Galena Biopharma, a
biopharmaceutical company developing and commercializing innovative, targeted
oncology treatments, just announced the acquisition of Mills Pharmaceuticals,
which has the worldwide rights to GALE-401 (Anagrelide CR), a patented,
controlled release formulation of anagrelide. Galena plans to pursue the
expedited 505(b)(2) regulatory pathway to seek approval of GALE-401 for the
treatment of Essential Thrombocythemia (ET). The company also believes GALE-401
meets the qualifications for orphan drug status. According to today’s press
release, GALE-401 has an estimated peak market size of approximately $200
million in the U.S.
“This acquisition is an
excellent fit for Galena’s focused business strategy, adding another novel
product to our pipeline which strengthens the depth and breadth of our
hematology-oncology portfolio,” stated Mark J. Ahn, Ph.D., President and CEO of
Galena Biopharma. “ET is a serious condition in which current agents often have
very debilitating side effects. We believe GALE-401 can enhance the therapeutic
index for ET patients—reducing the side effects of anagrelide while maintaining
efficacy for these patients. With established guidance from the FDA on the
development process, we are excited to initiate a Phase 2 study in mid-2014.”
Essential Thrombocythemia
(ET) is an acquired disease of the bone marrow, characterized by highly
elevated platelet counts, and is associated with vascular complications
including increased risk of thrombosis and bleeding, and events such as heart
attack and stroke. Anagrelide immediate release (IR) is currently one of two
generic drugs approved to treat ET. However, a significant number of patients
are unable to tolerate fully effective doses of anagrelide IR and either
discontinue treatment or are reduced to a dose which is insufficient to achieve
the target platelet level.
GALE-401 is expected to
greatly decrease the adverse event rate relative to the approved product. The
adverse events of IR anagrelide—nausea, diarrhea, abdominal pain, palpitations,
tachycardia, headache—are tied to the peak concentration, or Cmax, and these
side effects often limit dose escalation resulting in inadequate control of
disease or discontinuation of therapy. Existing data strongly suggest reducing
the Cmax while maintaining the overall exposure to the drug, or AUC (area under
the curve), reduces the rate of adverse events without compromising efficacy.
GALE-401 significantly decreases the Cmax by up to 70% while preserving nearly
100% of the AUC.
This favorable
pharmacokinetic profile for GALE-401 has been established in several Phase 1
studies enrolling an aggregate 86 healthy subjects. Across all studies, a dose
dependent reduction in platelet count was observed, and importantly, the safety
profile of GALE-401 was no different from placebo. It is anticipated that the
dosing and tolerability advantages will potentially allow Galena to expand the
market to treat younger and elderly patient populations with ET who are
currently undertreated.
Based on a regulatory
meeting with the U.S. Food and Drug Administration (FDA), Galena believes a
505(b)(2) regulatory filing is an acceptable paradigm for approval of GALE-401,
with the reference drug Agrylin® (anagrelide; Shire Pharmaceuticals). The Phase
1 program has provided the desired PK/PD (pharmacokinetic/pharmacodynamic)
profile to enable the Phase 2 initiation. The FDA has also indicated that only
a single Phase 3 trial is required for approval.
“Many physicians are not
satisfied with currently available treatments for ET due to the fact that they
cannot effectively lower and maintain platelet levels in many of their patients
without unmanageable side effects. GALE-401 (Anagrelide CR) is designed to
deliver anagrelide with controlled release over a longer period of time to take
advantage of the known benefits of the drug, while reducing the adverse events
to offer a better treatment option for patients,” said Srdan Verstovsek, MD,
PhD, Chief, Section for Myeloproliferative Neoplasms (MPNs), Department of
Leukemia, Director, Clinical Research Center for MPNs, The University of Texas
MD Anderson Cancer Center.
In addition to receiving an
up-front payment in exchange for their company, Mills Pharmaceuticals owners
are eligible to receive one-time payments of up to 4,000,000 shares with the
achievement of specified regulatory milestones. The owners of Mills
Pharmaceuticals are also eligible to receive $3 million upon FDA approval of a
new drug application in respect to GALE-401. GALE-401 possesses a broad patent
portfolio and provides intellectual property protection through at least 2029.
Mills Pharmaceuticals is affiliated with Aceras Partners. Roth Capital Partners
acted as financial advisor to Galena in this transaction.
For more information, visit
www.galenabiopharma.com
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