Final DMB Safety Review and Futility Analysis Next
Month
BERKELEY HEIGHTS, NJ - April 29, 2009
- Genta Incorporated (OTCBB: GNTA) has announced a final
progress update on the Company's Phase 3 trial of Genasense®
(oblimersen sodium) Injection, Genta's lead oncology product, in
patients with advanced melanoma. The trial recently completed
accrual, and final data on progression-free survival (PFS) - a
co-primary endpoint in this trial -- are anticipated in the Fall of
2009.
AGENDA is a Phase 3, randomized, double-blind,
placebo-controlled trial that is intended to support global
registration of Genasense for patients with advanced
melanoma. The study is designed to confirm certain safety and
efficacy results from Genta's prior randomized trial of Genasense
combined with dacarbazine (DTIC) in patients who have not
previously received chemotherapy and who are identified by a
biomarker (low-normal levels of lactate dehydrogenase
[LDH]). The co-primary endpoints of AGENDA are PFS and
overall survival.
Overall, 315 patients were registered in the AGENDA trial.
A total of 79 sites in 12 countries were opened in Europe, the
U.S., Canada, and Australia. As shown in the table below,
preliminary information on patient characteristics and safety
findings in the patients accrued to AGENDA are similar to those in
the biomarker-defined population that was accrued in the previous
Phase 3 trial of Genasense, known as GM301. The data from
GM301 (see second table below) were used to establish projections
for anticipated outcomes in AGENDA. A critical assumption for
the validity of such projections is that the patient
characteristics in the two trials would be similar.
Demographic Comparison of Demographic Data from Both
Trials
|
Demographic Factor
|
GM301 (low-normal LDH)
N=274
|
AGENDA
N=315
|
| Age, median (years) |
60
|
58
|
| Gender (M/F) (%) |
64/36
|
62/38
|
| Disease site(s): (%) |
|
|
| Skin, soft tissue, lymph nodes |
22
|
24
|
|
Liver metastases
|
21
|
25
|
|
Other visceral metastases
|
57
|
51
|
"One of the great advantages of AGENDA is the extensive dataset
that underpins the assumptions that we have used in our statistical
analysis plan", said Dr. Loretta M. Itri, Genta's President,
Pharmaceutical Development, and Chief Medical Officer. "The
statistical assumptions in AGENDA were derived from a large sample
that comprised 274 patients from our completed trial, GM301.
Descriptive data about patients who are as yet not identified as to
treatment assignment in AGENDA also show good congruence with the
low-normal LDH population in GM301 for the number and timing of
progression events, which are key components in the PFS co-primary
endpoint that will be announced this Fall. The Data
Monitoring Board will convene in May 2009 for its final review of
safety and futility analysis, and we look forward to that
meeting. We remain grateful for the support from our
investigators and patients for the timely completion of this
critically important trial."
About AGENDA
AGENDA is a global Phase 3, randomized, double-blind trial in
patients with advanced melanoma. The study is designed to
confirm certain safety and efficacy results from an antecedent
randomized trial of Genasense combined with dacarbazine (DTIC) in
patients who have not previously received chemotherapy
(GM301). AGENDA employs a biomarker to define those patients
who derived maximum clinical benefit during the preceding
study. These patients are characterized by low-normal levels
of LDH (lactate dehydrogenase), a tumor-derived enzyme that is
readily detected in blood. Analysis of those efficacy
outcomes in GM301, which were observed in 274 patients, showed the
following results:
Efficacy Outcomes from Completed Trial GM301 in Patients
with Low-Normal LDH
|
Endpoint
|
Genasense/DTIC
|
DTIC
|
Hazard Ratio
|
P
|
|
Overall response
|
20.8%
|
7.2%
|
|
0.002
|
|
Durable response
|
10.7%
|
2.4%
|
|
0.007
|
|
Progression-free survival, median
|
3.6 mos.
|
1.6 mos.
|
0.58
|
<0.0001
|
|
Overall survival, median
|
12.3 mos.
|
9.9 mos.
|
0.64
|
0.0009
|
A scientific publication that describes efficacy and safety
results the prior study (GM301) can be accessed at:
http://www.jco.org/cgi/content/abstract/JCO.2006.06.0483v1
. The co-primary endpoints of AGENDA are progression-free survival
(PFS) and overall survival.
About Genasense
Genasense inhibits production of Bcl-2, a protein made by cancer
cells that is thought to block chemotherapy-induced apoptosis
(programmed cell death). By reducing the amount of Bcl-2 in
cancer cells, Genasense may enhance the effectiveness of current
anticancer treatment. Genta is pursuing a broad clinical
development program with Genasense evaluating its potential to
treat various forms of cancer.
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. Two major programs
anchor the Company's
research platform
: DNA/RNA-based Medicines and Small Molecules.
Genasense® (oblimersen sodium)
Injection is the Company's lead compound from its DNA/RNA Medicines
program. The leading drug in Genta's Small Molecule program is
Ganite® (gallium nitrate
injection)
, which the Company is exclusively marketing in the U.S. for
treatment of symptomatic patients with cancer related hypercalcemia
that is resistant to hydration. The Company has developed
G4544
, an oral formulation of the active ingredient in Ganite, that has
recently entered clinical trials as a potential treatment for
diseases associated with accelerated bone loss. The Company
is also developing
tesetaxel
, a novel, orally absorbed, semi-synthetic taxane that is in the
same class of drugs as paclitaxel and docetaxel. Ganite and
Genasense are available on a "
named-patient
" basis in countries outside the United States. For more
information about Genta, please visit our website at:
http://www.genta.com//
.
SAFE HARBOR
This press release may contain 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. Such
forward-looking statements include those that express plan,
anticipation, intent, contingency, goals, targets, or future
developments and/or otherwise are not statements of historical
fact. The words "potentially", "anticipate", "could", "calls
for", and similar expressions also identify forward-looking
statements. The Company does not undertake to update any
forward-looking statements. Factors that could affect actual
results include, without limitation, risks associated with:
- the Company's ability to obtain marketing and reimbursement
approvals for its products from the U.S. Food and Drug
Administration ("FDA") and other regulatory or governmental
authorities;
- the safety and efficacy of the Company's products or product
candidates;
- the Company's assessment of its clinical trials;
- the commencement and completion of clinical trials;
- the Company's ability to develop, manufacture, license and
sell its products or product candidates;
- the Company's ability to enter into and successfully execute
and maintain license and collaborative agreements;
- the adequacy of the Company's capital resources and cash flow
projections, the Company's ability to obtain sufficient financing
to maintain the Company's planned operations, or the Company's
risk of bankruptcy;
- the adequacy of the Company's patents and proprietary
rights;
- the impact of litigation that has been brought against the
Company; and
- the other risks described under Certain Risks and
Uncertainties Related to the Company's Business, as contained in
the Company's Annual Report on Form 10-K and Quarterly Report on
Form 10-Q.
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 on Form 10-K for 2008 and its most recent quarterly report
on Form 10-Q.
SOURCE: Genta Incorporated
CONTACT:
Genta Investor Relations
info@genta.com