Ligand Presents Positive LGD-4665 Phase I Clinical Trial Results at the American...

Sat Dec 8, 2007 4:14pm EST
 
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Ligand Presents Positive LGD-4665 Phase I Clinical Trial Results at the American Society of Hematology Annual Meeting (ASH)

                       Provides Business Outlook
SAN DIEGO--(Business Wire)--Ligand Pharmaceuticals Incorporated (NASDAQ:LGND) today announced
positive results from a Phase I clinical trial with LGD-4665 in a
poster titled "Single and Multiple Oral Doses of LGD-4665, a Small
Molecule Thrombopoeitin Receptor Agonist, Increase Platelet Counts in
Healthy Male Subjects," at the American Society of Hematology (ASH)
49th Annual Meeting, being held at the Georgia World Congress Center
in Atlanta December 8-11, 2007.

   The poster presentation highlighted LGD-4665 as an oral,
small-molecule drug that mimics the activity of thrombopoietin (TPO),
a growth factor that promotes growth and production of blood
platelets. The poster presentation can be viewed by visiting the
Investor Relations section of Ligand's website at www.ligand.com.

   Ligand's Phase I clinical trial evaluated three dosing regimens of
LGD-4665, including single doses, multiple daily doses for 14 days,
and Day 1 loading doses followed by daily doses for 13 days. The drug
was safe and well tolerated, and statistically significant platelet
increases were observed in both single and multiple daily dose
regimens.

   "These efficacy results demonstrate potential use of this new
molecule in thrombocytopenic patients that in the future could reduce
the need for platelet transfusions, and ultimately improve patient
outcomes," said James B. Bussel, M.D., Director of the Platelet
Disorders Center, Children's Blood Foundation Division at the New
York-Presbyterian Hospital/Weill Cornell Medical Center.

   Summary Phase I Clinical Trial Results

   --  LGD-4665 showed impressive activity following single and
        multiple doses with an increase in mean maximum platelet
        counts of 58% with a single dose administration of 120 mg and
        83% with 10 mg dosed daily for 14 days.

   --  Results demonstrated that with a Day 1 loading dose, the
        increase in mean maximum platelet counts was 27% with 2.5 mg,
        43% with 5.0 mg and 79% with 7.5 mg daily for 13 days.

   --  A gradual decline in platelet levels was observed
        post-treatment.

   --  The pharmacokinetic properties showed reliable absorption with
        a dose-proportional increase of systemic exposure in both
        single doses and multiple doses. The half-life of LGD-4665 was
        approximately 90 hours.

   --  LGD-4665 was well-tolerated and demonstrated an encouraging
        safety profile at all dose levels and all dosing regimens.
        There were no serious adverse events. The majority of adverse
        events observed were mild-to-moderate with no apparent direct
        relationship to LGD-4665 exposure. There were no clinically
        significant or LGD-4665 related vital signs or laboratory
        abnormalities.

   --  In clinical studies of 14-day dosing, LGD-4665 is 10 times
        more potent than eltrombopag, based on published data with
        10-day dosing.

   Pre-clinical Highlights

   --  LGD-4665 is a highly selective full agonist mimetic of TPO.

   --  LGD-4665 demonstrated an additive effect with TPO in the
        stimulation of thrombopoiesis by human bone-marrow
        hematopoietic stem cells.

   "We are very encouraged by the promising activity and safety
profile demonstrated with LGD-4665 in this Phase I study," said Zofia
E. Dziewanowska, M.D., Ph.D., Ligand's Vice President of Clinical
Research. "In addition, a pharmacokinetic profile of LGD-4665 allows
not only for a once-a-day dosing but, due to its long half-life,
potentially for a weekly dosing regimen, as well. Based on its strong
potency, convenience and potential for dosing flexibility, we believe
that LGD-4665 could be used as treatment for a wide variety of
diseases associated with thrombocytopenia, including hepatitis C,
chemotherapy-induced thrombocytopenia (CIT), myelodysplastic syndromes
(MDS), idiopathic thrombocytopenic purpura (ITP) and several other
cancers and liver diseases."

   LGD-4665 Study Design

   The placebo-controlled, double-blind, dose-escalating Phase I
clinical trial was conducted at a single center in 106 healthy male
subjects. In the single dose portion of the trial, six subjects were
randomized in the several dose cohorts to receive either a single dose
of LGD-4665 or placebo (in a 2:1 ratio). Dose levels ranged from 1 mg
to 120 mg, and were escalated sequentially based on the review of
safety and activity (increase in platelet levels) according to
predefined criteria. In the multiple dose portion of the trial, at
doses of 2.5 mg to 10 mg daily, 14 subjects at each dose level were
randomized to placebo or LGD-4665 for 14 days, either with or without
a one-time loading dose. Similar to the single dose study, dose
escalation was determined following safety and activity evaluations
conducted at the conclusion of each dose cohorts.

   Eltrombopag and GlaxoSmithKline

   In 1997, Ligand formed a research and development alliance with
GlaxoSmithKline (GSK), which led to the discovery of eltrombopag
(Promacta), a first generation TPO mimetic. Since then,
GlaxoSmithKline has announced that it expects to submit an NDA for
eltrombopag by year-end for the treatment of short-term ITP. In
addition, two Phase III trials were initiated by GSK in the fourth
quarter of 2007 for hepatitis C, and GSK is studying the drug for CIT.
GSK has made significant progress advancing its program, and
eltrombopag may be the first oral TPO mimetic to be approved. Ligand
will receive a royalty from eltrombopag sales.

   Ligand's Next Generation TPO Program

   The Ligand thrombopoietin program commenced after the conclusion
of the GSK partnership and has focused on developing novel proprietary
drug candidates that mimic the activity of thrombopoietin. LGD-4665 is
the lead, small-molecule TPO mimetic under development at Ligand
Pharmaceuticals. LGD-4665 binds to the thrombopoeitin receptor in a
manner similar to TPO and activates the production of platelets by the
bone marrow. In addition, several next generation molecules from a
chemical series distinct from LGD-4665, are in the research phase with
promising TPO mimetic activities.

   Thrombocytopenia Market Opportunity

   Thrombocytopenia is seen in 5-10% of all patients hospitalized for
any cause. Several key indications for thrombocytopenia include ITP,
hepatitis C and MDS/chemotherapy.

   --  ITP - According to the Platelet Disorder Support Association
        (PDSA), approximately 200,000 patients are affected by ITP in
        the U.S. In the current U.S. ITP population, half of the
        patients have thrombocytopenia and require drug interventions
        and/or platelet transfusions. A similar patient population
        exists in the European Union (EU).

   --  Hepatitis C - The Centers for Disease Control and Prevention
        (CDC) estimates that 2.7 million patients in the U.S. are
        chronically infected with HCV. Thrombocytopenia is a
        frequently reported complication of HCV and antiviral therapy.
        An estimated 10% of hepatitis C patients have clinically
        significant thrombocytopenia associated with cirrhosis.

   --  Chemotherapy - The American Cancer Society estimates 1.5
        million new cases of non-skin cancers with the majority of
        patients expected to receive chemotherapy regimens.
        Thrombocytopenia is a frequently reported complication in
        approximately 10% of patients receiving chemotherapy

   --  Myelodysplastic Syndromes (MDS) - According to the Cleveland
        Clinic Foundation, 35,000 to 40,000 patients in the U.S. have
        MDS. In addition, 50% of patients with certain hematological
        malignancies such as MDS suffer from disease-induced
        thrombocytopenia.

   LGD-4665 holds potential for additional medical applications
including bone-marrow transplants, cirrhosis, lupus, intensive-care
and peri-operative patients, HIV and for pre-treatment before a
platelet donation. The worldwide market for innovative TPO drugs has
the potential to generate billions of dollars of sales annually.

   Business Outlook

   Ligand expects to advance the development of LGD-4665 for multiple
indications. In 2008, the Company currently expects to initiate
clinical trials for ITP, MDS and hepatitis C. In addition, the Company
plans to conduct further studies evaluating drug pharmacology
including the potential for weekly dosing with LGD-4665.

   The Company anticipates that its total 2008 expenses for G&A and
R&D costs to operate the Company, excluding stock-based compensation,
to be approximately $35 million.

   About Ligand Pharmaceuticals

   Ligand discovers and develops new drugs that address critical
unmet medical needs of patients in the areas of thrombocytopenia,
hepatitis C, cancer, hormone-related diseases, osteoporosis and
inflammatory diseases. Ligand's proprietary drug discovery and
development programs are based on its leadership position in gene
transcription technology, primarily related to intracellular
receptors.

   Caution Regarding Forward-Looking Statements

   This press release contains forward-looking statements within the
meaning of section 21E of the Securities Exchange Act of 1934, as
amended, that involve risks and uncertainties and reflect Ligand's
judgment as of the date of this press release. For example, we may
spend more or less than the anticipated operational expense set forth
herein, and operating expenses do not include any one-time charges.
These statements also include those regarding data analysis and
evaluation of LGD-4665, utility or potential benefits to patients,
plans for continued development and further studies of LGD-4665 for
the treatment of diseases associated with thrombocytopenia. Actual
events or results may differ from our expectations. For example, there
can be no assurance that other trials or evaluations of LGD-4665 or
other TPO-related product candidates will be favorable or that they
will confirm results of previous studies, that data evaluation will be
completed or demonstrate any hypothesis or endpoint, that LGD-4665 or
other TPO-related product candidates will provide utility or benefits
to certain patients, that any presentations will be favorably
received, that LGD-4665 or other TPO-related product candidates will
be useful as a single agent or in combination with other drugs, that
marketing applications will be filed or, if filed, approved, or that
clinical or commercial development of these product candidates will be
initiated, completed or successful or that our rights to LGD-4665 and
other TPO-related product candidates will not be successfully
challenged. Our stock price may suffer as a result of the failure of
any trials to be completed or meet their endpoints or if any actual
events differ from our expectations. Additional information concerning
these and other risk factors affecting Ligand can be found in prior
press releases as well as in public periodic filings with the
Securities and Exchange Commission, available via www.ligand.com.
Ligand disclaims any intent or obligation to update these
forward-looking statements beyond the date of this press release. This
caution is made under the safe harbor provisions of the Private
Securities Litigation Reform Act of 1995.

Ligand Pharmaceuticals Incorporated
John L. Higgins, President and CEO or
Erika Luib, Investor Relations
858-550-7896
or
Lippert/Heilshorn & Associates
Don Markley, 310-691-7100
dmarkley@lhai.com

Copyright Business Wire 2007

 

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