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AVEO and Astellas Announce TAURUS Patient Preference Clinical Study Comparing ... - MarketWatch (press release) PDF Print

CAMBRIDGE, Mass. & TOKYO, Jun 04, 2012 (BUSINESS WIRE) -- AVEO Oncology /quotes/zigman/115850/quotes/nls/aveo AVEO -2.12% and Astellas Pharma Inc. today announced plans to initiate a new clinical study, TAURUS (TivozAnib Use veRsUs Sutent in advanced renal cell carcinoma (RCC): Patient Preference), to establish additional data regarding the investigational drug tivozanib when used as first-line therapy in patients with advanced RCC. The TAURUS study will enroll patients at sites throughout the United States and Western Europe.

"With more treatment options available for patients living with cancer, it's becoming increasingly critical to understand how patient preference is influenced by side effects and other related issues," said William Slichenmyer, M.D., Sc.M., chief medical officer at AVEO. "Following the positive findings from the Phase 3 TIVO-1 trial, the TAURUS study will allow us to further define the tolerability profile of tivozanib and understand the role that tivozanib could play in the treatment of first line advanced kidney cancer compared to a standard of care drug."

"Patients and their healthcare providers are looking for anti-cancer agents that are more effective and better tolerated than existing therapeutic options," said Bernard Escudier, M.D., principal investigator for TAURUS, Institut Gustave Roussy, "The TAURUS study will help us better understand how the side effect profiles of drugs affect patients' treatment choices. The typical patient being treated for metastatic kidney cancer is middle-aged, active and is still in the work force and therefore the impact of side effects may be more important to them."

"The TAURUS trial will help us better understand patient preference in selecting kidney cancer treatment options," stated Steven Ryder, M.D., president, Astellas Pharma Global Development. "The study supports Astellas' goal of leadership in oncology and our commitment to improving patient care."

TAURUS is a randomized (1:1), double-blind, crossover controlled, multi-center Phase 2 study comparing tivozanib versus sunitinib in approximately 160 patients with advanced RCC who have received no prior systemic therapy. The primary objective of the study is to compare patient preference after receiving both tivozanib and sunitinib in sequence. Secondary objectives are to evaluate the incidence of treatment-emergent Grade 3/4 adverse events (AEs) and serious adverse events (SAEs); frequency of dose modifications; and quality of life in patients treated with tivozanib versus sunitinib.

Tivozanib is an investigational drug that successfully completed a pivotal Phase 3 trial called TIVO-1 in which tivozanib demonstrated superiority in progression-free survival and favorable tolerability versus sorafenib in first-line advanced RCC.

About Kidney Cancer

Advanced RCC, or kidney cancer, is the ninth most commonly diagnosed cancer in men and women in the U.S.(1) Worldwide it is estimated that more than 250,000 people are diagnosed and more than 100,000 people die from the disease each year.(2) RCC accounts for more than 90 percent of all kidney cancers.(3) Currently available therapies provide less than one year of median PFS in treatment naiI^ve patients and are associated with significant toxicities.(4) These toxicities not only lead to high rates of dose reductions and interruptions (potentially compromising efficacy), but also can impact a patient's quality of daily living.(5)

About Tivozanib

Tivozanib is a potent, selective, long half-life inhibitor of all three vascular endothelial growth factor (VEGF) receptors that is designed to optimize VEGF blockade while minimizing off-target toxicities. Tivozanib is an oral, once-daily, investigational tyrosine kinase inhibitor for which positive results from a Phase 3 clinical study in advanced renal cell carcinoma have been reported, and is being evaluated in other tumors.

About TIVO-1

TIVO-1 is a global, randomized Phase 3 superiority clinical trial evaluating the efficacy and safety of investigational drug tivozanib compared to sorafenib in 517 patients with advanced RCC. TIVO-1 is the first superiority pivotal study in advanced RCC that has demonstrated statistically significant progression-free survival (PFS) superiority versus an approved targeted agent (sorafenib) in advanced RCC.

All patients in TIVO-1 had clear cell RCC, had undergone a prior nephrectomy, and had not previously been treated with either a VEGF or mTOR therapy. Key findings from TIVO-1 include(6):

-- Based on independent radiological reviews, tivozanib demonstrated a statistically significant improvement in PFS with a median PFS of 11.9 months compared to a median PFS of 9.1 months for sorafenib in the overall (Intent To Treat) study population (HR=0.797, 95% CI 0.639--0.993; P=0.042). Objective response rate (ORR) for tivozanib was 33% compared to 23% for sorafenib (p=0.014). The efficacy advantage of tivozanib over sorafenib was consistent across subgroups in the study.

-- In patients who were treatment naive for advanced RCC (70% of total study population), tivozanib demonstrated a statistically significant improvement in PFS with a median PFS of 12.7 months compared to a median PFS of 9.1 months for sorafenib (HR 0.756, 95% CI 0.580--0.985; P=0.037). -- In the subpopulation of patients who were pretreated with systemic therapy including cytokines (30% of total study population), tivozanib demonstrated an improvement in PFS with a median PFS of 11.9 months compared to a median PFS of 9.1 months for sorafenib.

-- The most common adverse event (all grades/greater-than or equal to grade 3) for tivozanib was hypertension (t:44%/25% vs S) and for sorafenib was hand-foot syndrome (t:13%/2% vs S). Other adverse events included diarrhea (t:22%/2% vs S), fatigue (t:18%/5% vs S), and neutropenia (t:10%/2% vs S). -- The rate of dose interruptions due to adverse events was 18% for tivozanib compared to 35% for sorafenib (p

-- The rate of dose reductions due to adverse events was 12% for tivozanib compared to 43% for sorafenib (p

About the AVEO/Astellas Collaboration

In February 2011, AVEO and Astellas entered into a worldwide agreement outside of Asia to develop and commercialize tivozanib for the treatment of a broad range of cancers. Tivozanib, AVEO's lead investigational drug, is a potent, selective, long half-life inhibitor of all three vascular endothelial growth factor (VEGF) receptors that is designed to optimize VEGF blockade while minimizing off-target toxicities. Subject to regulatory approval, AVEO will lead commercialization of tivozanib in North America and Astellas will lead commercialization of tivozanib in the European Union (EU). AVEO and Astellas are evaluating tivozanib in clinical trials in multiple solid tumors; updates on the progress of those trials are expected to be available in the coming months.

About Astellas

Astellas Pharma Inc., located in Tokyo, Japan, is a pharmaceutical company dedicated to improving the health of people around the world through the provision of innovative and reliable pharmaceuticals. Astellas has approximately 17,000 employees worldwide. The organization is committed to becoming a global category leader in Urology, Immunology (including Transplantation) and Infectious Diseases, Oncology, Neuroscience and DM Complications and Kidney Diseases. For more information on Astellas Pharma Inc., please visit the company website at www.astellas.com/en .

About AVEO

AVEO Oncology /quotes/zigman/115850/quotes/nls/aveo AVEO -2.12% is a cancer therapeutics company committed to discovering, developing and commercializing targeted therapies to impact patients' lives. AVEO's proprietary Human Response Platform(TM) provides the company unique insights into cancer biology and is being leveraged in the discovery and clinical development of its cancer therapeutics. For more information, please visit the company's website at www.aveooncology.com .

Cautionary Note Regarding Forward-Looking Statements

This press release contains forward-looking statements of AVEO that involve substantial risks and uncertainties. All statements, other than statements of historical facts, contained in this press release are forward-looking statements, within the meaning of The Private Securities Litigation Reform Act of 1995. The words "anticipate," "believe," "estimate," "expect," "intend," "may," "plan," "target," "potential," "could," "should," "seek," or the negative of these terms or other similar expressions, are intended to identify forward-looking statements, although not all forward-looking statements contain these identifying words. These forward-looking statements include, among others, statements about: tivozanib's potential and role in treating patients with kidney cancer, whether the Taurus clinical study will reveal new and/or beneficial information about tivozanib or other drugs; and AVEO's plans for advancing the registration process for tivozanib. Actual results or events could differ materially from the plans, intentions and expectations disclosed in the forward-looking statements that AVEO makes due to a number of important factors, including risks relating to: whether the results of TIVO-1 are sufficient to obtain marketing approval for tivozanib, which turns on the ability of AVEO to demonstrate to the satisfaction of the FDA or comparable foreign regulatory authorities the safety and efficacy of tivozanib based upon the findings of TIVO-1, including its data with respect to PFS, the rate of adverse events, OS and other information that the FDA may determine to be relevant to approvability; AVEO's inability to demonstrate in subsequent trials any safety and efficacy it demonstrated in earlier trials of tivozanib; ongoing regulatory requirements with respect to the approval of tivozanib, including the risk that FDA or any comparable foreign regulatory agency could require additional positive clinical trials as the basis for product approval; AVEO's inability to obtain and maintain adequate protection for intellectual property rights relating to its product candidates and technologies; unplanned operating expenses; AVEO's inability to raise the substantial additional funds required to achieve its goals; adverse general economic and industry conditions; competitive factors; AVEO's ability to maintain its collaboration with Astellas; AVEO's and Astellas' ability to successfully launch and commercialize tivozanib if and when it may be approved for commercialization; and those risks discussed in the section titled "Risk Factors" and elsewhere in AVEO's most recent Annual Report on Form 10-K and in its other filings with the Securities and Exchange Commission. The forward-looking statements in this press release represent AVEO's views as of the date of this press release. AVEO anticipates that subsequent events and developments will cause its views to change. However, while AVEO may elect to update these forward-looking statements at some point in the future, it specifically disclaims any obligation to do so. You should, therefore, not rely on these forward-looking statements as representing AVEO's views as of any date subsequent to the date of this press release. Sutent(R) is a registered trademark of Pfizer Inc.

(1)U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999--2007 Incidence and Mortality Web-based Report. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010. Available at: www.cdc.gov/uscs . (2)Cancer Research UK. Available at: http://info.cancerresearchuk.org/cancerstats/world/the-global-picture/ #Common; http://publications.cancerresearchuk.org/downloads/Product/cs_pdf_worldwide_2011.pdf (3)American Cancer Society. Available at: http://www.cancer.org/Cancer/KidneyCancer/OverviewGuide/kidney-cancer--adult--renal-cell-carcinoma-overview-what-is-kidney-cancer . (4)Bhargava, P., Robinson, M. Curr Oncol Rep (2011) 13:103--111 (5)Ravaud, A. Annals of Oncology 20 (Supplement 1): i7--i12, 2009 (6)Motzer R, et al. 2012 ASCO Annual Meeting, Abstract #4501.

SOURCE: AVEO Oncology




        
        Investor Contact: 
        AVEO Oncology 
        Monique Allaire, 617-299-5810 
        or 
        Media Contacts: 
        Astellas Pharma Inc. 
        Astellas US LLC 
        Jenny Kite, 847-317-5405 
        or 
        AVEO 
        AVEO Oncology 
        Rob Kloppenburg, 617-930-5595 
        or 
        Pure Communications 
        Dan Budwick, 973-271-6085
        



Copyright Business Wire 2012

/quotes/zigman/115850/quotes/nls/aveo US : U.S.: Nasdaq $ 12.46 -0.27 -2.12% loading... /quotes/zigman/115850/quotes/nls/aveo US : U.S.: Nasdaq $ 12.46 -0.27 -2.12% loading...

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Patient RCC Drug Preferences Revealed - Renal and Urology News PDF Print

CHICAGO—Patients with metastatic renal cell carcinoma (mRCC) prefer pazopanib over sunitinib because the former is associated with a better quality of life (QOL) and less fatigue, according to study findings presented at the American Society for Clinical Oncology 2012 annual meeting.

In a double-blind, randomized crossover study, 168 mRCC patients were randomized to pazopanib for 10 weeks followed by a two-week break and then sunitinib for 10 weeks, or vice versa.  In the primary analysis of 114 patients, 70% preferred pazopanib, 22% preferred sunitinib, and 8% had no preference. The differences were statistically significant. The most common reasons that patients gave for preferring pazopanib were better QOL and less fatigue. In addition, patients on pazopanib had fewer dose reductions than those taking sunitinib (13% vs. 20%) as well as fewer treatment interruptions (6% vs. 12%).

“While we expected patients would prefer one drug over the other due to the known toxicity profiles, we didn't expect this great a preference,” said lead investigator Bernard J. Escudier, MD, of the Institut Gustave Roussy, Villejuif, France. Study findings provide “an important reminder that low-grade toxicities patients experience may not seem bad, but if you are experiencing the toxicity over a long time, it has an effect on your quality of life.”

How patients feel when they take a drug over many months is not reflected in traditional adverse event reporting, he said. Patient-reported outcomes like these, however, are being added to traditional efficacy outcomes to better understand the clinical relevance of differences in toxicity between therapies. In this current environment, mRCC patients may take therapies for several years. QOL differences between two therapies may appear relatively modest to physicians, but can be perceived very differently by patients who may have to take therapies for many months or years.

Physician preference was not as strong as patient preference: 60% preferred pazopanib, 21% preferred sunitinib, and 21% had no preference.  The study was funded by GlaxoSmithKline, the maker of pazopanib, and involved several European, U.K., and U.S. cancer centers.

“Drugs with relatively similar safety profile can be perceived very differently by patients, and the difference observed in this study is more than any expectation we had before embarking into this study,” Dr. Escudier told Renal & Urology News. “This difference will be important to explain to patients with kidney cancer when they could receive both drugs. Patient preference should become a major endpoint to consider in oncology, especially with development of chronic therapy and by consequence of chronic toxicities. The grading system used in oncology today is more accurate to describe acute toxicity that low-grade chronic toxicity. As an example, having fatigue or nausea three days a month is very different than having continuous fatigue or nausea, even if grade of toxicity is lower.”

Urologist Robert G. Uzzo, MD, FACS, Chairman of the Department of Surgery at Fox Chase Cancer Center in Philadelphia, said the study findings are novel. As mRCC becomes more of a chronic condition instead of a terminal illness, patient preferences will become a bigger concern for physicians, Dr. Uzzo said.

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Renal failure ranks 9th leading cause of death among Filipinos –NKTI - Philippine Information Agency PDF Print
QUEZON CITY, June 5 (PIA) -- The National Kidney and Transplant Institute (NKTI) said renal or kidney failure ranks as the ninth leading cause of death among the Filipinos today.

The 2008 record of the National Statistics Office reflected that the number one fatal illness in the country is the disease of the heart, followed by cerebrovascular diseases, malignant neoplasm, pneumonia, tuberculosis, diabetes mellitus, chronic lower respiratory diseases, certain conditions originating in the perinatal period, nephritis, nephritic syndrome and nephrosis (relating to kidney disease), and assault.

In an earlier media forum held at the Philippine Information Agency, NKTI executive director Dr. Aileen Riego-Javier said based on the Philippine Renal Disease Registry, the top causes of kidney failure in the country is diabetes (44.6 percent), followed by the high blood pressure (23 percent), and inflammation of the kidneys (19.3 percent).

Dr. Javier said about 120 Filipinos per million population develop kidney failure. This implies that an estimated 10,000 Filipinos need to replace their kidney function each year. Only around 86 percent, however, could undergo dialysis, while about 14 percent could afford transplantation, because these treatments are quite expensive.

Without dialysis or kidney transplantation, patients with kidney failure (or those at End Stage Renal Disease or ESRD) die, according to the NKTI official.

“Of those who start dialysis, majority survive only about one and a half years due to cardiovascular disease that increases with renal failure,” added Dr. Antonio R. Paraiso, NKTI’s Renal Disease Control Program (REDCOP) manager.

In line with the celebration of the National Kidney Month this June, pursuant to Presidential Proclamation 1184, NKTI invites everyone to keep oneself aware of his or her kidney condition and to detect early development of renal disease by having a yearly urinalysis as well as maintenance of normal blood sugar levels and blood pressure to prevent or delay development of kidney problems that usually lead to ESRD.

Dr. Javier said the NKTI offers healthcare for patients with kidney and urologic diseases, kidney failure and kidney transplantation, with improved services and laboratory facilities.

As part of the community service of NKTI this Kidney Month, first 50 patients will be served a free kidney check-up on each Friday of June, starting today. (NKTI/PCCC/PIA-Central)

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Kidney failure in the country - Zamboanga Today Online PDF Print

At least one Filipino dies every hour from kidney failure which ranks as the 9th leading cause of death among Filipinos.

Dr. Aileen Javier, executive director of the National Kidney and Transplant Institute (NKTI), a government tertiary specialty center for patients with kidney diseases for the past 30 years,said people with kidney failure need to undergo dialysis or renal replacement therapy, or kidney transplantation, otherwise they will surely die.

"Each year an estimated 120 Filipinos per million population (PMP) develop kidney failure or about 10,000 needed kidney replacement each year, rising 10 percent annually, said Javier during a media forum last Friday sponsored by the Philippine Information Agency in Quezon City.

The forum is part of the month-long celebration campaign or Kidney Month to raise public awareness and the importance of kidney care,with this year's theme "Ikaw at Ako, Panalo sa Malusog na Bato".

"Unfortunately, in 2010 only 9,765 patients who were diagnosed with kidney failure received treatment by either starting dialysis (n=9716) or received kidney transplant (n=49) without going through dialysis", said Javier.

In 2010, about 11,280 patients were expected to start dialysis but based on a report from the Philippine Renal Disease Registry Annual Report for 2011, only 9,765 received treatment, thus, 14 percent or 1,579 patients newly diagnosed with end stage renal disease just died without receiving any treatment in 2010, she said.

"How many of you have diabetes and high blood pressure or have relatives who do? You are at risk for the development of kidney disease," Javier said, noting leading cause of kidney failure in the country is diabetes (44.6 percent), followed by high blood pressure (23.6 percent), and inflammation of kidneys (19.3 percent).

Javier said these patients were primarily between the ages of 51 to 60 years in a quarter of patients, followed by ages 61 to 70 years in 22 percent of cases.

On renal care prevention and health care, Javier encourages people to have a regular urinalysis check-up noting that the disease is really treacherous that "you can go around not knowing that you have disease," she said.

And most important for people is simple lifestyle which include: limiting salt in diet, drinking plenty of water, maintaining normal weight, and exercising daily for 30 minutes to keep the kidneys in good condition.

"A good diet na hindi siya masyadong fatty at salty kase it can lead to high cholesterol and to hypertension, Javier said, adding people should also "avoid masyadong sugary diets kasama na rin iyong kulang daw tayo sa physical activity".

"Kulang tayo ng exercise, and of course we need to drink lots of water kase we get dehydrated, and sometimes our diet can have too much salt,and very often you end up with renal stone," Javier explained.

She noted likewise that the NKTI is the forefront in leading the nation's healthcare for patients with kidney and urologic diseases, kidney failure and kidney transplantation, with the institute performing about 300 kidney transplants each year.

Asked on the cost of kidney transplantation in the country, Javier estimated about P600,000 up to one million pesos, and usually done with a donor from the patient's family.

"It is accepted that kidney transplation is the best treatment for kidney failure because it provides the longest survival and the best quality of life," said Javier.

But while transplantation is the best treatment for the disease, only 500 Filipinos received kidney transplant each year,"Javier said.

by: PNA


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Salt intake skepticism in the Sunday New York Times. PDF Print
NY Times: The scientific question is whether this temporary phenomenon translates to chronic problems: if we eat too much salt for years, does it raise our blood pressure, cause hypertension, then strokes, and then kill us prematurely? It makes sense, but it’s only a hypothesis. The reason scientists do experiments is to find out if hypotheses are true.

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