| December
09 , 2004
Dynavax Announces Positive Interim
Results From Phase 2/3 Hepatitis B
Vaccine Trial
Highly Statistically Significant
Protective Response (p=0.0001) Achieved
in Difficult to Immunize Population
After Two Doses
BERKELEY, Calif., Dec 9, 2004 /PRNewswire-FirstCall
via COMTEX/ -- Dynavax Technologies
(Nasdaq: DVAX) announced that data
from an interim analysis of the company's
hepatitis B virus (HBV) vaccine Phase
2/3 clinical trial showed statistically
significant superiority in protective
antibody response and robustness of
protective effect after two vaccinations
when compared to GlaxoSmithKline's
Engerix-B(TM) vaccine in an older
adult population that is traditionally
more difficult to immunize with conventional
vaccine. The primary endpoint of the
ongoing Phase 2/3 trial is seroprotection
four weeks after administration of
the third dose. Based on these positive
interim results, as well as previously
reported data showing that Dynavax's
HBV vaccine induced more rapid immunogenicity
and more durable protective response
compared to Engerix-B in healthy young
adults, Dynavax intends to pursue
a broad Phase 3 clinical program in
multiple age groups, anticipated to
begin in mid-2005. Dynavax's HBV vaccine
combines its proprietary immunostimulatory
sequence (ISS) co-administered with
HBV surface antigen (HBsAg), designed
to significantly enhance the level,
speed and longevity of protection.
The study is being conducted by Dr.
Lim Seng Gee at the National University
Hospital, and Dr. Chow Wan Cheng,
at the Singapore General Hospital.
The Phase 2/3 trial should be completed
in mid-2005.
"These positive interim Phase
2/3 results strengthen our confidence
that our HBV vaccine can provide important
advantages in terms of rapidity and
level of seroprotection in an adult
population known to be difficult to
immunize, and increase our belief
that our vaccine represents a significant
commercial opportunity for our company,"
said Dino Dina, M.D., president and
chief executive officer. "Despite
the prevalence of HBV vaccination
in major markets worldwide, there
are serious limitations to the effectiveness
of conventional vaccines due to the
widespread challenge of patient compliance
with the required three dose regimen.
We intend to implement a broad, confirmatory
Phase 3 program in mid 2005 in multiple
populations, as we believe that Dynavax's
HBV vaccine has the potential to change
vaccination practices, establish new
industry standards of effectiveness,
and provide significant public health
and pharmacoeconomic benefits."
Phase 2/3 Trial Design and Results
The ongoing Phase 2/3 clinical trial
is a double-blind, controlled study.
On an intent-to-treat basis, the study
involved 88 healthy, seronegative
subjects (with no detectable HBV antibodies)
aged 40-70, four of whom had a history
of smoking and 26 of whom were overweight
(body mass index greater than 27 kilograms
per meter-squared). The subjects were
randomized into two treatment groups.
One group received three doses of
Dynavax's HBV vaccine, administered
at a dose of 20 micrograms HBsAg plus
3 milligrams of ISS, by intramuscular
injection at zero, two months and
six months. The other group received
three doses of Engerix-B administered
at a dose of 20 micrograms HBsAg by
intramuscular injection at zero, one
and six months. The interim analysis
was based on results four weeks after
administration of the second dose.
Dynavax plans to follow up with subjects
for an additional five months and
anticipates completing the study in
mid 2005.
A protective antibody response is
defined in titers greater than or
equal to 10 mIU/mL (milli-international
units per milliliter). The results
of the interim Phase 2/3 trial are
expressed in geometric mean titers
(GMT).
- Four weeks following the second
dose, 91.3% of the Dynavax HBV vaccine
group had a protective antibody
response compared to 50% of the
Engerix-B treated group (p=0.0001).
- The Dynavax HBV vaccine treated
group had GMT of 539 mIU/ml compared
to 9.9 mIU/ml in the Engerix-B treated
group.
- There were no serious adverse
events and no severe adverse events
in either group four weeks after
the second dose. There was no difference
in either local or systemic reactions
between the two treated groups.
In November 2004, Dynavax presented
data from a randomized, double-blind
Phase 2 clinical trial of the company's
prophylactic Hepatitis B virus (HBV)
vaccine conducted in young adults
(18-28 years) that showed superior
results compared to GlaxoSmithKline's
Engerix-B(R) vaccine. Protective antibody
responses were achieved faster and
were maintained longer with Dynavax's
HBV vaccine than with Engerix-B.
Planned Phase 3 Clinical Trial Design
Dynavax intends to initiate Phase
3 clinical trials of its HBV vaccine
targeting adolescent, young adult
and older adult populations. The first
of these trials involving older adults
in Asia is anticipated to begin in
mid-2005. Phase 3 studies in young
adults are anticipated to begin later
in 2005 in Canada and Europe. These
trials will be designed as confirmatory
and could be completed in 2006. The
trials will be designed to compare
Dynavax's HBV vaccine with Engerix-B
and could include different dosing
regimens for different populations.
One potential target population is
kidney dialysis patients, all of whom
must be vaccinated against HBV, and
for whom a shorter and more effective
immunization regimen could have significant
therapeutic benefit.
Dynavax is currently evaluating commercialization
and distribution strategies for its
HBV vaccine in countries outside of
the United States. In 2003, Dynavax
and Berna Biotech (Bern, Switzerland)
entered into a clinical and commercial
supply agreement for HBV surface antigen.
Dynavax estimates the HBV vaccine
market outside of the US to be approximately
$500 million.
About ISS
ISS are short synthetic DNA molecules
that stimulate a Th1 immune response
while suppressing Th2 immune responses.
ISS contain specialized sequences
that activate the innate immune system.
ISS are recognized by a specialized
subset of dendritic cells containing
a unique receptor called Toll-Like
Receptor 9, or TLR-9. The interaction
of TLR-9 with ISS triggers the biological
events that lead to the suppression
of the Th2 immune response and the
enhancement of the Th1 immune response.
ISS influence helper T cell responses
in a targeted and highly specific
way by redirecting the response of
only those T cells involved in a given
disease. ISS, in conjunction with
an allergen or antigen, establish
populations of memory Th1 cells, allowing
the immune system to respond appropriately
to each future encounter with a specific
pathogen or allergen, leading to long-lasting
therapeutic effects.
The Public Health Challenge of Hepatitis
B
Hepatitis B is a common chronic infectious
disease with an estimated 350 million
chronic carriers worldwide. HBV is
a major cause of acute and chronic
viral hepatitis, with effects ranging
from asymptomatic infection to liver
failures, cancer and death. Vaccination
is central to managing the spread
of the disease, particularly in regions
of the world with large numbers of
chronically infected individuals.
While many countries have instituted
infant vaccination programs, compliance
is not optimal. Moreover, there are
large numbers of individuals born
prior to the implementation of these
programs who are unvaccinated and
are at risk for the disease. In addition,
not all individuals respond to currently
approved vaccines. Annual sales of
hepatitis B vaccines in 2003 exceeded
$1.0 billion globally.
Compliance with the immunization
regimen of currently approved HBV
vaccines is a significant issue, as
many patients fail to receive all
three doses. According to a survey
of U.S. adolescents and adults published
by the Centers for Disease Control,
only 53% of those who received the
first dose of vaccine received the
second dose of vaccine and only 30%
received the third. Dynavax believes
that compliance rates in other countries
are similar, if not lower. Consequently,
an unacceptably large number of individuals
who start the immunization series
remain susceptible to infection. Poor
field efficacy is of particular concern
in regions with high hepatitis B prevalence
and constitutes a major public health
issue.
About
Dynavax Technologies Dynavax Technologies
is a privately held biopharmaceutical
company developing innovative products
to treat allergy, inflammation-mediated
diseases, infectious diseases and
cancer. The companys lead products
are based on ImmunoStimulatory Sequences
(ISS), short DNA sequences that enhance
the ability of the immune system to
fight disease and prevent inflammation.
The companys two most advanced
products are AIC, which has provided
positive results in recently completed
phase II clinical trials for the treatment
of ragweed allergy, and a next-generation
hepatitis B vaccine that may offer
single-dose protection. Dynavax is
also developing an oral TNF-alpha
synthesis inhibitor initially for
the treatment of rheumatoid arthritis.
The company has collaborations with
Aventis-Pasteur, Triangle Pharmaceuticals
and Stallergenes.
Contact:
Andrew Gengos Chief Financial Officer
Dynavax Technologies Corporation (510)
848-5100
Note: This press
release contains "forward looking
statements" within the meaning
of the federal securities laws. These
forward-looking statements include
without limitation, statements relating
to the potential success of product
development, subsequent regulatory
approvals and potential product sales.
These statements are subject to risks
and uncertainties that could cause
actual results and events to differ
materially from those anticipated.
Readers are cautioned not to place
undue reliance on these forward-looking
statements that speak only as of the
date of this release. Dynavax undertakes
no obligation to update publicly any
forward-looking statements to reflect
new information, events or circumstances
after the date of this release except
as required by law.
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