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IMS Company Profiles - Report Buyer

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<strong>IMS</strong> COM PANY PRO FILES NOVARTIS<br />

Sales/An a lyst Com ment: Cowen & Co an a lysts (Au gust 2008) fore cast ini tial sales of $50 mil lion in<br />

2012 ($100 mil lion in 2013).<br />

LUCATUMUMAB (HCD 122) is a fully hu man anti-CD40 monoclonal an ti body with po ten tial in many<br />

B-cell ma lig nan cies. Pre clin i cal stud ies showed that HCD 122 has greater cytotoxicity against B-cells than<br />

Roche’s MabThera (rituximab). Lucatumumab is in phase I tri als in the USA for the treat ment of mul ti ple<br />

myeloma. A phase I trial, eval u at ing it as a ther apy for chronic lymphocytic leu ke mia, was dis con tin ued in<br />

July 2008 be cause of lim ited patient enrollment.<br />

In April 2008, Novartis and its part ner XOMA (USA) ini ti ated a phase I/II trial of lucatumumab in adults<br />

with non-Hodg kin’s lym phoma or Hodg kin’s lym phoma. Dur ing this open-la bel, dose-es ca lat ing study,<br />

up to 50 pa tients who have re ceived at least two prior ther a pies will re ceive the monoclonal in tra ve nously<br />

once a week for four weeks. The safety, ac tiv ity and high est tol er ated dose will be eval u ated. This study is<br />

be ing con ducted at sites in the USA, Aus tra lia, Bel gium, France, Germany and Italy.<br />

Li cens ing: Lucatumumab is be ing co-de vel oped by Novartis and XOMA. Novartis ob tained rights to<br />

lucatumumab via the 2005 pur chase of Chiron. In 2004, Chiron and Xoma agreed to jointly re search, de -<br />

velop and com mer cial ize an ti body prod ucts for the treat ment of can cer. In No vem ber 2008 the deal with<br />

XOMA that cov ers HCD 122 and five other pro jects was re struc tured as fol lows: Novartis will make an<br />

upfront pay ment of $6.2 mil lion; fully fund all fu ture R&D ex penses; pay po ten tial mile stones of up to $14<br />

mil lion and dou ble-digit roy alty rates for two on go ing prod uct pro grams, in clud ing HCD 122; and pro vide<br />

XOMA with op tions to de velop or re ceive roy al ties on four ad di tional pro grams that are pend ing se lec tion.<br />

Novartis now has con trol over the HCD 122 pro gram and one other on go ing pro gram, as well as the right<br />

to ex pand the de vel op ment of these programs to additional indication outside of oncology.<br />

Sales/An a lyst Com ment: Cowen & Co an a lysts (Au gust 2008) fore cast ini tial sales of $50 mil lion in<br />

2012 ($75 mil lion in 2013).<br />

MCS 110, a monoclonal an ti body tar geted to col ony stim u lat ing fac tor-1, was in phase I/II tri als for the<br />

treat ment of can cer in 2008 in the USA in pa tients with pros tate can cer and bone metastases.<br />

PANOBINOSTAT (LBH 589) is an anticancer agent that in hib its histone deacetylase and in duces the<br />

p21 tu mor sup pres sor gene. It has po ten tial as a ther apy for both solid and he ma to log i cal tu mors. The<br />

com pound is be ing in ves ti gated in the treat ment of re frac tory cu ta ne ous T-cell lym phoma (CTCL),<br />

chronic myeloid leu ke mia (CML) and mul ti ple myeloma. Novartis is de vel op ing both oral and in tra ve nous<br />

for mu la tions of panobinostat. A reg u la tory submission is planned for 2009.<br />

Novartis ini ti ated a phase II trial of oral panobinostat in 2007 to eval u ate the safety and ef fi cacy of the<br />

agent in adult pa tients with re frac tory chronic myeloid leu ke mia (CML) pre vi ously treated with at least<br />

two BCR-ABL ty ro sine kinase in hib i tors. Panobinostat is also in phase II tri als for mul ti ple myeloma. In<br />

2006, a phase I trial of the agent was ini ti ated in Ja pan for the treat ment of ad vanced solid tu mors and<br />

CTCL. A phase I trial of LBH 589 alone and in com bi na tion with docetaxel and pred ni sone ini ti ated in the<br />

USA in 2006 in the treat ment of hor mone-re frac tory pros tate can cer. In Feb ru ary 2008, a phase Ib trial of<br />

iv panobinostat with docetaxel and pred ni sone in pa tients with hor mone-re frac tory pros tate can cer was<br />

ini ti ated in Can ada and the USA. Novartis in tends to ex plore the use of panobinostat in other challenging<br />

malignancies.<br />

Clin i cal Data: At the Amer i can So ci ety of Clin i cal On col ogy An nual Meet ing 2008 (30 May-3 June 2008),<br />

phase II data on panobinostat in CTCL were re ported. In this Eu ro pean, Aus tra lian and US phase II trial in<br />

pa tients with re lapsed/re frac tory cu ta ne ous T-cell lym phoma (CTCL), 83 pa tients have been treated to<br />

date with ei ther oral panobinostat 20 mg alone or oral bexarotene, prior to panobinostat. The agent was<br />

well tol er ated. Among the 83 pa tients evaluable for safety, the most com mon ad verse events were di ar -<br />

rhea (44.6% of pa tients; 4.8% with grade 3 and 4), thrombocytopenia (42.2% of pa tients; 13.3% with<br />

© 2009 <strong>IMS</strong> Health In cor po rated or its af fil i ates Page 82

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