Allos Therapeutics, Inc. (NASDAQ:ALTH) today announced topline results
from the Company's randomized Phase 2b investigational trial of FOLOTYN®
(pralatrexate injection) versus erlotinib in patients with Stage IIIB/IV
(advanced) non-small cell lung cancer (NSCLC) who had received one or
two prior systemic treatments including at least one prior
platinum-based regimen. The objective of the trial was to estimate the
efficacy of FOLOTYN compared to that of erlotinib as assessed by overall
survival. The results demonstrated clinical activity of FOLOTYN in this
patient population.
The primary endpoint of the trial was overall survival. Patients
receiving FOLOTYN had a 16 percent reduction in the risk of death
compared to erlotinib in the overall patient population (n=201; hazard
ratio (HR)=0.84) and a 13 percent reduction in the risk of death in the
primary efficacy analysis population (n=166; HR=0.87).
Analyses were also performed in predefined patient cohorts, including
light vs. heavy smokers, current vs. former smokers, squamous vs.
non-squamous histology, and patients who received prior pemetrexed vs.
those who had not. The largest reductions in risk of death for FOLOTYN
were observed in patients with non-squamous cell carcinoma (n=107;
HR=0.65) and light smokers (n=37; HR=0.63), with the results
demonstrating a 35 percent and 37 percent reduction in the risk of
death, respectively. Positive trends in overall survival were observed
in favor of FOLOTYN in all other patient cohorts except patients with
squamous cell carcinoma and patients who received prior pemetrexed.
The safety profile of FOLOTYN was consistent with that observed and
reported in previous FOLOTYN solid tumor studies. The most common Grade
3-4 adverse event observed in patients treated with FOLOTYN was
mucositis (23 percent). Other Grade 3-4 adverse events occurring in more
than 5 percent (but less than 10 percent) of patients were fatigue,
dyspnea, neutropenia, thrombocytopenia and anemia in patients treated
with FOLOTYN and rash, dyspnea, anemia and fatigue in patients treated
with erlotinib.
?We are pleased that the results of this trial demonstrated clinical
activity of FOLOTYN in a randomized study compared to erlotinib, an
approved active agent in non-small cell lung cancer,? said Charles
Morris, MB ChB, MRCP, chief medical officer at Allos Therapeutics. ?We
will continue to review these important data with our expert advisors to
further evaluate the clinical potential of FOLOTYN in this patient
population. We also plan to submit the complete study results for
presentation at an upcoming medical meeting.?
?This study generated important data regarding the safety and efficacy
profile for FOLOTYN in advanced non-small cell lung cancer, an area of
high unmet medical need,? said Paul L. Berns, chief executive officer at
Allos Therapeutics. ?We believe these data warrant further analysis to
determine the future development strategy based on our assessment of the
potential clinical, regulatory and commercial opportunities for FOLOTYN
in this indication.?
About the Study Design
This randomized, open-label, international, multi-center Phase 2b study
comparing FOLOTYN versus erlotinib, marketed as TARCEVA®,
enrolled 201 current or former smokers with Stage IIIB/IV (advanced)
NSCLC who had received one or two previous treatments including at least
one prior platinum-based chemotherapy regimen. The objective of the
trial was to estimate the efficacy of FOLOTYN compared to that of
erlotinib as assessed by overall survival. The primary endpoint of the
trial was overall survival. Secondary endpoints included
progression-free survival and response rate, both compared to erlotinib,
and the safety and tolerability of FOLOTYN. The study was not designed
to show a statistically significant difference between the two treatment
arms. No definition of statistical significance was included in the
analysis plan.
The trial – which enrolled patients across 43 locations worldwide (15
U.S. sites and 28 ex-U.S. sites) – was initiated by Allos in January
2008 and completed enrollment in July 2009. The first 35 patients
enrolled in the study were randomly assigned one-to-one to receive
FOLOTYN (intravenous push on days 1 and 15 of a 28-day cycle; initial
dose of 230 mg/m2) or erlotinib (oral, 150 mg daily in a 28-day cycle).
Subsequently, following a protocol amendment, 166 patients were randomly
assigned one-to-one to receive either FOLOTYN at 190 mg/m2 or erlotinib
at 150 mg/day and then further stratified by light and heavy smokers.
All patients received concurrent vitamin therapy of B12 and folic acid.
According to the statistical analysis plan, the full analysis set
included all 201 patients who were randomized in the study and the
primary efficacy analysis included the 166 patients enrolled subsequent
to the protocol amendment.
About Lung Cancer
More people die each year from lung cancer than any other type of cancer
– including breast, prostate, and colorectal cancers combined. In 2010,
it is estimated that there will be more than 200,000 new cases of lung
cancer diagnosed in the United States and over 150,000 deaths. There are
primarily two types of lung cancer: NSCLC and small cell lung cancer
(SCLC). NSCLC accounts for the majority of lung cancers (about 87
percent) and develops slowly – often causing few or no symptoms until
very late stages. The most common subtypes of NSCLC are squamous cell
carcinoma, adenocarcinoma, and large-cell undifferentiated carcinoma;
squamous cell carcinomas account for 25-30 percent of all lung cancers
while adenocarcinoma and large-cell undifferentiated carcinoma account
for 40 percent and 10-15 percent of lung cancers, respectively. The
majority of people are diagnosed with advanced stage disease and only
one to five percent of people with advanced stage (IIIB/IV) NSCLC
survive to five years. The most widely used therapies to date remain
surgery, chemotherapy, and radiation therapy.
Conference Call Information
Today, the Company issued a press release announcing its second quarter
2010 financial results. The Company will host a conference call to
review its financial results and the topline results from the Phase 2b
trial of trial of FOLOTYN versus erlotinib in patients with advanced
non-small cell lung cancer on Wednesday, July 28, 2010 at 8:30 a.m. ET.
Participants can access the call at 1-866-225-8754 (U.S. and Canada) or
+480-629-9690 (international). To access the live audio webcast or the
subsequent archived recording, visit the ?Investors - Presentations and
Events? section of Allos' website at www.allos.com.
Webcast and telephone replays of the conference call will be available
approximately two hours after the completion of the call. Callers can
access the replay by dialing 800-406-7325 (domestic) or 303-590-3030
(international). The passcode is 4329512#. The webcast will be recorded
and available for replay on Allos' website until August 11, 2010.
About Allos Therapeutics
Allos Therapeutics, Inc. (Nasdaq:ALTH) is a biopharmaceutical company
committed to the development and commercialization of innovative
anti-cancer therapeutics. Allos is currently focused on the development
and commercialization of FOLOTYN® (pralatrexate injection), a
folate analogue metabolic inhibitor. FOLOTYN is the first and only drug
approved in the U.S. for the treatment of patients with relapsed or
refractory peripheral T-cell lymphoma. Allos is also developing FOLOTYN
in other hematologic malignancies and solid tumors. Allos retains
exclusive worldwide rights to FOLOTYN for all indications. Allos is
headquartered in Westminster, CO. For additional information, please
visit www.allos.com.
IMPORTANT SAFETY INFORMATION
Warnings and Precautions:
FOLOTYN may suppress bone marrow function, manifested by
thrombocytopenia, neutropenia, and anemia. Monitor blood counts and omit
or modify dose for hematologic toxicities.
Mucositis may occur. If
? Grade 2 mucositis is observed, omit or modify dose.
Patients
should be instructed to take folic acid and receive vitamin B12 to
potentially reduce treatment-related hematological toxicity and
mucositis.
FOLOTYN can cause fetal harm. Women should avoid becoming pregnant while
being treated with FOLOTYN, and pregnant women should be informed of the
potential harm to the fetus.
Use caution and monitor patients when
administering FOLOTYN to patients with moderate to severe renal function
impairment.
Elevated liver function test abnormalities may occur and require
monitoring. If liver function test abnormalities are ? Grade 3, omit or
modify dose.
Dermatologic reactions may occur. Patients with dermatologic reactions
should be monitored closely.
Adverse Reactions:
The most common adverse reactions observed were mucositis (70%),
thrombocytopenia (41%), nausea (40%), and fatigue (36%). The most common
serious adverse events were pyrexia, mucositis, sepsis, febrile
neutropenia, dehydration, dyspnea and thrombocytopenia.
Use in Specific Patient Population:
Nursing mothers should be advised to discontinue nursing or the drug,
taking into consideration the importance of the drug to the mother.
Drug Interactions:
Co-administration of drugs subject to renal clearance (e.g., probenecid,
NSAIDs, and trimethoprim/sulfamethaxazole) may result in delayed renal
clearance.
For additional important safety information, please see the full
prescribing information for FOLOTYN at www.allos.com.
Safe Harbor Statement
This press release contains forward-looking statements that are made
pursuant to the safe harbor provisions of the Private Securities
Litigation Reform Act of 1995. Such forward-looking statements include
statements regarding the potential safety and efficacy of FOLOTYN for
the treatment of patients with advanced non-small cell lung cancer, the
potential development of FOLOTYN for the treatment of advanced non-small
cell lung cancer; and other statements that are other than statements of
historical facts. In some cases, you can identify forward-looking
statements by terminology such as ?may,? ?will,? ?should,? ?expects,?
?intends,? ?plans,? anticipates,? ?believes,? ?estimates,? ?predicts,?
?projects,? ?potential,? ?continue,? and other similar terminology or
the negative of these terms, but their absence does not mean that a
particular statement is not forward-looking. Such forward-looking
statements are not guarantees of future performance and are subject to
risks and uncertainties that may cause actual results to differ
materially from those anticipated by the forward-looking statements.
These risks and uncertainties include, among others: that data from
preclinical studies and clinical trials may not necessarily be
indicative of future clinical trial results; that the safety and/or
efficacy profile for FOLOTYN may not support further clinical
development in advanced non-small cell lung cancer; and the risk that
the Company may lack the financial resources and access to capital to
fund future clinical trials for FOLOTYN. Additional information
concerning these and other factors that may cause actual results to
differ materially from those anticipated in the forward-looking
statements is contained in the "Risk Factors" section of the Company's
Quarterly Report on Form 10-Q for the quarter ended June 30, 2010, and
in the Company's other periodic reports and filings with the Securities
and Exchange Commission. The Company cautions investors not to place
undue reliance on the forward-looking statements contained in this press
release. All forward-looking statements are based on information
currently available to the Company on the date hereof, and the Company
undertakes no obligation to revise or update these forward-looking
statements to reflect events or circumstances after the date of this
presentation, except as required by law.
Note: The Allos logo and FOLOTYN name are trademarks of Allos
Therapeutics, Inc.
TARCEVA is a registered trademark of OSI
Pharmaceuticals, Inc.

Allos Therapeutics, Inc.
Monique Greer, 720-540-5268
mgreer@allos.com
or
Madeline
Malia, 609-454-0325
mmalia@allos.com