Excaliard Announces Positive Results From Three Phase 2 Clinical Trials for EXC 001, Showing Significant Improvement in Both Hypertrophic and Fine Line Scarring
By Excaliard Pharmaceuticals Inc., PRNESunday, January 9, 2011
CARLSBAD, California, January 10, 2011 - Excaliard Pharmaceuticals, Inc., today announced results from three Phase
2 clinical trials of EXC 001 in skin scarring. EXC 001 is an antisense
oligonucleotide designed to interrupt the process of fibrosis by inhibiting
expression of connective tissue growth factor (CTGF). The three studies
demonstrated EXC 001's efficacy in elective revision surgery of scars
resulting from prior breast surgery (Study 203), efficacy in fine line scars
in elective abdominoplasty surgery (Study 202) and activity in a biomarker
study of abdominal scars (Study 201). The results showed a significant
reduction in scar severity for EXC 001 treated scars versus placebo treated
scars in all three trials. EXC 001 was well tolerated with no important drug
related adverse effects observed.
Study 203 was a randomized, double-blind, multicenter study conducted in
the U.S. EXC 001 or placebo was administered intradermally in 21 subjects who
were undergoing elective revision of hypertrophic scars of the breast.
Hypertrophic scarring, where excess fibrosis results in scars raised above
the surface of the skin, can be disfiguring, and often recurs even after
revision surgery. Three separate assessments of scar severity were performed;
a Physician Assessment, a Subject Assessment and an Expert Panel Visual
Analog Scale (VAS), at 12 and 24 weeks post-surgery. On all three scales, EXC
001 showed a rapid onset to scar improvement and a sustained reduction in
scar severity. At 24 weeks, the EXC 001 treated scars showed highly
significant improvement compared to placebo on all 3 scales; the Physician
Assessment (p<0.001), the Subject Assessment (p=0.003) and the Expert Panel
VAS (p<0.001).
"Current revision surgery for hypertrophic scars is significantly
limited, as many such scars recur post-surgery," said Dr. Leroy Young,
BodyAesthetic Plastic Surgery, St. Louis, Missouri, President Elect of the
Aesthetic Surgery Education and Research Foundation and an investigator
participating in Study 203. "The data from this study clearly demonstrate
that EXC 001 is effective in the amelioration of hypertrophic scars in these
high risk patients. Furthermore, the increased improvement at 24 weeks over
the positive effects seen at 12 weeks supports a beneficial long term
improvement in hypertrophic scarring."
Dr. Mark Jewell (Eugene, Oregon, and past President of the American
Society for Aesthetic Plastic Surgery) noted, "Rapid onset to improve scars
is very important for the patients along with the prevention of scar
recurrence in this cohort study who had developed hypertrophic scarring.
These data confirm the early positive effects of EXC 001 in reducing scarring
as seen in one of the company's previous Phase 2 trials which focused on fine
line scars."
The second study, 202, was a Phase 2 randomized, double-blind study in 32
subjects in which EXC 001 or placebo was administered intradermally in
patients who were undergoing elective abdominoplasty surgery. In this study,
analysis of the resultant fine line scars was performed at 12 and 24 weeks
post surgery. Data from 12 weeks post surgery showed that treatment with EXC
001 significantly reduced the severity of fine line scars and accelerated
resolution of scarring compared to placebo (p= 0.003). At 24 weeks
post-surgery, patients treated with EXC 001 maintained improved reduction in
scar severity as seen at 12 weeks, and, as expected, a similar resolution of
fine line scarring was also observed in placebo treated patients.
"Fine line scars are known to naturally resolve over time," said Dr.
Thomas Mustoe, Professor and Chief of the Division of Plastic Surgery at
Northwestern University. "However, the improvement in scar quality shown by
EXC 001 at 12 weeks and the maintenance of this effect over 24 weeks is
important. Patients want their scars to become less noticeable more rapidly
and these results positively address that need."
The third study (201) was a Phase 2 randomized, double-blind,
within-subject, placebo controlled dose-ranging study in 28 subjects to
evaluate the safety and activity of EXC 001. Different doses of EXC 001 were
administered intradermally on a subject's abdomen prior to scheduled elective
abdominoplasty. Analysis of biomarkers of scarring demonstrated a dose
dependent reduction in CTGF, as well as inhibition of CTGF-stimulated
collagen and other pro-fibrotic genes. "The results of this study clearly
demonstrate the inhibition of scarring and fibrosis by reduction of CTGF
protein and mRNA," said Dr. Greg Schultz, a leading expert in skin biology,
and former President of the Wound Healing Society. "This finding, combined
with the correlation of CTGF with collagen, supports the rationale of
targeting CTGF as an exciting, entirely novel therapeutic option for patients
at risk of skin scarring."
"The positive effects of EXC 001 shown here for patients with a variety
of scar types is very encouraging," said Gordon Foulkes, PhD, President of
Excaliard Pharmaceuticals. "In bad scars, the fact that the beneficial impact
was seen with all three efficacy scales and appears to increase over time may
allow EXC 001 to become a treatment of choice for patients undergoing
surgeries with a risk for hypertrophic scarring. In all of our three Phase 2
trials conducted to date, EXC 001 has now shown efficacy in reducing
scarring."
About Excaliard Pharmaceuticals
Excaliard Pharmaceuticals, Inc. is a biotechnology company founded in
2007 focused on the development and commercialization of novel and innovative
drugs for the amelioration of skin scarring and other fibrotic disorders. EXC
001 was co-discovered by Excaliard Pharmaceuticals and Isis Pharmaceuticals
Inc. (Nasdaq: ISIS) and licensed to Excaliard. EXC 001 is a new chemical
entity for potential treatment of skin scarring, an antisense oligonucleotide
drug targeting expression of CTGF that is activated during skin scarring
following the wound healing process.
Gordon Foulkes, PhD., President of Excaliard Pharmaceuticals, +1-760-431-1850 ext 104; or send request to info at excaliard.com
Tags: california, Carlsbad, Excaliard Pharmaceuticals Inc., January 10