Chiroscience Group - Re FDA Approval
13 Gennaio 1999 - 8:53AM
UK Regulatory
RNS No 0794b
CHIROSCIENCE GROUP PLC
13th January 1999
POSITIVE RECOMMENDATIONS FROM FDA ADVISORY COMMITTEE MEETING ON
CHIROCAINE
Chiroscience Group plc announces that, at the meeting of the
Anesthetics and Life Support Drugs Advisory Committee of the United
States Food and Drugs Administration ("FDA" ) held today, the
Committee voted unanimously in favour of recommending to the FDA that
Chirocaine would not need to carry a 'black-boxed' warning on the
label. Also, during the meeting, the FDA indicated that Chirocaine is
approvable.
Chirocaine is the long acting local anaesthetic developed by
Chiroscience for use in a wide range of surgical procedures and in
pain management, both in adults and in children. Chirocaine received
approval by the Medical Products Agency in Sweden in December 1998.
The two questions posed by the FDA to the Advisory Committee asked
whether Chiroscience had adequately evaluated Chirocaine's potential
for reduced cardiac toxicity in humans at the labelled doses and
whether the product should carry a 'black-boxed' warning relating to
the use of the product in obstetrics at high doses of more than 0.75%
by volume.
Chiroscience made presentations to the Committee members addressing
these issues and answered questions posed by them. This was followed
by a presentation by the FDA of the pre-clinical and clinical data
made available by Chiroscience.
The consensus of the Committee was that Chiroscience had adequately
evaluated Chirocaine in accordance with established standards,
particularly in assessing the potential for cardiac toxicity, and
that the safety profile of Chirocaine had been satisfactorily
demonstrated. The pre-clinical data submitted by Chiroscience showed
an advantageous cardiac and central nervous system toxicity profile
for Chirocaine over bupivacaine. Furthermore, the clinical
pharmacology data also demonstrated differences in cardiac toxicity
between these two drugs.
Therefore, the Committee recommended to the FDA that Chirocaine need
not carry a 'black-boxed' warning once approved. The exact wording
and data for use in the indications and combinations requested by
Chiroscience to be included in the product label, together with
appropriate warnings, will be determined in discussion with the FDA.
The Committee recommended that the Company commit to certain studies
which could be carried out post-approval to enable the utility of
Chirocaine to be maximised.
It should be noted that the decisions of the Committee are not
binding on the FDA.
Dr John Padfield, Chief Executive of Chiroscience Group plc,
commented:
"This is an excellent outcome and is a tribute to the many people in
Chiroscience and in the scientific and clinical community worldwide
who have developed Chirocaine. The next steps are for the FDA to
consider the recommendations of the Committee and decide on the
detailed wording and data which can be included in the product label.
We remain hopeful that the label will allow us to demonstrate a clear
advantage over the market-leader.
Meanwhile we continue to review the commercialisation of the product
in the light of the proposed merger of our marketing partner, Zeneca,
with Astra. Today's review by the Advisory Committee supports our
contention that Chirocaine is an important addition to the range of
drugs used in anaesthesia and pain."
Conference call:
There will be a conference call at 9.30 a.m. today for analysts, that
will be hosted by Dr John Padfield and Christine Soden. Analysts
interested in attending should contact Financial Dynamics.
For further information contact:
Dr John Padfield, Chief Executive Giles Sanderson
Christine Soden, Finance Director Victoria Springett
Chiroscience Group plc Financial Dynamics
Tel: +44 (0)171 831 3113 (on the Tel: +44 (0)171 831 3113
day)
Tel: +44 (0)1223 420430
(thereafter)
http://www.chiroscience.com
Notes For Editors:
'Black-Boxed' warning
A 'black-boxed' warning is required by the FDA where a major side
effect problem has been identified with a pharmaceutical product.
This is a method of drawing specific problems to the attention of
physicians and is designed to help them prescribe products
appropriately.
Chirocaine
Chirocaine is the trade name for levobupivacaine, the long-acting
local anaesthetic developed by Chiroscience for use in a wide range
of surgical procedures, as well as in pain relief during childbirth
and in pain management following surgery. On 31 March 1998,
Chiroscience entered into an agreement to license Chirocaine to
Zeneca Limited on an exclusive and worldwide basis, excluding Japan.
Under the licensing agreement, Chiroscience is responsible for
gaining approval of Chirocaine in EU countries and in the U.S. On 7
September 1998, Chiroscience entered into an agreement with Maruishi
Pharmaceutical Co Ltd for the development and marketing rights to
Chirocaine for Japan.
Chiroscience is seeking approval for the widespread usage of
Chirocaine in local, regional, epidural and spinal anaesthesia; for
surgical and obstetric procedures, and as an epidural infusion for
post-surgical and intractable pain. In addition, approval is sought
for use alone or in combination with morphine, fentanyl or clonidine,
and with appropriate dosage requirements for use in children.
Chirocaine is a new drug derived from the established anaesthetic
bupivacaine. Pre-clinical studies have shown that Chirocaine is as
potent as bupivacaine, but has a superior safety profile in its
action on the heart and central nervous system. Its efficacy and
safety profiles have been confirmed in over 25 clinical trials which
have been completed in the UK, USA, Australia, New Zealand, Denmark
and The Netherlands.
In trials completed to date over 1,400 patients have been exposed to
Chirocaine.
Chirocaine was developed in response to the growing demand for local
anaesthetic procedures. The number of surgical procedures carried
out using long acting local anaesthetics is predicted to increase
from 45 million worldwide in 1997 (with an estimated value of $250
million) to around 80 million in 10 years ($750 million - $1
billion). This increase is being driven by a growth in surgery and
pain management (acute and chronic). When compared to general
anaesthesia, local anaesthesia has the potential for improved patient
outcome as it is faster, providing a less painful recovery,
minimising hospital costs by reducing hospital stays and decreasing
the risk of post-operative infection.
Chiroscience Group plc
Chiroscience is an emerging pharmaceutical company which uses its
diverse technology platform to discover, develop and bring to market
novel medicines for improved healthcare. It has three businesses:
Chiroscience R&D, Rapigene and ChiroTech.
Chiroscience R&D's focus is on innovative small molecule drugs and
related diagnostics in the therapeutic areas of inflammatory disease,
pain, osteoporosis, cancer and autoimmune diseases. Its technology
platform allows the conception and development of receptor-based and
enzyme-inhibiting small molecule drugs with high selectivity of
action. Rapigene is involved in the creation and provision of
genomic technologies and services to partner companies and to
Chiroscience's drug discovery programmes. Its DNA analysis systems
comprise of DNA hybridization, DNA arrays and mass spectrometry tags.
ChiroTech provides chiral technology services to pharmaceutical and
related industries, including Chiroscience R&D.
Chiroscience financial highlights for the six months to 31 August
1998 (unaudited):
* Revenues increased to #11.4m (H1 1997: #9.2m); net loss for the
period #11.4m (H1 1997: #14.4m)
* ChiroTech contributed sales of #6.8m (H1 1997: #5.9m);
Chiroscience's drug discovery business contributed revenues of #4.5m
(H1 1997: #3.3m).
* Investment in research and development of #13.5m (1H 1997:
#19.0m).
* Current cash reserves of #59m as at 24 September 1998.
Chiroscience Group plc is listed on the London Stock Exchange and is
based in Cambridge and Stevenage, UK, and Seattle, Washington, USA.
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