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Monday May 18, 8:52 am Eastern Time
Company Press Release
SOURCE: ICN Pharmaceuticals
Phase III Results of INTRON A(R) and REBETOL(TM) Combination Therapy in
Treatment-Naive Hepatitis C Patients Announced
NEW YORK, May 18 /PRNewswire/ -- ICN Pharmaceuticals, Inc. (NYSE: ICN -news)
today announced that it is encouraged with the results reported by its licensee
Schering-Plough Corporation (NYSE: SGP - news), whose data, derived from two
pivotal Phase III clinical studies, shows that INTRON(R) A (interferon alfa-2b,
recombinant) injection and REBETOL(TM) (ribavirin, USP) capsules when used in
combination therapy were significantly more active than INTRON A monotherapy
in achieving sustained eradication of detectable {HCV-RNA (qPCR)- negative}*
Hepatitis C virus in patients who had not received previous antiviral therapy
(treatment-naive patients). Detailed data from these Phase III studies are being
prepared for publication.
``We are pleased by the findings of our licensee Schering-Plough Corporation,
and support the prompt submission of these data to regulatory authorities,''
said Devron R. Averett, Ph.D., Senior Vice President of Research and Development
at ICN Pharmaceuticals.
The Phase III studies evaluated the activity and tolerance of INTRON A and
REBETOL combination therapy versus INTRON A alone in treatment-naive Hepatitis
C patients. In two independent double-blind trials, a total of 1,744 patients
were treated with subcutaneous injections of INTRON A 3 MIU three times a week
and either oral REBETOL 1,000-1,200 mg daily or a matched placebo for either
24 or 48 weeks of treatment.
Patients were assessed for presence of Hepatitis C virus at the end of treatment
and at six months following cessation of treatment. INTRON A and REBETOL therapy
was significantly more active than INTRON A monotherapy in achieving loss of
HCV-RNA at the end of treatment. Eradication of detectable Hepatitis C virus*
six months post-treatment was achieved in 41 percent of patients treated with
48 weeks of therapy and in 33 percent of patients treated with 24 weeks of therapy
in the INTRON A and REBETOL group versus 16 percent and 6 percent, respectively,
in the INTRON A and placebo group. The increase in activity achieved when INTRON
A and REBETOL combination therapy was extended from 24 weeks to 48 weeks was
significant.
Patient tolerance of INTRON A and REBETOL therapy was good, with 9.5 percent
of patients discontinuing therapy during the initial 24 weeks of treatment due
to adverse events versus 6.8 percent of patients treated with INTRON A and placebo.
A similar pattern (8.1 percent versus 7.4 percent, respectively) was seen in
the second 24 weeks of treatment for patients treated for 48 weeks.
The types and frequency of adverse events reported with INTRON A and REBETOL
combination therapy in clinical studies reflect the known safety profile of
INTRON A monotherapy in conjunction with the known side effect profile of ribavirin.
The most frequently reported adverse events were flu-like symptoms (headache,
fatigue and myalgia), while the most frequent severe adverse events were fatigue
and headache. A side effect associated with the addition of ribavirin to INTRON
A monotherapy is a manageable and reversible hemolysis.
On May 4, the Antiviral Drug Advisory Committee to the U.S. Food and Drug Administration
(FDA) unanimously concluded that INTRON A and REBETOL combination therapy is
safe and effective for the treatment of chronic Hepatitis C in patients 18 years
of age or older with compensated liver disease who have relapsed following alpha
interferon therapy. The committee's decision, although not binding, will be
considered by FDA in its review of the New Drug Application (NDA) for the combination
therapy submitted by Schering- Plough on Dec. 3, 1997. The NDA has been granted
priority review status by FDA.
INTRON A is a recombinant version of naturally occurring alpha interferon,
which has been shown to exert both antiviral and immunomodulatory effects. REBETOL
is an oral formulation of ribavirin, a synthetic nucleoside analog with broad-spectrum
antiviral activity. Schering-Plough has exclusive rights to market oral ribavirin
for Hepatitis C in all major world markets through a licensing agreement with
ICN, except in the European Union (EU), where both companies have the right
to market oral ribavirin for Hepatitis C. ICN, which discovered ribavirin, currently
markets the drug for aerosol use in the U.S. as VIRAZOLE(R) for treatment of
hospitalized infants and young children with severe lower respiratory tract
infection due to respiratory syncytial virus (RSV).
ICN manufactures and markets a broad range of prescription and non-prescription
pharmaceuticals and biotechnology research products in over 90 countries. The
Company employs over 15,700 people worldwide. ICN has operations in Eastern
and Central Europe, North and Latin America, Western Europe, and the Pacific
Rim. Additional information is available on the corporate website at http://www.icnpharm.com.
THE SAFE HARBOR STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM
ACT OF 1995. This press release contains forward-looking statements that involve
risks and uncertainties, including but not limited to, projections of future
sales, operating income, returns on invested assets, regulatory approval processes,
and other risks detailed from time to time in the Company's Securities and Exchange
Commission filings.
*[HCV-RNA (qPCR)-negative] is defined as less than
100 copies/ml of Hepatitis C viral RNA as measured by the National Genetics
Institute assay.
SOURCE: ICN Pharmaceuticals
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