Wyeth
Pharmaceuticals, a division of Wyeth (NYSE: WYE), announced that the
European Commission has approved TORISEL(TM) (temsirolimus) for the
first-line treatment of patients with advanced renal cell carcinoma (RCC)
who have at least three of six prognostic risk factors. TORISEL is the only
approved cancer therapy that specifically inhibits the mTOR (mammalian
target of rapamycin) kinase, an important regulator of cell proliferation,
cell growth and cell survival. TORISEL was approved in the United States in
May 2007 for the treatment of advanced RCC.
Renal cell carcinoma accounts for approximately 85 percent of the
estimated 85,000 new cases of kidney cancer diagnosed in Europe annually.
TORISEL is the only renal cancer therapy proved to extend median overall
survival compared with interferon-alpha in patients with advanced RCC.
"Temsirolimus was studied in the most difficult-to-treat patients with
advanced renal cell carcinoma: those who have multiple risk factors that
have been associated with shortened survival," says Bernard Escudier, M.D.,
Head of the Immunotherapy Unit, Department of Medical Oncology, Institut
Gustave Roussy, Villejuif, France, and an investigator in the TORISEL phase
3 study. "The ability of temsirolimus to provide an increase in overall
survival in these patients provides us with a much-needed new option for
the treatment of advanced kidney cancer."
TORISEL was studied in a three-arm, phase 3 clinical trial of 626
patients with advanced RCC and three or more of six preselected prognostic
risk factors who had received no prior systemic therapy. In the study,
TORISEL significantly increased median overall survival by 49 percent
compared with interferon-alpha (10.9 months vs. 7.3 months, P=0.0078).
TORISEL also was associated with a statistically significant improvement
over interferon-alpha in the secondary endpoint of progression-free
survival (when the disease does not worsen; 5.6 months vs. 3.2 months,
P=0.0042). The combination of TORISEL and interferon-alpha did not result
in a significant increase in overall survival when compared with
interferon-alpha alone.
"The European Commission's approval of TORISEL underscores the
importance of this therapy for patients with advanced kidney cancer and
reinforces the potential of this mechanism of action as a new approach in
oncology," says Robert R. Ruffolo, Jr., Ph.D., President, Wyeth Research,
and Senior Vice President, Wyeth.
About TORISEL
TORISEL is an mTOR inhibitor indicated in the European Union for the
first-line treatment of patients with advanced RCC who have at least three
of six prognostic risk factors. These risk factors include less than one
year from time of initial RCC diagnosis to randomization, Karnofsky
performance status of 60 or 70, hemoglobin less than the lower limit of
normal, corrected calcium of greater than 10 mg/dL, lactate dehydrogenase >
1.5 times the upper limit of normal, and more than one metastatic organ
site. In the United States, TORISEL is indicated for the treatment of
advanced RCC.
Inhibition of mTOR in treated cancer cells blocked the translation of
genes that regulate the cell cycle. In in vitro studies using renal cancer
cell lines, TORISEL inhibited the activity of mTOR and resulted in reduced
levels of certain cell growth factors involved in the development of new
blood vessels, such as vascular endothelial growth factor.
In March 2007, the European Association of Urology published guidelines
recommending that TORISEL be considered as first-line treatment in patients
with advanced RCC with poor-risk features. In August 2007, the National
Comprehensive Cancer Network (NCCN) in the United States added TORISEL to
the NCCN Kidney Cancer Guidelines as an option in first-line therapy for
both predominant clear cell histology and non-clear cell histology and as a
subsequent therapy option for patients with predominant clear cell
histology.
TORISEL U.S. Important Safety Information
Hypersensitivity reactions manifested by symptoms, including, but not
limited to anaphylaxis, dyspnea, flushing, and chest pain have been
observed with TORISEL.
Serum glucose, serum cholesterol, and triglycerides should be tested
before and during treatment with TORISEL.
The use of TORISEL is likely to result in hyperglycemia and
hyperlipemia. This may result in the need for an increase in the dose of,
lipid-lowering agents, respectively.
The use of TORISEL may result in immunosuppression. Patients should be
carefully observed for the occurrence of infections, including
opportunistic infections.
Cases of interstitial lung disease, some resulting in death, have
occurred. Some patients were asymptomatic and others presented with
symptoms. Some patients required discontinuation of TORISEL and/or
treatment with corticosteroids and/or antibiotics.
Cases of fatal bowel perforation occurred with TORISEL. These patients
presented with fever, abdominal pain, metabolic acidosis, bloody stools,
diarrhea, and/or acute abdomen.
Cases of rapidly progressive and sometimes fatal acute renal failure
not clearly related to disease progression occurred in patients who
received TORISEL.
Due to abnormal wound healing, use TORISEL with caution in the
perioperative period.
Patients with central nervous system tumors (primary CNS tumor or
metastases) and/or receiving anticoagulation therapy may be at an increased
risk of developing intracerebral bleeding (including fatal outcomes) while
receiving TORISEL.
Live vaccinations and close contact with those who received live
vaccines should be avoided.
Patients and their partners should be advised to avoid pregnancy
throughout treatment and for 3 months after TORISEL therapy has stopped.
The most common (incidence greater than or equal to 30%) adverse
reactions observed with TORISEL are: rash (47%), asthenia (51%), mucositis
(41%), nausea (37%), edema (35%), and anorexia (32%). The most common
laboratory abnormalities (incidence greater than or equal to 30%) are
anemia (94%), hyperglycemia (89%), hyperlipemia (87%), hypertriglyceridemia
(83%), elevated alkaline phosphatase (68%), elevated serum creatinine
(57%), lymphopenia (53%), hypophosphatemia (49%), thrombocytopenia (40%),
elevated AST (38%), and leukopenia (32%).
Most common grades 3/4 adverse events included asthenia (11%), dyspnea
(9%), hemoglobin decreased (20%), lymphocytes decreased (16%), glucose
increased (16%), phosphorus decreased (18%), and triglycerides increased
(44%).
Strong inducers of CYP3A4/5 (eg, dexamethasone, rifampin) and strong
inhibitors of CYP3A4 (eg, ketoconazole, atazanavir) may decrease and
increase concentrations of the major metabolite of TORISEL, respectively.
If alternatives cannot be used, dose modifications of TORISEL are
recommended.
St. John's Wort may decrease TORISEL plasma concentrations, and
grapefruit juice may increase plasma concentrations of the major metabolite
of TORISEL, and therefore both should be avoided.
The combination of TORISEL and sunitinib resulted in dose-limiting
toxicity (Grade 3/4 erythematous maculopapular rash, and gout/cellulitis
requiring hospitalization).
Please see TORISEL full U.S. Prescribing Information at
TORISEL.
Wyeth Pharmaceuticals
Wyeth Pharmaceuticals, a division of Wyeth, has leading products in the
areas of women's health care, infectious disease, gastrointestinal health,
central nervous system, inflammation, transplantation, hemophilia,
oncology, vaccines and nutritional products.
Wyeth is one of the world's largest research-driven pharmaceutical and
health care products companies. It is a leader in the discovery,
development, manufacturing and marketing of pharmaceutical, vaccines,
biotechnology products and non-prescription medicines that improve the
quality of life for people worldwide. The Company's major divisions include
Wyeth Pharmaceuticals, Wyeth Consumer Healthcare and Fort Dodge Animal
Health.
The statements in this press release that are not historical facts are
forward-looking statements based on current expectations of future events
and are subject to risks and uncertainties that could cause actual results
to differ materially from those expressed or implied by such statements.
These risks and uncertainties include the inherent uncertainty of the
timing and success of, and expense associated with, research, development,
regulatory approval and commercialization of our products, including with
respect to our pipeline products; government cost-containment initiatives;
restrictions on third-party payments for our products; substantial
competition in our industry, including from branded and generic products;
data generated on our products; the importance of strong performance from
our principal products and our anticipated new product introductions; the
highly regulated nature of our business; product liability, intellectual
property and other litigation risks and environmental liabilities;
uncertainty regarding our intellectual property rights and those of others;
difficulties associated with, and regulatory compliance with respect to,
manufacturing of our products; risks associated with our strategic
relationships; economic conditions including interest and currency exchange
rate fluctuations; changes in generally accepted accounting principles;
trade buying patterns; the impact of legislation and regulatory compliance;
risks and uncertainties associated with global operations and sales; and
other risks and uncertainties, including those detailed from time to time
in our periodic reports filed with the Securities and Exchange Commission,
including our current reports on Form 8-K, quarterly reports on Form 10-Q
and annual report on Form 10-K, particularly the discussion under the
caption "Item 1A, RISK FACTORS." The forward-looking statements in this
press release are qualified by these risk factors. We assume no obligation
to publicly update any forward-looking statements, whether as a result of
new information, future developments or otherwise.
Wyeth Pharmaceuticals
wyeth
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