Emisphere Reports Additional Clinical Data From Phase 2 Oral Insulin Trial
November 08 2006 - 8:00AM
PR Newswire (US)
Company to Present Results Today During Presentation at Rodman and
Renshaw Healthcare Conference TARRYTOWN, N.Y., Nov. 8
/PRNewswire-FirstCall/ -- Emisphere Technologies, Inc.
("Emisphere", Nasdaq: EMIS) announced today additional results from
its 90-day, Phase 2 study of its oral insulin product utilizing the
Company's eligen(R) oral delivery technology. Among all the
patients, those on the high dose of oral insulin (10mg QID) had the
most profound effect on HbA1c reduction: * In patients with HbA1c
levels at baseline between 7% and 8.9%, a decrease of 0.1% was seen
in patients on oral insulin, versus an increase of 0.05% on
placebo. * In patients with HbA1c levels of 7.5% to 8.9%, a
decrease of 0.22% was seen in patients on oral insulin, versus an
increase of 0.075% on placebo. * In patients with HbA1c levels of
8.0% to 8.9%, a statistically significant decrease of 0.74% was
observed in patients on oral insulin, while no change (0.00%) was
observed in patients on placebo (n=17, p=0.03) In order for an
efficacy determination to be made one requires a meaningful
baseline measure. For efficacy evaluation purposes all patients
whose screening to baseline HbA1c changed no more than 0.3%
absolute were included in the efficacy database. For the safety
evaluation all patients were included. Also seen in these patients
was a reduction of other glycemic parameters, such as fasting blood
glucose, fructosamine and proinsulin, supporting that it was
Emisphere's high-dose oral insulin product that was responsible for
the drop in patients' HbA1c levels. When further evaluating
patients in the high dose oral insulin group, 2 of the 10 patients
experienced a significant drop in HbA1c to 7% or lower while none
of the placebo patients achieved this level of control. These
patients both had HbA1c levels at baseline of 8.1%, and at day 90
had HbA1c levels of 7.0% and 6.0%, respectively. Patients with
HbA1c levels of 7.0% or greater are classified as inadequately
controlled diabetics. In the high dose group, 4 out of the 10
patients experienced a decrease greater than or equal to 1% in
HbA1c, while no patients in the placebo group experienced this
magnitude of a drop, and 6 out of the 10 patients in the high dose
group achieved a decrease greater than or equal to 0.7% in HbA1c
vs. none in the placebo group. Please see data slides related to
today's announcement on the investor relations portion of
Emisphere's website at http://www.emisphere.com/ir.asp. "An
in-depth analysis of our Phase 2 clinical data shows the potential
of Emisphere's oral insulin product to be beneficial and practical
in a diverse population of Type II diabetics," said Michael M.
Goldberg, M.D., Chairman and CEO of Emisphere Technologies. "The
study met the Company's expectations that we could demonstrate the
oral administration of insulin using our technology for 90 days,
eliminate the key safety concerns associated with the
administration of insulin and patient monitoring, and achieve
statistical significance with a particular dose in a small Phase 2
trial. We believe these results will allow us to effectively pursue
a partner for the drug." Enrollment Criteria Patients enrolled in
the trial were first observed for three weeks, and the variability
of their HbA1c levels was monitored over this time. They were all
on a fixed dose of a single oral agent, metformin, to treat their
diabetes. The inclusion criteria for patients was a baseline HbA1c
level of 7.0% - 9.5%. During the initial monitoring stage, the
three-week period between screening and baseline where there was no
change in their treatment regimen and which was pre- randomization
(n=91), patients' HbA1c changed by as much as 1.2%. Evaluated in
the efficacy endpoint in this clinical study were data from
patients whose HbA1c levels did not change by more than 0.3% during
the three week period. The four arms of the study consisted of
three doses of oral insulin (10mg four times daily, 10mg twice a
day and 5mg four times daily) and placebo. There were 35 patients
enrolled in each oral insulin arm of the trial, and 36 in placebo.
Emisphere's oral insulin product demonstrated an encouraging safety
profile. During the study, there were no statistically significant
differences in hypoglycemic events, serious adverse events, or
insulin antibody formation for our oral insulin product compared to
placebo. The patients on high dose oral insulin saw no difference
in weight and experienced no nighttime hypoglycemic events. Webcast
Information Michael M. Goldberg, M.D. will present these results
today during Emisphere's presentation at the Rodman and Renshaw
Healthcare Conference at 11:40 a.m. EST, and will also discuss
these results when the Company holds its third quarter earnings
results conference call on Thursday, November 9, 2006 at 10:00 a.m.
EST. Investors may access the presentations within the investor
relations portion of the Company's website at
http://www.emisphere.com/ir.asp. About Diabetes According to
statistics provided by the World Health Organization and the
American Diabetes Association, approximately 177 million people
worldwide are afflicted by diabetes, with approximately 18 million
of those afflicted residing in the United States. Nearly one-third
of all individuals in the United States suffering from diabetes are
unaware that they have this chronic disease. Type 2 diabetics
account for approximately 90-95% of diabetes cases. According to
the publicly filed annual reports of leading insulin manufacturers,
worldwide sales of insulin were approximately $5.6 billion in 2004.
Currently, there are no approved insulin therapies in oral form.
About EMISPHERE(R) Oral Insulin Emisphere's oral insulin mimics the
natural physiology of insulin release, by targeting the liver prior
to being distributed to the peripheral circulation, so that both
the timing and location of naturally secreted (endogenous) insulin
release are replicated. Orally delivered insulin, with the
appropriate clinical attributes, may provide for an effective
diabetes therapy with fewer side-effects as compared to existing
therapies, and may be useful in halting the progression of early
stage diabetes. About the eligen(R) Technology Emisphere's
broad-based oral drug delivery technology platform, known as the
eligen(R) technology, is based on the use of proprietary, synthetic
chemical compounds, known as EMISPHERE(R) delivery agents, or
"carriers". These molecules facilitate or enable the transport of
the therapeutic macromolecules across biological membranes such as
those of the gastrointestinal tract, and exert their desired
pharmacological effect. Emisphere's eligen(R) technology makes it
possible to orally deliver a therapeutic molecule without altering
its chemical form or biological integrity. About Emisphere
Technologies, Inc. Emisphere Technologies, Inc. is a
biopharmaceutical company pioneering the oral delivery of otherwise
injectable drugs. Emisphere's business strategy is to develop oral
forms of injectable drugs, either alone or with corporate partners,
by applying its proprietary eligen(R) technology to those drugs or
licensing its eligen(R) technology to partners who typically apply
it directly to their marketed drugs. Emisphere's eligen(R)
technology has enabled the oral delivery of proteins, peptides,
macromolecules and charged organics. Emisphere and its partners
have advanced oral formulations or prototypes of salmon calcitonin,
heparin, insulin, parathyroid hormone, human growth hormone and
cromolyn sodium into clinical trials. Emisphere has strategic
alliances with world-leading pharmaceutical companies. For further
information, please visit http://www.emisphere.com/. Safe Harbor
Statement Regarding Forward-looking Statements The statements in
this release and oral statements made by representatives of
Emisphere relating to matters that are not historical facts
(including without limitation those regarding the timing or
potential outcomes of research collaborations or clinical trials,
any market that might develop for any of Emisphere's product
candidates and the sufficiency of Emisphere's cash and other
capital resources) are forward-looking statements that involve
risks and uncertainties, including, but not limited to, the
likelihood that future research will prove successful, the
likelihood that any product in the research pipeline will receive
regulatory approval in the United States or abroad, the ability of
Emisphere and/or its partners to develop, manufacture and
commercialize products using Emisphere's drug delivery technology,
Emisphere's ability to fund such efforts with or without partners,
and other risks and uncertainties detailed in Emisphere's filings
with the Securities and Exchange Commission, including those
factors discussed under the caption "Risk Factors" in Emisphere's
Annual Report on Form 10-K (file no. 1-10615) filed on March 16,
2006. DATASOURCE: Emisphere Technologies, Inc. CONTACT: Stewart
Siskind, Investor Relations, +1-914-785-4742, at Emisphere
Technologies, Inc.; Dan Budwick, +1-212-477-9007 ext. 14, BMC
Communications, for Emisphere Technologies, Inc. Web site:
http://www.emisphere.com/ http://www.emisphere.com/ir.asp
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