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Analysis of Marshall Edwards, Inc.'s OVATURE Trial to Proceed Following Database Lock
| Source: Marshall Edwards, Inc.
NEW CANAAN, CT--(Marketwire - January 21, 2010) - The Board of Directors of Marshall Edwards,
Inc. today advised that analysis of tumor response data from the OVATURE
trial will be performed in the second quarter of 2010, after the database
is locked and the data are subjected to independent review by the Tumor
Response Evaluation Committee.
While initial data collection from all sites is now complete the Company is
currently working through a number of outstanding routine data queries that
remain to be addressed by some trial sites prior to database lock.
Consideration had been given to undertake a preliminary analysis of the
primary endpoint (Progression Free Survival) based on investigator
assessments of radiological scans by site personnel prior to final data
base lock. After consideration of regulatory advice provided to the Board,
it was decided to preserve the integrity of the study for regulatory review
and not perform any endpoint analysis prior to database lock.
The OVATURE protocol specifies that tumor response analysis be performed on
independent Tumor Response Evaluation Committee assessment of radiological
evidence, and this cannot be performed until after database lock has been
achieved. The Board has decided to avoid potentially compromising the data
from the OVATURE trial by completing an analysis of the primary efficacy
endpoint of progression free survival based on assessments of radiological
scans by site personnel, which have not been verified by the independent
Tumor Response Evaluation Committee. Further, there is a risk that site
interpretation of radiological scans may be at variance with independent
assessments, and could result in conflicting outcomes.
Alan Husband, Group Director of Research, stated: "Performing an analysis
of progression free survival based on assessments of radiological scans by
site personnel, that have not been verified by the independent Tumor
Response Evaluation Committee could potentially compromise the integrity of
the study data."
The Company expects the final analysis will be performed strictly according
to the protocol and now is expected to be completed in the second quarter
of 2010.
About the OVATURE trial
The OVATURE trial is a major multi-center international Phase III clinical
trial of orally-administered investigational drug phenoxodiol in
combination with carboplatin in women with advanced ovarian cancer
resistant or refractory to platinum-based drugs, to determine its safety
and effectiveness when used in combination with carboplatin.
The OVATURE trial recruited ovarian cancer patients whose cancer initially
responded to chemotherapy, but had since become resistant or refractory to
traditional platinum treatments. The protocol provided for an analysis of
interim results after 95 of the planned 340 recruited patients experienced
disease progression. Enrollment of new study subjects was terminated in
April 2009 at which time 142 patients had been randomized to the study. The
Special Protocol Assessment (SPA) that had been approved by the U.S. Food
and Drug Administration (FDA) was inactivated coincident with premature
termination of enrollment.
Changes in standards of care over the period the trial and the specific
inclusion/exclusion criteria of the OVATURE protocol had slowed patient
recruitment rates and, consequently, the Company deemed it prudent not to
fund the trial to completion as originally planned. In addition, the
downturn in global financial markets experienced at that time would have
made it difficult to raise further equity or debt to fund the trial through
to completion. The Independent Data Monitoring Committee ("IDMC")
supported the Company's decision to close the study to accrual, and, in a
review of the available safety data, the IDMC confirmed that there were no
safety concerns with phenoxodiol in these subjects.
About phenoxodiol:
Phenoxodiol is being developed as a chemosensitizing agent in combination
with platinum drugs for late stage, chemoresistant ovarian cancer and as a
monotherapy for prostate and cervical cancers. It is believed to have a
unique mechanism of action, binding to cancer cells via a cell membrane
oxidase, causing major downstream disturbances in expression of proteins
necessary for cancer cell survival and responsible for the development of
drug resistance.
In cancer cells, phenoxodiol appears to selectively inhibit the regulator
known as S-1-P (sphingosine-1-phosphate) that is overexpressed in cancer
cells. In response to phenoxodiol, the S-1-P content in cancer cells is
decreased, with a consequent decrease in expression of the pro-survival
proteins XIAP and FLIP, inducing cancer cell death via caspase expression
and promoting sensitivity to other chemotherapeutics. Indeed, in
laboratory studies, it has been demonstrated that drug-resistant ovarian
cancer cells pre-treated with phenoxodiol were killed with lower doses of
chemotherapy drugs.
Importantly, phenoxodiol has been shown not to adversely affect normal
cells in animal and laboratory testing.
Phenoxodiol has received Fast Track status from the FDA to facilitate its
development as a therapy for recurrent ovarian and prostate cancers.
Phenoxodiol is an investigational drug and, as such, is not commercially
available. Under U.S. law, a new drug cannot be marketed until it has been
investigated in clinical trials and approved by FDA as being safe and
effective for the intended use.
About Marshall Edwards, Inc.:
Marshall Edwards, Inc. (NASDAQ : MSHL ) is a specialist oncology company
focused on the clinical development of novel anti-cancer therapeutics.
These derive from a flavonoid technology platform, which has generated a
number of novel compounds characterized by broad ranging activity against a
range of cancer cell types with few side effects. The combination of
anti-tumor cell activity and low toxicity is believed to be a result of the
ability of these compounds to target an enzyme present in the cell membrane
of cancer cells, thereby inhibiting the production of pro-survival proteins
within the cell. Marshall Edwards, Inc. has licensed rights from Novogen
Limited (ASX : NRT ) (NASDAQ : NVGN ) to bring four oncology drugs --
phenoxodiol, triphendiol, NV-143 and NV-128 -- to market globally.
Marshall Edwards, Inc. is majority owned by Novogen, an Australian
biotechnology company that is specializing in the development of
therapeutics based on a flavonoid technology platform. More information on
phenoxodiol and on the Novogen group of companies can be found at
www.marshalledwardsinc.com and www.novogen.com.
Under U.S. law, a new drug cannot be marketed until it has been
investigated in clinical trials and approved by the FDA as being safe and
effective for the intended use. Statements included in this press release
that are not historical in nature are "forward-looking statements" within
the meaning of the "safe harbor" provisions of the Private Securities
Litigation Reform Act of 1995. You should be aware that our actual results
could differ materially from those contained in the forward-looking
statements, which are based on management's current expectations and are
subject to a number of risks and uncertainties, including, but not limited
to, our failure to successfully commercialize our product candidates; costs
and delays in the development and/or FDA approval, or the failure to obtain
such approval, of our product candidates; uncertainties in clinical trial
results; our inability to maintain or enter into, and the risks resulting
from our dependence upon, collaboration or contractual arrangements
necessary for the development, manufacture, commercialization, marketing,
sales and distribution of any products; competitive factors; our inability
to protect our patents or proprietary rights and obtain necessary rights to
third party patents and intellectual property to operate our business; our
inability to operate our business without infringing the patents and
proprietary rights of others; general economic conditions; the failure of
any products to gain market acceptance; our inability to obtain any
additional required financing; technological changes; government
regulation; changes in industry practice; and one-time events. We do not
intend to update any of these factors or to publicly announce the results
of any revisions to these forward-looking statements.