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Genta Initiates Clinical Trial Of Genasense<sup>TM</sup> Plus Thalidomide In Patients With Multiple Myeloma

September 23, 2002
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BERKELEY HEIGHTS, NJ September 23, 2002 - Genta Incorporated (Nasdaq: GNTA) announced today the initiation of a new clinical trial with its lead anticancer drug, Genasense TM , in patients with multiple myeloma. The study will assess the safety and efficacy of Genasense TM  in combination with thalidomide (Thalomid®; Celgene Inc.,) and dexamethasone in patients who have failed standard therapy. The trial will be conducted at the University of Maryland and is sponsored by U.S. National Cancer Institute, pursuant to Genta's Cooperative Research and Development Agreement (CRADA). Genasense TM  works by inhibiting the production of Bcl-2, a protein made by cancer cells that blocks chemotherapy-induced cell death. By reducing the amount of Bcl-2 in cancer cells, Genasense TM  may enhance the effectiveness of current anticancer treatments. Recent preclinical data have shown that Bcl-2 is a principal cause of chemotherapy resistance in myeloma cells, and that pre-treatment of myeloma cells with Genasense TM  greatly increases the effectiveness of dexamethasone, the most commonly used drug for this disease. "Although high-dose chemotherapy with stem-cell support has improved the outcome for patients with multiple myeloma, few, if any, patients are actually cured of the disease," commented Dr. Judith Karp, Associate Director for Clinical Research, and Head of the Hematologic Malignancy Program at the University of Maryland in Baltimore. "Patients who relapse from standard approaches have a very poor prognosis. The dexamethasone/thalidomide combination is widely employed in the medical community, and we believe the inclusion of Genasense TM  may further optimize this regimen." "Genta is committed to establishing a leadership role in the hematologic cancers. This study represents our second clinical trial in patients with plasma cell diseases, which includes the ongoing randomized trial in myeloma," noted Dr. Loretta M. Itri, Genta's Executive Vice-President and Chief Medical Officer. "This trial represents part of our comprehensive program to document synergy with a wide variety of anticancer agents."

About Multiple Myeloma

Multiple myeloma is a cancer of white blood cells that are called plasma cells. In myeloma, these cells, which normally produce infection-fighting antibodies, become mutated and then multiply uncontrollably. This proliferation crowds out normal red and white blood cells, leading to infections, bleeding and anemia. The illness also decreases production of normal antibodies and causes widespread destruction of bone that produces fractures, pain and progressive disability. Myeloma is the second most common type of hematologic cancer, just behind chronic lymphocytic leukemia (CLL), which is also undergoing a randomized trial with Genasense TM  plus chemotherapy. Recent statistics indicate that the incidence of myeloma is increasing, while the median age of disease onset is decreasing. About 11,200 people in the United States are expected to die of this disease this year. Among African Americans, multiple myeloma is one of the top 10 leading causes of cancer death. More information about the disease is available through the Multiple Myeloma Research Foundation: http://www.multiplemyeloma.org/

Genta is currently conducting a randomized, multi-center trial evaluating high-dose dexamethasone with or without Genasense TM  in patients whom have relapsed from front-line therapy. For patients with multiple myeloma and/or referring physicians whom would like to learn more about this trial, including eligibility and inclusion criteria, should call 1-888-TO-GENTA.


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