Lilly Halts Development of Semagacestat for Alzheimer's Disease Based on Preliminary Results of Phase III Clinical Trials

By Eli Lilly And Company, PRNE
Monday, August 16, 2010

Decision does not affect other Lilly Alzheimer's compounds in development

INDIANAPOLIS, August 17, 2010 - Eli Lilly and Company (NYSE: LLY) will halt development of semagacestat,
a gamma secretase inhibitor being studied as a potential treatment for
Alzheimer's disease, because preliminary results from two ongoing long-term
Phase III studies showed it did not slow disease progression and was
associated with worsening of clinical measures of cognition and the ability
to perform activities of daily living.

The company's decision does not affect the ongoing clinical trials of
solanezumab, Lilly's other compound in Phase III trials as a potential
Alzheimer's treatment. While both drugs focus on amyloid-beta proteins, which
are believed to play a critical role in Alzheimer's disease, they have
different mechanisms of action. Lilly also has two other compounds in earlier
stages of clinical development; those studies are not affected by today's
announcement.

In two pivotal Phase III trials, semagacestat was compared with placebo
in more than 2,600 patients with mild-to-moderate Alzheimer's disease. Lilly
has now reviewed data from a pre-planned interim analysis of semagacestat
studies. This interim analysis showed that, as expected, cognition and the
ability to complete activities of daily living of placebo-treated patients
worsened. However, by these same measures, patients treated with semagacestat
worsened to a statistically significantly greater degree than those treated
with placebo. In addition, data showed semagacestat is associated with an
increased risk of skin cancer compared with those who received placebo.

"This is disappointing news for the millions of Alzheimer's patients and
their families worldwide who anxiously await a successful treatment for this
devastating illness," said Jan M. Lundberg, Ph.D., Executive Vice President,
Science and Technology, and President, Lilly Research Laboratories. "This is
a setback, but Lilly's commitment to beating Alzheimer's will not waver."

Lilly is instructing clinical trial investigators for all semagacestat
studies to contact study participants as soon as possible and tell them to
immediately stop taking the study drug they have received. Study participants
or caregivers should call their study physician to schedule their next
appointment. Lilly has appropriately informed regulatory agencies and is
providing instructions to investigators outlining the process for finalizing
the studies.

Lilly's clinical team will continue to gather and evaluate data from
these studies, and will publish the results for the benefit of future
Alzheimer's research. Although dosing with semagacestat is being stopped,
Lilly plans to continue collecting safety data, including cognitive scores,
for at least six months through regularly scheduled follow-up visits with
study physicians and modifications of the existing Phase III protocols. These
additional follow-up visits will help to answer a number of important
questions, including whether the differences between patients who received
semagacestat and those who received placebo will continue after semagacestat
has been discontinued. Other smaller short-term studies will be stopped and
participants will receive appropriate follow-up.

The decision to halt development of semagacestat is expected to result in
a third-quarter charge to earnings of approximately US$.03 to US$.04 per
share. The company confirmed its previous 2010 earnings per share guidance
range of US$4.44 to US$4.59 on a reported basis, or US$4.50 to US$4.65 on a
non-GAAP basis.

"We are clearly disappointed by the results we are announcing today.
However, Lilly's innovation strategy, based on advancing a pipeline of nearly
70 molecules currently in clinical development, does not rest on the success
or failure of any single compound," said John C. Lechleiter Ph.D., Lilly's
chairman and chief executive officer. "Pharmaceutical research always carries
risk, as these results show. But it offers as well the potential for
tremendous reward for millions of patients who await new medicines. Despite
this and other recent setbacks, Eli Lilly and Company remains financially
strong and is even more determined to prevail in our quest to provide new
treatments for Alzheimer's and other serious diseases."

About Alzheimer's disease

Alzheimer's disease is a fatal form of dementia that causes progressive
decline in memory and other aspects of cognition. It occurs when billions of
neurons in the brain begin dying prematurely. Researchers don't know exactly
what causes it, but the leading hypothesis is that amyloid beta plaques play
an important role.

About semagacestat

Semagacestat is an oral agent designed to reduce the body's production of
amyloid beta plaques, which scientists believe play an important role in
causing Alzheimer's disease. Semagacestat is believed to block the activity
of gamma secretase, an enzyme that is essential to the body's production of
amyloid beta plaques. The compound's safety and efficacy are being tested in
two Phase III clinical trials called IDENTITY and IDENTITY-2.

About the IDENTITY trials

IDENTITY (Interrupting Alzheimer's Dementia by EvaluatiNg Treatment of
AmyloId PaThologY) and IDENTITY-2 are Lilly's Phase III placebo-controlled
trials studying semagacestat, a gamma-secretase inhibitor being investigated
as a potential treatment to slow the progression of mild to moderate
Alzheimer's disease. Both Phase III trials are fully enrolled, with more than
2,600 patients from 31 countries, and include a treatment period of
approximately 21 months. An open-label extension study (IDENTITY-XT) is
available to all participants completing either study.

All study participants had to be at least 55 years old and meet the
National Institute of Neurological and Communicative Disorders and
Stroke/Alzheimer's Disease and Related Disorders Association (NINCDS/ADRDA)
criteria for probable Alzheimer's disease, with certain assessment scores
indicating mild to moderate Alzheimer's disease. Patients with more advanced
Alzheimer's disease were not included in the studies.

Use of approved treatments for Alzheimer's disease (including donepezil
(Aricept), rivastigmine (Exelon), galantamine (Razadyne, RazadyneER), tacrine
(Cognex) and memantine (Namenda)) is permitted during the study, provided
that such medications had been given for at least 4 months and the dose had
been unchanged for 2 months before study participants first received their
study drug.

The primary objective of both IDENTITY trials was to determine whether
semagacestat given orally would slow the decline associated with Alzheimer 's
disease as compared with placebo. The study protocol calls for this to be
evaluated periodically for 21 months after initiation of treatment for most
patients. A participant's cognition and function are assessed using two 2
co-primary endpoints:

    - the Alzheimer's disease Assessment Scale - Cognitive subscore (referred
      to as the ADAS-Cog11); and
    - the Alzheimer's disease Cooperative Study - Activities of Daily Living
      Inventory (Referred to as the ADCS-ADL).

About Eli Lilly and Company

Lilly, a leading innovation-driven corporation, is developing a growing
portfolio of pharmaceutical products by applying the latest research from its
own worldwide laboratories and from collaborations with eminent scientific
organizations. Headquartered in Indianapolis, Ind., Lilly provides answers -
through medicines and information - for some of the world's most urgent
medical needs. Additional information about Lilly is available at
www.lilly.com.

This press release contains forward-looking statements that are based on
management's current expectations, but actual results may differ materially
due to various factors. There are significant risks and uncertainties in
pharmaceutical research and development. There can be no guarantees with
respect to pipeline products that the products will receive the necessary
clinical and manufacturing regulatory approvals or that they will prove to be
commercially successful. The company's results may also be affected by such
factors as competitive developments affecting current products; rate of sales
growth of recently launched products; the timing of anticipated regulatory
approvals and launches of new products; regulatory actions regarding
currently marketed products; other regulatory developments and government
investigations; patent disputes and other litigation involving current and
future products; the impact of governmental actions regarding pricing,
importation, and reimbursement for pharmaceuticals, including U.S. health
care reform; changes in tax law; asset impairments and restructuring charges;
acquisitions and business development transactions; and the impact of
exchange rates and global macroeconomic conditions. For additional
information about the factors that affect the company's business, please see
the company's latest Forms 10-Q and 10-K filed with the U.S. Securities and
Exchange Commission. The company undertakes no duty to update forward-looking
statements.

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P-LLY

David J. Shaffer, Product Communications, +1-317-651-3710, or Mark E. Taylor, Corporate Communications, +1-317-276-5795, or Phil Johnson, Investor Relations, +1-317-655-6874

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