kearny
August 22, 2006
Theravance Announces Positive Results in Phase 3 Telavancin Complicated Skin and Skin Structure Infection Program

Founded by Roy Vagelos and George Whitesides, Theravance is developing drugs for different clinical problems, including respiratory disease, bacterial infections, and gastrointestinal motility dysfunction. Its development programs include the antibiotic telavancin, which is in Phase III trials. We believe that telavancin represents a major new antibiotic for gram positive bacteria, including methicillin-resistant Staphylococcus aureus (MRSA). Below, Theravance reports meeting its primary endpoint in two Phase III trials. The company has a collaboration arrangement with Astellas Pharma, Inc. for the development and commercialization of telavancin worldwide which is worth $221 million in milestone payments in addition to a significant royalty on global sales.

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Theravance, Inc. (NASDAQ: THRX) today announced results from the ATLAS I and ATLAS II trials assessing the safety and efficacy of telavancin, a rapidly bactericidal injectable antibiotic, for the treatment of complicated skin and skin structure infections (cSSSI) caused by Gram-positive bacteria. ATLAS I and ATLAS II were two large, multi-center, multinational, double-blind, randomized Phase III clinical studies that enrolled and treated 1,867 patients in total, 719 of whom were infected with methicillin-resistant Staphylococcus aureus (MRSA). In each study, telavancin achieved its primary endpoint of non-inferiority. In both the all-treated and clinically evaluable populations, telavancin achieved a numerically better clinical cure rate versus vancomycin in cSSSI caused by Gram-positive bacteria.

In the clinically evaluable population of patients combined from ATLAS I and ATLAS II with cSSSI caused by MRSA:
  • telavancin showed a numerically better clinical cure rate than vancomycin (telavancin 90.6% versus vancomycin 86.4%, p=0.060) and
  • telavancin achieved a numerically better microbiological eradication rate than vancomycin (telavancin 89.9% versus vancomycin 85.4%, p=0.053).
"This positive outcome represents a landmark event for our company and the team that helped make it happen," said Rick E Winningham, Chief Executive Officer at Theravance. "Telavancin is a Theravance-discovered medicine, and these data demonstrate that our innovative approach to drug discovery works and can have an impact on combating serious infections. With the data from this program, telavancin has the opportunity to become an important new medicine for the treatment of serious Gram-positive infections."

"This was the largest double-blind randomized clinical program ever conducted in the treatment of patients with complicated skin and skin structure infections, and included the most patients infected with MRSA evaluated in an anti-infective clinical research program to date," said Michael Kitt, MD, Senior Vice President of Development at Theravance. "I am extremely pleased we met our primary endpoint and observed a strong trend toward an improved clinical cure rate versus vancomycin for the treatment of patients infected with MRSA in this program. I would like to thank the physicians, study coordinators, nurses, pharmacists, and patients who participated in this program. We look forward to presenting our data for scientific review and submitting our new drug application to the U.S. Food & Drug Administration."

"With the incidence of methicillin-resistant Staphylococcus aureus infections on the rise, it is imperative that clinicians have effective alternatives in the treatment of these difficult infections," stated Sef Kurstjens, MD, PhD, Senior Vice President, Research and Development at Astellas Pharma US, Inc., an affiliate of Astellas Pharma Inc., the worldwide business partner for the development and commercialization of telavancin. "We are excited about the results of the ATLAS I and ATLAS II studies and look forward to working with Theravance in bringing this potential new treatment to physicians."

The safety profile of telavancin was consistent with that observed in prior clinical studies. The most common adverse events reported in patients receiving telavancin were mild to moderate taste disturbance and nausea. In addition, consistent with previous studies, small percentages of telavancin-treated patients experienced renal adverse events or increases in the QTc interval.

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