Dec 8 2009
Gentium S.p.A. (NASDAQ: GENT) today announced final clinical trial
results from the Company’s Phase II/III Pediatric Prevention trial and
Phase III Treatment trial for Defibrotide of Hepatic Veno-Occlusive
Disease (VOD), which were presented at the American Society of
Hematology Conference (ASH) in New Orleans. The results of both trials
strongly trended toward statistical significance. The Prevention trial
demonstrated a 40% reduction in the incidence of VOD at day 30>
Dr. Selim Corbacioglu, Pediatrics, University of Regensburg (Germany)
and Principal Investigator of the Pediatric Prevention trial reported in
an oral presentation that on an intent to treat basis (ITT), Defibrotide
demonstrated a 40% reduction>
“I believe that the results of the pediatric prevention study, which is
the largest trial to date conducted in the pediatric bone marrow
transplant setting, confirmed that Defibrotide is well tolerated and is
effective in preventing VOD,” said Dr. Selim Corbacioglu. “Additionally,
we are enthusiastic that Defibrotide was able to significantly reduce
the incidence and severity of acute graft versus host disease, a life
threatening complication of stem cells transplants for which there are
limited, effective prophylactic and treatment options. This activity is
consistent with the drug’s role in the protection of endothelial cells.”
Dr. Paul G. Richardson, Clinical Director of the Dana-Farber Cancer
Institute’s Jerome Lipper Multiple Myeloma Center and Principal
Investigator of the Treatment trial reported in a separate oral
presentation that on an ITT basis, 24% of patients in the Defibrotide
arm compared to 9% of patients in the historical control arm achieved
complete response at 100 days>
“I am very encouraged by the results of this trial, especially given the
extremely sick patient population enrolled,” said Dr. Paul Richardson.
“The data generated from this trial confirms the activity of Defibrotide
seen in earlier studies, with the clinical benefit reflected by a
significant improvement in complete response rate, as well as a
promising trend for survival. In addition, the results support its
potential in less advanced stages of VOD.”
“To date, Defibrotide has been evaluated for the treatment and
prevention of VOD in over 1,100 patients globally across multiple
clinical trials, a compassionate use program and under a treatment IND
protocol,” said Dr. Massimo Iacobelli, Scientific Director of Gentium.
“We believe that the efficacy data generated has consistently been
favorable and demonstrated an acceptable safety profile. With the final
results of these two studies in hand, and other supportive data, we look
forward to determining the next steps toward approval.”
Defibrotide has been granted Orphan Drug status by the U.S. Food and
Drug Administration (FDA) and the European Medicines Agency to prevent
and to treat VOD and Fast Track designation by the U.S. FDA for the
treatment of severe VOD in recipients of stem cell transplants.