Nabi Biopharmaceuticals Completes Enrollment In NicVAX Phase IIB 'Proof-of-Concept' Clinical Trial
10/19/06
Nabi
Biopharmaceuticals (Nasdaq: NABI) today announced it has completed
enrollment for its Phase IIB "proof-of-concept" study for NicVAX(R)
(Nicotine Conjugate Vaccine), the company's novel, innovative and
proprietary investigationa
Thomas H. McLain, chairman of the board, chief executive officer and
president, Nabi Biopharmaceuticals, stated, "We are extremely pleased to
have completed patient enrollment for this trial ahead of schedule and
consider it a testament to the hard work and dedication of our clinical
team and our ability to execute on the key milestones we have established
for our company. The successful completion of patient enrollment also puts
us in a highly advantageous position to rapidly advance partnering efforts
for NicVAX. We look forward to sharing these trial results early in the
second quarter of 2007."
Mr. McLain continued, "This achievement is also greatly supported by
the physician and patient communities who maintain a strong interest in the
development of a new and innovative smoking cessation approach such as
NicVAX."
Henrik S. Rasmussen, M.D., Ph.D., senior vice president, clinical,
medical and regulatory affairs, Nabi Biopharmaceuticals, stated, "According
to the U.S. Centers for Disease Control and Prevention, tobacco use is the
single leading preventable cause of death in the U.S. and is responsible
for more than 440,000 deaths each year, and yet optimal treatments are
still not available. We believe NicVAX is poised to address one of today's
most pressing healthcare challenges, nicotine addiction, in a way that
could offer distinct therapeutic advantages over both marketed and
development-stage smoking cessation treatments. We look forward to
advancing NicVAX to the next stage of development and to the continuing
support of the physician and patient communities committed to innovative
solutions for smoking addiction."
Dr. Rasmussen continued, "Completion of patient enrollment for this
proof-of-concept Phase IIB trial is evidence that NicVAX is the most
advanced smoking cessation vaccine in development. The clinical advancement
of NicVAX is supported by both a strong and global intellectual property
position and our ability to manufacture the vaccine at commercial-scale, a
position unmatched by any other company with a smoking cessation vaccine in
development. We believe the results of this Phase IIB trial will enable us
to identify the optimal formulation for the upcoming Phase III pivotal
trials, and allow us to initiate these trials with a development partner in
the second half of 2007."
How NicVAX is Designed to Work
The main reason it is so difficult to stop smoking is that smokers
crave the 'rush' they get when nicotine reaches and binds to receptors in
the brain. That releases dopamine, which creates the positive stimulus in
the brain and at the same time is very addictive. NicVAX is designed to
prevent the 'rush' and the associated addiction by preventing nicotine from
entering the brain. The vaccine stimulates the immune system to produce
antibodies that bind to nicotine. Nicotine attached to the antibodies is
too large to cross the blood brain barrier, preventing nicotine from
reaching the receptors in the brain. The 'rush' that is normally caused by
nicotine should no longer be present, thereby eliminating the addictive
properties of nicotine and, consequently, helping people to quit. In
essence, it is believed that these nicotine antibodies can act like a
"sponge" soaking up nicotine as it circulates in the bloodstream and
preventing it from reaching the brain.
Further, because the ability of the body's immune system to produce
these antibodies is expected to be long lasting, it is believed NicVAX will
also be effective in preventing smoking relapse. Relapse is a significant
challenge with existing smoking cessation therapies and can range as high
as 90% in the first twelve months after quitting. This is expected to be an
important differentiator between NicVAX and existing smoking treatment
options.
About the Phase IIB Study
The Phase IIB study for NicVAX was designed with extensive input from
the U.S. Food and Drug Administration (FDA), the European Medicines
Evaluation Agency (EMEA), the National Institute on Drug Abuse (NIDA) and
leading external consultants. The study is a double-blinded,
placebo-controlled dose ranging study comprised of approximately 300
patients, a large enough sample size to establish both "proof-of-concept"
and optimal dose identification for the Phase III program. The primary
endpoint of the study is the abstinence rate at six months. Abstinence will
be evaluated by several measures, including reported cigarette consumption,
chemical markers of nicotine in the bloodstream, and behavioral assessment.
Secondary endpoints include the abstinence rate at 12 months, total
cigarette consumption, titer levels, safety and nicotine dependency. The
efficacy rates in this study will incorporate the benefits of other
elements in smoking cessation programs, including counseling and behavioral
modification. A previous Phase II study which demonstrated up to a 40
percent quit rate in smokers evaluated the vaccine-only benefits of NicVAX.
Development Progress to Date
Early clinical data indicates that NicVAX, if approved, could
potentially be one of the most efficacious smoking cessation products
available.
In a Phase II clinical trial, NicVAX achieved a 40 percent quit rate in
smokers who received the highest dose level versus nine percent in the
placebo group. These results represented a vaccine-only effect, as patients
were not given any supplemental treatments, behavioral support or
counseling. It is expected that the response rate would be further improved
as behavioral support and counseling are built into the program.
In March, 2006, Nabi Biopharmaceuticals announced that NicVAX had
received Fast Track Designation from the FDA, which facilitates the
development of products that treat serious diseases where an unmet medical
need exists.
In January 2006, the company announced that a new formulation of NicVAX
with less vaccine adjuvant was safe and produced high levels of antibodies
to nicotine in smokers. Importantly, antibody levels were consistent with a
vaccine with higher adjuvant levels that demonstrated up to a 40 percent
success rate in smoking cessation in an earlier Phase II trial. Both
vaccine formulations are being evaluated in the Phase II "proof-of-concept"
study initiated in May 2006.
In September 2005, the company announced that it had received a $4.1
million grant from NIDA, part of the National Institutes of Health, which
is expected to fully offset the external costs of the Phase II
"proof-of-concept" clinical study. NIDA has contributed scientific and
clinical expertise to the program and has funded the costs for toxicology
testing and earlier clinical trials in the U.S.
Nabi Biopharmaceuticals' intellectual property portfolio for technology
related to NicVAX includes both issued and pending patents in the U.S. In
addition, the company holds granted patents in 18 European countries, plus
patents and pending patent applications in numerous other countries around
the world.
Cigarette Smoking: A Growing Global Health Challenge
Smoking is a global healthcare problem, and The World Health
Organization estimates that there are 1.3 billion smokers worldwide and
nearly five million tobacco-related deaths each year. They estimate that
approximately 70 - 80 percent of smokers in the U.S. want to quit, but less
than five percent of those who try to quit remain smoke-free at 12 months.
In addition, they estimate that smoking accounts for $167 billion in
healthcare expenditures and productivity losses each year.(1) To learn more
about NicVAX and how it works, please visit our Web site at: