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AVEO and Astellas Report Final Overall Survival Results from TIVO-1
CAMBRIDGE, Mass. & TOKYO --(Business Wire)--
AVEO Oncology (NASDAQ:AVEO) and Astellas Pharma Inc. (TSE:4503) today
announced overall survival (OS) for tivozanib, an investigational agent,
from the Phase 3 TIVO-1 (TIvozanib Versus
sOrafenib in 1st
line advanced RCC) study in patients with advanced renal cell carcinoma
(RCC). The final OS analysis, as specified by the protocol, shows a
median OS of 28.8 months (95% confidence interval [CI]: 22.5-NA) for
tivozanib versus a median OS of 29.3 months (95% CI: 29.3-NA) for the
comparator arm, sorafenib. No statistical difference between the two
arms (HR=1.245, p=0.105) was observed. The OS data are included in the
tivozanib New Drug Application (NDA) filing and will be presented on
February 16 at the 2013 American Society for Clinical Oncology
Genitourinary Cancers Symposium (ASCO GU), abstract #350.
Overall survival is a secondary endpoint of the TIVO-1 study. A
one-sided crossover for patients randomized to the sorafenib
(comparator) arm was offered pursuant to a separate, long-term treatment
protocol to allow trial participants to receive tivozanib upon disease
progression. This resulted in a substantial difference in the use of
subsequent therapies. Of the patients who discontinued their initial
therapy, 10% originally on the tivozanib arm received subsequent
anti-VEGF therapy (36% received any subsequent therapy) while 70% of
patients originally on the comparator arm received subsequent anti-VEGF
therapy (74% received any subsequent therapy).
"It's encouraging to see that patients in the study who received
tivozanib had a median overall survival of 28.8 months, particularly
given that these patients received minimal subsequent therapy," said
principal investigator Robert J. Motzer, M.D., attending physician,
genitourinary oncology service, Memorial Sloan-Kettering Cancer Center,
and professor of medicine, Weill Medical College, Cornell University,
New York. "The safety and efficacy results from TIVO-1 and other
clinical trials of tivozanib in advanced RCC suggest it may provide an
important new first line treatment option for patients with this
aggressive disease."
In TIVO-1, tivozanib demonstrated a statistically significant
improvement in progression-free survival (PFS), the primary endpoint of
the study, when compared with sorafenib. The FDA has accepted the
tivozanib NDA for filing, and according to the timelines established by
the Prescription Drug User Fee Act (PDUFA), the review of the NDA is
expected to be complete by July 28, 2013.
Other data being presented at ASCO GU show the anti-tumor activity of
tivozanib following treatment with sorafenib resulted in a median PFS of
8.4 months and response rate of 13%. These data have matured and have
been updated from the initial ASCO GU abstract submission (abstract
#364), and will be included in the poster. Additional TIVO-1 data
relating to subset analyses (abstracts #354 and #361) and Quality of
Life (abstract #355) will also be included in posters presented at ASCO
GU.
"We believe that these data being presented at ASCO GU reinforce the
positive efficacy results and safety profile of tivozanib in patients
with advanced RCC," said William Slichenmyer, M.D., Sc.M., chief medical
officer at AVEO.
"We are excited to be working with AVEO in our efforts to bring
tivozanib to patients who are in need of new therapeutic options," added
Stephen Eck, M.D., Ph.D., vice president of medical oncology, Astellas
Pharma Global Development.
AVEO Conference Call and Webcast
These data will be reviewed in more detail by AVEO management during the
company's conference call and webcast tomorrow at 10:00 a.m. (ET). The
call can be accessed by dialing 1-866-831-6243 (domestic) or
1-617-213-8855 (international) five minutes prior to the start of the
call and providing the passcode 81400823. A replay of the call will be
available approximately two hours after the completion of the call and
can be accessed by dialing 1-888-286-8010 (domestic) or 1-617-801-6888
(international), providing the passcode 61126312. The replay will be
available for two weeks from the date of the call.
A webcast of the conference call can also be accessed by visiting the
investors section of the AVEO website at investor.aveooncology.com. A
replay of the webcast will be archived on the company's website for two
weeks following the call.
About TIVO-1
TIVO-1 is a global, randomized Phase 3 superiority-designed 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 first-line advanced RCC in which an
investigational agent (tivozanib) has demonstrated statistically
significant and clinically meaningful PFS superiority versus an approved
targeted agent (sorafenib).
Eighty-six centers participated in the TIVO-1 study, including centers
in Europe and North America. The primary efficacy endpoint (PFS) was
ascertained for each subject by a central panel of blinded independent
radiologists. Patients randomized to the sorafenib arm of TIVO-1 were
eligible to cross over to tivozanib therapy under a separate protocol
after radiographic confirmation of disease progression. No crossover
protocol was available for patients randomized to the tivozanib arm.
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 naive patients and are associated with significant toxicities.4
These toxicities not only lead to high rates of dose reductions and
interruptions, but also can impact a patient's quality of daily living.5
About Tivozanib
Tivozanib is a potent, selective and 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 RCC have been reported, and is being evaluated in
other tumors.
About the AVEO/Astellas Collaboration
In February 2011, AVEO and Astellas entered into a worldwide agreement
to develop and commercialize tivozanib outside of Asia for the treatment
of a broad range of cancers. 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).
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 (NASDAQ: AVEO) is a cancer therapeutics company committed
to discovering, developing and commercializing targeted therapies to
impact patients' lives. AVEO's proprietary Human Response PlatformTM
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 within the
meaning of The Private Securities Litigation Reform Act of 1995 that
involve substantial risks and uncertainties. All statements, other than
statements of historical facts, contained in this press release are
forward-looking statements. 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: the planned launch and
commercialization of tivozanib; the potential approval by the FDA of
tivozanib in advanced RCC; the targeted date for the completion of the
FDA's review of the NDA; tivozanib's safety and efficacy profile and its
potential in treating patients with kidney cancer; and AVEO's plans to
leverage its Human Response Platform™. 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
AVEO's Phase 3 TIVO-1 trial 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,
overall survival and other information that the FDA may determine to be
relevant to approvability; AVEO's ability 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 the FDA or any comparable foreign
regulatory agency could require additional positive clinical trials as
the basis for product approval; AVEO's ability to obtain and maintain
adequate protection for intellectual property rights relating to its
product candidates and technologies; unplanned operating expenses;
AVEO's ability 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's 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 current report on Form 8-K filed with
the SEC (News - Alert) on January 16, 2013 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.
1U.S. Cancer Statistics Working Group. United States Cancer
Statistics: 1999-2009 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; 2013. Available
at: www.cdc.gov/uscs.
2Cancer 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
3American Cancer Society. Available at: http://www.cancer.org/Cancer/KidneyCancer/OverviewGuide/kidney-cancer--adult--renal-cell-carcinoma-overview-what-is-kidney-cancer.
4Bhargava, P., Robinson, M. Curr Oncol Rep (2011) 13:103-111
5Ravaud, A. Annals of Oncology 20 (Supplement 1): i7-i12, 2009

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