Ardea Biosciences Reports Additional Positive Phase 2a Results for Lead HIV Candidate, RDEA806, Demonstrating Up to 1.9 Log Reduction in Plasma Viral Load with Once-Daily Dosing
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Wed, 25 Jun 2008 12:02:21 GMT |
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- Once-daily dosing with enteric-coated tablet produced robust antiviral activity - - RDEA806 was well tolerated during one week of dosing in HIV patients -
SAN DIEGO, June 25 /PRNewswire-FirstCall/ -- Ardea Biosciences, Inc.
(Nasdaq: RDEA) today announced additional positive results from its completed
Phase 2a proof-of-concept monotherapy study of RDEA806, its novel
investigational non-nucleoside reverse transcriptase inhibitor (NNRTI), in
patients with human immunodeficiency virus (HIV).
These additional results demonstrated that once-daily dosing with the
enteric-coated tablet formulation of RDEA806 resulted in significant
reductions in plasma viral load that were consistent with results previously
presented with twice-daily dosing of the capsule formulation in the same
study. All dosing regimens tested in the study were well tolerated. Ardea's
lead investigator plans to present the full data from this study at a medical
conference later this year.
"RDEA806's robust antiviral potency, combined with its excellent
tolerability profile in over 130 healthy volunteers and HIV-infected patients
treated in clinical studies to-date, make RDEA806 a promising candidate for
further investigation as a first-line agent for the treatment of HIV," said
Dr. Graeme Moyle, Director of HIV Research, Chelsea and Westminster Hospital,
and a lead investigator in the completed Phase 2a trial and planned Phase 2b
study.
Phase 2a Clinical Trial Design & Top-line Results
The Phase 2a randomized, double-blind, placebo-controlled trial evaluated
the antiviral activity, pharmacokinetics, safety and tolerability of once- and
twice-daily oral dosing regimens of RDEA806 versus placebo in 48 HIV-positive
patients who were naive to antiretroviral treatment. Nine out of 12 patients
in each of four cohorts received RDEA806. The primary efficacy end point was
the change from baseline in plasma viral load. Top-line results from all four
cohorts showed the following:
-- The median reduction in plasma viral load at nadir was 1.9 - 2.1 log
copies/ml (placebo adjusted) for all four treatment cohorts.
-- Patients receiving either 800 mg or 1000 mg once daily with the
enteric-coated tablet formulation, and patients receiving 400 mg twice daily
with the capsule formulation, experienced a 1.8 - 1.9 log median reduction in
plasma viral load (adjusted for placebo) on Day 8; the 600 mg capsule
formulation given once daily produced a 1.4 log median reduction (adjusted for
placebo) at this time point.
-- There were no serious adverse events, ECG-related adverse events, or
drug-related rash reported in any cohort. The incidence of CNS side effects
was similar between drug and placebo. Administration of the highest dose on
an empty stomach showed an increase in gastrointestinal side effects, but
these effects were generally transient and mild.
-- There were no premature discontinuations in any cohort.
-- Based on the results generated in this trial, the doses planned for the
Phase 2b program will be 600 mg, 800 mg and 1000 mg once daily with the
enteric-coated tablet given with or without food.
"We are very pleased to announce the successful completion of the Phase 2a
program with RDEA806," said Barry D. Quart, PharmD, Ardea's President and CEO.
"Based on the excellent antiviral activity observed with once-daily dosing of
the enteric-coated oral formulation, we plan to proceed in the third quarter
of this year with a multi-national Phase 2b study comparing 600 mg, 800 mg and
1000 mg once daily doses of RDEA806 to efavirenz (SUSTIVA(R)) in first-line
patients receiving background treatment with Truvada(R) (emtricitabine and
tenofovir)."
About RDEA806
RDEA806 is a novel non-nucleoside reverse transcriptase inhibitor (NNRTI)
for the potential treatment of HIV infection. Based on preclinical and
clinical studies to-date, Ardea believes that RDEA806 may have important
competitive advantages. These include the potential for potent antiviral
activity against a wide range of HIV viral isolates, including those that are
resistant to efavirenz (Sustiva(R)) and other currently available NNRTIs; a
high genetic barrier to resistance; no reproductive toxicity based on animal
studies; the potential to be administered in a patient-friendly, oral dosing
regimen; limited pharmacokinetic interactions with other drugs; and the
ability to be co-formulated with other HIV antiviral drugs.
About Ardea Biosciences
Ardea Biosciences, Inc., of San Diego, California, is a biotechnology
company focused on the discovery and development of small-molecule
therapeutics for the treatment of HIV, cancer and inflammatory diseases,
including gout. We have four drug candidates in clinical trials and others in
preclinical development and discovery. Our most advanced development
candidate is RDEA806, a non-nucleoside reverse transcriptase inhibitor
(NNRTI), which has completed a Phase 2a study for the treatment of HIV. We
have evaluated our second-generation NNRTI for the treatment of HIV, RDEA427,
in a human micro-dose pharmacokinetic study and have selected it as a
development candidate. RDEA594, our lead development candidate for the
treatment of gout, is in preclinical development and is believed to be an
inhibitor of the URAT1 transporter in the kidney, which is responsible for
regulation of uric acid levels. We are evaluating our lead MEK inhibitor,
RDEA119, in a Phase 1 study in advanced cancer patients, as well as in a
Phase 1 study in normal healthy volunteers as a precursor to trials in
patients with inflammatory diseases. Lastly, we have evaluated our second-
generation MEK inhibitor for the treatment of cancer and inflammatory
diseases, RDEA436, in a human micro-dose pharmacokinetic study and have
selected it as a development candidate.
Statements contained in this press release regarding matters that are not
historical facts are "forward-looking statements" within the meaning of the
Private Securities Litigation Reform Act of 1995. Because such statements are
subject to risks and uncertainties, actual results may differ materially from
those expressed or implied by such forward-looking statements. Such
statements include, but are not limited to, statements regarding our goals,
including the expected properties and benefits of RDEA806, RDEA427, RDEA594,
RDEA119, RDEA436 and our other compounds and the results of preclinical,
clinical and other studies. Risks that contribute to the uncertain nature of
the forward-looking statements include: risks related to the outcome of
preclinical and clinical studies, risks related to regulatory approvals,
delays in commencement of preclinical and clinical studies, and costs
associated with our drug discovery and development programs and business
development activities. These and other risks and uncertainties are described
more fully in our most recently filed SEC documents, including our Annual
Report on Form 10-K and our Quarterly Reports on Form 10-Q, under the headings
"Risk Factors." All forward-looking statements contained in this press
release speak only as of the date on which they were made. We undertake no
obligation to update such statements to reflect events that occur or
circumstances that exist after the date on which they were made.
SOURCE Ardea Biosciences, Inc.
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