Anadys Pharmaceuticals,
Inc. (Nasdaq: ANDS) announced today the results of a Phase I clinical trial
of ANA598 in healthy volunteers and additional preclinical data that
support ANA598 as one of the leading non-nucleoside polymerase inhibitors
currently in development for the treatment of HCV. These results are being
presented at the 59th Annual Meeting of the American Association for the
Study of Liver Diseases (AASLD) being held in San Francisco, California,
from October 31 - November 4. ANA598 is the Company's investigational
hepatitis C non- nucleoside polymerase inhibitor.
ANA598 Phase I Study Results
In the Phase I study in healthy volunteers, ANA598 was administered as
capsules at single oral doses of 400 mg, 800 mg, 1400 mg, 2000 mg (fed and
fasted) and 3000 mg. In addition, a separate cohort received two 800 mg
doses 12 hours apart. ANA598 was well tolerated at all doses and there were
no serious adverse events or withdrawals from the study, although
definitive conclusions regarding product safety and tolerability cannot be
made until the results of future clinical trials of longer duration in more
patients are known. All reported adverse events were classified as mild or
moderate, with no apparent dose relationship and no pattern of events
within any body system. The pharmacokinetic profile demonstrated sustained
plasma levels of ANA598 with a half-life of 24 to 30 hours in the fasted
state and 22 hours in the fed state, consistent with the potential for
once-daily or twice-daily oral dosing. In the cohort that received two 800
mg doses 12 hours apart, the concentration of ANA598 in plasma 12 hours
after the second dose was 83 ug/mL, which substantially exceeds the level
predicted to display antiviral potency. The data will be presented in a
late-breaker poster titled "Results of a Phase I Safety, Tolerability and
Pharmacokinetic Study of ANA598, a Non-Nucleoside NS5B Polymerase
Inhibitor, in Healthy Volunteers", at 1:00 p.m. PST on Monday, November 3.
ANA598 Preclinical Data at AASLD Meeting
In addition to the results of the Phase I healthy volunteer study,
Anadys is presenting additional data on the preclinical profile of ANA598
at the AASLD Meeting on Tuesday, November 4.
-- In a poster titled "In Vitro Studies Demonstrate that Combinations
of Antiviral Agents that Include HCV Polymerase Inhibitor ANA598 have the
Potential to Overcome Viral Resistance", Anadys will present the results of
in vitro studies that show ANA598 to be synergistic with interferon-alpha,
the protease inhibitor telaprevir (VX-950), and the nucleoside polymerase
inhibitor PSI-6130 (the active agent of R7128). These studies also show
that ANA598 retains activity against mutants known to confer resistance to
other classes of direct antivirals, including protease inhibitors,
nucleoside inhibitors and non-nucleosides that bind at the thumb site.
Genotypic mutations resistant to ANA598 will be shown to be fully
susceptible to interferon-alpha, telaprevir (VX-950) and PSI-6130. Data
will also be presented demonstrating synergy between ANA598 and cytokines
induced by ANA773, Anadys' TLR7 agonist oral prodrug, also in development
for hepatitis C. These data strongly support the potential for ANA598 to be
used in combination with multiple other agents approved or under
investigation for hepatitis C.
-- In a poster titled "Antiviral Efficacy of the HCV RNA Polymerase
Inhibitor ANA598 in the Chimpanzee Model of HCV Infection", Anadys will
present data showing that ANA598 exhibits a substantial antiviral effect
against both genotype 1a and 1b. In two HCV genotype 1b animals dosed over
four days, maximum viral load reductions of 2.2 and 2.6 log10 were observed
within 24 to 48 hours after the initial dose. In one animal the viral load
reduction was sustained throughout the remaining dosing period, while in
the second animal a modest rise in viral load was seen over days three and
four. In two HCV genotype 1a animals that each received a single dose of
ANA598, viral load reductions of 0.5 and 1.4 log10 were seen at 48 hours
post-dose.
About ANA598
Anadys recently initiated patient dosing in a Phase Ib study of ANA598
in HCV patients. Naive genotype 1a and 1b patients will receive ANA598 over
three days at doses of 200 mg bid (twice-a-day), 400 mg bid or 800 mg bid.
Ten patients will be enrolled at each dose level, eight receiving active
drug and two receiving placebo. Anadys recently completed dosing in the
Phase I study of ANA598 in healthy volunteers.
Preclinical evaluation of ANA598 was completed in the first quarter of
2008, leading to submission of an Investigational New Drug Application
(IND) to the U.S. Food and Drug Administration (FDA), subsequent allowance
of the IND by the FDA and initiation of clinical investigation in the
second quarter of 2008. In the preclinical program, ANA598 was well
tolerated at all doses tested in 28-day GLP toxicology studies. In
September, Anadys initiated long-term chronic toxicology studies of ANA598.
If ANA598 is successful in early stage clinical trials, it is anticipated
that the acceleration of these and other non-clinical activities into 2008
will enable a more rapid and continuous development path into Phase II
studies during 2009.
Clinical Need and Market Opportunity in HCV Infection
Chronic HCV infection is a serious public health concern affecting
approximately 3.2 million people in the United States and approximately 170
million people worldwide. HCV causes inflammation of the liver, which can
lead to fibrosis and cirrhosis, and may ultimately lead to liver failure
and/or liver cancer if not successfully treated. Cirrhosis of the liver
resulting from chronic HCV infection is the leading indication for liver
transplantation in the U.S. Due to the asymptomatic nature of HCV
infection, it often goes undetected for up to 20 years following initial
infection. Each year, 8,000 to 10,000 people in the U.S. die from
complications of HCV.
The current standard of care is a combination of pegylated interferon
and ribavirin. Inadequate response rates, in particular for patients
infected with genotype 1 HCV, along with significant side effects of
approved therapy, support the medical need for improved treatment options.
It is estimated that fewer than 5% of people with chronic HCV infection
living in the U.S. are under treatment today. Most infected individuals are
unaware of their infection status and the large majority of individuals who
know their condition do not currently receive drug therapy. There is also a
growing number of individuals who have failed interferon-based regimens who
may be successfully treated with combinations of two or more direct
antivirals. It is expected that the next generation of therapies for
treatment of HCV will include small molecules, such as ANA598, that
directly act upon specific viral enzymes to inhibit viral replication.
These new therapies are expected to improve overall therapy by increasing
cure rates and potentially improving tolerability and convenience of
treatment if doses of currently used agents can be reduced or eliminated.
About Anadys
Anadys Pharmaceuticals, Inc. is a clinical-stage biopharmaceutical
company dedicated to improving patient care by developing novel medicines
in the areas of hepatitis C and oncology. For the treatment of chronic
hepatitis C, the Company is developing two potentially complementary
agents, ANA598, a non-nucleoside polymerase inhibitor and ANA773, an oral
TLR7 agonist prodrug. The Company is also developing ANA773 for the
treatment of cancer.
Safe Harbor Statement
Statements in this press release that are not strictly historical in
nature constitute "forward-looking statements." Such statements include,
but are not limited to, references to (i) the belief that ANA598 is one of
the leading non-nucleoside polymerase inhibitors currently in development
for the treatment of HCV; (ii) the potential for ANA598 to be used in
combination with multiple other agents approved or under investigation for
hepatitis C; (iii) the potential for once-daily or twice-daily oral dosing
of ANA598; (iv) the level of plasma drug concentration of ANA598 predicted
to display antiviral potency; (v) the ability of Anadys to transition into
Phase II studies of ANA598 during 2009; and (vi) expectations regarding the
evolution of the market for HCV therapies. Such forward-looking statements
involve known and unknown risks, uncertainties and other factors, which may
cause Anadys' actual results to be materially different from historical
results or from any results expressed or implied by such forward-looking
statements. For example, the results of preclinical and early clinical
studies may not be predictive of future results, and Anadys cannot provide
any assurances that ANA598 and ANA773 will not have unforeseen safety
issues, will have favorable results in future clinical trials or will
receive regulatory approval. In addition, Anadys' results may be affected
by risks related to competition from other biotechnology and pharmaceutical
companies, its effectiveness at managing its financial resources, its
ability to successfully develop and market products, difficulties or delays
in its preclinical studies or clinical trials, difficulties or delays in
manufacturing its clinical trials materials, the scope and validity of
patent protection for its products, regulatory developments involving its
product candidates and its ability to obtain additional funding to support
its operations. Risk factors that may cause actual results to differ are
more fully discussed in Anadys' SEC filings, including Anadys' Form 10-K
for the year ended December 31, 2007 and Anadys' Form 10-Q for the quarter
ended September 30, 2008. All forward-looking statements are qualified in
their entirety by this cautionary statement. Anadys is providing this
information as of this date and does not undertake any obligation to update
any forward-looking statements contained in this document as a result of
new information, future events or otherwise.
Anadys Pharmaceuticals, Inc.