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One study met its primary endpoint, showing lebrikizumab significantly
reduced exacerbations in people with severe asthma; the second study
did not meet this primary endpoint
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Genentech continues to evaluate these study data to better understand
the results
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Clinical studies in asthma, COPD, atopic dermatitis and idiopathic
pulmonary fibrosis are ongoing
Genentech, a member of the Roche Group (SIX: RO, ROG; OTCQX: RHHBY),
today announced top-line results from two Phase III studies. The LAVOLTA
I-II studies were identical, double-blind, randomized, multicenter,
placebo-controlled studies that evaluated the efficacy and safety of
lebrikizumab in people with severe asthma.
LAVOLTA I met its primary endpoint, showing a significant reduction in
the rate of asthma exacerbations in people with higher levels of serum
periostin or blood eosinophils, both biomarkers of airway inflammation.
In addition, this study demonstrated a significant improvement in lung
function as measured by forced expiratory volume in one second (FEV1).
The observed effect in the primary and secondary endpoints, however, was
less than seen in the lebrikizumab Phase II trials. In contrast, the
exacerbation reduction results observed in LAVOLTA II did not meet
statistical significance. No new safety signals were observed in either
study.
“We were hopeful these identical studies would confirm the Phase II
results because there is still a significant unmet need for people with
severe asthma,” said Sandra Horning, M.D., chief medical officer and
head of Global Product Development. “These data require further
interpretation and analyses are ongoing to better understand the results
and determine next steps.”
Results from the studies will be submitted for presentation at upcoming
medical meetings.
About LAVOLTA
LAVOLTA I and II are two identical, randomized, multicenter,
placebo-controlled Phase III studies designed to evaluate the efficacy
and safety of lebrikizumab in people with severe asthma that is
uncontrolled despite standard-of-care treatment with an inhaled
corticosteroid and a second controller medication. The studies together
included more than 2,100 people across 28 countries.
The primary endpoint of both studies was the rate of asthma
exacerbations over 52 weeks. The evaluation of the primary and secondary
endpoints was based on a subgroup of people with higher levels of serum
periostin or blood eosinophils.
About Asthma
Asthma is a chronic disease of the lungs involving inflammation and
narrowing of the airways. Chronic lung inflammation is associated with
airway hyper-responsiveness – an exaggerated constrictive reaction in
the airways of the lungs to a variety of factors including inhaled
allergens and cold air – and recurrent episodes of wheezing,
breathlessness, chest tightness and coughing, particularly at night or
in the early morning. Asthma is associated with variable airflow
obstruction within the lung that is often reversible either
spontaneously or with treatment.
The global prevalence of asthma is expected to reach 400 million by
2025, and a quarter of a million people worldwide are estimated to die
every year from the disease. If uncontrolled, asthma places substantial
limitations on daily life and is sometimes fatal. Current treatments may
include daily use of an inhaled or oral corticosteroid and other
controller medication such as long-acting bronchodilators.
About Lebrikizumab
Lebrikizumab is a novel humanized monoclonal antibody designed to
specifically block the action of interleukin-13 (IL-13), a cytokine that
is a key contributor to airway inflammation and asthma disease processes
in some people. Clinical studies in asthma, chronic obstructive
pulmonary disease (COPD), atopic dermatitis (AD) and idiopathic
pulmonary fibrosis (IPF) are ongoing.
About Eosinophils
Eosinophils are inflammatory cells that can be present in increased
numbers in the airways and blood of people with asthma (eosinophilia).
Airway eosinophilia has been associated with key features of asthma.
IL-13 plays an important role in attracting eosinophils from the blood
to the airway, hence contributing to airway eosinophilia.
About Periostin
Periostin is a protein that has been identified as a key biomarker of
inflammation in certain types of asthma. Its presence can be measured
with a blood test. In people with asthma who have high levels of serum
periostin, IL-13 appears to be a major contributor to their airway
inflammation. An elevated serum periostin level has also been shown to
be a predictor of airway eosinophilia, a prominent feature of asthma.
About Genentech in Respiratory Diseases
Genentech is committed to transforming care for patients with severe
respiratory diseases. Genentech’s 25 years of respiratory experience
includes approved medicines for moderate-to-severe persistent asthma,
cystic fibrosis and idiopathic pulmonary fibrosis (IPF). Genentech also
markets three medicines for the treatment of specific types of lung
cancer. The lebrikizumab development program reflects Genentech’s
personalized healthcare approach, which includes the use of periostin
and eosinophils as biomarkers to identify those patients who are more
likely to have more severe disease and may better respond to treatment
with lebrikizumab.
About Genentech
Founded 40 years ago, Genentech is a leading biotechnology company that
discovers, develops, manufactures and commercializes medicines to treat
patients with serious or life-threatening medical conditions. The
company, a member of the Roche Group, has headquarters in South San
Francisco, California. For additional information about the company,
please visit http://www.gene.com.
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