FDA Issues Approvable Letter for NRP104 (lisdexamfetamine dimesylate) for the Treatment of ADHD
October 06 2006 - 9:25PM
PR Newswire (US)
BASINGSTOKE, England and PHILADELPHIA, Oct. 6
/PRNewswire-FirstCall/ -- Shire plc
(LSE:SHPLSE:Nasdaq:LSE:SHPGYLSE:TSX:LSE:SHQ) announced today that
its collaborative partner New River Pharmaceuticals Inc.
(NASDAQ:NRPH) has received an approvable letter from the U.S. Food
and Drug Administration (FDA) for NRP104 (lisdexamfetamine
dimesylate), for the treatment of pediatric
Attention-Deficit/Hyperactivity Disorder (ADHD). This result is
generally consistent with historical responses from FDA following
their review of New Drug Applications for ADHD medications.
According to the FDA's letter, marketing approval of NRP104 is
contingent upon final scheduling by the U.S. Drug Enforcement
Administration (DEA). No additional studies have been requested by
the FDA as a condition for approval of NRP104. Shire and New River
will continue dialog with FDA officials to agree upon a final trade
name. Shire and New River Pharmaceuticals are preparing for a
product launch in Q2 2007, pending final labelling and scheduling
discussions. The Controlled Substance Staff of the FDA has
initially proposed that NRP104 be placed in Schedule II of the
Controlled Substance Act. The initial proposal will be submitted to
the DEA, which is responsible for making a final scheduling
assignment. Shire anticipates timely resolution of this process.
Once NRP104 is approved by FDA and the schedule designation is
issued by DEA, NRP104 will be available in three dosage strengths:
30 mg, 50 mg and 70 mg, all indicated for once-a-day dosing.(1)
This approvable letter for NRP104 is positive news for Shire and
our partner New River Pharmaceuticals," said Shire Chief Executive
Officer Matthew Emmens. "Following approval, NRP104 is expected to
offer patients, their families, and healthcare providers an
important new treatment for ADHD. As a company specializing in the
treatment of ADHD, we have a wide range of medications for this
condition currently marketed or under development, including the
most prescribed brand of ADHD medication, ADDERALL XR(R). Once
approved, we look forward to adding NRP104 to the Shire portfolio."
New River Pharmaceuticals designed NRP104 as a new ADHD medication
in which dextro-amphetamine is covalently linked to l-lysine, a
naturally occurring amino acid. NRP104, designed to provide
efficacy throughout the day up to 6 p.m., remains inactive until
converted in the body and the active drug is released.(1) In
January 2005, New River Pharmaceuticals signed a collaborative
agreement with Shire to develop and commercialize NRP104. The
Collaboration Agreement Shire plans to file a Current Report on
Form 8-K with the U.S. Securities and Exchange Commission providing
additional details on the company's U.S. collaboration agreement
with New River. Under the terms of the agreement with New River,
the parties will collaborate on NRP104 development, manufacturing,
marketing and sale in the US. New River Pharmaceuticals will be
financially and operationally responsible for clinical and
manufacturing development. Shire will book the product sales and
New River Pharmaceuticals will supply up to 25% of the sales effort
under a co promotion right. Shire is obligated to give NRP104
marketing and promotional priority over its other oral ADHD
stimulants should NRP104's label contain a claim that it has
decreased potential for abuse or overdose protection. If NRP104 is
approved with a Schedule III, IV or V classification or is
unscheduled ("favorable scheduling"), Shire will pay New River a
$300 million milestone payment. US operating profit will be divided
as follows: Shire will retain 75 percent of profits for the first
two years following launch, and the parties will share the profits
equally thereafter. In the event that NRP104 receives a final
Schedule II classification, no milestone payment will be payable by
Shire to New River upon approval. Division of profits will be
calculated under an alternative profit sharing scheme. New River's
share of U.S. product profits for the first two years will be at
least 25%, though it may increase to a value determined by a preset
formula; for following years, it will be at least 50%, though it
may increase to a value determined by a preset formula thereafter.
These formulas, which include yearly threshold sales, will be
included in the 8-K to be filed. If NRP104 is approved with a
Schedule II classification on approval and it gets favorable
scheduling within one year of the first commercial sale, Shire will
pay New River a $200 million milestone payment; if favorable
scheduling occurs by the third anniversary, the milestone payment
will be $100 million. Upon favorable scheduling being achieved
under each of these scenarios, the profit sharing formula reverts
to that applicable to favorable scheduling from product approval.
In addition, New River will be entitled to a $100 million milestone
payment at the end of the first calendar year in which cumulative
worldwide net sales of all collaboration products during that
calendar year exceed $1 billion. Shire intends to capitalize and
amortize any milestone payment and sales bonus over the life of the
product. Shire is entitled to terminate the agreement until 30 days
following approval of NRP104. If Shire terminates before regulatory
approval, no payment would be due Shire. If Shire terminates after
approval and NRP104 has received a favorable scheduling assignment,
no payment would be due Shire. If the approved NRP104 has received
a Schedule II classification, Shire would be entitled to a $50
million termination payment, payable in cash, New River common
stock, or an unsecured, 5-year promissory note, as will be agreed
upon by Shire and New River. On August 14, 2006 Shire announced
that it had settled all pending litigation with Barr Laboratories,
Inc. in connection with Barr's Abbreviated New Drug Application and
its attempt to market generic versions of Shire's ADDERALL XR
(extended-release mixed amphetamine salts) for the treatment of
ADHD. Barr will not be permitted to market a generic version of
ADDERALL XR in the United States until April 1, 2009, except under
certain limited circumstances, such as the launch of another
party's generic version of ADDERALL XR. About ADHD Approximately
7.8 percent of all school-age children, or about 4.4 million U.S.
children aged 4 to 17 years, have been diagnosed with ADHD at some
point in their lives, according to the U.S. Centers for Disease
Control and Prevention (CDC).(2) ADHD is one of the most common
psychiatric disorders in children and adolescents.(3) ADHD is a
neurobiological disorder that manifests as a persistent pattern of
inattention and/or hyperactivity- impulsivity that is more frequent
and severe than is typically observed in individuals at a
comparable level of development.(4) To be properly diagnosed with
ADHD, a child needs to demonstrate at least six of nine symptoms of
inattention; at least six of nine symptoms of
hyperactivity/impulsivity; the onset of such symptoms before age 7
years; that some impairment from the symptoms is present in two or
more settings (e.g., at school and home); that the symptoms
continue for at least six months; and that there is clinically
significant impairment in social, academic or occupational
functioning.(4) Although there is no "cure" for ADHD, there are
accepted treatments that specifically target its symptoms. The most
common standard treatments include educational approaches,
psychological or behavioral modification, and medication.(5) For
more information about ADHD, please visit
http://www.shireadhdtreatments.com/. About ADDERALL XR (mixed salts
of a single-entity amphetamine product) Tell your doctor about any
heart conditions, including structural abnormalities, that you,
your child, or a family member, may have. Inform your doctor
immediately if you or your child develop symptoms that suggest
heart problems, such as chest pain or fainting. ADDERALL XR should
not be taken by patients who have advanced disease of the blood
vessels (arteriosclerosis); symptomatic heart disease; moderate to
severe high blood pressure; overactive thyroid gland
(hyperthyroidism); known allergy or unusual reactions to drugs
called sympathomimetic amines (for example, pseudoephedrine);
seizures; glaucoma; a history of problems with alcohol or drugs;
agitated states; taken a monoamine oxidase inhibitor (MAOI) within
the last 14 days. Tell your doctor before using ADDERALL XR if you
or your child are being treated for or have symptoms of depression
(sadness, worthlessness, or hopelessness) or bipolar disorder; have
abnormal thought or visions, hear abnormal sounds, or have been
diagnosed with psychosis; have had seizures or abnormal EEGs; have
or have had high blood pressure; exhibit aggressive behavior or
hostility. Tell your doctor immediately if any of these conditions
or symptoms develop while using ADDERALL XR. Abuse of amphetamines
may lead to dependence. Misuse of amphetamine may cause sudden
death and serious cardiovascular adverse events. These events have
also been reported rarely with amphetamine use. ADDERALL XR was
generally well tolerated in clinical studies. The most common side
effects in studies included: children -- decreased appetite,
difficulty falling asleep, stomachache, and emotional lability;
adolescents -- loss of appetite, difficulty falling asleep,
stomachache, and weight loss; adults -- dry mouth, loss of
appetite, difficulty falling asleep, headache, and weight loss.
Aggression, new abnormal thoughts/behaviors, mania, growth
suppression, worsening of motion or verbal tics and Tourette's
syndrome have been associated with use of drugs of this type. Tell
your doctor if you or your child have blurred vision while taking
ADDERALL XR. Shire plc Shire's strategic goal is to become the
leading specialty pharmaceutical company that focuses on meeting
the needs of the specialist physician. Shire focuses its business
on attention deficit and hyperactivity disorder (ADHD), human
genetic therapies (HGT), gastrointestinal (GI) and renal diseases.
The structure is sufficiently flexible to allow Shire to target new
therapeutic areas to the extent opportunities arise through
acquisitions. Shire believes that a carefully selected portfolio of
products with a strategically aligned and relatively small-scale
sales force will deliver strong results. Shire's focused strategy
is to develop and market products for specialty physicians. Shire's
in-licensing, merger and acquisition efforts are focused on
products in niche markets with strong intellectual property
protection either in the US or Europe. For further information on
Shire, please visit the Company's website: http://www.shire.com/.
THE "SAFE HARBOR" STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION
REFORM ACT OF 1995 Statements included herein that are not
historical facts are forward- looking statements. Such
forward-looking statements involve a number of risks and
uncertainties and are subject to change at any time. In the event
such risks or uncertainties materialize, Shire's results could be
materially affected. The risks and uncertainties include, but are
not limited to, risks associated with: the inherent uncertainty of
pharmaceutical research, product development, manufacturing and
commercialization; the impact of competitive products, including,
but not limited to the impact of those on Shire's Attention Deficit
and Hyperactivity Disorder (ADHD) franchise; patents, including but
not limited to, legal challenges relating to Shire's ADHD
franchise; government regulation and approval, including but not
limited to the expected product approval dates of CONNEXYN (SPD503)
(ADHD), SPD465 (ADHD), MESAVANCE (mesalamine) with MMX technology
(SPD 476) (ulcerative colitis), and NRP104 (ADHD), including its
scheduling classification by the Drug Enforcement Administration in
the United States; Shire's ability to secure new products for
commercialization and/or development; and other risks and
uncertainties detailed from time to time in Shire's and its
predecessor registrant Shire Pharmaceuticals Group plc's filings
with the Securities and Exchange Commission, particularly Shire
plc's Annual Report on Form 10-K for the year ended December 31,
2005. (1) Data on file. (2) Mental health in the United States:
Prevalence of diagnosis and medication treatment for
attention-deficit/hyperactivity disorder, United States, 2003.
MMWR, September 2, 2005;54(34):842-847. Available at:
http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5434a2.htm. Accessed
September 27, 2005. (3) "Introduction," Diagnosis and Treatment of
Attention Deficit Hyperactivity Disorder. NIH Consensus Statement
1998 Nov 16-18; 16(2): 1-37. Available at:
http://consensus.nih.gov/cons/110/110_statement.htm#0_Abstract.
Accessed on June 8, 2005. (4) Diagnostic and Statistical Manual of
Mental Disorders: Fourth Edition, Text Revision. DSM-TR-IV(r).
Washington, DC: American Psychiatric Association; 2000: 85. (5)
Baumgartel A, et al. Practice guideline for the diagnosis and
management of attention deficit hyperactivity disorder. Ambulatory
Child Health. 1998;4:51. DATASOURCE: Shire plc CONTACT: Investor
Relations, Clea Rosenfeld, Rest of the World, +44-1256-894-160, or
Brian Piper, North America, +1-484-595-8252, or Media, Jessica
Mann, Rest of the World, +44-1256-894-280, or Matthew Cabrey, North
America, +1-484-595-8248, all of Shire plc Web site:
http://www.shire.com/ http://www.shireadhdtreatments.com/
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