safety of Neu2000KL at target doses in 64 volunteers (in eight
    cohorts, each with 6 subjects on Neu2000 and 2 on placebo), at
    maximally deliverable doses in 16 young volunteers (in two cohorts)

    and at target doses in 15 elderly volunteers over the age of 65 (in
    two cohorts). The results demonstrated that Neu2000KL can be safely
    administered and is well-tolerated at doses of up to 6,000 mg, more
    than sufficient to support advancement into phase II studies for both
    ischemic stroke and sudden cardiac arrest at clinically relevant
    doses.

    Interim safety evaluations of Cohorts 1 to 12 identified no
    critical safety issues. In fact, no serious adverse event (AE)
    occurred, and no dose-dependent AEs could be identified. Psychiatric
    symptoms, a major side effect often caused by NMDA antagonists in
    humans, were not observed in young or elderly human volunteers treated
    with Neu2000KL. According to the new Food and Drug Administration
    (FDA) guidance requiring a non-clinical safety profile of NMDA
    antagonists before initiation of phase II study, the safety of
    Neu2000KL has also been extensively investigated and its safety
    verified in rats treated with an extremely high dose of 200 mg/kg via
    I.V. route by a specialized CRO in the US.

    Based on the robust data arising from this phase I study, and a
    supporting regulatory package of toxicology studies, a phase II study
    will be initiated in 2008 under a European clinical trial application
    and the current US IND. Stroke patients will be enrolled by leading
    investigators from more than six countries by one of the world´s top
    three CROs which has internationally recognized, leading-edge, medical
    imaging competence and expertise.

    Dr. Byoung J. Gwag, a professor at Ajou University School of
    Medicine and the Chairman of the Board of Directors of Neurotech in
    South Korea, said today, that he was impressed by the evident
    satisfactory human safety profile of Neu2000KL at beyond maximally
    effective doses in animal models of stroke. He was confident that the
    carefully-conceived, design-engineered Neu2000KL would show promise in
    stroke treatment, and fulfill an unmet medical need. He is reassured
    by hiring the best clinical consultants to design phase I, and now
    phase II studies, to measure the potential effect and benefit of
    Neu2000KL in man using a unique, competitive clinical phase II design
    strategy.

    The planned 2008/2009, largely European multinational, multicentre
    phase IIa proof-of-concept efficacy trial of Neu2000KL in the stroke
    patient population, will provide greater than 80% power to detect a
    40% decrease in stroke volume growth compared to placebo. Eligible
    patients will be randomized (1:1) to be administered study drug or
    placebo within 6 hours of stroke symptoms. This phase II study has
    sophisticated and novel design aspects. A population with documented
    magnetic resonance imaging (MRI) evidence of ischemia by magnetic
    resonance angiography (MRA) will be enrolled. Endpoints will include
    infarct growth measured by echo-planar imaging capability for
    performance of MRI; gradient recalled echo (GRE), diffusion-weighted
    imaging (DWI) / apparent diffusion coefficient (ADC)

    perfusion-weighted imaging (PWI), fluid-attenuated inversion-recovery
    (FLAIR), and intracranial MRA. A National Institutes of Health (NIH)
    Stroke Scale score endpoint, modified with expanded deficit-specific
    subscales, will be developed and validated to better reflect clinical
    outcomes and accommodate clinical stroke heterogeneity.

    Amkor Pharma, Inc is an American subsidiary company of Neurotech
    Pharmaceuticals, Co., Ltd. whose mission is to carry out world-wide
    clinical studies of therapeutic drugs for treating stroke, trauma, and
    neurodegenerative diseases.

    Neurotech Pharmaceuticals Co., Ltd. was founded by eight Korean
    professors with specialties in neuropharmacology, neurology, medicinal
    chemistry, ophthalmology, and genetics who were educated, trained, and
    held faculty appointments at top medical universities in the US such
    as Washington University, Harvard University, and the University of
    Pennsylvania. Neurotech has four drug pipelines targeting stroke

    Alzheimer´s disease, inflammatory diseases, and neuropathy in parallel
    with technology platforms such as commercialized biological cell
    lines. Drug development at Neurotech is steered by a wide network of
    collaborating CROs and drug development consulting firms, and two
    scientific advisory committees consisting of American and Korean
    academics and ex-international industry executives.

    These clinical developments reported by Amkor, the American
    subsidiary of Neurotech, constitute encouraging news to neurological
    and cardiovascular interest groups.