BERKELEY HEIGHTS, N.J., Jan. 11, 2012 (GLOBE NEWSWIRE) --
Cyclacel Pharmaceuticals, Inc. (Nasdaq:CYCC) (Nasdaq:CYCCP)
("Cyclacel" or the "Company") today
summarized its 2011 achievements and set forth the
Company's key business objectives for 2012 in a
presentation given by Spiro Rombotis, President and Chief
Executive Officer, at the 5th Annual OneMedForum Conference
held this week in San Francisco, California.
"During 2011, we continued to make important progress
advancing the development of sapacitabine in both
hematologic malignancies and solid tumors with multiple
clinical studies currently in progress," said Spiro
Rombotis, President and Chief Executive Officer of
Cyclacel. "We are encouraged by the pace of patient
enrollment and investigator interest in SEAMLESS, our
pivotal Phase 3 trial of sapacitabine as a front-line
treatment of acute myeloid leukemia (AML), which was
initiated in 2011. For 2012, we are focused on executing
our product development plan for sapacitabine with a target
of having approximately fifty clinical trial sites
open."
Review of 2011 Accomplishments
Sapacitabine
-
Opened enrollment of the SEAMLESS pivotal Phase 3,
randomized, registration-directed, trial for the
Company's sapacitabine oral capsules as a front-line
treatment of elderly patients aged 70 years or older with
newly diagnosed AML who are not candidates for intensive
induction chemotherapy. SEAMLESS is being conducted under
a Special Protocol Assessment (SPA) agreement that
Cyclacel reached with the U.S. Food and Drug
Administration (FDA). SEAMLESS builds on promising
response rate and overall survival (OS) observed in
elderly patients aged 70 years or older with newly
diagnosed AML or AML in first relapse enrolled in a Phase
2 study of single agent sapacitabine and a Phase 1/2
clinical study examining the safety and efficacy of
sapacitabine administered sequentially with
decitabine.
-
Reported results at the 2011 American Society of Clinical
Oncology meeting from a pilot study evaluating the same
treatment regimen of sapacitabine dosed sequentially with
decitabine, as used in the active arm of SEAMLESS.
In the multicenter, pilot Phase 1/2 clinical trial
examining the safety and effectiveness of oral
sapacitabine administered sequentially with decitabine,
30-day mortality from all causes was 4.5% and 60-day
mortality from all causes was 9.5%. The overall response
rate (ORR) was 34.8%.
-
Data from the lead-in portion of the SEAMLESS Phase 3
trial of sapacitabine in elderly patients with AML
confirmed the safety and tolerability observed in the
pilot Phase 1/2 study and met the criteria prespecified
in the protocol to proceed to the randomized stage of the
study. The independent Data Safety Monitoring
Board (DSMB) of SEAMLESS recommended that the study
should enter the randomized stage as planned.
-
Reported updated results at the 2011 American Society of
Hematology meeting, from the Phase 1/2 clinical trial
evaluating the same treatment regimen of sapacitabine
dosed sequentially with decitabine, as the active arm in
SEAMLESS. The study enrolled 25 patients aged 70
years or older, 76% of which were aged 75 years or older.
Thirty-day mortality from all causes was 4% and 60-day
mortality from all causes was 12%. The ORR rate was 40%.
Median OS is 231 days and 44% of patients are still
alive.
-
Presented preclinical results for sapacitabine at the
2011 American Association for Cancer Research meeting
describing potential mechanism-based drug combinations.
Together with previous publications these findings
further support the rationale for clinical testing of
sapacitabine with inhibitors of DNA repair in both solid
tumors and hematological malignancies.
-
Commenced an investigator-initiated, Phase 2 trial of
sapacitabine in combination with cyclophosphamide and
rituximab in patients with previously treated chronic
lymphocytic leukemia (CLL) or small lymphocytic lymphoma
(SLL) and 11q22-23 deletion at The University of Texas MD
Anderson Cancer Center. Deletion at chromosome 11q22-23
is associated with deletion of the Ataxia Telangiectasia
Mutated (ATM) gene, an important element of the HRR
pathway. Previous findings show that cells with HRR
pathway defects are particularly sensitive to
sapacitabine. Sapacitabine may therefore be of particular
benefit to patients with ATM-defective blood cancers.
-
Announced interim topline data from ongoing clinical
studies with sapacitabine in heavily pretreated patients
with advanced solid tumors, including Phase 2
single-agent data in non-small cell lung cancer (NSCLC)
and Phase 1 data in combination with Cyclacel's
seliciclib in breast, ovarian, pancreatic and other
cancers. Partial responses (PR) and stable disease were
observed in both studies. In the Phase 1 trial,
responding patients were found to be carriers of BRCA
mutations.
"We are encouraged that single agent sapacitabine has
anti-tumor activity in patients with NSCLC," said Judy
H. Chiao, M.D., Vice President, Clinical Development and
Regulatory Affairs of Cyclacel. "We have also
observed anti-tumor activity of sapacitabine in
combination with seliciclib in BRCA-mutation positive
patients with breast, pancreatic and ovarian cancers, which
may be directly related to sapacitabine's enhanced
activity against cancer cells that are deficient in the
homologous recombination DNA repair (HRR) pathway."
Seliciclib and Second Generation CDK Inhibitors
-
Announced the publication of preclinical data in the
Proceedings of the National Academy of Sciences (PNAS),
demonstrating that cyclin E plays a major role in making
Human Epidermal growth factor Receptor 2 positive (HER2+)
breast cancer resistant to trastuzumab (Herceptin®), a
widely used medicine for breast cancer patients who test
positive for HER2. The publication provides a rationale
for exploring Cyclacel's orally available CDK
inhibitors in this patient population.
-
Topline data from the APPRAISE, Phase 2b, randomized
discontinuation, double-blinded, placebo-controlled,
study of oral seliciclib capsules as a third or more line
treatment in patients with NSCLC showed no difference in
median progression free survival between the seliciclib
and placebo arms (48 versus 53 days respectively), but an
increase in median OS favoring seliciclib over placebo
(388 versus 218 days respectively). Published
pre-clinical work indicated that K-Ras mutational status,
cyclin D1 and cyclin E1 protein levels correlated
strongly with tumor sensitivity towards seliciclib. In
order to explore this possible molecular rationale for
the difference in OS, the Company retrospectively
collected and analyzed available biopsy samples from
APPRAISE patients who granted informed consent. As only
30 patient samples were available from the 152 APPRAISE
patients who gave consent, results of the retrospective
analysis were insufficient to allow meaningful
correlation. A new prospectively designed study is
required to test the hypothesis that these biomarkers can
predict therapeutic effect of seliciclib in patients with
advanced stage NSCLC.
Corporate Developments
-
Hosted an Analyst and Institutional Investor meeting to
review the clinical development program for sapacitabine
including the design of SEAMLESS and provide an expert
overview of sapacitabine's mechanism of action and
future approaches for clinical investigation, both as a
single agent and in combinations, discussion of treatment
alternatives for elderly patients with AML by expert
hematologists and treatment alternatives for patients
with NSCLC who progress on currently available therapies
by a thoracic oncology expert.
-
Cyclacel raised approximately $10.4 million in gross
proceeds through an underwritten offering through the
sale of common stock and warrants, before deducting
placement agent fees and offering expenses.
Key Upcoming Business Objectives
-
Continue enrollment in the SEAMLESS pivotal Phase 3 study
of sapacitabine in AML;
-
Report updated Phase 2 sapacitabine data in AML preceded
by myelodysplastic syndromes (MDS) with previous
treatment with hypomethylating agent for the preceding
MDS;
-
Report updated Phase 2 sapacitabine data in 2nd line MDS
following previous treatment with hypomethylating agents;
-
Report updated Phase 2 sapacitabine data in NSCLC; and
-
Report updated Phase 1 sapacitabine and seliciclib
combination data in patients with solid tumors.
Financial information
As of September 30, 2011, Cyclacel's cash and cash
equivalents were $27.7 million compared to $29.5
million as of December 31, 2010.
For the live and archived webcast of the Company's
presentation at the OneMedForum San Francisco conference,
please visit the Corporate Presentations page on the
Cyclacel website at www.cyclacel.com. The
webcast will be archived for 90 days and the audio replay
for 7 days.
About Acute Myeloid Leukemia (AML)
AML is a cancer of the blood cells that progresses rapidly
and if not treated, could be fatal in a few months. AML is
generally a disease of older people and is uncommon before
the age of 40. The average age of a patient with AML is
about 67 years. There are more than 12,300 new cases of
AML, of which about half are elderly. Nearly 9,000 deaths
are caused by this cancer each year in the United States. A
recently published review of The University of Texas MD
Anderson Cancer Center's historical experience with
front-line intensive induction chemotherapy for AML
patients aged 70 years or older, excluding patients with
favorable karyotypes, demonstrated that while 45% achieved
a complete remission, median overall survival was only 4.6
months and was associated with a 4-week death rate of 26%
and an 8-week death rate of 36% (Kantarjian, H, et al,
Blood, DOI 10.1182/blood-2010-03-276485).
About sapacitabine
Sapacitabine (CYC682), an orally-available nucleoside
analogue, is currently being evaluated in a
registration-directed, Phase 3 trial in elderly
patients with newly diagnosed acute myeloid leukemia (AML),
Phase 2 trials in patients with hematological malignancies,
including myelodysplastic syndromes (MDS), cutaneous T-cell
lymphoma (CTCL), chronic lymphocytic leukemia (CLL) and
small lymphocytic lymphoma (SLL), and non-small cell lung
cancer (NSCLC) and in a Phase 1 trial in combination
with seliciclib in patients with advanced solid
tumors. Sapacitabine acts through a novel DNA
single-strand breaking mechanism, leading to production of
DNA double strand breaks (DSBs) and/or checkpoint
activation. Unrepaired DSBs cause cell death. Repair
of sapacitabine-induced DSBs is dependent on the homologous
recombination DNA repair (HRR) pathway. Both
sapacitabine and CNDAC, its major metabolite, have
demonstrated potent anti-tumor activity in preclinical
studies.
Over 350 patients have received sapacitabine in Phase 2
studies in AML, MDS, CTCL and NSCLC. Sapacitabine has
been administered to approximately 170 patients in five
Phase 1 studies with both hematological malignancies and
solid tumors. In June 2009 at the Annual Meeting of the
American Society of Hematology (ASH), Cyclacel reported
data from a randomized Phase 2 study single agent study of
sapacitabine including promising 1-year survival in elderly
patients with AML aged 70 years or older. In June 2011
at the Annual Meeting of the American Society of Clinical
Oncology (ASCO), Cyclacel reported data from a pilot Phase
1/2 study including promising response rate, low 4-week and
8-week mortality in elderly patients with AML aged 70 years
or older receiving sapacitabine alternating with
decitabine. The FDA and the European Medicines Agency have
designated sapacitabine as an orphan drug for the treatment
of both AML and MDS. Sapacitabine is part of
Cyclacel's pipeline of small molecule drugs designed to
target and stop uncontrolled cell division.
About seliciclib
Seliciclib is an orally-available CDK inhibitor molecule
that selectively inhibits multiple enzyme targets, CDK2,
CDK7 and CDK9, which are central to the process of cell
division and cell cycle control. Seliciclib treatment has
been reported to inhibit the two major DNA double-strand
break (DSB) repair pathways, homologous recombination DNA
repair (HRR) and non-homologous end joining (NHEJ), by
reducing expression of components of each pathway
(Federico, M., et al, Mol Cancer, 2010, 9, 208). Seliciclib
has been evaluated to date in approximately 380 patients
and is currently in randomized Phase 2 trials in patients
with previously treated lung cancer and nasopharyngeal
cancer.
About Cyclacel Pharmaceuticals, Inc.
Cyclacel is a biopharmaceutical company developing oral
therapies that target the various phases of cell cycle
control for the treatment of cancer and other serious
diseases. Sapacitabine (CYC682), an orally-available,
cell cycle modulating, nucleoside analogue, is in a Phase 3
trial being conducted under a SPA with the U.S. FDA for the
front-line treatment of acute myeloid leukemia in the
elderly and Phase 2 studies for myelodysplastic syndromes,
lung cancer and chronic lymphocytic
leukemia. Seliciclib (CYC202 or R-roscovitine), an
orally-available, CDK (cyclin dependent kinase) inhibitor,
is in Phase 2 studies for the treatment of lung cancer and
nasopharyngeal cancer and in a Phase 1 trial in combination
with sapacitabine. Cyclacel's ALIGN
Pharmaceuticals subsidiary markets directly in the U.S.
Xclair® Cream for radiation dermatitis, Numoisyn® Liquid
and Numoisyn® Lozenges for xerostomia. Cyclacel's
strategy is to build a diversified biopharmaceutical
business focused in hematology and oncology based on a
portfolio of commercial products and a development pipeline
of novel drug candidates. Please visit www.cyclacel.com for
additional information.
Forward-looking Statements
This news release contains certain forward-looking
statements that involve risks and uncertainties that could
cause actual results to be materially different from
historical results or from any future results expressed or
implied by such forward-looking statements. Such
forward-looking statements include statements regarding,
among other things, the efficacy, safety, and intended
utilization of Cyclacel's product candidates, the
conduct and results of future clinical trials, plans
regarding regulatory filings, future research and clinical
trials and plans regarding partnering activities. Factors
that may cause actual results to differ materially include
the risk that product candidates that appeared promising in
early research and clinical trials do not demonstrate
safety and/or efficacy in larger-scale or later clinical
trials, trials may have difficulty enrolling, Cyclacel may
not obtain approval to market its products, the risks
associated with reliance on outside financing to meet
capital requirements, and the risks associated with
reliance on collaborative partners for further clinical
trials, development and commercialization of product
candidates. You are urged to consider statements that
include the words "may," "will,"
"would," "could," "should,"
"believes," "estimates,"
"projects," "potential,"
"expects," "plans,"
"anticipates," "intends,"
"continues," "forecast,"
"designed," "goal," or the negative of
those words or other comparable words to be uncertain and
forward-looking. For a further list and description of the
risks and uncertainties the Company faces, please refer to
our most recent Annual Report on Form 10-K and other
periodic and current filings that have been filed with the
Securities and Exchange Commission and are available at www.sec.gov. Such
forward-looking statements are current only as of the date
they are made, and we assume no obligation to update any
forward-looking statements, whether as a result of new
information, future events or otherwise.
© Copyright 2012 Cyclacel Pharmaceuticals, Inc. All
Rights Reserved. The Cyclacel logo and Cyclacel® are
trademarks of Cyclacel Pharmaceuticals, Inc. Numoisyn®
and Xclair® are trademarks of Sinclair Pharma plc.
Herceptin® is a trademark of Genentech, Inc.
CONTACT: Cyclacel Pharmaceuticals, Inc.
Investors/Media:
Corey Sohmer
(908) 517-7330
csohmer@cyclacel.com