Feb 5 2010
BioTime, Inc. (NYSE Amex:BTIM) today reported recently-released results
from an independent study evaluating the use of Hextend® in
hemodynamically unstable trauma patients. Hextend (6% Hetastarch in
Lactated Electrolyte Injection) is BioTime’s commercially-available
blood plasma volume expander used to treat hypovolemia (low blood
volume). The study, conducted at the University of Miami Ryder Trauma
Center, reported that initial resuscitation with Hextend was associated
with no obvious coagulopathy and reduced mortality compared to fluid
resuscitation without Hextend.
“...study design has several limitations, but that the results are
encouraging and warrant a randomized controlled clinical trial.”
The non-randomized observational trial was the largest involving Hextend
in any group of surgical patients and was conducted by a team of
physicians led by Kenneth G. Proctor, Ph.D. at the University of Miami
Ryder Trauma Center, a Level 1 trauma center, from June 2008 through
December 2008. The results were presented at the prestigious Southern
Surgical Association 2009 Annual Meeting in December by Drs. Alan S.
Livingstone, chair of Miami’s Department of Surgery, and Michael P.
Ogilvie, the study’s first author. Dr. Proctor’s team prospectively
evaluated 1,714 patients, of which 805 patients received standard of
care fluid resuscitation plus up to one liter of Hextend within the
first two hours of arrival at the trauma center and 909 patients
received standard of care fluid resuscitation without Hextend. Results
of the study showed that overall mortality for the patients treated with
Hextend was significantly lower at 5.2 percent compared to 8.9 percent>
“The U.S. Army has deployed Hextend for initial resuscitation of
battlefield casualties because less Hextend is required compared to
commonly used saline solution to achieve the same plasma volume
expansion effect. This offers a major logistic advantage for a combat
medic who has to carry all his supplies in his backpack,” said Dr.
Proctor. “Our team was one of the first to evaluate the potential use of
Hextend as a resuscitation fluid in the laboratory but no one had
evaluated the safety and efficacy specifically in trauma patients even
though there had been several other studies by other investigators in
various other types of surgical patients.” Dr. Proctor cautioned that
their “...study design has several limitations, but that the results are
encouraging and warrant a randomized controlled clinical trial.” He also
stated that it is “...extremely rewarding to provide solid evidence that
our heroes in Iraq and Afghanistan are receiving state of the art fluid
resuscitation on the battlefield.”
“We are gratified that Dr. Proctor and his distinguished team conducted
this fully independent clinical trauma study of our first therapeutic
product, Hextend,” said Michael D. West, Ph.D., Chief Executive Officer
of BioTime. “The results verify our long-held belief about the clinical
benefits of Hextend. Under our exclusive manufacturing and marketing
licenses to Hospira, Inc., and CJ CheilJedang, Hextend has been a
consistent revenue generator for our company. Our financial model
anticipates revenues from sales of Hextend, stem cell research products,
and research grants contributing to the funding of future stem
cell-based human therapeutic products,” Dr. West concluded.
Hextend is a formulation of 6% hetastarch combined with a
physiologically balanced crystalloid carrier that more closely mirrors
plasma electrolyte balance than 6% hetastarch in 0.9% sodium chloride.
The hetastarch component creates oncotic pressure, which would normally
be provided by blood proteins, and permits retention of intravascular
fluid. The crystalloid carrier provides electrolytes necessary for
physiologic functions and has a composition resembling that of the
principal ionic constituents of normal plasma. Hextend contains a normal
physiological level of calcium. For complete Hextend prescribing
information, please see the package
insert.
An abstract of the study, along with the program of the Southern
Surgical Association 2009 Annual Meeting, is available online at http://www.southernsurg.org/annualmeeting.html.
The complete study will be published in the Journal of the American
College of Surgeons in mid 2010.
SOURCE BioTime, Inc.