Amgen Receives CHMP Positive Opinion for XGEVA(TM) (Denosumab) in the European Union
By Amgen, PRNEThursday, May 19, 2011
Positive Opinion Based on Largest Clinical Program Ever Conducted in Patients with Bone Metastases
THOUSAND OAKS, California, May 20, 2011 - Amgen (Nasdaq: AMGN) today announced that the Committee for Medicinal
Products for Human Use (CHMP) of the European Medicines Agency (EMA) has
recommended a positive opinion for the marketing authorization of XGEVA(TM)
(denosumab) for the prevention of skeletal-related events (pathological
fracture, radiation to bone, spinal cord compression or surgery to bone) in
adults with bone metastases from solid tumors. If approved by the European
Commission, Amgen would receive marketing authorization for XGEVA in all
European Union (EU) Member States. The CHMP also recommended to grant XGEVA
an additional year of data and market exclusivity in the EU since the
indication was considered significantly new for XGEVA, and based on the
significant clinical benefit of the product in comparison with existing
therapies.
Bone metastases, the spread of cancer to the bones, are a common and
serious concern for patients with advanced cancer and present a burden to the
healthcare system. Weakened bones due to metastases can lead to fractures and
compression of the spinal cord and necessitate procedures like major surgery
and radiation, collectively called skeletal-related events (SREs). The
primary goal of treatment for bone metastases is to prevent the occurrence of
these debilitating and costly SREs.
"A diagnosis of skeletal-related events associated with bone metastases
is devastating for patients living with cancer, and our goal is to prevent
the occurrence of these debilitating bone complications, which can disrupt a
patient's life and cause disability, pain, and hospitalization," said Willard
Dere, M.D., senior vice president and international chief medical officer,
Amgen. "XGEVA provides patients with superior efficacy over Zometa in
preventing skeletal-related events in patients with solid tumors and
prolonging the time until pain worsens. XGEVA also offers the ease of every
four weeks subcutaneous injection and no requirement for dose adjustment for
changes in renal function. XGEVA has the potential to make a meaningful
difference for patients with advanced cancer and their healthcare providers."
The CHMP positive opinion is based on three pivotal, Phase 3 head-to-head
trials that evaluated the effectiveness of XGEVA versus Zometa(R) (zoledronic
acid) at delaying SREs. The clinical program for XGEVA spanned more than 50
tumor types in over 5,700 patients. In the SRE trials, XGEVA demonstrated a
clinically meaningful improvement in preventing SREs compared to Zometa.
Specifically, in patients with breast or prostate cancer and bone
metastases, XGEVA was superior to Zometa in reducing the risk of SREs. In
patients with bone metastases due to other solid tumors or multiple myeloma,
XGEVA was non-inferior to Zometa in reducing the risk of SREs. In an
integrated analysis of all three studies XGEVA was superior to Zometa in
delaying time to first on-study SRE by 17 percent or 8.2 months (median time
to first skeletal related event of 27.6 months for XGEVA and 19.4 months for
Zometa, p <0.0001). In this analysis, XGEVA was also superior to Zometa in
delaying time to first-and-subsequent on-study SRE by 18 percent (p<0.0001).
In patients with mild or no pain at baseline, time to worsening pain was
delayed for XGEVA compared to Zometa (198 versus 143 days) (p=0.0002). The
time to pain improvement was similar for XGEVA and Zometa.
In these double-blind trials, XGEVA was administered every four weeks as
a 120 mg subcutaneous injection, versus Zometa delivered every four weeks via
a 15-minute intravenous infusion, with adjustments for kidney function per
the requirements of the Zometa prescribing information. XGEVA was not
associated with renal toxicity or acute phase reactions, both well known side
effects of Zometa treatment.
Overall rates of adverse events and serious adverse events were generally
similar between XGEVA and Zometa. Osteonecrosis of the jaw (ONJ) was
infrequent, with no statistically significant difference between treatment
arms. Hypocalcemia was more frequent in the XGEVA treatment group. Overall
survival and progression-free survival were similar between arms in all three
trials.
XGEVA Regulatory Status
XGEVA is currently approved in the United States (U.S.) for the
prevention of SREs in patients with bone metastases from solid tumors. XGEVA
was approved following a six month priority review by the U.S. Food and Drug
Administration (FDA). In the U.S., XGEVA is not indicated for the prevention
of SREs in patients with multiple myeloma.(i) XGEVA is also approved in
Canada for reducing the risk of developing SREs in patients with bone
metastases from breast cancer, prostate cancer, non-small cell lung cancer,
and other solid tumors. In Canada, XGEVA is not indicated for reducing the
risk of developing SREs in patients with multiple myeloma.
Amgen has also submitted marketing applications for XGEVA in Australia,
Mexico, Russia and Switzerland. In Japan, Amgen is working with its licensing
partner, Daiichi Sankyo Company, Limited and a marketing application was
submitted in August. In addition, Amgen and GlaxoSmithKline (GSK) have a
collaboration agreement for the commercialization of XGEVA in a number of
countries where Amgen does not currently have a commercial presence. In these
countries, marketing applications are filed by GSK.
XGEVA Important Safety Information
XGEVA can cause severe hypocalcemia. Correct pre-existing hypocalcemia
prior to XGEVA treatment. Monitor calcium levels and administer calcium,
magnesium, and vitamin D as necessary. Advise patients to contact a
healthcare professional for symptoms of hypocalcemia.
ONJ can occur in patients receiving XGEVA. Patients who are suspected of
having or who develop ONJ while on XGEVA should receive care by a dentist or
an oral surgeon. In these patients, extensive dental surgery to treat ONJ may
exacerbate the condition.
The most common adverse reactions in patients receiving XGEVA were
fatigue/asthenia, hypophosphatemia, and nausea. The most common serious
adverse reaction in patients receiving XGEVA was dyspnea. The most common
adverse reactions resulting in discontinuation of XGEVA were osteonecrosis
and hypocalcemia. Please visit www.amgen.com for full U.S. prescribing
information.
Bone Metastases and SREs: Prevalence and Impact
Bone metastases occur in more than 1.5 million patients with cancer
worldwide and are most commonly associated with cancers of the prostate,
lung, and breast, with incidence rates as high as 90 percent of patients with
metastatic disease. (ii) (iii) (iv) (v)
Approximately 50-70 percent of cancer patients with bone metastases will
experience debilitating SREs (vi) (vii) (viii). Events considered to be SREs
include fractures, spinal cord compression, and severe bone pain that may
require surgery or radiation.(ix) Such events can profoundly disrupt a
patient's life and can cause disability and pain. (x) (xi) (xii)
Denosumab and Amgen's Research in Bone Biology
The denosumab development program demonstrates Amgen's commitment to
researching and delivering pioneering medicines to patients with unmet
medical needs. Amgen is studying denosumab in numerous tumor types across the
spectrum of cancer-related bone diseases. Over 11,000 patients have been
enrolled in the denosumab oncology clinical trials. In addition to the
prevention of SREs, XGEVA is also being evaluated for its potential to delay
bone metastases in prostate and breast cancer.
About Amgen
Amgen discovers, develops, manufactures and delivers innovative human
therapeutics. A biotechnology pioneer since 1980, Amgen was one of the first
companies to realize the new science's promise by bringing safe and effective
medicines from lab, to manufacturing plant, to patient. Amgen therapeutics
have changed the practice of medicine, helping millions of people around the
world in the fight against cancer, kidney disease, rheumatoid arthritis, bone
disease and other serious illnesses. With a deep and broad pipeline of
potential new medicines, Amgen remains committed to advancing science to
dramatically improve people's lives. To learn more about our pioneering
science and our vital medicines, visit www.amgen.com.
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