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LA JOLLA PHARMACEUTICAL REACHES AGREEMENT WITH CARDIO-RENAL
DIVISION OF FDA REGARDING PHASE 4 TRIAL DESIGN UNDER SPECIAL PROTOCOL
ASSESSMENT
SAN DIEGO, August 2, 2004 La Jolla Pharmaceutical Company
(Nasdaq: LJPC) today announced that it has reached a written agreement
with the Cardio-Renal Division of the United States Food and Drug
Administration (FDA) concerning a clinical trial that is designed
to fulfill the Companys obligation to conduct a Phase 4
post-marketing clinical trial if its lupus drug candidate, Riquent®
(abetimus sodium), is approved under the FDAs accelerated
approval regulation, also called Subpart H. The trial protocol
was evaluated and agreed to under the Special Protocol Assessment
(SPA) process. The Company has initiated the study and expects
to screen the first patient in August 2004.
The Cardio-Renal Division is currently reviewing the Companys
New Drug Application for Riquent and the Company expects to learn
of a decision concerning its application on or about October 16,
2004. Although the Company has reached an agreement concerning
the Phase 4 trial design and has initiated the trial, there can
be no guarantee that the FDA will approve Riquent, under Subpart
H or otherwise.
"We are pleased to have an agreement on the design of this
trial. We have chosen to begin the trial now to demonstrate our
commitment to the study and to speed its conduct. We believe our
last two studies generated important information that demonstrates
the need to reduce antibodies to double-stranded DNA in patients
with lupus renal disease. We look forward to continuing to develop
a drug that is specifically designed to treat lupus and to working
with physicians and patients to increase our knowledge about this
disease and Riquent," said Steve Engle, Chairman and CEO
of La Jolla Pharmaceutical Company.
Clinical Trial Design
The Phase 4 trial is a randomized double-blind placebo-controlled
international study of lupus patients with a history of renal
disease. The design of the study builds on previous Riquent clinical
studies with several enhancements, including twice as many patients
receiving Riquent compared with placebo, increased patient enrollment
of approximately 500 to 600 patients, more control of immunosuppressive
drugs at baseline, higher doses of Riquent in some treatment groups,
and a 12 month treatment duration for each patient. The primary
endpoint for the trial is time to renal flare, a serious increase
in inflammation of the kidneys. The trial is expected to take
several years to complete.
To be eligible for enrollment in the trial, patients must have
antibodies to double-stranded DNA (dsDNA) and a history of renal
flare within the last four years, and must not be receiving high
doses of immunosuppressive agents. Patients will be randomized
to one of four dosing groups: placebo, 100 mg of Riquent per week,
300 mg of Riquent per week, and 100 mg of Riquent per week shifting
to 300 mg of Riquent per week at week 12.
"While 100 mg per week of Riquent appears to be sufficient
for most patients, we continue to believe that some patients may
benefit from higher doses," added Engle. "This study
will allow us to assess if higher doses result in further reductions
in antibodies to dsDNA and increases in the percentage of patients
with sustained reductions in these antibodies. Higher doses may
also show an increased impact on clinical endpoints and will provide
additional safety data."
Subpart H and Special Protocol Assessments
Drugs in development for serious, life-threatening diseases
with an unmet medical need such as lupus may be approved under
the Subpart H regulation on an accelerated basis if the FDA determines
that the effect of the drug on a surrogate endpoint is reasonably
likely to predict clinical benefit. Under Subpart H, a post-marketing
clinical trial to confirm clinical benefit may be initiated prior
to approval, but would not need to be completed until after approval.
The SPA process is a formal procedure that results in a binding
written agreement between a company and the FDA concerning the
design of a clinical trial or other study.
Lupus, systemic lupus erythematosus or SLE, is a chronic, potentially
life-threatening autoimmune disease. About 90% of lupus patients
are female, and many develop the disease during their childbearing
years. Approximately 50% of lupus patients have renal disease,
which can lead to irreversible kidney damage, kidney failure and
the need for dialysis, and is a leading cause of death in lupus
patients. Latinos, African Americans and Asians face an increased
risk of serious renal disease associated with lupus. The current
standard of care for lupus renal disease often involves treatment
with high doses of corticosteroids and immunosuppressive drugs
that can cause severe side effects including diabetes, hypertension
and sterility, and may leave patients vulnerable to opportunistic
infections.
La Jolla Pharmaceutical Company is a biotechnology company developing
therapeutics for antibody-mediated autoimmune diseases and inflammation
afflicting several million people in the United States and Europe.
The Company is developing Riquent® for the treatment of lupus
kidney disease, a leading cause of sickness and death in patients
with lupus. The Company is also developing LJP 1082 for the treatment
of antibody-mediated thrombosis, a condition in which patients
suffer from recurrent stroke, deep-vein thrombosis, miscarriage
and other thrombotic events, and is in the early stage of developing
small molecules to treat various other autoimmune and inflammatory
conditions. The Company's common stock is traded on The Nasdaq
Stock Market under the symbol LJPC. For more information about
the Company, visit its Web site: http://www.ljpc.com.
The forward-looking statements in this press release involve
significant risks and uncertainties, and a number of factors,
both foreseen and unforeseen, could cause actual results to differ
materially from our current expectations. Forward-looking statements
include those that express a plan, belief, expectation, estimation,
anticipation, intent, contingency, future development or similar
expression. Even though our New Drug Application ("NDA")
for Riquent® has been accepted by the United States Food and
Drug Administration (the "FDA") for review, and even
though we have agreed with the FDA regarding the design of a potential
Phase 4 trial and we have initiated the trial, there is no guarantee
that the FDA will approve Riquent in a timely manner, or at all.
Our analyses of clinical results of Riquent, previously known
as LJP 394, our drug candidate for the treatment of systemic lupus
erythematosus ("lupus"), and LJP 1082, our drug candidate
for the treatment of antibody-mediated thrombosis ("thrombosis"),
are ongoing and could result in a finding that these drug candidates
are not effective in large patient populations, do not provide
a meaningful clinical benefit, or may reveal a potential safety
issue requiring us to develop new candidates. The analysis of
the data from our Phase 3 trial of Riquent showed that the trial
did not reach statistical significance with respect to its primary
endpoint, time to renal flare, or with respect to the secondary
endpoint, time to treatment with high-dose corticosteroids or
cyclophosphamide. Although our NDA for Riquent has been accepted
for review by the FDA, the results from our clinical trials of
Riquent may not ultimately be sufficient to obtain regulatory
clearance to market Riquent either in the United States or Europe,
and we may be required to conduct additional clinical studies
to demonstrate the safety and efficacy of Riquent in order to
obtain marketing approval. There is no guarantee, however, that
we will have the necessary resources to complete any additional
trial or that any additional trial will sufficiently demonstrate
the safety and efficacy of Riquent. Our blood test to measure
the binding affinity for Riquent is experimental, has not been
validated by independent laboratories and will likely be reviewed
as part of the Riquent approval process. Our other potential drug
candidates are at earlier stages of development and involve comparable
risks. Analysis of our clinical trials could have negative or
inconclusive results. Any positive results observed to date may
not be indicative of future results. In any event, regulatory
authorities may require additional clinical trials, or may not
approve our drugs. Our ability to develop and sell our products
in the future may be adversely affected by the intellectual property
rights of third parties. Additional risk factors include the uncertainty
and timing of: obtaining required regulatory approvals, including
delays associated with any approvals that we may obtain; the clear
need for additional financing; our ability to pass all necessary
FDA inspections; the increase in capacity of our manufacturing
capabilities for possible commercialization; successfully marketing
and selling our products; our lack of manufacturing, marketing
and sales experience; our ability to make use of the orphan drug
designation for Riquent; generating future revenue from product
sales or other sources such as collaborative relationships; future
profitability; and our dependence on patents and other proprietary
rights. Readers are cautioned to not place undue reliance upon
forward-looking statements, which speak only as of the date hereof,
and we undertake no obligation to update forward-looking statements
to reflect events or circumstances occurring after the date hereof.
Interested parties are urged to review the risks described in
our Annual Report on Form 10-K for the year ended December 31,
2003, and in other reports and registration statements that we
file with the Securities and Exchange Commission from time to
time.
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