Potential Treatment Aims to Correct Underlying Causes of Disease
SAN MATEO, Calif., Sept. 17 /PRNewswire/ -- SciClone Pharmaceuticals
(Nasdaq: SCLN) today announced the start of patient dosing in a
Phase 2 clinical trial of the Company's oral drug candidate, CPX,
for the treatment of cystic fibrosis (CF). The trial will evaluate
CPX's efficacy in repairing the underlying protein dysfunction in
CF. In addition, the trial is designed to identify the optimal therapeutic
dose of CPX.
This randomized, double-blind, placebo-controlled, multiple ascending
dose Phase 2 trial is designed to treat 50 CF patients with mild
to moderately severe CF at four leading CF centers. Patients will
receive an oral dose of CPX or placebo up to four times daily for
one week. The primary endpoints of the trial are changes in sweat
chloride content and changes in nasal epithelial transmembrane potential
difference (NEPD), two surrogate markers for efficacy in CF. The
measurement of sweat chloride content is currently the standard
diagnostic test for CF.
In June 1998, the Company announced results from its single oral
ascending dose Phase 1 trial of CPX in 37 patients with CF. This
trial demonstrated that oral dosing of CPX produced levels of CPX
in the blood that are expected to be required for therapeutic effect.
The trial also demonstrated CPX to be safe at all doses tested.
"It is exciting to work with leading CF clinicians who share
our belief that CPX is the most promising drug therapy for CF,"
said David A. Karlin, M.D., Vice President and Medical Director
of SciClone. Because CPX targets the underlying causes of CF, it
was possible to design a trial to measure changes in physiological
processes believed responsible for CF, such as the transport of
chloride ions across epithelial cell membranes. In the scientific
community, the trial endpoints of sweat chloride and NEPD are considered
to be valid surrogate measures for efficacy.
"Much as diabetic patients need insulin," continued Dr.
Karlin, "CF patients need a drug which can return the underlying
defective protein to normal function, not just address the symptoms,
and which can be administered safely for the ongoing maintenance
of normalcy."
Cystic fibrosis (CF) is the most common fatal genetic disorder
in the U.S. It affects approximately 70,000 children and young adults
worldwide, including 30,000 in the U.S. and 30,000 in Europe. Currently,
there is no cure for CF. Approved therapies for CF treat only the
symptoms of the disease, such as lung infections. The average annual
cost of care for a CF patient is $50,000. The median age of survival
for a person with CF is 31 years.
CF is caused by a defect in the cystic fibrosis transmembrane regulator
(CFTR) protein, which transports chloride ions across the membranes
of epithelial cells lining several organs in the body. In the lungs,
insufficient chloride transport prevents water from exiting epithelial
cells, causing the body to produce abnormally thick, sticky mucus
that clogs the airways and leads to fatal infections. Approximately
70% of CF patients have the delta F508 mutation of the gene coding
for the CFTR protein. The delta F508 mutation causes the CFTR protein
to be defective. All patients enrolled in SciClone's Phase 2 trial
will have the delta F508 mutation.
In preclinical studies sponsored by the National Institutes of
Health, CPX repaired the two key defects in the CFTR protein: (1)
abnormal trafficking and (2) impaired chloride ion transport. CPX
is an orally available, non- toxic compound. The Company believes
that CPX has the potential to prevent the production of abnormal
mucus in CF patients with the delta F508 mutation. CPX appears to
bind with the defective CFTR protein and enable it to reach epithelial
cell membranes and permit the CFTR to transport chloride ions.
SciClone Pharmaceuticals is a global biopharmaceutical company
that acquires, develops and commercializes specialist-oriented drugs
for treating chronic and life-threatening diseases, such as hepatitis
B, hepatitis C, cystic fibrosis, cancer and immune system disorders.
Press releases and corporate information from SciClone Pharmaceuticals
are available on the Internet at www.sciclone.com and by calling
the Company's Investor Relations Department at 800-724-2566.
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