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Ipsat Therapies Announces Positive
Top-line Data from Phase IIb Study of Ipsat P1A
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Helsinki, Finland, 25 October, 2007 – Ipsat Therapies announced today that
the Ipsat P1A phase IIb study met both primary endpoints. Ipsat P1A is the most
advanced of Ipsat’s portfolio of beta-lactamases, specifically designed to
inactivate residual amounts of antibiotics in the patients’ gastrointestinal
tract, after parenteral administration of beta-lactam antibiotics for serious
infections.
The recently completed Phase IIb study was a randomised, placebo controlled,
double blind, multi-center study in hospitalized patients treated with
intravenous ampicillin for serious respiratory infections. It was designed to
evaluate the preventative effect of oral administration of Ipsat P1A on the
changes in intestinal microflora, development of antimicrobial resistance and
gastrointestinal side effects induced by ampicillin. Group 1 (n=54) was treated
with intravenous ampicillin and oral P1A, and group 2 (n=58) was treated with
intravenous ampicillin and placebo.
Ampicillin treatment led to significant changes in intestinal microflora, with a
reduction in ‘similarity index’ and an increase in the number of ampicillin-resistant
coliforms compared to baseline. Administration of Ipsat P1A effectively
prevented these effects, as demonstrated by a smaller decrease in similarity
index in the treated group compared to placebo ( -27.2% vs -44.5%, respectively,
p<0.001). Treatment with P1A also reduced the emergence of ampicillin-resistant
coliforms by more than 3-fold compared to placebo (+ 12.7% vs + 40.2%,
respectively, p< 0.001). The study therefore met primary end-points, in both
intent-to-treat and per protocol populations.
“We are delighted with the outcome of this trial. It clearly shows the efficacy
of Ipsat P1A in preserving the intestinal microflora and preventing the
emergence of antibiotic-resistant bacteria. By protecting the intestinal
microflora, Ipsat P1A preserves colonization resistance during antibiotic
treatment”, commented Nora Kaarela, CEO of Ipsat Therapies.
P1A was well tolerated. The rate of overall adverse events was comparable
between the two treatment groups. Four patients developed diarrhea, three in the
placebo group and one in the treated group.
When the normal intestinal microflora is altered during parenteral antibiotic
treatment, an overgrowth of pathogenic and resistant bacteria and of Candida
species are observed, potentially leading to clinically important secondary
infections, such as C. difficile. “We believe P1A and its follow-on products
have the potential to significantly contribute to safer and more cost-efficient
treatment with antibiotics, by reducing secondary infections and minimizing the
spread of bacterial resistance in the environment”, commented Kaarela.
During 2008 IPSAT will initiate additional clinical studies with the objective
of demonstrating reduction in the frequency of secondary infections during
antibiotic treatment. These activities will be financed by proceeds from a
financing round that will close in early 2008. "In parallel to our clinical
development of P1A and further advancement of our preclinical beta-lactamase
projects we aim to enter into one or several strategic partnerships in order to
maximize the commercial potential of our portfolio", says Nora Kaarela.
- ENDS -
Notes to Editors
About Gut Microflora and the Similarity Index
The human gastrointestinal tract harbors a diverse community of microorganisms,
consisting mainly of anaerobic bacteria. Denaturing gradient gel electrophoresis
(DGGE) is a culture-independent method giving information about the human
intestinal bacterial community including species that are difficult if not
impossible to culture. DGGE is an electrophoretic technique to separate the 16S
ribosomal-RNA gene sequences of similar size, but with different base-pair
compositions, producing a molecular fingerprint profile of the microbial
community. These fingerprint profiles are compared to each other by computer
analysis resulting in calculation of the Similarity Index (%) between the
individual profiles. The effect of antibiotic therapy on the intestinal
microflora is evaluated by comparing the DGGE fingerprint profile (Similarity
Index) from fecal samples before antibiotic treatment with samples taken during
or after treatment.
About hospital infections
Hospital-acquired infections are a major cause of morbidity in developed
countries. It is estimated that 7.5 million patients suffer from
hospital-acquired infections a year and nearly 340,000 of them die. The
financial costs associated with hospital infections are equally staggering. Dr.
John A. Jernigan, Chief of Interventions and Evaluations at the CDC, has said
that hospital-acquired infections result in up to $27.5 billion in additional
health care expenses annually in the USA. At the beginning of August 2007, new
Medicare rules were issued, under which the government insurance program will no
longer pay hospitals for care associated with treating certain hospital-acquired
infections. The new rules will go into effect in October 2008. Medicare
reportedly pays for more than 60% of the hospital infections in the USA. The
Centers for Medicare and Medicaid Services (CMS) have reported to be considering
expanding the list of hospital infections for non-payment in future years.
Ipsat Therapies -
http://www.ipsat-ther.com .
Ipsat Therapies Ltd is a private company focusing on the development of products
in the anti-infective field. Ipsat´s focus is primarily on the development of
products for the prevention of antibiotic resistance, antibiotic-associated
diarrhea and hospital associated infections. The Company became operational
early 2000 and has raised €22 million in funding to date.
For more information, please contact:
Nora Kaarela
CEO
Ipsat Therapies Ltd
Viikinkaari 4
FIN-00790 Helsinki
Finland
Tel: +358 400 897 020(mobile)
Tel: +358 9 319 36 500 (office)
Nora.Kaarela@ipsat-ther.com
www.ipsat-ther.com
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