AVAX Technologies Launches Global Phase III Registration Clinical Trial of M-Vax in Metastatic Melanoma
2006年11月29日 - 11:04PM
ビジネスワイヤ(英語)
AVAX Technologies, Inc. (OTCMarket:AVXT.OB) today announced it has
been notified by the U.S. Food and Drug Administration (FDA) that
AVAX has been cleared to launch its Phase III Registration Study
for M-Vax, its AC Vaccine Therapeutic for the treatment of
Metastatic Melanoma. As previously announced by AVAX, the FDA has
provided the Company a Special Protocol Assessment related to the
planned protocol. The SPA is a written agreement between AVAX and
the FDA regarding the trial design, surrogate endpoints to be used
as a basis of filing for accelerated approval of M-Vax and the
statistical analysis plan necessary to support the full regulatory
approval of M-Vax. �We are happy to have been able to work
successfully with the FDA to allow us to start this very important
clinical study,� noted Dr. David Berd Chief Medical Officer of
AVAX. �We have designed a clinically relevant Phase III program
that allows us to evaluate the safety and effectiveness of M-Vax in
a setting where we believe our treatment has the best opportunity
to demonstrate clinical superiority. Our initial Phase II data in
combination with more recent publications and patient reports in
our compassionate use program provides us with a high degree of
confidence that M-Vax may be a promising treatment option for
patients suffering from metastatic melanoma.� The Phase III study
will enroll up to 387 patients with stage IV melanoma, who will be
assigned in a double-blind fashion at a 2:1 ratio to M-Vax or
Placebo vaccine. The M-Vax arm will consist of an initial dose of
M-Vax (autologous DNP-modified tumor cells) followed by
cyclophosphamide (CY) and then six weekly doses of M-Vax
administered with Bacillus of Calmette and Guerin (BCG). Following
vaccine administration patients will receive a course of low dose
IL-2 administered subcutaneously. Patients assigned to the control
group will receive a treatment identical to the M-Vax group, except
that a Placebo Vaccine will replace M-Vax. The primary endpoints of
the study are best overall anti-tumor response rate and the
percentage of patients surviving 2 years. Secondary endpoints of
the study will include overall survival time, response duration,
percentage complete and partial responses, progression free
survival and treatment related adverse events. The data analysis
plan for the study includes an interim analysis of Best Overall
Response Rate (complete and partial) to be performed when half the
patients (194 patients) have completed assessment of their best
anti-tumor response, with a second assessment of response evaluated
after full enrollment. The comparison of the best overall response
rates for the M-Vax and control groups will be used as the basis
for an expected initial Biologics License Application (BLA)
submission under 21 CFR 601 Subpart E, which provides for
accelerated approval using a surrogate endpoint in certain life
threatening diseases. The analysis of overall survival will be
performed when surviving patients have reached the two-year point.
�We have completed two very significant milestones at AVAX,
obtaining the SPA agreement with the FDA and obtaining
authorization to launch this important Phase III Registration
Study,� said Richard P. Rainey, President of AVAX. �With the SPA
agreement in place and the planned interim analysis, we look
forward to accelerating the execution of the clinical study and
seeing the outcome of this very important Phase III trial.� The
planned study will be conducted at Centers in the U.S., Europe and
Australia. Based upon initial assessments of study initiation,
expected enrollment times and occurrence of events it is currently
estimated that the interim study data analysis of response rate
could occur in 2008, with the final response rate evaluation
expected in 2010 and overall survival data generated in the
2012-2013 timeframe. The Company will update and monitor the study
progress quarterly and annually in its reports filed with the
Securities and Exchange Commission. About M-Vax (the AC Vaccine
Product Candidate for the Treatment of Melanoma) The AC Vaccine is
a therapeutic treatment prepared by attaching a small chemical to
the patient�s tumor cells in a process known as haptenization. This
hapten modification allows the tumor cells to stimulate a T
cell-based immune response to a patients own tumor cells. An early
indicator of T cell immune activity is Delayed Type
Hypersensitivity (DTH). A previously published article in the
Journal of Clinical Oncology, February 2004 reported actual
five-year survival data for a group of 214 patients with clinically
evident Stage III melanoma treated with the AC Vaccine following
surgery. The study demonstrated five-year survival of 45% and
showed a highly statistically significant relationship between
survival and DTH to patients� own tumor cells. Notably, based upon
these results, DTH appears to be a viable �surrogate marker� for
survival and an early indicator for clinical effectiveness of
current and future product candidates. Previously clinical trials
in ovarian and renal cell carcinoma, demonstrated strong DTH
responses consistent with those reported for melanoma patients.
About Malignant Melanoma The American Cancer Society reports that
cancer of the skin is the most common of all cancers. Melanoma
currently accounts for about 4% of skin cancer cases but is
responsible for 80% of skin cancer deaths annually. It is estimated
that there will be 55,100 new cases of melanoma annually in the
U.S. with approximately 14% diagnosed as late stage metastatic
melanoma. Worldwide it is expected that approximately 132,000
people will be diagnosed with melanoma each year and approximately
37,000 people are expected to die of the disease each annually.
About AVAX Technologies, Inc. AVAX Technologies, Inc. is a
biotechnology company with operations in the United States and
Europe. The Company is engaged in the research, clinical and
commercial development of biological products and cancer
therapeutics. AVAX�s AC Vaccine platform is a therapeutic treatment
for cancer. In addition, the Company performs
contract-manufacturing services for biological products to other
pharmaceutical and biotechnology companies. Except for statements
that are historical, the statements in this release are
"forward-looking" statements that are made pursuant to the safe
harbor provisions of Section 27A of the Securities Act of 1933 and
Section 21E of the Securities Exchange Act of 1934. Forward-looking
statements involve significant risks and uncertainties, and in
light of the significant uncertainties inherent in such statements,
the inclusion of such information should not be regarded as a
representation by AVAX that the objectives and plans of the Company
will be achieved. In fact, actual results could differ materially
from those contemplated by such forward-looking statements. Many
important factors affect the Company's prospects, including (1) the
results of clinical and laboratory testing of its vaccine
technologies, including particularly the results of the planned
Phase III clinical trial for M-Vax discussed in this release (2)
possible future FDA or AFSSAPS questions regarding the Company's
products and manufacturing processes, (3) the Company�s current
need for additional capital to continue its development programs
and to fund the planned Phase III clinical trial for M-Vax, (4) the
Company's ability to maintain its rights under license agreements
and to meet funding requirements under its license agreements, (5)
the Company's ability to demonstrate the safety and efficacy of
product candidates at each stage of development and to meet
applicable regulatory standards and receive required regulatory
approvals, (6) the Company�s ability to manufacture, receive and
ship its vaccine products for clinical and commercial distribution,
as well as other risks detailed from time to time in AVAX's public
disclosure filings with the Securities and Exchange Commission,
including its Annual Report on Form 10-KSB for the year ended
December 31, 2005. AVAX does not undertake any obligation to
release publicly any revisions to these forward-looking statements
or to reflect the occurrence of unanticipated events. AVAX
Technologies, Inc. (OTCMarket:AVXT.OB) today announced it has been
notified by the U.S. Food and Drug Administration (FDA) that AVAX
has been cleared to launch its Phase III Registration Study for
M-Vax, its AC Vaccine Therapeutic for the treatment of Metastatic
Melanoma. As previously announced by AVAX, the FDA has provided the
Company a Special Protocol Assessment related to the planned
protocol. The SPA is a written agreement between AVAX and the FDA
regarding the trial design, surrogate endpoints to be used as a
basis of filing for accelerated approval of M-Vax and the
statistical analysis plan necessary to support the full regulatory
approval of M-Vax. "We are happy to have been able to work
successfully with the FDA to allow us to start this very important
clinical study," noted Dr. David Berd Chief Medical Officer of
AVAX. "We have designed a clinically relevant Phase III program
that allows us to evaluate the safety and effectiveness of M-Vax in
a setting where we believe our treatment has the best opportunity
to demonstrate clinical superiority. Our initial Phase II data in
combination with more recent publications and patient reports in
our compassionate use program provides us with a high degree of
confidence that M-Vax may be a promising treatment option for
patients suffering from metastatic melanoma." The Phase III study
will enroll up to 387 patients with stage IV melanoma, who will be
assigned in a double-blind fashion at a 2:1 ratio to M-Vax or
Placebo vaccine. The M-Vax arm will consist of an initial dose of
M-Vax (autologous DNP-modified tumor cells) followed by
cyclophosphamide (CY) and then six weekly doses of M-Vax
administered with Bacillus of Calmette and Guerin (BCG). Following
vaccine administration patients will receive a course of low dose
IL-2 administered subcutaneously. Patients assigned to the control
group will receive a treatment identical to the M-Vax group, except
that a Placebo Vaccine will replace M-Vax. The primary endpoints of
the study are best overall anti-tumor response rate and the
percentage of patients surviving 2 years. Secondary endpoints of
the study will include overall survival time, response duration,
percentage complete and partial responses, progression free
survival and treatment related adverse events. The data analysis
plan for the study includes an interim analysis of Best Overall
Response Rate (complete and partial) to be performed when half the
patients (194 patients) have completed assessment of their best
anti-tumor response, with a second assessment of response evaluated
after full enrollment. The comparison of the best overall response
rates for the M-Vax and control groups will be used as the basis
for an expected initial Biologics License Application (BLA)
submission under 21 CFR 601 Subpart E, which provides for
accelerated approval using a surrogate endpoint in certain life
threatening diseases. The analysis of overall survival will be
performed when surviving patients have reached the two-year point.
"We have completed two very significant milestones at AVAX,
obtaining the SPA agreement with the FDA and obtaining
authorization to launch this important Phase III Registration
Study," said Richard P. Rainey, President of AVAX. "With the SPA
agreement in place and the planned interim analysis, we look
forward to accelerating the execution of the clinical study and
seeing the outcome of this very important Phase III trial." The
planned study will be conducted at Centers in the U.S., Europe and
Australia. Based upon initial assessments of study initiation,
expected enrollment times and occurrence of events it is currently
estimated that the interim study data analysis of response rate
could occur in 2008, with the final response rate evaluation
expected in 2010 and overall survival data generated in the
2012-2013 timeframe. The Company will update and monitor the study
progress quarterly and annually in its reports filed with the
Securities and Exchange Commission. About M-Vax (the AC Vaccine
Product Candidate for the Treatment of Melanoma) The AC Vaccine is
a therapeutic treatment prepared by attaching a small chemical to
the patient's tumor cells in a process known as haptenization. This
hapten modification allows the tumor cells to stimulate a T
cell-based immune response to a patients own tumor cells. An early
indicator of T cell immune activity is Delayed Type
Hypersensitivity (DTH). A previously published article in the
Journal of Clinical Oncology, February 2004 reported actual
five-year survival data for a group of 214 patients with clinically
evident Stage III melanoma treated with the AC Vaccine following
surgery. The study demonstrated five-year survival of 45% and
showed a highly statistically significant relationship between
survival and DTH to patients' own tumor cells. Notably, based upon
these results, DTH appears to be a viable "surrogate marker" for
survival and an early indicator for clinical effectiveness of
current and future product candidates. Previously clinical trials
in ovarian and renal cell carcinoma, demonstrated strong DTH
responses consistent with those reported for melanoma patients.
About Malignant Melanoma The American Cancer Society reports that
cancer of the skin is the most common of all cancers. Melanoma
currently accounts for about 4% of skin cancer cases but is
responsible for 80% of skin cancer deaths annually. It is estimated
that there will be 55,100 new cases of melanoma annually in the
U.S. with approximately 14% diagnosed as late stage metastatic
melanoma. Worldwide it is expected that approximately 132,000
people will be diagnosed with melanoma each year and approximately
37,000 people are expected to die of the disease each annually.
About AVAX Technologies, Inc. AVAX Technologies, Inc. is a
biotechnology company with operations in the United States and
Europe. The Company is engaged in the research, clinical and
commercial development of biological products and cancer
therapeutics. AVAX's AC Vaccine platform is a therapeutic treatment
for cancer. In addition, the Company performs
contract-manufacturing services for biological products to other
pharmaceutical and biotechnology companies. Except for statements
that are historical, the statements in this release are
"forward-looking" statements that are made pursuant to the safe
harbor provisions of Section 27A of the Securities Act of 1933 and
Section 21E of the Securities Exchange Act of 1934. Forward-looking
statements involve significant risks and uncertainties, and in
light of the significant uncertainties inherent in such statements,
the inclusion of such information should not be regarded as a
representation by AVAX that the objectives and plans of the Company
will be achieved. In fact, actual results could differ materially
from those contemplated by such forward-looking statements. Many
important factors affect the Company's prospects, including (1) the
results of clinical and laboratory testing of its vaccine
technologies, including particularly the results of the planned
Phase III clinical trial for M-Vax discussed in this release (2)
possible future FDA or AFSSAPS questions regarding the Company's
products and manufacturing processes, (3) the Company's current
need for additional capital to continue its development programs
and to fund the planned Phase III clinical trial for M-Vax, (4) the
Company's ability to maintain its rights under license agreements
and to meet funding requirements under its license agreements, (5)
the Company's ability to demonstrate the safety and efficacy of
product candidates at each stage of development and to meet
applicable regulatory standards and receive required regulatory
approvals, (6) the Company's ability to manufacture, receive and
ship its vaccine products for clinical and commercial distribution,
as well as other risks detailed from time to time in AVAX's public
disclosure filings with the Securities and Exchange Commission,
including its Annual Report on Form 10-KSB for the year ended
December 31, 2005. AVAX does not undertake any obligation to
release publicly any revisions to these forward-looking statements
or to reflect the occurrence of unanticipated events.
AVAX Technologies (CE) (USOTC:AVXT)
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