Molecular Tests Support That tgAAC94 Did Not Contribute to Immunosuppression Leading to Recent Serious Adverse Event
BOSTON, MA, Nov 10, 2007 (MARKET WIRE via COMTEX News Network) -- Targeted Genetics Corporation (NASDAQ: TGEN) today announced that
interim data from its Phase I/II trial of tgAAC94 for inflammatory
arthritis suggest that the investigational therapy showed improvement
in patient reported outcome measures.
The Company also announced that final molecular test results from a
fatal serious adverse event (SAE), which led to a clinical trial hold
in July of this year, underscore initial observations that no
amplification of viral vector occurred in the patient's body as a
result of the investigational therapy and that only trace amounts of
vector DNA were detected in tissues outside the treated joint. These
data were presented at the 71st annual meeting of the American
College of Rheumatology (ACR) in Boston, Massachusetts.
Inflammatory arthritis is a serious disease affecting more than two
million people in the United States that can lead to debilitating
chronic pain, permanent nerve, bone, and joint damage, and, in some
cases, death. While medications are available to slow and sometimes
stop symptoms, they can compromise the immune system and leave
patients with side effects, such as chronic infections. The
Company's tgAAC94 product candidate, a locally targeted therapy
approach, is designed to reduce inflammation locally in the joints
and avoid the potential for systemic side effects.
Philip J. Mease, M.D., clinical professor at the University of
Washington School of Medicine, chief of rheumatology clinical research
at the Swedish Medical Center, practicing physician with Seattle
Rheumatology Associates and the lead investigator on the trial,
reported data from 66 subjects enrolled in the Phase II portion of
the trial who were given a self-administered patient questionnaire to
determine improvements in joint symptoms and pain management. A
higher percentage of subjects who received tgAAC94 reported
improvement in joint symptoms, function and pain compared to the
placebo injected group:
-- 40% of tgAAC94 compared to 19% placebo injected patients reported a
30% decrease in injected joint global symptoms on visual-analog scale
-- 32% of tgAAC94 compared to 19% placebo injected patients reported a
30% improvement in injected joint function on visual-analog scale
-- 12% of tgAAC94 compared to 6% placebo injected patients reported 2-
point decrease in injected joint pain on visual-analog scale
These interim data also indicated that tgAAC94 is well-tolerated for
doses up to 5x1013 DNase Resistant Particle (DRP). The most common
adverse events noted were injection site reactions, seen in 10% of
patients treated.
Dr. Mease reviewed data generated in the investigation of the cause
of the July SAE. "Results from the molecular tests indicate that
tgAAC94 did not contribute to the patient's death, which was due to
disseminated histoplasmosis and a severe retroperitoneal hematoma,"
said Mease.
Dr. Mease also presented additional supportive data regarding the
SAE,
including:
-- Vector DNA was detected in the injected joint as expected.
-- The other medications the subject was taking, adalimumab, methotrexate
and prednisone, are known to be immunosuppressive and a risk factor for
histoplasma infection.
-- There was no increase in TNF-a binding protein above what was expected
based on the subject's ongoing background adalimumab therapy.
-- There was no detectable TNFR:Fc protein in serum tested from 16 of
the16 other subjects who were not on any TNF-a antagonist therapy.
About Phase I/II Study Details
The ongoing Phase I/II study is designed to assess the safety and
potential efficacy of different doses of tgAAC94 administered directly
to affected joints of subjects with inflammatory arthritis. Subjects
already enrolled in the study will continue to be followed and
monitored. Since the trial began in October 2005, 127 subjects have
received an initial dose of active drug or placebo into the knee,
ankle, wrist, metacarpophalangeal or elbow, and 74 subjects out of
the total 127 have received a second dose of active drug. Of those 74
subjects, 52 have received two doses of active drug.
"The new data are very encouraging and we are hopeful we can resume
this clinical trial soon," said H. Stewart Parker, president and chief
executive officer of Targeted Genetics. "Based on the clinical data
generated and evaluated to date, we are now working with our advisory
board to design the next phase of our clinical program."
The company previously reported interim aggregate data on the primary
and secondary end-points from the first 61 subjects in the dose
escalation portion (cohorts 1 to 3) of the Phase I/II clinical trial
of tgAAC94 at the EULAR and ASGT conferences in June. At week 12
after treatment with tgAAC94, 13%, 14% and 33% of subjects receiving
low, mid and high dose tgAAC94, respectively, achieved a two-point
reduction in swelling compared to none in the placebo group. A trend
in reduction of swelling in tgAAC94-injected joints compared to
placebo was also observed in subjects with or without concurrent use
of systemic TNF antagonist.
About tgAAC94
tgAAC94 is being developed as a supplemental therapeutic to systemic
anti-TNF-alpha protein therapy for use in patients with inflammatory
arthritis who have one or more joints that do not fully respond to
systemic protein therapy. The product candidate uses Targeted
Genetics' recombinant AAV (rAAV) vector technology to deliver a DNA
sequence that encodes a soluble form of the TNF-alpha receptor (TNFR:
Fc). Soluble TNFR:Fc inhibits the immune stimulating activity of
TNF-alpha. Direct injection of tgAAC94 into affected joints leads to
the localized production of secreted TNFR:Fc within joint cells,
reducing the activity of TNF-alpha within the joint and, potentially,
leading to a decrease in the signs and symptoms of inflammatory
disease and inhibition of joint destruction.
About Histoplasmosis
Histoplasmosis is a fungal infection resulting from exposure to
spores of the microscopic fungus, Histoplasma capsulatum. Clinical
manifestations can vary from a mild flu-like illness that may not
produce any noticeable symptoms to rapidly progressive, sometimes
fatal, disseminated disease. The degree of symptoms experienced from
this infection can be highly variable depending on a number of
factors including the relative strength of the infected person's
immune system. Many of the medications commonly prescribed to
patients undergoing treatment for inflammatory arthritis, including
those that were being taken by the patient, are recognized to have
immunosuppressant effects.
About Targeted Genetics
Targeted Genetics Corporation is a biotechnology company committed to
the development of innovative targeted molecular therapies for the
prevention and treatment of acquired and inherited diseases with
significant unmet medical need. Targeted Genetics' proprietary
Adeno-Associated Virus (AAV) technology platform allows it to deliver
genes that encode proteins to increase gene function or RNAi to
decrease or silence gene function. Targeted Genetics' product
development efforts target inflammatory arthritis, AIDS prophylaxis,
congestive heart failure and Huntington's disease. To learn more
about Targeted Genetics, visit Targeted Genetics' website at
www.targetedgenetics.com.
Safe Harbor Statement under the Private Securities Litigation Reform
Act of 1995:
This release contains forward-looking statements regarding the
Company's business strategy and product development, including
statements regarding the data collected in the tgAAC94 program, the
cause of the serious adverse event and the impact, if any, on the
timing, continuance or results of this trial, establishment or
determination of efficacy endpoints from the data collected in the
trial, the timely and complete accrual of patients in the trial and
our ability to commercialize tgAAC94 and other statements about the
Company's plans, objectives, intentions and expectations. These
statements involve current expectations, forecasts of future events
and other statements that are not historical facts. Inaccurate
assumptions and known and unknown risks and uncertainties can affect
the accuracy of forward-looking statements. Factors that could affect
actual future events or results include, but are not limited to,
payments anticipated by the Company under product development
collaborations and contracts, the Company's actual expenses, the
Company's ability to raise capital when needed, the timing, nature
and results of the Company's clinical trials, potential development
of alternative technologies or more effective products by
competitors, the Company's ability to obtain and maintain regulatory
or institutional approvals, the Company's ability to maintain its
listing on the NASDAQ Capital Market and the Company's ability to
obtain, maintain and protect its intellectual property, as well as
other risk factors described in "Item 1A. Risk Factors" in the
Company's most recent annual report on Form 10-K for the year ended
December 31, 2006 filed with the SEC and in its most recently filed
quarterly report on Form 10-Q for the quarter ended September 30,
2007. You should not rely unduly on these forward-looking statements,
which apply only as of the date of this release. The Company
undertakes no duty to publicly announce or report revisions to these
statements as new information becomes available that may change the
Company's expectations.
Investor and Media Contact:
Stacie D. Byars
Director, Communications
Targeted Genetics Corporation
206.521.7392
Cell: 206.660.2588
SOURCE: Targeted Genetics