Danish English
Published: 2010-09-15 09:31:09 CEST
NTG Nordic Transport Group A/S
Company Announcement
NeuroSearch announces results from an open-label safety extension to the Phase III MermaiHD study of Huntexil® in patients with Huntington's disease
- The results show that Huntexil® was well tolerated in patients
with
Huntington's disease over 12 months' treatment
 
- The results further
support the favourable safety profile of Huntexil®


Copenhagen, 15
September 2010 - Today, NeuroSearch A/S (NEUR) announced
preliminary results
from the 26-week open-label extension to the Phase III
MermaiHD study of
Huntexil® (pridopidine) for the treatment of Huntington's
disease. The results
further support the favourable safety profile of Huntexil®
and show that the
drug is well-tolerated in patients with Huntington's disease
over 12 months'
treatment. 

The open label extension enrolled a total of 353 patients who
had completed the
first 26 weeks of randomised treatment with Huntexil® 45 mg
once or twice daily
or placebo. In the study extension, all the patients were
treated with
Huntexil® 45 mg twice daily, and 305 patients completed the
entire 12-month
treatment. 

The study objective of the open-label extension
was to evaluate the long-term
safety and tolerability of Huntexil® and to
collect efficacy parameters after a
12-month treatment period to support the
safety evaluation. Safety and
tolerability assessments include incidence and
severity of adverse events,
laboratory parameters, vital signs and ECG
measurements. 

Based on the safety and tolerability data available and
analysed at present,
i.e. data on adverse events profile, vital signs and ECG,
Huntexil® displayed a
favourable safety and tolerability profile in patients
with Huntington's
disease over the 12 month treatment period. The most common
adverse events
reported during the 12-month period were falls (14% of
patients), Huntington's
chorea, originally reported as a worsening of
pre-existing chorea (13% of
patients), depression (8% of patients), dizziness,
nasopharyngitis, fatigue,
irritability (each reported for 7% of patients),
diarrhoea, nausea and insomnia
(each reported for 6% of patients). These
findings are consistent with the
adverse event profile seen for both the two
active groups as well as the
placebo group in the 6-month randomised study,
and the majority of the events
are considered to be related to the underlying
disease. Likewise, the most
frequent adverse events reported in the open label
extension in patients that
had previously been in the placebo arm (drug naïve
patients) were similar to
the adverse event profile observed in patients on
active treatment in the
randomised study. 

When comparing patients treated
with Huntexil® in both the randomised study and
the open label extension to
those treated with placebo in the randomised phase,
the adverse event profile
appears similar during the open-label extension,
except for chorea.
Huntington's chorea, i.e. a worsening of chorea was reported
with a higher
incidence for patients on drug for 12 months (12.5%) than for
patients on drug
for six months (6.2%). However, no similar pattern was
observed on the chorea
subscale of the Unified Huntington's Disease Rating
Scale (UHDRS), indicating
no general worsening of chorea at study end for the
patients treated for 12
months compared to patients treated for 6 months. Also,
the drop-out rate due
to a worsening of chorea was similar in both groups. 

During the open label
extension, serious adverse events were reported in 6% of
the patients on drug
for 12 months compared to 4% of the patients on drug for 6
months, with no
apparent difference for any of the single events between the
groups. 

No
clinically meaningful changes in vital signs (supine and standing
blood
pressure and pulse rate) and ECG were observed during the 12-month
study
period. 

Detailed data and findings from the study will be shared and
discussed in an
article that is planned for publication in a peer reviewed
scientific journal. 

Dr. Nicholas Waters, CEO of NeuroSearch Sweden AB,
commented:
"We are encouraged by these results as they support earlier
findings that
Huntexil® has a favourable safety profile and is well tolerated
in patients
with Huntington's disease over a treatment period of 12 months.
Furthermore,
the safety findings from the open-label extension are similar to
what has
previously been observed and reported in clinical studies with
Huntexil® in
this patient population. " 

NeuroSearch is also evaluating
Huntexil® in a 12-week North American Phase IIb
study, the HART study, from
which the first results are expected to be
available in October in connection
with the Clinical Symposium on Huntington's
disease, in La Jolla, USA.




Thomas Hofman-Bang
Chairman of the Board



Contact
persons

Hanne Leth Hillman, Vice President, Director of IR & Corporate
Communications,
telephone; +45 4460 8212 or +45 4017 5103 

Dr. Nicholas
Waters, CEO of NeuroSearch Sweden AB, telephone; +46 31 772 7740
or +46 730 75
7701 



About Huntexil® (pridopidine) 
Pridopidine acts as a dopaminergic
stabiliser and is the first compound in a
new class of pharmaceutical agents,
dopidines to have demonstrated clinical
effect. Dopidines have the unique
ability to stabilise the dopaminergic system,
i.e., to either enhance or
inhibit dopamine dependent functions in the brain,
depending on the initial
level of dopaminergic activity. 

Pridopidine inhibits dopamine activation of
the D2 receptor with a preference
towards the high affinity (activated)
receptor state and has no detectable
agonist activity on this receptor. In
vivo, pridopidine strengthens glutamate
function in the frontal cortex, which
may add to the agent's powerful
behavioural effects in states of excessively
high dopamine activity or
excessively low glutamate activity, while not
affecting behaviour under normal
conditions. Together, these findings suggest
that pridopidine stabilises
psychomotor activity in states of hypo- and
hyperactivity by means of
functional D2 antagonism and strengthening of
cortical glutamate functions. 
 

About Huntington's disease
Huntington's
disease is a highly disabling, fatal and incurable genetic
disorder, which
leads to damage of the nerve cells in certain areas of the
brain including the
basal ganglia and the cerebral cortex. The disease is
hereditary and every
child of someone with Huntington's disease has a 50%
chance of inheriting the
disease. 

Patients with Huntington's disease experience a wide variety of
symptoms, which
typically can be grouped into three categories: motor
dysfunction includes loss
of muscle co-ordination, parkinsonism, chorea,
dystonia, and abnormal gait and
posture, which can markedly impair patients'
daily functioning. Impaired
executive and cognitive functions lead to loss of
organizational and planning
skills, and psychiatric changes, such as
depression and anxiety, are typical;
manic and psychotic symptoms can also be
present. The onset of symptoms is
typically around 35-45 years of age, after
which patients deteriorate gradually
and have a life expectancy of 10-20
years. 
 
Patients with Huntington's disease will eventually require
full-time care, and
the therapy area has high unmet medical needs. No cure or
effective treatment
is available and only a limited number of novel drugs are
in development. The
prevalence of Huntington's disease is about 1: 10 000 in
most western
countries, corresponding to an estimated 70 000 affected patients
in North
America and Europe combined. In other parts of the world, the
prevalence varies
substantially and is generally lower. 


About
NeuroSearch - Company profile
NeuroSearch A/S is a leading CNS focused and
European based biopharmaceutical
company listed on NASDAQ OMX Copenhagen A/S
(NEUR). The company's core business
is development of novel drugs to treat
diseases of the central nervous system,
and the pipeline comprises eight
products in clinical development (Phase
I-III). These include Huntexil®
(pridopidine), a unique orphan drug in Phase
III development for the treatment
of Huntington's disease, and tesofensine
ready for Phase III development as a
novel treatment of obesity. 

NeuroSearch is founded on a well-established
drug discovery platform in the
field of ion channels and monoamine
transporters, holding also a broad
portfolio of preclinical drug candidates.
The company has strategic drug
discovery alliances with Janssen Pharmaceutica
and Eli Lilly as well as a
licence collaboration with Abbott. Further,
NeuroSearch has equity interests in
a number of private health care
companies.
 


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fonds.19-10 - results from ol mermaihd - uk.pdf