Copenhagen,
Denmark; December 12,
2003 – Genmab A/S (CSE: GEN) announced today HuMax-CD4 did not
achieve statistically significant results in a 118 patient Phase IIb study
to treat psoriasis. Analysis of the data indicated that HuMax-CD4 was safe
and well tolerated in the studies to date. There was also a statistically
significant dose dependent depletion of CD4+ T-cells. Genmab has no further
plans to develop HuMax-CD4 for the treatment of psoriasis. Genmab is
continuing its two Phase II studies with HuMax-CD4 to treat cutaneous
T-cell lymphoma after encouraging results were presented this fall.
About HuMax-CD4
HuMax-CD4 is a high affinity human antibody that targets the CD4 receptor
on T-lymphocytes. Genmab is also running two Phase II studies concurrently
using HuMax-CD4 to treat cutaneous T-cell lymphoma (CTCL). Interim results
using the Physician’s Global Assessment showed 55% of the early stage and
38% of the advanced stage CTCL patients achieved at least a partial
response (more than 50% improvement in their disease). One early
stage patient’s CTCL was completely cleared. In addition, 9% of the
early stage and 23% of the advanced stage patients achieved a minor
response (25-50% improvement). In other measures of the disease state,
pruritus (severe and sometimes debilitating itching) was improved in 82% of
early stage patients and 69% of advanced stage patients. Pruritus is most
likely the single major parameter for reducing quality of life in CTCL
patients.
Genmab is adding patients to the Phase II CTCL studies at higher dose
levels. The dose level has been increased from the original 280mg per
week for 16 weeks in the ongoing studies because CD4+ T-cells were not
fully depleted in the initial patients. The objective of using higher doses
is to improve responses by further reducing the number of CD4+ T-cells and,
thus, the number of cancer cells. At present, 10 early stage patients are
being treated with 560mg per week and 7 advanced stage patients are being
treated at the 980mg weekly dose level.
A review of the safety data has indicated that HuMax-CD4 appears to have
been safe and well tolerated in clinical trials to date. During the Phase
II CTCL studies no Grade 4 adverse events have occurred. There have been
only four Grade 3 adverse events and only one of those, skin
hypersensitivity, was judged to be possibly treatment related.
In addition to CTCL, approximately half of the non-cutaneous T-cell
lymphomas express the CD4 receptor on their cell surface and Genmab has
also treated a non-cutaneous T-cell lymphoma patient on a compassionate use
basis with a good clinical effect. Considering this and the
encouraging data from the CTCL study, Genmab is now making plans to
initiate a study in non-cutaneous T-cell lymphoma patients in the second
half of 2004, especially since these patients also have a dramatic need for
new and less toxic therapies.