New Data Presented at ECTRIMS Congress Show TYSABRI(R) Has Sustained Effect on Relapse Rate in Multiple Sclerosis Patients Treated for up to Three Years



    Biogen Idec (NASDAQ: BIIB) and Elan Corporation, plc (NYSE: ELN)
    announced today new data that show TYSABRI(R) (natalizumab) has a
    sustained effect on relapse rate in multiple sclerosis (MS) patients
    treated for up to three years. These data, presented at the 22nd
    Congress of the European Committee for Treatment and Research in
    Multiple Sclerosis (ECTRIMS) in Madrid, Spain, were part of long-term
    follow-up of TYSABRI clinical trial patients.

    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. Approximately 1,900 patients and over 200
    sites worldwide participated in the extension study. Approximately 250
    of these patients remained on TYSABRI monotherapy for nearly three
    years. The annualized relapse rate for these patients over the
    three-year period was 0.23, translating into an average of one relapse
    every 4.3 years. This was consistent with the 0.23 annualized relapse
    rate seen in the two-year AFFIRM study, which represented a 68%
    relative reduction when compared to the two-year placebo annualized
    relapse rate of 0.73, as published in the New England Journal of
    Medicine.

    "Data from this long-term follow-up study show that TYSABRI has a
    sustained and compelling effect on relapse rates beyond two years of
    treatment. The efficacy benefit of TYSABRI when considered with the
    management of its known risks, offers an important therapeutic option
    for many patients living with the debilitating effects of MS," said
    Paul O'Connor, MD, St. Michael's Hospital, Toronto, Ontario, Canada,
    lead investigator of the extension study.

    About TYSABRI

    In the US, TYSABRI is approved as a monotherapy treatment for
    relapsing forms of MS. TYSABRI increases the risk of progressive
    multifocal leukoencephalopathy (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 oncology, neurology
    and immunology. As a global leader in the development, manufacturing,
    and commercialization of novel therapies, Biogen Idec transforms
    scientific discoveries into advances in human healthcare. 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.