CoGenesys, Inc. announced today
that the U.S. Food and Drug Administration has completed its review of the
Company's Investigational New Drug (IND) application for Cardeva(TM), a
long- acting form of b-type natriuretic peptide (BNP), and that the Company
intends to begin clinical testing in the United States shortly, pending
institutional review board approval. Cardeva is the most advanced compound
in CoGenesys' broad pipeline of improved, long-acting biopharmaceuticals
being developed to address unmet medical needs across a broad spectrum of
therapeutic areas.
Preclinical studies have demonstrated that Cardeva, a human serum
albumin (HSA)-BNP fusion protein, retains the pharmacological profile of
BNP peptide but has a greatly extended half-life and long duration of
action. The Phase I/II clinical trial of Cardeva will be a randomized,
multicenter, double- blind, vehicle-controlled, ascending repeat dose
safety and tolerability trial in up to 80 stable subjects with class II or
III heart failure. Subjects will receive one or two doses of Cardeva.
Evaluations will include safety and tolerability, pharmacokinetic profiles,
and signals for effect.
"BNP stimulates cyclic GMP, which is not only a vasodilator but an
inhibitor of the progressive heart muscle structural remodeling that leads
to progression of heart failure," according to Jay N. Cohn, M.D., Professor
of Medicine at the University of Minnesota. "Chronic administration of a
long- acting BNP could have remarkably favorable effects that must be
documented in clinical trials," he said.
Martha A. Reitman, M.D., CoGenesys' Senior Vice President, Medical
Affairs, stated, "We are pleased to announce the initiation of the clinical
program for Cardeva, which we believe holds great promise in the treatment
of CHF. Heart failure patients with significant decompensation are
currently only able to receive a short-acting BNP intravenously, usually in
a hospital setting, to improve their clinical status. With Cardeva, our
goal is to provide a low-dose, subcutaneous administration allowing for
chronic outpatient treatment that will improve quality of life and decrease
the incidence of acute decompensation and hospitalization."
About Heart Failure
In heart failure, the heart is not able to adequately deliver
oxygen-rich blood to the body, and patients often feel short of breath and
have difficulty performing routine tasks. Quality of life is severely
compromised, and annual mortality rates can average 20% or more in severe
cases. The complex etiology and pathophysiology of CHF currently requires
the use of multiple therapeutic agents for optimal patient management.
In CHF, BNP is naturally produced by the failing heart in an attempt to
compensate for reduced cardiac output, leading to improved delivery of
oxygen through mechanisms including increased coronary vasodilation and
inhibition of the renin-angiotensin-aldosterone system. Natriuretic
peptides have proven effective treatments for acute heart failure in the
hospital setting, however, their unfavorable pharmacokinetics has proved a
substantial obstacle to development for outpatient treatment of CHF.
According to the American Heart Association, the prevalence of CHF in
the U.S. during 2003 was approximately 5,000,000 patients. These patients
are at significant risk for hospitalization, translating into a potential
cost of $29.6 billion for the healthcare system. In 2003, there were
approximately 550,000 new cases reported, and almost 57,000 attributable
deaths. The number of CHF deaths has increased steadily despite advances in
treatment, in part because of increasing numbers of patients with CHF due
to better treatment and as a result of improved patient survival following
acute myocardial infarctions early in life. More than 10 million patients
will likely suffer from CHF by 2020, mainly as a result of aging in our
society and advances in the treatment of other cardiovascular disorders.
Prognosis for CHF patients is poor with 12% mortality within three
months of diagnosis and 33% by one year. Approximately 60% of patients with
CHF die within five years of initial diagnosis, a mortality rate comparable
to the worst forms of cancer.
About CoGenesys' Therapeutic Pipeline and Technology
Development programs at CoGenesys are capitalizing on the depth of its
pipeline and the breadth of its technology to develop lead drug candidates
addressing a broad spectrum of diseases and applications, including
cardiovascular disease, diabetes/metabolism, enzyme and protein replacement
therapy and others. CoGenesys' state-of-the-art research and manufacturing
facility is fully equipped, supporting both preclinical development and
cGMP manufacture of biologics.
The clinically validated albumin-fusion technology offers a number of
advantages, including the ability to improve the bioavailability of
existing biologicals, such as interferon alpha (being developed by Human
Genome Sciences, Inc. (HGS) and Novartis), and increased feasibility of
developing pharmaceutically relevant peptides, such as GLP-1 (being
developed by GlaxoSmithKline under license from HGS). In addition to
Cardeva, CoGenesys is readying for clinical development a second product, a
long-acting form of Granulocyte Colony Stimulating Factor (GCSF), to
decrease the incidence of infection in patients receiving myelosuppressive
anti-cancer drugs.
About CoGenesys, Inc.
CoGenesys is advancing a pipeline of improved, long-acting
biopharmaceuticals developed to address unmet medical needs across a broad
spectrum of therapeutic areas. The Company's strategy is to demonstrate
safety and proof of concept in clinical trials followed by licensing or
partnering of compounds to fund further development. CoGenesys has
approximately 70 employees, including 20 Ph.D.-level scientists, and a
dedicated 48,000 sq. ft. facility with specialized laboratories and cGMP
manufacturing capacity sufficient for early-stage clinical testing. For
more information about CoGenesys visit us at our website
cogenesys.
CoGenesys, Inc.
cogenesys