Copenhagen, Denmark; December 10, 2006 – Genmab A/S (CSE:
GEN) announced today positive early results of the first stage of the
ongoing pivotal Phase III study of HuMax-CD4® (zanolimumab) in cutaneous
T-cell lymphoma (CTCL) and the ongoing Phase II study in non-cutaneous
T-cell lymphoma (NCTCL). In the pivotal CTCL study, clinical response
was shown in 5 of 12 patients (42%) in the two highest dose groups. A
partial response was obtained by 1 of 6 patients (16%) in the 8 mg/kg dose
group and 4 of 6 patients (67%) in the 14 mg/kg dose group. Patients
were also treated at the 4 mg/kg dose level, with no responses
observed. This dose level is not being used in the second part of the
ongoing pivotal study.
A total of 22 patients were enrolled in three dose cohorts in the first
part of the pivotal study and received infusions of 4, 8, or 14 mg/kg of
HuMax-CD4 once weekly for 12 weeks. Patients were evaluated 4 and 8
weeks after the final treatment dose and every 8 weeks until progression of
disease. The goal of this first portion of the Phase III study was to
characterize material obtained from a new manufacturing site.
“We have successfully characterized the new HuMax-CD4 material and have
moved into the second phase of the CTCL pivotal study,” said Lisa N.
Drakeman, Ph. D., Chief Executive Officer of Genmab. “We are encouraged by
the response rates in these patients who have failed other therapies.”
Preliminary results in the ongoing Phase II clinical trial in HuMax-CD4 to
treat non-cutaneous T-cell lymphoma (NCTCL) showed that 4 of 14 patients
(28.5%) had objective responses. Plans are ongoing to next test HuMax-CD4
in combination with chemotherapy for the NCTCL patients.
Results from both studies will be presented at the 48th American Society of
Hematology Annual Meeting and Exposition in Orlando, Florida December 9-12,
2006.
The preliminary HuMax-CD4 CTCL Phase III results are being presented at
poster session #2731 on December 10 from 9AM to 8PM local time in Hall E1,
board 909. The preliminary NCTCL results are being presented in poster
session #2723 on December 10, from 9AM to 8PM local time in Hall E1, board
901.
About CTCL and NCTCL
Cutaneous T-cell lymphomas are a group of lymphomas characterized by
abnormal accumulation of malignant T-cells in the skin, potentially
resulting in the development of rashes, plaques and tumors. The most common
types of CTCL include mycosis fungoides (MF) and Sézary syndrome (SS). CTCL
result from errors in the production of T-lymphocytes or transformation of
T-lymphocytes into malignant cells. Abnormal, uncontrolled growth and
multiplication of malignant T-lymphocytes result in accumulation of these
lymphocytes in the skin and may in some cases spread and affect the lymph
nodes and other body tissues and organs, resulting in life-threatening
complications.
Non-cutaneous T-cell lymphomas (NCTCL) are defined by highly malignant
disease, which has localized to the lymph nodes even at the earliest stage
of the disease, and include angioimmunoblastic T-cell lymphoma, anaplastic
large cell lymphoma and unspecified peripheral T-cell lymphoma. NCTCL is
characterized by aggressive progression with average survival time of
approximately two years.
About HuMax-CD4 (zanolimumab)
HuMax-CD4 is a human monoclonal antibody currently in Phase III development
for cutaneous T-cell lymphoma (CTCL) and in Phase II for non-cutaneous
T-cell lymphoma. These types of lymphomas express the CD4 receptor, which
is the target of HuMax-CD4. In April 2005, Genmab and the United States
Food and Drug Administration (FDA) reached an agreement on the design of
its pivotal study protocol for HuMax-CD4 to treat CTCL under the Special
Protocol Assessment process (SPA). The pivotal study includes patients with
MF who are refractory to or intolerant of Targretin® and one other standard therapy, and will treat a
total of 88 patients.
In March 2004, Genmab announced that HuMax-CD4 had been designated a Fast
Track Product by the US Food and Drug Administration (FDA). This
designation covers patients with CTCL for whom no available therapy exists,
i.e. have failed at least two systemic treatment regimens. HuMax-CD4 for
the treatment of MF has also been granted Orphan Drug status in the US and
Europe. HuMax-CD4 is being developed under a collaboration with
Serono.