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UK Scientists Deliver on Breakthrough Treatment for Rheumatoid Arthritis Sufferers

September 19 2003 News that HUMIRAÒ, a ground breaking new drug for Rheumatoid Arthritis (“RA”), has received regulatory clearance for marketing in Europe and will be launched in the UK shortly represents a major success for the UK scientists who have helped to unlock the potential of antibody based drugs.  Such treatments can mimic the effects and harness the body’s own immune system, by using the antibody molecule, a molecular format produced “naturally” by the immune system, as the drug molecule.

HUMIRA, also known as adalimumab, was isolated and optimised by Cambridge Antibody Technology (“CAT”), the leading UK biotechnology company - using its patented, world-leading phage display technology - in collaboration with Abbott Laboratories, the US pharmaceutical giant that owns exclusive worldwide rights to the product.  

HUMIRA was specifically designed by CAT scientists to neutralise a protein called TNFa which is produced in excess in joints of suffers of Rheumatoid Arthritis.  Excess TNFa produces inflammation which causes pain and swelling.  It also promotes destruction of the joints.

HUMIRA is the first therapeutic human monoclonal antibody to be approved in both US and Europe.  It is specifically indicated for the treatment of the symptoms of RA and inhibiting the progression of the disease.  The product offers a real improvement in treatment for RA sufferers by not only easing symptoms such as pain and swelling of joints, but also by slowing or even halting joint destruction, together with less frequent and more convenient dosing for patients than earlier products.  HUMIRA has already been launched very successfully in the US by Abbott who expect it to become a blockbuster drug with sales of over $1 billion per annum at its peak.

Dr David Glover, Chief Medical Officer of CAT said: “Due to their natural role in eliminating foreign molecules and organisms from the body and protecting the body from invasion, antibodies have long been recognised as having great potential for treating certain diseases.  However complications with immune responses in patients meant that early attempts at developing antibody drugs were unable to fulfil their promise.  HUMIRA is the first example of how CAT’s pioneering work in antibodies has enabled  development of a human antibody drug leading to a product with disease modifying effects, few side effects and an improved more convenient dosing regimen for patients.

“HUMIRA is the first product originating from CAT to reach the market. Last week’s European regulatory approval represents a major endorsement of our technology.  Looking ahead, Abbott expects to expand the approved indications to include juvenile RA, early RA, Crohn’s Disease, Psoriasis and ankylosing spondylitis with late-stage clinical trials already underway.  With nine human antibody drug candidates derived from CAT's antibody libraries at various stages of clinical development, the era of human antibodies making a real contribution to addressing areas of unmet medical need is just beginning”.

The news about HUMIRA is the culmination of nearly thirty years of scientific endeavour. A Nobel Prize winning scientific breakthrough in the mid-1970s by Milstein and Kohler working at the Laboratory of Molecular Biology at the Medical Research Council in Cambridge, UK, made it possible to reliably produce mouse monoclonal antibodies in sufficient quantities for research purposes and subsequently for drug development.  Almost immediately these molecules were hailed as potential ‘magic bullets’ for treating diseases.  However, the production method produced mouse antibodies which were subsequently injected into humans.  It soon became evident that the human immune system recognised the mouse monoclonal antibodies as foreign and so triggered an immune response against them causing serious side effects and rendering them ineffective. The solution to this problem was to develop a way of making human monoclonal antibodies, which would reduce, and possibly eliminate, the possibility of immune rejection and be more effective at interacting with the human immune system.   This however remained a considerable technical challenge into the 1990s.

CAT was established in 1990 and has pioneered the technique of ‘phage display’, the engineering of bacteriophages (viruses that infect bacteria but are harmless to humans) to display fragments of human monoclonal antibodies on their surface.  CAT, now based at Granta Park, Cambridge, employs over 200 scientists.  The Company has used this proprietary technology to create in a test tube libraries containing over 100 billion human monoclonal antibodies, which it uses in the discovery and development of antibody-based drugs. The need for mice in the production process of antibodies is thus no longer required.  Each of the phage antibodies in CAT’s libraries contains a different combination of human antibody variable region genes, giving each one a unique specificity.  When the antibody libraries are selected against a single protein antigen, many hundreds, if not thousands, of different functional antibody fragments can be identified capable of recognising, binding and even neutralising the biological activity of its target antigen. The future potential of CAT's antibody libraries is evidenced not only by HUMIRA but also by collaboration and licensing agreements that CAT has made with major pharmaceutical and biotechnology companies worldwide.

- ENDS -

Notes to Editors:

 

How Does HUMIRA Work?

While the exact cause of RA is not known, in the last decade researchers have determined that people with RA tend to have an excess of protein called tumour necrosis factor alpha (TNFa), which triggers inflammation as part of the body's normal immune system response. Overproduction of TNFa can lead to excessive inflammation such as that found in patients with RA.  HUMIRA works by targeting and binding to TNFa thus blocking the activity of TNFa and helping to prevent inflammation.


HUMIRA is the first human monoclonal antibody approved for RA and was created using phage display technology resulting in an antibody with human-derived heavy and light chain variable regions and human lgG1:k constant regions. This means, it resembles antibodies normally found in the body. As HUMIRA binds and blocks the activity of TNF
a, it reduces the signs and symptoms of RA and slows the progression of structural joint damage caused by the disease.

About Antibodies

Antibodies are a pivotal part of the body's immune system. They are naturally produced proteins capable of specifically recognising, and binding to, foreign, and potentially toxic, molecules or pathogens such as bacteria or viruses (the “antigen”). 

Each antibody is highly specific to its antigen, meaning it is capable of recognising it amongst thousands of other, often similar, targets. Once the target antigen is recognised, the antibody binds to it tightly and aids its elimination from the body. These properties make antibodies a very attractive proposition as potential therapeutic drugs.

A monoclonal antibody is derived from a single clone of cells, all molecules of which have identical target (antigen) binding sites.

About RA

 

More than five million people worldwide suffer from RA, a chronic autoimmune disease that causes pain, swelling and stiffness in the joints of hands, feet and wrists, and often leads to the destruction of joints. Unlike osteoarthritis, the most common form of arthritis, RA is an autoimmune disease where joints are inflamed, resulting in eventual destruction of the joint's interior and the surrounding bone.

The long-term prognosis for patients with RA is poor, and as a result, many patients face increased disability and premature death. Patients interested in more information about RA can visit the Web site, www.RA.com

Cambridge Antibody Technology (CAT)

¨       CAT is a UK-based biotechnology company using its proprietary technologies and capabilities in human monoclonal antibodies for drug discovery and drug development. Based near Cambridge, England, CAT currently employs around 270 people.

¨       CAT is a leader in the discovery and development of human therapeutic antibodies and has an advanced proprietary platform technology for rapidly isolating human monoclonal antibodies using phage display systems. CAT has extensive phage antibody libraries, currently incorporating more than 100 billion distinct antibodies. These libraries form the basis for the Company’s strategy to develop a portfolio of antibody-based drugs.

¨       HUMIRA, the leading CAT-derived antibody, isolated and optimised in collaboration with Abbott, has been approved by the US Food and Drug Administration for marketing in the US and by the European Commission for marketing in the EU as a treatment for rheumatoid arthritis.

¨       Eight further CAT-derived human therapeutic antibodies are at various stages of clinical trials. There are five candidate therapeutic antibodies in pre-clinical development.

¨       CAT has alliances with a number of pharmaceutical and biotechnology companies to discover, develop and commercialise human monoclonal antibody-based products. CAT has co-development programmes with Amgen, Amrad, Elan and Genzyme.

¨       CAT has also licensed its technology to several companies. CAT’s licensees include: Abbott, Amgen, Chugai,  Human Genome Sciences, Merck & Co, Pfizer and Wyeth Research.

¨       CAT is listed on the London Stock Exchange and on NASDAQ since June 2001. CAT raised £41m in its IPO in March 1997 and £93m in a secondary offering in March 2000.

¨       Further information can be found at www.cambridgeantibody.com

Application of the Safe Harbor of the Private Securities Litigation Reform Act of 1995: This press release contains statements about Cambridge Antibody Technology Group plc ("CAT") that are forward looking statements. All statements other than statements of historical facts included in this press release may be forward looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934. These forward looking statements are based on numerous assumptions regarding CAT’s present and future business strategies and the environment in which CAT will operate in the future. Certain factors that could cause CAT’s actual results, performance or achievements to differ materially from those in the forward looking statements include: market conditions, CAT’s ability to enter into and maintain collaborative arrangements, success of product candidates in clinical trials, regulatory developments and competition.

 

For further information contact:

 

Cambridge Antibody Technology   

Tel: +44 (0) 1223 471 471

Dr David Glover, Chief Medical Officer

Dr Alex Duncan, SVP Drug Discovery

Rowena Gardner, Director of Corporate Communications

 

 

Weber Shandwick Square Mile

Tel: +44 (0) 20 7067 0700

Kevin Smith

Rachel Lankester

 

 

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