Ambrisentan Phase 3 ARIES-2 PAH Data Presented At ATS 2006 -- San Diego; Significant Improvement in Six-Minute Walk Distance an
May 24 2006 - 6:30AM
Business Wire
Myogen, Inc. (Nasdaq: MYOG), a biopharmaceutical company focused on
the discovery, development and commercialization of small molecule
therapeutics for the treatment of cardiovascular disorders, today
announced that a scientific presentation describing the effects of
ambrisentan in patients with pulmonary arterial hypertension (PAH)
was given at ATS 2006 -- San Diego, the annual International
Conference of the American Thoracic Society. The oral presentation
highlighted efficacy and safety results from ARIES-2, the Phase 3
trial of ambrisentan in 192 patients with PAH. The data demonstrate
that ambrisentan improved exercise capacity, delayed clinical
worsening and improved symptoms in patients with PAH. Ambrisentan
was well tolerated and was not associated with any clinically
significant serum aminotransferase abnormalities or drug-drug
interactions with warfarin-type anticoagulants. Myogen reported the
top line results of the trial in December 2005. Horst Olschewski,
M.D., presented "Ambrisentan Improves Exercise Capacity and Time to
Clinical Worsening in Patients with Pulmonary Arterial
Hypertension: Results of the ARIES-2 Study." Dr. Olschewski is
Professor of Medicine, Division of Pulmonology, Medical University
Graz, Austria and a principal investigator for ARIES-2. Patients in
this trial were primarily women (75%). The etiology of the PAH was
65% idiopathic and 35% associated with other causes. Patients
entered the trial in World Health Organization (WHO) Functional
Class I/II (47%) and Class III/IV (53%). The patients were enrolled
from Western Europe/Israel (52%), Eastern Europe (24%) and South
America (24%). Mean six-minute walk distance (6MWD) at baseline was
348 meters +/- 84 meters. The primary efficacy endpoint of the
ARIES-2 trial was the placebo-corrected mean change in 6MWD at week
12 compared to baseline. Results of the trial demonstrated that
with once-daily dosing, 5 mg of ambrisentan improved the
placebo-corrected mean 6MWD by 59.4 meters (p = 0.0002) and 2.5 mg
of ambrisentan improved the placebo-corrected mean 6MWD by 32.3
meters (p = 0.0219). For the placebo group, the mean 6MWD at week
12 decreased from baseline by 10.1 meters. Improvements in time to
clinical worsening compared to placebo were observed for both the 5
mg dose group (p=0.0076) and the 2.5 mg dose group (p=0.0048).
Improvements in Borg dyspnea index compared to placebo were
observed for both the 5 mg dose group (p = 0.0384) and the 2.5 mg
dose group (p=0.0367). Improvements in SF-36 Health Survey(R)
compared to placebo were observed for both the 5 mg dose group
(p=0.040) and the 2.5 mg dose group (p=0.005). The pre-specified
analysis of WHO functional class did not reach statistical
significance; however, deterioration of at least one class was
observed in 18% of placebo patients, compared to 5% of patients in
the 2.5 mg ambrisentan dose group and 3% of patients in the 5 mg
ambrisentan dose group. The trial safety results demonstrated
ambrisentan was well tolerated. The most frequent adverse event was
headache, which occurred in 12.7% of patients in the 5 mg dose
group and 7.8% in the 2.5 mg dose group, compared to 6.2% in the
placebo group. There were four deaths in the placebo arm compared
to two deaths (unrelated to drug) in the 2.5 mg ambrisentan dose
group and none in the 5 mg ambrisentan dose group. Ambrisentan had
no apparent effect on the activity or dosage of warfarin-type
anticoagulants commonly prescribed for patients with PAH. No
patients treated with ambrisentan developed serum aminotransferase
concentrations greater than three-times the upper limit of the
normal range (3xULN), compared to one patient (1.5%) in the placebo
group. As of May 2006, patients in the long-term follow-up study
have a maximum drug exposure of 2.4 years and a mean drug exposure
of one year. During this long-term treatment, the incidence of
serum aminotransferase concentrations greater than 3xULN was less
than 2% (0.6% confirmed upon re-test). About Myogen Myogen is a
biopharmaceutical company focused on the discovery, development and
commercialization of small molecule therapeutics for the treatment
of cardiovascular disorders. Myogen currently has two product
candidates in late-stage clinical development: ambrisentan for the
treatment of patients with pulmonary arterial hypertension and
darusentan for the treatment of patients with resistant
hypertension. Myogen and GlaxoSmithKline have entered into a global
PAH collaboration in which Myogen has distribution and marketing
rights to GlaxoSmithKline's Flolan (epoprostenol sodium) in the
United States and GlaxoSmithKline has sublicensed ambrisentan from
Myogen for all territories outside of the United States, where
Myogen retains exclusive rights. Myogen also conducts a target and
drug discovery research program focused on the development of
disease-modifying drugs for the treatment of chronic heart failure
and related cardiovascular disorders. Please visit Myogen's website
at www.myogen.com. Safe Harbor Statement This press release
contains forward-looking statements that involve significant risks
and uncertainties, including summary statements relating to the
results of the Company's ARIES-2 clinical trial. Actual results
could differ materially from those projected and the Company
cautions investors not to place undue reliance on the
forward-looking statements contained in this release. Results from
clinical trials, including the Company's ARIES-2 trial, are not
necessarily predictive of future clinical results. Top line results
may not be confirmed upon full analysis of the detailed results of
a trial and additional information relating to the safety, efficacy
or tolerability of the Company's product candidates, including
ambrisentan, may be discovered upon further analysis of trial data
and upon review and analysis of additional trial data, including
data from the Company's ARIES-1 clinical trial and ARIES long-term
study. If the Company's product candidates do not meet safety or
efficacy endpoints in clinical evaluations, they will not receive
regulatory approval and the Company will not be able to market
them. Even if the Company's product candidates meet safety and
efficacy endpoints, regulatory authorities may not approve them,
the Company may not be able to successfully market them, or the
Company may face post-approval problems that require the withdrawal
of its product from the market. The Company's results may be
affected by its effectiveness at managing its financial resources,
its ability to successfully develop and market its product
candidates, its ability to obtain and enforce patent protection for
its products, competition from other biotechnology and
pharmaceutical companies, difficulties or delays in manufacturing
its products, and regulatory developments involving current and
future products. Delays in initiating or conducting clinical
trials, whether caused by competition, adverse events, patient
enrollment rates, regulatory issues or other factors, could
adversely affect the Company's financial position and prospects. If
the Company is unable to raise additional capital when required or
on acceptable terms, it may have to significantly delay, scale back
or discontinue one or more of its drug development or discovery
research programs. Myogen may not ever have any products that
generate significant revenue. Additional risks and uncertainties
relating to the Company and its business can be found in the "Risk
Factors" section of Myogen's Form 10-K for the year ended December
31, 2005 and Myogen's reports on Form 10-Q and Form 8-K. It is
Myogen's policy to only update or reconfirm its public guidance by
issuing a press release or filing a periodic or current report with
the Securities and Exchange Commission. All information in this
press release is as of May 24, 2006. Myogen undertakes no duty or
obligation to update any forward-looking statements contained in
this release as a result of new information, future events or
changes in the Company's expectations.
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