UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, DC 20549
FORM 8-K
CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF
THE SECURITIES EXCHANGE ACT OF 1934
Date of report (Date of earliest event reported): November 7, 2007
Nabi Biopharmaceuticals
(Exact name of registrant as specified in its charter)
Delaware | 000-04829 | 59-1212264 | ||
State or other jurisdiction of incorporation |
Commission File Number | IRS Employer Identification No. |
5800 Park of Commerce Boulevard N.W., Boca Raton, FL 33487
(Address of principal executive offices) (Zip code)
(561) 989-5800
(Registrants telephone number, including area code)
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions ( see General Instruction A.2. below):
¨ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
¨ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
¨ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
¨ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
Nabi Biopharmaceuticals
Item 7.01. Regulation FD Disclosure
On the Companys previously scheduled third quarter financial results conference call held on November 8, 2007, the Company discussed the results of its recently completed Phase IIb proof-of-concept study for NicVAX® (Nicotine Conjugate Vaccine). A press release issued by the Company on November 7, 2007 discussing the results of this study is furnished as Exhibit 99.1 to this Report. On the conference call, the Company reviewed the webcast slides furnished as Exhibit 99.2 and referenced the Study Results Slides posted on the Companys website and furnished as Exhibit 99.3.
The information in this Item 7.01 shall not be deemed to be filed for purposes of Section 18 of the Exchange Act or otherwise subject to the liability of that section, and it shall not be incorporated by reference into any filing under the Securities Act or the Exchange Act, regardless of any general incorporation language in such filing. Furthermore, the furnishing of the information included in this Item 7.01 is not intended to constitute a determination by the registrant that the information is material or that the dissemination of the information is required by Regulation FD.
Item 9.01. Item 9.01. Financial Statements and Exhibits
Exhibit number |
Description | |
99.1 | NicVAX Press Release | |
99.2 | Webcast Slides | |
99.3 | Study Results Slides |
The information included in the exhibits to this Current Report on Form 8-K is furnished pursuant to Items 7.01 and shall not be deemed to be filed for purposes of Section 18 of the Exchange Act or otherwise subject to the liability of that section, and shall not be incorporated by reference into any filing under the Securities Act or the Exchange Act, regardless of any general incorporation language in such filing. Furthermore, the furnishing of the information included in these exhibits to this Report is not intended to constitute a determination by the registrant that the information is material or that the dissemination of the information is required by Regulation FD.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
Nabi Biopharmaceuticals | ||||
Date: November 9, 2007 | By: | /s/ Jordan I. Siegel | ||
Jordan I. Siegel | ||||
Senior Vice President, Finance and Administration | ||||
Chief Financial Officer and Treasurer |
Index of Exhibits
Exhibit number |
Description | |
99.1 | NicVAX Press Release | |
99.2 | Webcast Slides | |
99.3 | Study Results Slides |
EXHIBIT 99.1
NEWS RELEASE | ||
Investor Relations 301-770-3099 | www.nabi.com |
FOR IMMEDIATE RELEASE
Nabi Biopharmaceuticals Announces Successful Completion of NicVAX® Phase 2b Trial;
Drug Shows Statistically Significant Rates of Smoking Cessation
and Continuous Long-Term Smoking Abstinence at 12 Months
Data Presented Today at the American Heart Association Scientific Sessions 2007 in Orlando, Florida
Boca Raton, Florida, November 7, 2007 Nabi Biopharmaceuticals (NASDAQ: NABI) today announced the successful completion of its Phase 2b trial of NicVAX® (Nicotine Conjugate Vaccine), the companys innovative and proprietary investigational vaccine being developed to treat nicotine addiction and prevent smoking relapse. The final 12-month data confirm the highly significant trends seen in the previous data at six and nine months for both smoking cessation and long-term smoking abstinence. These data were presented at 9:45 a.m., EST today at the American Heart Association (AHA) Scientific Sessions 2007 in Orlando, Florida by one of the trials lead investigators, Dr. Stephen Rennard, Larson Professor of Medicine, University of Nebraska Medical Center.
I believe data from this trial are very encouraging for smokers who are trying to quit as well as for the field of smoking cessation vaccines, said Dr. Rennard. Only a short time ago, it was difficult to find convincing evidence to link anti-nicotine antibody with smoking cessation. This double-blind, placebo-controlled trial has demonstrated a clinical proof of concept. The data show there is a correlation between antibody level and the ability of patients to quit smoking and remain abstinent over long periods of time. This development is key for the field of smoking cessation research and could have a significant impact on how we treat patients with nicotine addiction.
NicVAX® Phase 2b Trial: Key Findings in Final 12 Month Data Set
Optimal NicVAX® Dose and Schedule Identified for Smoking Cessation and Long-Term Abstinence
A statistically significant number of patients treated with the NicVAX® optimal dose (400 micrograms) and schedule (Schedule 2) were able to quit smoking and remained abstinent over the long-term:
| 12-Month continuous abstinence: NicVAX® 400 micrograms, Schedule 2 = 16% (8/51), Placebo=6% (6/100), p<0.038 (intent to treat population) |
| 12-Month continuous abstinence: NicVAX® 200 micrograms, Schedule 2 = 14% (7/50), Placebo=6% (6/100), p<0.056 (intent to treat population) |
| For the final 12-month data analysis, this response was calculated using total time after the Target Quit Date, rather than the general study week (which was used in interim data analyses). This conservative and stringent statistical approach yielded statistically significant findings even after a full year. |
Anti-Nicotine Antibody Levels Drive Long-Term Smoking Abstinence
| The rate of smoking cessation and ability to achieve long-term abstinence in treated patients was correlated with level of anti-nicotine antibodies at critical time points: The high antibody responder group (top 30% of antibody responders) showed continuous abstinence rates almost three times those of placebo at 12 months. |
| These high antibody responders continued to show statistically significant abstinence at 12 months: |
| NicVAX®= 16% (10/61) vs. Placebo= 6% (6/100), p<0.032 |
| Subjects in the therapeutic effect window show a >30% likelihood of achieving at least four months of smoking abstinence and remaining entirely abstinent through 12 months following the first administration of NicVAX®. |
Overall Health Benefit High Antibody Responders Smoked Fewer Cigarettes
Those patients in the NicVAX® group who continued to smoke but who also showed a high antibody response (top third) showed a statistically significant reduction in cigarettes smoked over the full 12 months compared to placebo (p<0.022):
| Using a repeated measures model, vaccinated smokers who failed to quit but showed a high antibody response smoked a median of only 10 cigarettes per day while in the study, compared to their own baseline values of 20 cigarettes per day before treatment. |
Safety Trends Continue NicVAX® Shows No Compensatory Smoking, No Increased Withdrawal
Importantly, there was no evidence of compensatory smoking or increase in withdrawal symptoms observed in NicVAX® patients at any stage of the 12-month trial. NicVAX® continued to be well-tolerated with the placebo and NicVAX® dose groups showing comparable adverse event profiles at each stage of the clinical study.
We are excited and greatly encouraged by the significant learning which has come from this first efficacy trial of NicVAX. said Dr. Leslie Hudson, Interim President and Chief Executive Officer of Nabi. It is important to note that we have seen success in each of the critical parameters of this trial; we know the dimensions of the therapeutic antibody window which will drive continuous abstinence out to a full year, we know the relationship between the psychological and biochemical drives to quit and remain abstinent and, most importantly, we believe we now have the insight to drive a higher rate of response. We will use these encouraging final data to advance our NicVAX partnership discussions and to determine the optimal design for the next step in our clinical trial efforts for this important primary care product candidate.
About the Phase 2b Study
The Phase 2b study was a double-blind, placebo-controlled and dose-ranging study comprised of 301 patients designed to establish proof of concept and the optimal dose for the Phase 3 program. This study was designed in collaboration with the U.S. Food and Drug Administration and other global regulatory agencies and incorporates the most current clinical trial standards and prevailing protocol design for smoking cessation studies. The trials primary endpoint is the rate of carbon monoxide (CO)-confirmed, continuous abstinence from smoking during weeks 19-26 after first vaccination. In May 2007, Nabi announced this trials six-month data, which showed that a statistically significant number of patients with in the high anti-nicotine antibody responder group met the trials primary endpoint of eight weeks of continuous abstinence between weeks 19-26.
About NicVAX®
NicVAX® is an innovative and proprietary investigational vaccine being developed by Nabi to treat nicotine addiction and prevent smoking relapse. NicVAX® is designed to stimulate the immune system to produce antibodies that bind to nicotine. A nicotine molecule attached to an antibody is too large to cross the blood-brain barrier. Therefore, NicVAX® blocks nicotine from reaching its receptors in the brain and prevents the highly-addictive pleasure sensation experienced by smokers and users of nicotine products. Pre-clinical and previous clinical data, as well as the study reported here, show that NicVAX®s ability to block nicotine from reaching the brain could help people quit smoking. Because the bodys immune system can be boosted to produce long-lasting antibodies, Nabi believes NicVAX® also could be effective in preventing smoking relapse. Relapse is a significant challenge facing smokers and, with currently-available smoking cessation therapies, relapse rates can be as high as 90% in the first year after a smoker quits.
NicVAX® Development Progress to Date
In September 2005, Nabi announced that it received a $4.1 million grant from the National Institute on Drug Abuse (NIDA), which is part of the National Institutes of Health. NIDA has also funded, in part, the costs for toxicology testing and earlier clinical trials in the U.S. and contributed scientific and clinical expertise to the program overall. In March 2006, Nabi Biopharmaceuticals announced that NicVAX® had received Fast Track Designation from the FDA, which facilitates the development of products that treat serious diseases where an unmet medical need exists. Nabi Biopharmaceuticals intellectual property portfolio for technology related to NicVAX® includes both issued and pending patents in the U.S. In addition, Nabi holds granted patents in 18 European countries, plus patents and pending patent applications in numerous other countries around the world.
About Nabi Biopharmaceuticals
Nabi Biopharmaceuticals leverages its experience and knowledge in powering the immune system to develop and, in certain areas, market products that target serious medical conditions in the areas of hepatitis and transplants, gram positive bacterial infections and nicotine addiction. We are a vertically integrated company with sales of antibodies and other biologics, including Nabi-HB® [Hepatitis B Immune Globulin (Human)], a pipeline of products in various stages of development and a state-of-the-art manufacturing capability. The company operates through two strategic business units: Nabi Biologics and Nabi Pharmaceuticals. Nabi Biologics has responsibility for the companys protein and immunological products and development pipeline, including Nabi-HB. Nabi Pharmaceuticals is responsible for the NicVAX® (Nicotine Conjugate Vaccine) and StaphVAX® (Staphylococcus aureus Polysaccharide Conjugate Vaccine) development programs. For a complete list of pipeline products, please go to: http://www.nabi.com/pipeline/index.php. In September 2007, Nabi announced that it had entered into a definitive agreement with Biotest AG to sell the Nabi Biologics strategic business unit to Biotest Pharmaceuticals Corporation, including Nabi-HB® [Hepatitis B Immune Globulin (Human)], and other plasma business assets, including Nabis state-of-the-art plasma protein production plant, and nine FDA-certified plasma collection centers across the U.S. The acquisition also will include certain of Nabis Corporate Shared Services group assets and the companys Boca Raton, Florida headquarters and other facilities, as well as the assumption of certain liabilities. This transaction is expected to close by the end of the year. The company is headquartered in Boca Raton, Florida. For additional information about Nabi Biopharmaceuticals, please visit our Web site:http://www.nabi.com.
Forward-Looking Statements
Statements in this release that are not strictly historical are forward-looking statements and include statements about the closing of the sale of Nabi Biologics and clinical trials and studies. You can identify these forward-looking statements because they involve our expectations, beliefs, projections, anticipations or other characterizations of future events or circumstances. These 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 in the forward-looking statements as a result of any number of factors. These factors include, but are not limited to, risks relating to our ability to: successfully close the sale of the Nabi Biologics SBU to Biotest AG; successfully partner with third parties to fund, develop, manufacture and/or distribute our existing and pipeline products, including NicVAX® and our Gram-positive infections products; obtain successful clinical trial results; our ability to successfully complete our strategic alternatives process; generate sufficient cash flow from sales of products or from milestone or royalty payments to fund our development and commercialization activities; attract and maintain the human and financial resources to commercialize current products and bring to market products in development; depend upon third parties to manufacture or fill our products; achieve approval and market acceptance of our products; expand our sales and marketing capabilities or enter into and maintain arrangements with third parties to market and sell our products; effectively and/or profitability use, or utilize the full capacity of, our vaccine manufacturing facility; manufacture NicVAX® or other products in our own vaccine manufacturing facility; comply with reporting and payment obligations under government rebate and pricing programs; raise additional capital on acceptable terms, or at all; and re-pay our outstanding convertible senior notes when due. Many of these factors are more fully discussed, as are other factors, in the companys Annual Report on Form 10-K for the fiscal year ended December 31, 2006 and our Quarterly Report for the quarters ended June 30, 2007 and March 31, 2007 on Form 10-Q with the Securities and Exchange Commission.
NicVAX NicVAX Nicotine Conjugate Vaccine Nicotine Conjugate Vaccine Relationship of Anti-Nicotine Relationship of Anti-Nicotine Antibody Levels to Abstinence: Antibody Levels to Abstinence: Final Phase 2b Trial Results at 12 Months Final Phase 2b Trial Results at 12 Months November 8, 2007 November 8, 2007 Exhibit 99.2 |
2 Forward Looking Statements Forward Looking Statements Certain matters Nabi will discuss today consist of forward-looking statements
made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 relating to, among other things, Nabis expectations concerning the companys commercial and regulatory strategy and business and financial outlook. These forward-looking statements are
not guarantees of future performance and are subject to a variety of risks and
uncertainties that could cause actual results to differ materially from the
results contemplated thereby. Any forward-looking statements made by Nabi
should be considered in light of the risks and uncertainties contained in our
filings with the Securities and Exchange Commission. Many of these
factors are more fully discussed, as are other factors, in the company's Annual Report on Form 10-K for the fiscal year ended December 31, 2006 and Quarterly Reports on Form 10-Q with the Securities and Exchange Commission. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of today. Nabi undertakes no obligation to update or revise the information provided herein, whether as the result of new information, future events or circumstances or otherwise. |
3 NicVAX Phase 2b Trial Design NicVAX Phase 2b Trial Design Multi-center, randomized, double-blind, placebo Multi-center, randomized, double-blind, placebo controlled study in smokers who want to quit smoking controlled study in smokers who want to quit smoking Primary endpoint at 6-months: 8 weeks continuous abstinence in Primary endpoint at 6-months: 8 weeks continuous abstinence in antibody-stratified population antibody-stratified population 301 heavy smokers 301 heavy smokers Average of 24 cigarettes per day; no smoker less than 15 per day Average of 24 cigarettes per day; no smoker less than 15 per day 2 doses (400 µg and 200 µg) vs. placebo 2 doses (400 µg and 200 µg) vs. placebo 2 schedules for each dose: 2 schedules for each dose: Schedule 1: 4 injections over 6 months Schedule 1: 4 injections over 6 months Schedule 2: 5 injections over 6 months Schedule 2: 5 injections over 6 months Point prevalence and continuous abstinence rates Point prevalence and continuous abstinence rates At 6 and 12 months At 6 and 12 months |
4 Primary and Secondary Primary and Secondary Abstinence Measures Abstinence Measures Target Quit Date Target Quit Date 8 week abstinence immediately prior to 6 months Continuous abstinence to 6 months 6 Months 12 Primary End Point Continuous abstinence to 12 months Secondary End Point |
5 12-Month Continuous Abstinence 12-Month Continuous Abstinence 14% 14% (n=7/50) (n=7/50) p=0.056 p=0.056 16% 16% (n=8/51) (n=8/51) p=0.038 p=0.038 Schedule 2 Schedule 2 6%
6%
(n=3/50)
(n=3/50)
p=0.88 p=0.88 NicVAX NicVAX 200 µg 200 µg 6% 6% (n=6/100) (n=6/100) Placebo Placebo 6%
6%
(n=3/50)
(n=3/50)
p=0.96 p=0.96 NicVAX NicVAX 400 µg 400 µg Schedule 1 Schedule 1 |
6 Antibody Response by Treatment Arm Antibody Response by Treatment Arm 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 Study Week 200 µg/Schedule 1 400 µg/Schedule 1 200 µg/Schedule 2 400 µg/Schedule 2 |
7 Exceeding the Effect Threshold Drives Exceeding the Effect Threshold Drives Greater Abstinence Greater Abstinence Intent to Treat Population 6% 6% (n=6/98) (n=6/98) 11% 11% (n=2/19) (n=2/19) p=0.37 p=0.37 22% 22% (n=6/27) (n=6/27) p=0.011 p=0.011 12-Month 12-Month Continuous Continuous Abstinence Rates Abstinence Rates NicVAX 400 µg NicVAX 400 µg Below Threshold Below Threshold at at TQD TQD Placebo Placebo NicVAX 400 µg NicVAX 400 µg Above Threshold Above Threshold at at TQD TQD Schedule 2 Schedule 2 |
8 Antibody Level Also Drives Late Quit Antibody Level Also Drives Late Quit 0% 5% 10% 15% 20% 25% 30% 35% 40% 0 4 8 12 16 20 24 28 32 36 40 44 Weeks following TQD Top 33% Bottom 67% Placebo |
9 Antibody Level Drives Decrease in Cigarette Antibody Level Drives Decrease in Cigarette Consumption in Non-Abstainers Consumption in Non-Abstainers 0 5 10 15 20 25 0 4 8 12 16 20 24 28 32 36 40 44 48 52 Study Week Placebo Top 33% Bottom 67% |
10 Conclusions Conclusions Optimal dose and schedule drives efficacy Optimal dose and schedule drives efficacy 400 µg/ml, Schedule 2: best regimen to attain threshold antibody 400 µg/ml, Schedule 2: best regimen to attain threshold antibody response at target quit date (TQD) response at target quit date (TQD) Critical for quit rate and to achieve long term abstinence Critical for quit rate and to achieve long term abstinence High antibody levels drive long-term abstinence High antibody levels drive long-term abstinence Continued Continued high antibody levels sustain TQD-induced abstinence and high antibody levels sustain TQD-induced abstinence and elicit additional spontaneous abstinence of four months or greater elicit additional spontaneous abstinence of four months or greater duration duration High antibody levels decrease cigarette consumption High antibody levels decrease cigarette consumption In continuing smokers, high anti-nicotine antibody levels significantly In continuing smokers, high anti-nicotine antibody levels significantly reduce cigarette consumption on a long term basis reduce cigarette consumption on a long term basis Trial provides critical insights: Trial provides critical insights: Antibody concentration and duration correlate with size of abstinent Antibody concentration and duration correlate with size of abstinent population population Findings inform clinical development program moving forward Findings inform clinical development program moving forward
|
A
Randomized Placebo-Controlled A Randomized Placebo-Controlled
Trial of a Conjugate Nicotine Vaccine Trial of a Conjugate Nicotine Vaccine (NicVAX (NicVAX ® ® ) ) in Smokers Who Want to in Smokers Who Want to Quit: 12 Month Results Quit: 12 Month Results Stephen Rennard, Douglas Jorenby, David Stephen Rennard, Douglas Jorenby, David Gonzales, Nancy Rigotti, Arjen Gonzales, Nancy Rigotti, Arjen de Vos, Enoch de Vos, Enoch Bortey, Roxanne Akhavain, Dorothy Hatsukami Bortey, Roxanne Akhavain, Dorothy Hatsukami U. Nebraska, U. Wisconsin, Oregon Health & Sciences U., U. Nebraska, U. Wisconsin, Oregon Health & Sciences U., Massachusetts General Hospital, Nabi Biopharmaceuticals, Massachusetts General Hospital, Nabi Biopharmaceuticals, and and U. Minnesota U. Minnesota Supported by a grant from the National Institute on Drug Abuse Supported by a grant from the National Institute on Drug Abuse Exhibit 99.3 |
2 Forward Looking Statements Forward Looking Statements Certain matters Nabi will discuss today consist of forward-looking statements
made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995 relating to, among other things, Nabis expectations concerning the companys commercial and regulatory strategy and business and financial outlook. These forward-looking statements are
not guarantees of future performance and are subject to a variety of risks and
uncertainties that could cause actual results to differ materially from the
results contemplated thereby. Any forward-looking statements made by Nabi
should be considered in light of the risks and uncertainties contained in our
filings with the Securities and Exchange Commission. Many of these
factors are more fully discussed, as are other factors, in the company's Annual Report on Form 10-K for the fiscal year ended December 31, 2006 and Quarterly Reports on Form 10-Q with the Securities and Exchange Commission. You are cautioned not to place undue reliance on these forward-looking statements, which speak only as of today. Nabi undertakes no obligation to update or revise the information provided herein, whether as the result of new information, future events or circumstances or otherwise. |
Presenter Disclosure Information Presenter Disclosure Information DISCLOSURE INFORMATION: DISCLOSURE INFORMATION: The following relationships exist related to this presentation: The following relationships exist related to this presentation: University of Nebraska Medical Center (S. Rennard, PI) University of Nebraska Medical Center (S. Rennard, PI) received a research contract from Nabi received a research contract from Nabi to conduct this and one to conduct this and one other clinical trial other clinical trial Since 2006, Dr. Rennard has conducted clinical trials or Since 2006, Dr. Rennard has conducted clinical trials or consulted with the following companies on the topic of smoking consulted with the following companies on the topic of smoking cessation: Pfizer, Novartis, GSK cessation: Pfizer, Novartis, GSK Stephen I Rennard Stephen I Rennard A Randomized Placebo-Controlled Trial of Conjugate Nicotine A Randomized Placebo-Controlled Trial of Conjugate Nicotine Vaccine Vaccine (NicVAX (NicVAX ) ) in in Smokers Smokers Who Who Want Want to to Quit: Quit: 12 12 Months Months Results Results NicVAX NicVAX is is investigational investigational 3 |
Nicotine Levels in a Smoker Nicotine Levels in a Smoker Light Smoker Time of the day Withdrawal High 4 |
3aminomethyl Nicotine 3aminomethyl Nicotine Recombinant Ps. Recombinant Ps. aeruginosa aeruginosa Exoprotein Exoprotein A (rEPA) Conjugate A (rEPA) Conjugate Nicotine N N CH 3 O O O H2 N N N CH3 NH NH O O 3 aminomethyl Nicotine rEPA rEPA N N CH 3 NH 2 AMNic rEPA + + + alum (Adjuant) 5 |
Blood Brain AMNic-rEPA AMNic-rEPA (NicVAX) Antibodies Function: (NicVAX) Antibodies Function: Capture Release Mechanism Capture Release Mechanism N I C V A X 6 |
7 Phase 2 Study: Key Questions Phase 2 Study: Key Questions Determine most effective dose and Determine most effective dose and immunization schedule immunization schedule Determine if vaccination is associated with long Determine if vaccination is associated with long term quits term quits Determine if antibody response is associated Determine if antibody response is associated with long term quits with long term quits |
NicVAX Phase IIb NicVAX Phase IIb Trial Design Trial Design A randomized, double-blind, placebo-controlled trial A randomized, double-blind, placebo-controlled trial Week N=50 N=50 N=50 Follow Up Placebo (PBS + alum) 0 0 4 4 8 8 12 12 16 16 20 20 24 24 26 26 52 52 Continuous Abstinence: 2 wk post TQD to 12 mo 1° Endpoint Final 8 weeks TQD Week 7 200 µg NV 400 µg NV N=51 Follow Up N=50 N=50 TQD Week 5 Placebo (PBS + alum) 200 µg NV 400 µg NV Schedule 1 Schedule 2 8 |
Study
Population Study Population 2% 2% 2% 2% Other Other 88% 88% 91% 91% White White 0% 0% 1% 1% Islander Islander 7% 7% 5% 5% Black Black 3% 3% 1% 1% Asian Asian Race Race 98% 98% 98% 98% Not Hispanic Not Hispanic Ethnicity Ethnicity 47 47 48 48 Mean Age Mean Age Age Age 50% 50% 46% 46% Females Females 50% 50% 54% 54% Males Males Gender Gender Placebo Placebo n=100 n=100 NicVax NicVax n=201 n=201 Demographics Demographics 96% 96% 6.12 6.12 24.3 24.3 NicVAX NicVAX N=201 N=201 96% 96% Subjects with at Subjects with at least 1 previous least 1 previous quit attempt quit attempt 6.05 6.05 Mean FTND Score Mean FTND Score 24.8 24.8 Mean Number Mean Number Cigarettes Cigarettes Smoked Per Day Smoked Per Day Placebo Placebo n=100 n=100 Baseline Smoking Baseline Smoking Characteristics Characteristics 9 |
10 Early Terminated Subjects* Early Terminated Subjects* 0 1 (2%) 7 (14%) 0 0 4 (8%) 12 (24%) 50 400 µg Schedule 2 Schedule 1 22 (43%) 24 (48%) 16 (32%) 33 (33%) Early Terminated Total 51 50 50 100 All Subjects 1 (2%) 0 0 1 (1%) Other 4 (8%) 2 (4%) 0 2 (2%) Adverse Event 7 (14%) 16 (32%) 11 (22%) 23 (23%) Withdrawal of Consent 2 (4%) 0 0 0 Protocol Violation 2 (4%) 1 (2%) 0 1 (1%) Non-Compliant with Protocol 6 (12%) 5 (10%) 5 (10%) 6 (6%) Lost to Follow-Up 400 µg 200 µg 200 µg Placebo *All Early Terminations are coded as smoking thereafter. |
Antibody Concentration Over Time Antibody Concentration Over Time Schedule 1 & Schedule 2 Schedule 1 & Schedule 2 Schedule 1 Schedule 2 0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 Study Week 200 µg/Schedule 1 400 µg/Schedule 1 200 µg/Schedule 2 400 µg/Schedule 2 11 |
12-Month Continuous Abstinence 12-Month Continuous Abstinence Intent to Treat Population 14% 14% (n=7/50) (n=7/50) p=0.056 p=0.056 16% 16% (n=8/51) (n=8/51) p=0.038 p=0.038 Schedule 2 Schedule 2 6%
6%
(n=3/50)
(n=3/50)
p=0.88 p=0.88 NicVAX NicVAX 200 µg 200 µg 6% 6% (n=6/100) (n=6/100) Placebo Placebo 6%
6%
(n=3/50)
(n=3/50)
p=0.96 p=0.96 NicVAX NicVAX 400 µg 400 µg Schedule 1 Schedule 1 12 |
13 6% 6% (n=6/100) (n=6/100) 8% 8% (n=11/140) (n=11/140) p=0.49 p=0.49 16% 16% (n=10/61) (n=10/61) p=0.03 p=0.03 12-Month 12-Month Abstinence Abstinence NicVAX NicVAX Low Antibody Low Antibody Placebo Placebo NicVAX NicVAX High Antibody* High Antibody* Continuous Abstinence at 12 Months by Continuous Abstinence at 12 Months by Anti-Nicotine Antibody Levels Anti-Nicotine Antibody Levels *Top 30% by AUC per protocol |
200
µg 200 µg 400 µg 400 µg 200 µg 200 µg 400 µg 400 µg 5% 5% (n=2/40) (n=2/40) p=0.55 p=0.55 10% 10% (n=1/10) (n=1/10) p=0.84 p=0.84 3% 3% (n=1/34) (n=1/34) p=0.36 p=0.36 13% 13% (n=2/16) (n=2/16) p=0.57 p=0.57 Schedule 1 Schedule 1 12% 12% (n=4/34) (n=4/34) p=0.23 p=0.23 19% 19% (n=3/16) (n=3/16) p=0.056 p=0.056 6% 6% (n=6/100) (n=6/100) 13% 13% (n=4/32) (n=4/32) p=0.22 p=0.22 21% 21% (n=4/19) (n=4/19) p=0.038 p=0.038 Schedule 2 Schedule 2 NicVAX NicVAX Low Antibody Low Antibody Placebo Placebo NicVAX NicVAX High Antibody* High Antibody* 12-Month 12-Month Continuous Continuous Abstinence Abstinence Rates (44 wks) Rates (44 wks) Continuous Abstinence at 12 Months by Anti- Continuous Abstinence at 12 Months by Anti- Nicotine Antibody Levels, Dose & Schedule Nicotine Antibody Levels, Dose & Schedule *Top 30% by AUC per protocol 14 |
15 Antibody-Dependent Reduction in Antibody-Dependent Reduction in Cigarette Consumption in Non-Quitters Cigarette Consumption in Non-Quitters % Baseline @ % Baseline @ 12-months 12-months 12-Months 12-Months 6-Months 6-Months Baseline Baseline 70% 70% 80% 80% 50% 50% 20 20 20-30 20-30 20 20 20-30 20-30 20 20 18-25 18-25 Average Daily Cigarette Consumption
Average Daily Cigarette
Consumption (median,
inter-quartile range) (median, inter-quartile range) 14 14 7-20 7-20 16 16 5-20 5-20 10 10 4-19 4-19 13 13 5-19 5-19 13 13 6-18.5 6-18.5 7.5 7.5 4-16 4-16 NicVAX NicVAX Low Low Antibody Antibody Placebo Placebo NicVAX NicVAX High High Antibody* Antibody* *Top 30% by AUC per protocol |
Adverse Events Adverse Events 11% 11% 6% 6% Dizziness Dizziness 10% 10% 7% 7% Nausea Nausea 14% 14% 9% 9% Nasopharyngitis Nasopharyngitis 9% 9% 10% 10% Insomnia Insomnia 12% 12% 12% 12% Headache Headache 30% 30% 29% 29% Upper Respiratory Upper Respiratory Infection Infection Placebo Placebo n=100 n=100 NicVAX NicVAX n=201 n=201 All events 10% of either NicVAX or Placebo 16 |
17 Adverse events leading to early Adverse events leading to early terminations terminations Nicvax Nicvax groups (7/201): groups (7/201): Anaphylactic reaction Anaphylactic reaction Increasing frequency of migraine headaches Increasing frequency of migraine headaches Arthralgias Arthralgias in multiple joints in multiple joints Shingles Shingles Stiffness in left hand Stiffness in left hand Dozing off at the wheel Dozing off at the wheel Atrial Atrial fibrillation fibrillation Placebo (2/100): Placebo (2/100): Forgetfulness Forgetfulness Exacerbation of Crohns Exacerbation of Crohns disease disease |
18 Local Reactogenicity Local Reactogenicity Percentage of Percentage of Subjects Experiencing Events (ITT) Subjects Experiencing Events (ITT) Injection Injection 77 77 83 83 77 77 80 80 81 81 81 81 89 89 87 87 91 91 78 78 Tenderness Tenderness 9 9 24 24 11 11 28 28 19 19 34 34 18 18 26 26 18 18 14 14 Redness Redness 27 27 38 38 25 25 43 43 31 31 46 46 38 38 45 45 41 41 32 32 Swelling Swelling 15 15 29 29 20 20 32 32 21 21 32 32 30 30 28 28 18 18 17 17 Heat Heat 6 6 28 28 13 13 28 28 19 19 24 24 24 24 21 21 17 17 19 19 Burning Burning 68 68 79 79 69 69 77 77 81 81 73 73 85 85 84 84 83 83 75 75 Ache Ache Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV 5 5 4 4 3 3 2 2 1 1 NV = NicVAX Pbo = Placebo |
19 Systemic Reactogenicity Systemic Reactogenicity Percentage of Percentage of Subjects Experiencing Events (ITT) Subjects Experiencing Events (ITT) 3 3 4 4 5 5 4 4 0 0 1 1 2 2 5 5 2 2 1 1 Vomiting Vomiting 15 15 19 19 12 12 12 12 13 13 18 18 21 21 28 28 22 22 18 18 Nausea Nausea 59 59 50 50 57 57 57 57 62 62 55 55 64 64 66 66 64 64 65 65 Muscle Aches / Muscle Aches / Myalgia Myalgia 21 21 33 33 27 27 34 34 35 35 44 44 36 36 54 54 41 41 41 41 Headache Headache 32 32 36 36 41 41 46 46 49 49 50 50 52 52 64 64 58 58 50 50 General Dis- General Dis- comfort / Malaise comfort / Malaise 0 0 0 0 3 3 6 6 7 7 8 8 2 2 3 3 2 2 2 2 Fever Fever Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV Pbo Pbo NV NV 5 5 4 4 3 3 2 2 1 1 Injection Injection NV = NicVAX Pbo = Placebo |
Conclusions Conclusions Most effective dose and schedule Most effective dose and schedule identified: Schedule 2 (5 injections), 400 µg identified: Schedule 2 (5 injections), 400 µg Antibody level predicts continuous Antibody level predicts continuous abstinence abstinence Significantly increased abstinence through Significantly increased abstinence through 12 months 12 months Safety profile Safety profile Reactogenicity Reactogenicity and adverse events similar to and adverse events similar to placebo placebo No evidence of compensatory smoking or No evidence of compensatory smoking or increase in withdrawal symptoms increase in withdrawal symptoms 20 |
Acknowledgements Acknowledgements National Institute on National Institute on Drug Abuse (NIDA) Drug Abuse (NIDA) RO1 DA017894 RO1 DA017894 Nabi Nabi Biopharmaceuticals Biopharmaceuticals Ali Fattom Ali Fattom Mariya Mariya Charny Charny Matt Hohenboken Matt Hohenboken Matthew Kalnik Matthew Kalnik Phyllis Link Phyllis Link Sharon Sutton Sharon Sutton Scott Winston Scott Winston Clinical Investigators Clinical Investigators Dorothy Hatsukami Dorothy Hatsukami Stephen Rennard Stephen Rennard Douglas Jorenby Douglas Jorenby Michael Fiore Michael Fiore David Gonzales David Gonzales Nancy Rigotti Nancy Rigotti Victor Reus Victor Reus Cheryl Oncken Cheryl Oncken Donald Tashkin Donald Tashkin Mitchell Nides Mitchell Nides Elbert Glover Elbert Glover Paul Pentel Paul Pentel 21 |