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Preclinical Studies Demonstrate Activity of Genasense<sup>TM</sup> Alone and in Combination with Radiation Therapy

November 19, 2003
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Effects Seen in Melanoma, Breast, Prostate and Lung Cancer

 

BERKELEY HEIGHTS, NJ - November 19, 2003 -Genta Incorporated (Nasdaq: GNTA) today announced the presentation of preclinical data from three presentations showing the activity of Genasense TM (oblimersen sodium), the Company's lead anticancer compound. These results were presented at the "Molecular Targets and Cancer Therapeutics" meeting that was sponsored jointly by the American Association of Cancer Research (AACR), the European Organization for Research and Treatment of Cancer (EORTC), and The National Cancer Institute (NCI) in Boston, MA.

Genasense blocks the production of a key cancer protein called Bcl-2 - a factor that is widely believed to contribute to the inherent resistance of cancer cells to anticancer treatments. By blocking production of Bcl-2, Genasense may enhance the effectiveness of cancer therapy. High levels of Bcl-2 have also been associated with a poor response to radiation therapy in patients. However, unlike chemotherapy for which numerous studies have documented high levels of synergy with Genasense, no prior studies have examined the activity of Genasense combined with radiation.

In the first study, investigators from the Fox Chase Cancer Center, Philadelphia, PA, studied whether the response to radiation was affected by Genasense-induced decrease in Bcl-2. Prostate cancer cells (known as PC3 and LnCAP) that had been treated with Genasense or control oligonucleotides were then exposed to radiation. Genasense treatment caused a marked increase in programmed cell death (apoptosis) and a significant reduction in clonogenic survival compared with cells treated with control oligonucleotides.

In a second study, investigators from The University of Texas M.D. Anderson Cancer Center, Houston, TX, compared Bcl-2 expression and sensitivity to radiation in various cell lines, including melanoma (A375), lung cancer (H1299), and prostate cancer (LnCAP). When compared with controls, cells treated with Genasense plus radiation showed down-regulation of Bcl-2 and increased cell death.

A final study tested the ability of various breast cancer cell lines to incorporate Genasense and down-regulate Bcl-2. Results showed uptake of Genasense at low concentration (500 nM), which caused a significant decrease in Bcl-2 levels and increased cancer cell death. The reduction in cell survival was observed in the absence of chemotherapy, indicating a direct effect of Genasense that was not seen with a control oligonucleotide. Finally, cells that expressed lower levels of Bcl-2 were more sensitive to the direct killing effect of Genasense compared with high-expressing cells.

"Radiosensitization is a logical extension from prior observations of synergy with chemotherapy, which points to a future direction for our preclinical and clinical programs," commented Dr. Bob Brown, Genta's Vice President, Research and Technology. "The direct effects of Genasense on breast cancer cells has not been previously reported, and it represents an important complement to the clinical breast cancer program that is currently being run by the investigators at M.D. Anderson."

About Genasense

Genasense is being broadly tested in more than 20 randomized and non-randomized trials for its ability to increase the effectiveness of current types of anticancer therapy for a number of diseases, including acute and chronic leukemias, multiple myeloma, non-Hodgkin's lymphoma, and cancers of the breast, colon, kidney, lung, liver, pancreas, and prostate. Genasense is currently the subject of a "rolling" New Drug Application (NDA) submission to the Food and Drug Administration for the treatment of malignant melanoma, based on positive data in the largest randomized trial ever conducted for the treatment of advanced metastatic melanoma. Genta has also completed enrollment in two additional randomized trials (multiple myeloma and chronic lymphocytic leukemia) with Genasense.

About Genta

Genta Incorporated is a biopharmaceutical company with a diversified product portfolio that is focused on delivering innovative products for the treatment of patients with cancer. The Company's research platform is anchored by two major programs that center on oligonucleotides (RNA and DNA-based medicines) and small molecules. Genasense TM (oblimersen sodium), the Company"s lead compound from its oligonucleotide program, is being developed with Aventis and is currently undergoing late-stage, Phase 3 clinical testing. The leading drug in Genta's small molecule program is Ganite TM (gallium nitrate injection), which the Company is exclusively marketing in the U.S. for treatment of patients with cancer-related hypercalcemia that is resistant to hydration. For more information about Genta, please visit our website at: http://www.genta.com/ .

This press release contains forward-looking statements with respect to business conducted by Genta Incorporated. By their nature, forward-looking statements and forecasts involve risks and uncertainties because they relate to events and depend on circumstances that will occur in the future. There are a number of factors that could cause actual results and developments to differ materially. For a discussion of those risks and uncertainties, please see the Company"s Annual Report/Form 10-K for 2002.

SOURCE: Genta Incorporated


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