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Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

dr kockosh

Well-known member
For Immediate Release Melbourne, Australia ? 10 August 2009 LANI Phase III clinical trials in Asia prove successful Biota Holdings Limited (ASX:BTA) today announced successful results from the Asian Phase III clinical trials of CS-8958, its second generation influenza treatment. CS-8958 now has been assigned the new name of ?laninamivir? by the World Health Organization under its International Non-proprietary Names (INN) drug identification system. Laninamivir is a long acting neuraminidase inhibitor (LANI) and is co-owned with Daiichi Sankyo.

In the Phase III trial in adults, a single inhaled dose of laninamivir was shown to be as effective as oseltamivir (Tamiflu) administered orally twice daily for 5 days (total of 10 doses). A parallel Phase II/III trial of CS-8958 in paediatric patients also met the primary and secondary endpoints compared to oseltamivir. ?The success of the multifaceted Phase III trials in Asia is significant.

Laninamivir offers a new therapeutic agent in the treatment of influenza with particular advantages for stockpiling applications? said Peter Cook, Biota's Managing Director. Trial Results The Phase III study was conducted by Daiichi Sankyo in Japan, Taiwan, Hong Kong and Korea and enrolled approximately 1,000 adult patients who had confirmed, naturally acquired influenza A or B. Patients in the trial received either 20mg or 40mg of laninamivir as a single inhaled dose or 75mg of oseltamivir twice daily for five days.

Participants in the trial were distributed equally across three treatment groups. The primary end point of the trial was time to symptom resolution, while the secondary end point was time for body temperature to return to normal. Both doses of laninamivir were as effective as oseltamivir and were well tolerated.

The parallel Phase II/III double-blind paediatric study of laninamivir was conducted in Japan in approximately 180 children aged at nine years or younger. This study also compared the safety and efficacy of 20mg or 40mg of laninamivir as a single inhaled dose with oseltamivir, administered at a dose of 2mg/kg twice daily for five days. Approximately 60 children were enrolled in each treatment arm of the study.

The primary and secondary end points used in this trial were the same as those used in the adult study. Both doses of laninamivir were equivalent to oseltamivir and were well tolerated by paediatric patients. There was also a trend towards the single inhaled doses of 20mg or 40mg of laninamivir showing a faster time to the alleviation of influenza illness than oseltamivir dosed at 2mg/kg twice daily for five days.

Antiviral activity Pre-clinical tests have shown laninamivir to be effective against influenza A & B virus as well as against the H5N1 avian influenza virus. A recent paper in the journal Nature published by University of Tokyo virologist Yoshihiro Kawaoka et al indicated that laninamivir is also active against the new swine originated influenza A H1N1 virus. Future Daiichi Sankyo has secured the rights to manufacture and market laninamivir in Japan and funded the Japanese trials. Daiichi Sankyo is seeking approval from the Japanese regulatory authority to market laninamivir in Japan, with submission anticipated by March 2010.

A clinical study for prophylaxis of influenza is expected to commence in Japan in late 2009. Biota will receive an undisclosed royalty on sales and a number of fixed sum payments on the achievement of certain sales milestones. Biota will continue to advance the clinical development program required to support registration in North America and Europe.

The US National Institutes of Health has to date committed a total of US$5.6 million to support the western clinical development program. A licensing partner is now being sought for all markets outside Japan, including the US. Under the Commercialisation and Licence Agreement between Biota and Daiichi Sankyo, the parties will share commercial returns from licensing outside Japan.

A separate announcement will be made by Daiichi Sankyo in Japan today. About LANI?s (Long-Acting Neuraminidase Inhibitors) Current neuraminidase inhibitors for influenza require daily or more frequent dosing. The ability to dose patients on a weekly, or even less frequent, basis offers numerous benefits.

Firstly, any stockpile of weekly-dosing drug will last longer and protect more people, in the case of an influenza pandemic. Additionally, a weekly dose may improve patient compliance over a more frequent regime.
 
Re: New second generation Anti Viral phase 111 study sucessful

Re: New second generation Anti Viral phase 111 study sucessful

This is the biggest news in anti viral development since Biota discovered the first neuradimase inhibitor which led to development of relenza and tamiflu.
The new compound is said to be 300 times more potent than it's predecessors- lets hope it is granted emergency use under pandemic guidelines - with tamiflu resistance mounting - it is going to be needed soon.
 
Re: New second generation Anti Viral phase 111 study sucessful

Re: New second generation Anti Viral phase 111 study sucessful

Fantastic news! Are there any production issues?
Additionally, a weekly dose may improve patient compliance over a more frequent regime.
It should take longer for resistance to build if it is only a one off dose!
 
Re: New second generation Anti Viral phase 111 study sucessful

Re: New second generation Anti Viral phase 111 study sucessful

i don't think there are any productionn issues just time to get registration
 
Re: New second generation Anti Viral phase 111 study sucessful

Re: New second generation Anti Viral phase 111 study sucessful

Biota ready to commercialise flu drugAugust 10, 2009 - 12:39PM
Anti-flu drug developer Biota Holdings Ltd says the way is open to commercialise its latest anti-flu compound, laninamivir, following successful results from late-stage trials of the drug in Asia.

Biota said on Monday that laninamivir was effective in the treatment and prevention of seasonal flu, bird flu and swine flu.

The company said that the drug, taken via inhalation, differed from other flu drugs in that it required just one dose to treat flu and a once-weekly dose to prevent flu.

Biota managing director Peter Cook said the class of drugs to which laninamivir belonged - neuraminidase inhibitors - affected the mechanism whereby the virus, having replicated in the lung cell, releases itself from that cell.

"All influenza viruses use this same mechanism and these drugs all block that occurring, so effectively creating a `still birth' of the new virus," he said.

Biota announced on Monday that it had successful results from Phase III clinical trials in Asia of the compound CS-8958, which had been assigned the name, laninamivir, by the World Health Organisation.

"This is an historic development, one that has been many years in the making," Mr Cook told reporters.

"While there is much work ahead, it is reasonable to say that commercialisation of laninamivir is now within sight."

Mr Cook said laninamivir would help to meet the global need for a diversified basket of anti-viral drugs to fight influenza.

"The product offers a once-only dose for treatment of influenza and a once-weekly dose for prophylaxis," he said.

"These two attributes provide particular benefits for stockpiling through improved patient compliance, reduced storage space and lower freight costs.

"The success of these trials takes Biota another step closer to realising the valuable income stream from laninamivir."

Biota co-owns laninamivir with Japanese pharmaceutical group Daiichi Sankyo Co, which funded the Japanese trials.

Daiichi Sankyo has the rights to make and market laninamivir in Japan.

Biota said Daiichi Sankyo now was seeking approval from the Japanese regulatory authority to market laninamivir in Japan, with submission anticipated by March 2010.

Biota will receive royalties on sales of laninamivir and fixed-sum payments upon achievement of certain sales milestones.

Mr Cook said Biota now was seeking a commercial licensing partner for territories outside Japan and would work on clinical studies needed to support the registration of laninamivir in the United States and Europe.

Under the commercialisation and licence agreement between Biota and Daiichi Sankyo, the parties will share commercial returns from licensing outside Japan.

Mr Cook said the US regulatory authority would require a replication of the Asian Phase III tests in a western market.

But, he said, in the event of a "turn for the worst" in the incidence of swine flu, the US Food and Drug Administration may accept the studies done elsewhere in the world for approval under emergency circumstances.
 
Re: New second generation Anti Viral phase 111 study sucessful

Re: New second generation Anti Viral phase 111 study sucessful

announcement from japan

Positive top line results from Phase III study (MARVEL) of anti-influenza virus
agent ’CS-8958’

Daiichi Sankyo Company, Limited announced
today the top line results from a Phase III study of the anti-influenza virus agent ’CS-8958’
(generic name; laninamivir).
This study, named MARVEL (Multinational Asian Clinical Research for Influenza Virus
Extermination on Long-Acting Neuraminidase-Inhibitor study), was performed as a randomized,
double-blind, and active-controlled study in order to confirm the efficacy and safety of CS-8958
administered as a single inhaled dose of 20 or 40 mg compared to oseltamivir phosphate 75 mg
(Tamiflu capsule) orally administered twice daily for 5 days (total of 10 times) in adult
patients with influenza A or B virus infection. According to the results, non-inferiority to
oseltamivir phosphate was confirmed in both the 20 mg group and 40 mg group of CS-8958 in
terms of the primary endpoint, which was the time to alleviation of influenza illness. In the
comparison between the dose groups of CS-8958, 40 mg group was superior to 20 mg group in
efficacy. Both 20 mg and 40 mg of CS-8958 were well tolerated.
In addition, Daiichi Sankyo conducted a randomized, double-blind, active-controlled Phase
II/III study for pediatric use in parallel with MARVEL study, and the efficacy and safety of
CS-8958 administered as a single inhaled dose of 20 or 40 mg was compared to oseltamivir
phosphate (Tamiflufor oral suspension) as well. According to the results, both the 20 mg
group and 40 mg group of CS-8958 were better than oseltamivir phosphate group in efficacy.
Both 20 mg and 40 mg of CS-8958 were well tolerated in pediatric patients.
Daiichi Sankyo is now preparing to file its NDA for a treatment indication in fiscal year 2009.
Furthermore, Daiichi Sankyo is also preparing to start a clinical study for a prophylaxis
indication in autumn of 2009.


About CS-8958
CS-8958 (generic name; laninamivir) is an anti-influenza virus agent, originated by Daiichi
Sankyo Co.,Ltd., and is expected to be effective after a single dose due to its long action as a
neuraminidase inhibitor. After inhalation, CS-8958 is retained for a long time in the target organ.
Non-clinical studies conducted so far have shown that this agent was effective not only against
seasonal influenza, but also against new type influenza (swine A/H1N1) in-vitro and in-vivo (Y.
Itoh,et al, Nature, 2009). Additionally, CS-8958 shows efficacy against H5N1 avian influenza

virus in non-clinical tests.

 
Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

"turn to the worst" would probably happen -if it happens-
before it's available

same resistance mutations as for Relenza ?
 
Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

"turn to the worst" would probably happen -if it happens-
before it's available

same resistance mutations as for Relenza ?

I believe it has similar resistance profile to relenza (structurally superior to tamiflu) no resistance to lani
 
Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Q136K(6)=C406A(6)


A spokeswoman for Biota, which developed Relenza, said the discovery was ‘‘not clinically relevant, because it’s an in vitro discovery — there’s no evidence that this mutation has infected patients’’.

A spokeswoman for Relenza manufacturer GSK said the ‘‘clinical significance is yet to be determined’’.

> triple production of Relenza

http://www.flutrackers.com/forum/showthread.php?t=119067


Biota shares from 1.95 to 2.15 in the last days , 0.65 mid April
no movement in Daiichi Sankyo, they produce also other things
 
Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Q136K(6)=C406A(6)


A spokeswoman for Biota, which developed Relenza, said the discovery was ‘‘not clinically relevant, because it’s an in vitro discovery — there’s no evidence that this mutation has infected patients’’.

A spokeswoman for Relenza manufacturer GSK said the ‘‘clinical significance is yet to be determined’’.

> triple production of Relenza

http://www.flutrackers.com/forum/showthread.php?t=119067

yes it is an exciting new antiviral - but has taken biota 20 od yrs to get to this point incl original research that launched relenza then tamiflu
Lani genius = one dose - very easy to administer in Dr office - no more action required. great for essential service personal also - one puff per week
and can be nebulised for hospital use.
It will probably dominate the anti viral market for next 10 yrs and catapult biota into a multi billion dollar co - would'nt be surprised if Roche is bidding for it as a replacement for tamiflu -there must be some very smart people working at biota as i believe they are close to having a product to fight the common cold late stage ( a massive market for at risk groups) and HIV
 
Last edited by a moderator:
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

The company said that the drug, taken via inhalation, differed from other flu drugs in that it required just one dose to treat flu and a once-weekly dose to prevent flu.

But, he said, in the event of a "turn for the worst" in the incidence of swine flu, the US Food and Drug Administration may accept the studies done elsewhere in the world for approval under emergency circumstances.
<!-- / message -->
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

In addition, Daiichi Sankyo conducted a randomized, double-blind, active-controlled Phase
II/III study for pediatric use in parallel with MARVEL study, and the efficacy and safety of
CS-8958 administered as a single inhaled dose of 20 or 40 mg was compared to oseltamivir
phosphate (Tamiflu
for oral suspension) as well. According to the results, both the 20 mg
group and 40 mg group of CS-8958 were better than oseltamivir phosphate group in efficacy.
Both 20 mg and 40 mg of CS-8958 were well tolerated in pediatric patients.
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

looks like Lani may get preferance over permerivir for children
 
Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

Re: Manufacturer Says - New second generation Anti Viral phase 111 study sucessful

it has to be given in a Dr's office ?

That's a certain disadvantage over Relenza,Tamiflu which
can be taken by the patient at home.

Isn't it ?


Not enough Dr's offices at the height of a pandemic
Dr's offices are often the source of new infections
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

no it doesn't have to be used at drs office. But in a lot of cases a patient is at the dr's office first- so naturally instead of wasting valuable time going to pick up script at drug store - can simply take a single puff and game over - not further treatment required - no medication left to pick up.
same in a pandemic situation-LANI can be picked up by flu buddy for home admin or administered on the spot at pandemic flu centre no need to continue twice per day treatment for a week as with tamiflu/relenza
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

OK.
"puff" is inhalation with the Relenza-diskhaler
(I read they have a newer device now)
as with Relenza ?


what will it cost ? (approximately)
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

hard to tell what price will be but manafacture should be cheaper for 1 dose as apposed to ten and stockpiling/transport so i guess about the same as existing antivirals - so biota will get a big fat profit - i believe they have a new portugeuse inhaler which is high tech compared with relenza
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

biota talking with a hand full of drug co including GSK and Roche on licensing agreement for LANI.
CEO peter Cook tells reuters interview emergency pandemic enactment could see lani in use within 12 mths
 
Re: Manufacturer Says - New second generation Anti Viral phase III study sucessful - laninamivir

Experimental drug helps save critical swine flu victim<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>

GRANT McARTHUR<o:p></o:p>
August 19, 2009 12:01am<o:p></o:p>
GIVEN virtually no hope of survival, Ivan Luong has stunned doctors after recovering from swine flu with the help of a world-first experimental drug.<o:p></o:p>
As the 20-year-old left intensive care last night following a marathon 38 days ? including 31 on breathing machines ? a team from Melbourne's The Austin hospital were still coming to terms with how they had saved the chronic asthmatic.<o:p></o:p>
After arriving at the hospital on July 10, Mr Luong's lungs became so full of mucus they were almost solid, going from about 200g to more than 1kg and having no chance of passing oxygen into his blood.<o:p></o:p>
Efforts to sustain him on traditional ventilators literally blew Mr Luong's lungs apart - causing air to fill his chest cavity and place pressure on his heart as well as dangerous pockets of air under his skin.<o:p></o:p>
As his condition worsened an examination of the student's stomach revealed it had shut down, meaning the Tamiflu needed to fight off swine flu could not be digested.<o:p></o:p>
With an intravenous drip the only way of getting medication into Mr Luong, the team decided to try a liquid form of flu drug Relenza ? a highly experimental formula not registered anywhere in the world, which had to be flown in from the U.S. where it had been produced for clinical trials unrelated to swine flu.<o:p></o:p>
A relieved Mr Luong was yesterday coming to terms with enormous effort made to save his life. "All I can remember is getting needles about 40 days ago," he said.<o:p></o:p>
"I have strong parents that love me and have prayed for me." <o:p></o:p>
In Adelaide yesterday, a Hove man, 37, suffering from swine flu with no underlying medical conditions died, becoming the 11th death in South Australia.<o:p></o:p>
<o:p></o:p>
here's an example of an existing drug being used in a new way - exactly what we need with tamiflu resistance on the rise.
This also heighlights the potential for reduced absorbtion in patients who are administered oral anti virals (tamiflu)while going into shock or having vomiting symptoms.The question is - how much of the tamiflu is being absorbed.
 
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