Aradigm Announces Last Patient Dosing Visit in ORBIT-3 & ORBIT-4 Phase 3 Studies of Pulmaquin in Non-Cystic Fibrosis Bronchie...
September 22 2016 - 7:00AM
Business Wire
Aradigm Corporation (NASDAQ:ARDM) (the “Company”) today
announced that the last patient has completed the final dosing
visit in the ORBIT-3 and ORBIT-4 Phase 3 clinical studies of
Pulmaquin®, Aradigm’s proprietary inhaled ciprofloxacin, an
investigational new medication being studied for the treatment of
patients with non-cystic fibrosis bronchiectasis (non-CF BE) who
have chronic lung infections with Pseudomonas aeruginosa.
The Phase 3 clinical program for Pulmaquin in non-CF BE
consisted of two worldwide, double-blind, placebo-controlled
pivotal trials (ORBIT-3 and ORBIT-4) that were identical in design
except for a pharmacokinetics sub-study that was conducted in one
of the trials only. Each trial enrolled patients (278 in ORBIT-3
and 304 in ORBIT-4) into a 48-week double-blind period consisting
of 6 cycles of 28 days on treatment with Pulmaquin or placebo plus
28 days off treatment, followed by a 28 day open label extension in
which all participants received Pulmaquin (total treatment
duration, including the double-blind period, of approximately one
year). The superiority of Pulmaquin vs. placebo during the
double-blind period is being evaluated in terms of the time to
first pulmonary exacerbation (primary endpoint), while key
secondary endpoints include the reduction in the number of
pulmonary exacerbations and improvements in the quality of life
measures. Lung function is being monitored as a safety
indicator.
“We would like to sincerely thank our investigators from many
countries and their patients with non-CF BE and chronic lung
infections with Pseudomonas aeruginosa for their dedication and
successful participation in both clinical trials. We are now
focusing on expeditiously closing out both trials with data from a
total of 582 enrolled subjects. We anticipate that the top line
data will be available in the fourth quarter of this year. Both
trials were designed to confirm the encouraging clinical data from
the earlier Phase 2b ORBIT-2 clinical trial that demonstrated a
substantial antimicrobial effect combined with an extension of the
exacerbation free interval in subjects treated with Pulmaquin as
compared to placebo,” said Juergen Froehlich, MD, Chief Medical
Officer, Aradigm Corporation.
Pulmaquin is a dual release formulation composed of a mixture of
liposome encapsulated and unencapsulated ciprofloxacin.
Ciprofloxacin, available in oral and intravenous formulations, is a
widely prescribed antibiotic. It is used to treat acute lung
infections and is often preferred because of its broad-spectrum
antibacterial activity against various bacteria, such as P.
aeruginosa.
Following Phase 2a development of the liposomal portion of
Pulmaquin (Lipoquin®) and Phase 1 development of Pulmaquin, the
Phase 2b study ORBIT-2 with Pulmaquin was a 24-week multicenter,
randomized, double-blind, placebo-controlled trial in 42 adult
non-CF BE subjects. This study demonstrated a significant reduction
in P.aeruginosa sputum activity (p=0.002) and a decrease in time to
first exacerbation in the per protocol population (p=0.046) and the
mITT (p=0.057) populations in the Pulmaquin treated subjects
compared to placebo. Overall, the incidence of all treatment
emergent adverse events was similar between groups. The most
frequently reported treatment related adverse events (reported by ≥
3 patients in either treatment group) included product taste
abnormal and nausea in the Pulmaquin group and wheezing in the
placebo group. No serious adverse events were considered treatment
related. There were no deaths reported during ORBIT-2.
Aradigm has been granted orphan drug designations for liposomal
ciprofloxacin as well as for ciprofloxacin for inhalation for
non-CF BE in the U.S. In addition, the U.S. Food and Drug
Administration (FDA) has designated Pulmaquin as a Qualified
Infectious Disease Product (QIDP). The QIDP designation is granted
for treatment of non-CF BE patients with chronic lung infections
with Pseudomonas aeruginosa. The QIDP designation made Pulmaquin
eligible for Fast Track designation which was granted by the FDA in
September 2014.
In 2013, Aradigm granted an exclusive, world-wide license for
the Company’s inhaled liposomal ciprofloxacin product candidates
for the indication of non-CF BE and other indications to Grifols
S.A. More information on the terms of this license may be found in
the Company’s Annual Report on Form 10-K for the year ended
December 31, 2013 filed with the SEC on March 13, 2014.
About Non-Cystic Fibrosis Bronchiectasis
Non-CF BE is a severe, chronic and rare disease characterized by
abnormal dilatation of the bronchi and bronchioles, frequently
associated with chronic lung infections. It is often a consequence
of a vicious cycle of inflammation, recurrent lung infections, and
bronchial wall damage. Non-CF BE represents an unmet medical need
with high morbidity and mortality that affects more than 110,000
people in the U.S. and over 200,000 people in Europe. There is
currently no drug approved for the treatment of this condition.
About Aradigm
Aradigm is an emerging specialty pharmaceutical company focused
on the development and commercialization of drugs for the
prevention and treatment of severe respiratory diseases. Aradigm is
currently in Phase 3 development of Pulmaquin (an investigational
proprietary formulation of ciprofloxacin for inhalation) for the
treatment of non-cystic fibrosis bronchiectasis. Aradigm’s inhaled
ciprofloxacin formulations are also product candidates for
treatment of patients with cystic fibrosis and non-tuberculous
mycobacteria, and for the prevention and treatment of high threat
and bioterrorism infections, such as inhaled tularemia, pneumonic
plague, melioidosis, Q fever and inhaled anthrax. In addition,
Aradigm has a pipeline composed of programs to prevent diseases in
tobacco smokers through smoking cessation and a diagnostic program
to detect aspirations of gastrointestinal fluid into the
respiratory tract.
More information about Aradigm can be found at
www.aradigm.com.
Forward-Looking Statements
Except for the historical information contained herein, this
news release contains forward-looking statements that involve risk
and uncertainties, including those related to the ORBIT-3 and
ORBIT-4 clinical trials and the ability to continue successful
product development of our potential product candidates, including
Pulmaquin, as well as the other risks detailed from time to time in
the Company's filings with the Securities and Exchange Commission
(SEC), including the Company's Annual Report on Form 10-K for the
year ended December 31, 2015 filed with the SEC on March 30, 2016,
and the Company’s Quarterly Reports on Form 10-Q.
Aradigm, Pulmaquin, Lipoquin and the Aradigm Logo are registered
trademarks of Aradigm Corporation.
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Aradigm CorporationNancy Pecota, 510-265-8800Chief Financial
Officer