VeroScience Presents Data on Newly FDA Approved Drug Cycloset at American Diabetes Association Annual Scientific Sessions
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Data on Novel Therapy Demonstrate Sustained HbA1c Improvements for Patients Failing Thiazolidinediones (TZDs) NEW ORLEANS--(Business Wire)-- VeroScience, in collaboration with S2 Therapeutics, today announced the presentation of clinical and preclinical data at the American Diabetes Association (ADA) 69th Scientific Sessions on Cycloset, a novel treatment for patients with Type 2 diabetes. FDA-approved in May 2009, Cycloset is the first therapy directly targeting the body`s dopamine activity to improve glycemic control. It is also the only drug to be approved subsequent to the FDA`s new guidelines that require studies demonstrating that diabetes drugs do not increase cardiovascular risk. The data presented today reviewed the impact of adding Cycloset to the treatment regimen of patients with Type 2 diabetes who are failing thiazolidinedione (TZDs), as indicated by a baseline HbA1c of greater than or equal to 7.5 percent. The study found that patients taking Cycloset with TZDs demonstrated a statistically significant improvement after 52 weeks on therapy, compared to those taking TZDs (Rosiglitazone or Pioglitazone) with or without other oral anti-diabetes medications. The post-hoc study, from the Company`s 3,070-patient Cycloset Safety Trial, evaluated 79 patients failing TZD therapies at baseline. The Cycloset with TZD treatment group demonstrated a 0.76 percent decrease in A1c compared to a 0.25 percent reduction in the placebo group (p<0.05). Improved glycemic control persisted throughout the 52-week trial. Additionally, greater A1c reductions were observed for Cycloset and TZD subjects with higher baseline A1c levels-1.1 and 1.3 percent decreases were achieved for baseline A1c of greater than or equal to 8.0 and 8.5 percent, respectively. Taking Cycloset and TZDs led to a statistically significant 22 mg/dl reduction in fasting plasma glucose levels from baseline (p<0.05). Additionally, patients taking Cycloset and TZDs had a 0.7-pound weight loss, compared to a 4.5-pound weight gain for the placebo group. "The current FDA labeling for Cycloset combination use with TZDs states that there are limited efficacy data in combination with thiazolidinediones, and these new post-hoc analyses suggest that further studies on the beneficial interactions of these anti-diabetes agents are warranted," said Richard E. Scranton, M.D., M.P.H., Chief Medical Officer, VeroScience. "Among the 23 million patients with Type 2 diabetes today, a growing number cannot adequately control their blood sugars with current therapies," said J. Michael Gaziano, M.D., Cardiologist, Professor, Division of Aging, Brigham & Women`s Hospital and principal investigator of the Cycloset Safety Trial. "This study suggests sustained benefits of Cycloset as an add-on therapy for patients failing a commonly prescribed therapy class." "The data presented today contribute to the Company`s momentum and offer further insights into ascertaining Cycloset`s full mechanism of action, which enables its use in a wide spectrum of Type 2 diabetics to improve glycemic control without increasing cardiovascular risks," said Anthony H. Cincotta, Ph.D., President and Chief Scientific Officer, VeroScience. "We are working diligently to procure a distribution partner, to ensure the benefits of Cycloset will be available to Type 2 diabetes patients as soon as possible." Cycloset is indicated across a broad patient population as a monotherapy or as an adjunctive therapy to sulfonylurea, metformin plus sulfonylurea, and single or dual oral hypoglycaemic agent therapies. Unlike many currently available drugs that stimulate insulin release, Cycloset improves glycemic control without increasing circulating insulin levels. Instead, it is designed to improve responsiveness to insulin`s blood-sugar lowering effects, though the precise mechanisms by which Cycloset improves glycemic control have not been fully delineated. Preclinical data presented at ADA Two preclinical presentations further demonstrate how Cycloset impacts metabolism in hypertensive (high blood pressure) rat models. The research studies entitled, "Sympatholytic dopamine agonist therapy reduces insulin resistance and protein levels of pro-inflammatory mediators in liver of SHR rats," and "Bromocriptine treatment improves insulin sensitivity, attenuates hepatic expression of multiple protein mediators within several inflammatory pathways that potentiate insulin resistance, and increases hepatic PGC-1 levels in SHR rats," show that the active agent in Cycloset leads to statistically significant reductions in plasma insulin, glucose and HOMA-IR, a common measure of insulin responsiveness, as well as significant reductions in modulators of liver and systemic inflammation, in an insulin-resistant animal model. Most importantly, according to the two studies, the active agent in Cycloset decreased the levels of liver pro-inflammatory pathway proteins that contribute to hepatic insulin resistance and also ultimately, potentiate cardiovascular disease risk. These findings add important new information to the growing body of data regarding Cycloset`s mechanism of action and its beneficial impact on glycemic control, and potentially, cardiovascular disease. About Cycloset and the Biological Clock Preclinical studies indicate that while an increase in dopamine activity leads to improvements in diabetes, the time of day of the increased dopamine activity is also important. Studies in diabetic animals have shown that increased dopaminergic activity at a particular time of day is most effective in "resetting" the biological clock neurochemistry to a physiology that improves diabetic dysmetabolism. Taken orally, once-a-day, in the morning, Cycloset provides a single brief pulse of dopamine agonist activity shortly after its administration. Morning Cycloset improves post-prandial (after-meal) glucose without increasing plasma insulin concentrations, and the beneficial effects of Cycloset on post-meal glycemic control in patients with Type 2 diabetes are demonstrable many hours after the drug has been substantially cleared from the circulation, for example at lunch and dinner. Safety The Cycloset Safety Trial, a 3,070 person, one-year study, demonstrated that Cycloset at doses up to 4.8 mg per day used to treat Type 2 diabetes was not different from placebo regarding the rate of occurrence of all-cause serious adverse events. None of the serious adverse events grouped by System Organ Class occurred more than 0.3 percentage points higher with Cycloset than with placebo. Additionally, Cycloset did not show an increase in pre-specified and independently adjudicated adverse cardiovascular outcomes-a composite of myocardial infarction, stroke, hospitalization for unstable angina, congestive heart failure and revascularization surgery-compared to patients taking a placebo (Hazard Ratio: 0.58; Confidence Interval: 0.35-0.96). Cycloset can cause hypotension, including orthostatic hypotension and syncope, particularly upon dose initiation or escalation. The primary reason for discontinuation from clinical trials of Cycloset was nausea, which was mild to moderate and transient during the beginning of therapy. About VeroScience VeroScience is a privately held biotechnology and healthcare product development company with main offices and laboratories in Tiverton, R.I. VeroScience holds the NDA and related intellectual property for Cycloset, an FDA approved treatment for patients with Type 2 diabetes. The Company has a large patent portfolio that supports its preclinical and clinical development programs and product pipeline in the areas of metabolism, immunology and oncology. VeroScience leverages its intellectual property and products in out-licensing and collaborative arrangements with appropriate industry partners. About S2 Therapeutics S2 Therapeutics, a privately held specialty pharmaceutical company headquartered in Bristol, Tennessee, is the commercialization partner for Cycloset and is the holder of an exclusive global license for the manufacture, marketing, sale, and distribution of Cycloset. Media Inquiries Schwartz Communications, Inc. Andrew Law, 781-684-0770 veroscience@schwartz-pr.com or Investor Inquiries S2 Therapeutics, Inc. Charles P. Sutphin, 540-818-4415 pat.sutphin@vatring.net or Company Inquiries VeroScience, LLC Anthony H. Cincotta, Ph.D., 401-816-0525 Anthony_Cincotta@veroscience.com or Clinical Inquiries VeroScience, LLC Richard Scranton, M.D. M.P.H., 401-816-0525 Richard_Scranton@veroscience.com Copyright Business Wire 2009
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