Primary and Secondary Efficacy Data All Statistically in Favor of Rebif(R)
http://finance.individual.com/display_news.asp?doc_id=PR20010622HSF009&page=news
Friday June 22 8:01am
LONDON, June 22 /PRNewswire/ -- Serono
Laboratories (UK) Ltd. (NYSE: SRA) (SWX Swiss Exchange: SEO)
Today, at the World Congress of Neurology
in London, the results of the direct comparative EVIDENCE study between
Rebif(R) (Serono Inc.) and Avonex(R) (Biogen Inc.) in patients with relapsing-remitting
multiple sclerosis (RRMS) are being presented. These results provide strong
evidence that Rebif(R) yields statistically significant benefits over Avonex(R)
for all primary and secondary efficacy outcomes studied.
"The EVIDENCE study confirms the
greater benefits of higher and more frequent doses of beta-interferon.
This comprehensive and rigorous study has major implications for the optimal
treatment of patients with multiple sclerosis," said Dr Patricia Coyle,
Professor of Neurology and Director of the MS Comprehensive Case Center
at the School of Medicine, Stony Brook, New York, who is the investigator
presenting the study in London.
"The EVIDENCE study results are highly
significant and further demonstrate the clinical efficacy of Rebif(R),"
said Ernesto Bertarelli, Chief Executive Officer of Serono. "We will shortly
be submitting this data to the FDA for their review in our effort to make
Rebif(R) available to patients in the USA."
Summary of results
Relapses
The primary endpoint of the study
is a comparison of the proportion of relapse-free patients after 24 weeks
expressed as an odds ratio. 25.1% of patients treated with Rebif(R) experienced
a relapse during six months of treatment compared with 36.7% on Avonex(R),
a relative difference of 32%. The adjusted odds ratio of relapse-free patients
was 1.9 meaning that patients treated with Rebif(R) had 90% greater odds
of remaining relapse-free relative to patients treated with Avonex(R).
This result is highly statistically significant with a p value of 0.0005.
The average number of relapses during
6 months for patients treated with Rebif(R) was 0.29 and for those treated
with Avonex(R) was 0.40, a relative reduction of 27% in favor of Rebif(R)
(p value 0.022).
The relative risk of experiencing
a relapse at any time within 6 months was 37% less for Rebif(R) patients
relative to Avonex(R) patients (p value 0.001).
The need for steroids to treat relapses
for the Rebif(R) group was 47% less, relative to the Avonex(R) group (p
value 0.004).
MRI disease activity
The main secondary endpoint is the
difference in combined unique lesion activity as measured by monthly MRI
brain scans over 6 months. On average, patients treated with Avonex(R)
had 50% more new lesions in the brain relative to those treated with Rebif(R).
Rebif(R) treated patients had an average of 0.8 lesions per scan while
Avonex(R) patients had an average of 1.2 lesions per scan. This result
is highly statistically significant with a p value of less than 0.0001.
The proportion of brain scans per
patient showing disease activity in the Rebif(R) group was 24.0% compared
with 37.3% in the Avonex(R) group, a statistically significant reduction
in favor of Rebif(R) (p value of less than 0.001).
The proportion of patients with no
new disease activity, as measured by MRI, was 48.3% in the Rebif(R) group
compared with 33.2% in the Avonex(R) group, a statistically significant
difference in favor of Rebif(R) (p value of less than 0.001).
Safety and tolerability
Overall, 97% of patients completed
24 weeks on study with no statistically significant difference in withdrawal
rates between the groups. Both formulations of IFN beta-1a were generally
well tolerated. Although there were more injection site reactions and elevated
liver enzymes associated with the higher and more frequent doses of Rebif(R)
used, these were usually mild in nature. There were no cases of injection
site necrosis with either medication.
Rebif(R)
Rebif(R) is registered in 67 countries
worldwide and is currently the fastest growing treatment for MS outside
the USA. In 2000, Rebif(R) achieved worldwide sales of $254.2m.
Conference Call and Webcast
Serono will hold a conference call
today, June 22, 2001, at 4:30 P.M. Central European Time (3:30 P.M. London
Time, 10:30 A.M. Eastern Daylight Time) during which Serono Management
will present the outcome of the EVIDENCE study. To join the telephone conference
please dial (+41.91.610.41.11 from Europe) and (+1.412.858.46.00 from the
U.S.). The event will be relayed by live audio webcast (listen only mode)
which interested parties may access via Serono's corporate home page www.serono.com
. A series of slides will be available via the website at 14:00 CET.
A link to the webcast will be provided
immediately prior to the event. Additionally, the webcast will be available
for replay until close of business on 20th July 2001. The telephone play
back will be available until 27th June 2001 using the following numbers
and a PIN code of 320#: (+41.91.610.25.00 from Europe) and (+1.412.858.14.40
from the U.S.).
Some of the statements in this press
release are forward-looking. Such statements are inherently subject to
known and unknown risks, uncertainties and other factors that may cause
actual results, performance or achievements of Serono S.A. and affiliates
to be materially different from those expected or anticipated in the forward-looking
statements. Forward-looking statements are based on Serono's current expectations
and assumptions, which may be affected by a number of factors, including
those discussed in this press release and more fully described in Serono's
Annual Report on Form 20-F filed with the U.S. Securities and Exchange
Commission on April 23, 2001. These factors include any failure or delay
in Serono's ability to develop new products, any failure to receive anticipated
regulatory approvals, any problems in commercializing current products
as a result of competition or other factors, our ability to obtain reimbursement
coverage for our products, and government regulations limiting our ability
to sell our products. Serono has no responsibility to update the forward-looking
statements contained in this press release to reflect events or circumstances
occurring after the date of this press release.
About Serono
Serono is a global biotechnology
leader. The Company has six recombinant products on the market, Gonal-F(R),
Luveris(R), Ovidrel(R), Rebif(R), Serostim(R) and Saizen(R). In addition
to being the world leader in reproductive health, Serono has strong market
positions in neurology, metabolism and growth. The Company's research programs
are focused on growing these businesses and on establishing new therapeutic
areas. Currently, there are eleven molecules in development.
In 2000, Serono achieved worldwide
revenues of US$1.240 billion, and a net income of US$301 million, making
it the third largest biotech company in the world based on revenues. The
Company operates in 45 countries, and its products are sold in over 100
countries. Bearer shares of Serono are traded on the SWX Swiss Exchange
(SEO) and its American Depositary Shares are traded on the New York Stock
Exchange (SRA).
Please see attached background information
concerning:
EVIDENCE study
The EVIDENCE (EVidence for Interferon
Dose-response: European-North American Comparative Efficacy Study) study
is of particular interest as it marks the largest prospective comparative
study of two disease modifying drugs in multiple sclerosis (MS).
The objective of the study was to
investigate the clinical benefit of Rebif(R) compared to Avonex(R) based
on pre-defined endpoints. The study was conducted following agreement with
the FDA regarding its design, primary and secondary endpoints and the prospectively
defined statistical analysis plan. It measured clinical endpoints as well
as brain scan endpoints using monthly magnetic resonance imaging (MRI).
677 patients with RRMS, aged 18-55,
at 56 centers in 9 countries in North America and Europe, were included
in the EVIDENCE study. Patients underwent repeated clinical and MRI assessments
while taking either Rebif(R) (interferon beta-1a) 44 mcg three times weekly
by subcutaneous injection or Avonex(R) (interferon beta-1a) 30 mcg once
weekly by intramuscular injection. During the study, all assessing neurologists
and radiologists were blinded from knowing which drug the patients were
taking.
Patients entered the study with an
Expanded Disability Status Score (EDSS) of 0 to 5.5 and with clinically
active disease defined as two or more relapses in the previous two years.
There were no statistically significant differences in demographics or
disease history between the randomized groups at baseline. Groups were
comparable and characteristic of RRMS (75% female, late 30's, EDSS between
1 and 3).
The primary and main secondary endpoints
are at 24 weeks, and both these endpoints were statistically significant
in favor of Rebif(R). All other secondary endpoints over 24 weeks were
also statistically significant in favor of Rebif(R). The patients are continuing
treatment for a further 24 weeks. Data were analyzed on an intention-to-treat
basis, which is the most statistically pure, unbiased method of analyzing
study results.
Orphan Drug Status
Rebif(R) cannot currently be marketed
in the USA. The Orphan Drug status of Avonex(R) is due to expire in mid
2003.
The terms of the Orphan Drug Act
permit Rebif(R) to potentially enter the USA market before mid 2003, if
Rebif(R) has been compared in a direct head-to-head study and successfully
demonstrated its clinical benefit over Avonex(R) to the satisfaction of
the FDA. The pre-defined endpoints in this study were:
Proportion of Relapse-free patients
This is a clinical endpoint for the
assessment of patients suffering from relapsing-remitting multiple sclerosis
(RRMS). In the EVIDENCE study, clinicians assessed whether a patient had
developed any new, acute worsening of disease or whether he or she had
remained free of new exacerbations over a period of 24 weeks. Comparing
Rebif(R) relative to Avonex(R) the adjusted odds ratio to remain free of
relapses is 1.9. This means that patients treated with Rebif(R) had 90%
greater odds of remaining relapse-free during the period of observation
relative to patients treated with Avonex(R). The odds ratio is the number
of patients who remained relapse- free divided by the number who had a
relapse on Rebif(R), divided by the same ratio for Avonex(R).
Reduction in Combined Unique Lesion
activity
This is a sensitive endpoint for
measuring the amount of disease activity in the brains of patients suffering
from RRMS. In the EVIDENCE study, patients were scanned using magnetic
resonance imaging (MRI) every month for six months to determine how many
new lesions appeared. A lesion is a new region of inflammation or damage
to brain tissue. This particular endpoint of "combined unique lesions"
provides maximum information about new MS activity in the brain as it measures
activity using two types of complementary images (T1 and T2), yet it avoids
double counting of lesions. The number of new lesions for Avonex(R) patients
was 50% more relative to the number of new lesions for Rebif(R) patients,
indicating significantly more MRI lesion development with Avonex(R).
P value
The p-value is a measure of the statistical
probability that the outcome of a study is due to chance. In the EVIDENCE
study, the primary endpoint had a p value of 0.0005 and the main secondary
endpoint had a p value of less than 0.0001. Studies are considered positive
if the p value is less than or equal to 0.05.
For more information,
please contact:
Media Relations:
Investor Relations: Noonan/Russo Communications:
Serono, Inc.,
Norwell, MA
Source: Serono Laboratories (UK)
Ltd.
Source: PR Newswire
REBIF(R) DEMONSTRATES
CLEAR BENEFITS OVER AVONEX(R) WITH STATISTICAL
SIGNIFICANCE
ON ALL PRIMARY AND SECONDARY EFFICACY ENDPOINTS
Background
The results of this study will be submitted
to the Food and Drug Administration (FDA), as part of Serono's ongoing
discussions with the Agency.
Serono Laboratories
(UK) Ltd.:
Tel: +44-20-8818-7200
Tel: +44-20-8818-7200 Tel: +44-207-726-4452
Fax: +44-20-8818-7222
Fax: +44-20-8818-7222 Fax: +44-207-726-4453
www.serono.com
Reuters: SEOZ.S/SRA.N www.noonanrusso.com
Bloomberg: SEO SW/SRA US
Media Relations:
Tel: +1-781-681-2340
Fax: +1-781-982-1369
www.seronousa.com
Contact: Media Relations or Investor
Relations, +44-20-8818-7200, or fax, +44-20-8818-7222, both of Serono Laboratories
(UK) Ltd.; or Media Relations, Serono, Inc., Norwell, MA, 781-681-2340,
or fax, 781-982-1369; or Noonan-Russo Communications, +44-207-726-4452,
or fax, +44-207-726-4453, for Serono