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Phase III Asia-Pacific Study:
Trial Results Confirm Efficacy for Population Most Affected by the Disease
Berlin, May 16, 2008 - Bayer HealthCare and Onyx Pharmaceuticals, Inc. today
announced that Nexavar® (sorafenib) tablets significantly improved overall
survival by 47.3 percent (HR=0.68; p-value=0.014) in patients in the
Asia-Pacific region with advanced hepatocellular carcinoma (HCC), or primary
liver cancer, versus those receiving placebo. Nexavar also significantly
improved time to progression in these patients by 74 percent (HR=0.57;
P=0.001). These data will be presented at the 44th annual meeting of the
American Society of Clinical Oncology (ASCO) and further confirm Nexavar's
efficacy in liver cancer.
The international, Phase III, randomized trial evaluated the efficacy and
safety of Nexavar versus placebo in 226 patients from the Asia-Pacific region
with advanced HCC who had not received prior systemic therapy. The study was
designed to compare overall survival, time to progression, time to symptomatic
progression, response as defined by RECIST criteria and safety in patients
receiving Nexavar versus placebo. Median overall survival was 6.5 months in
patients treated with Nexavar versus 4.2 months for those taking placebo. The
survival benefit was seen across multiple patient subsets analyzed, including
age, extrahepatic spread and/or macroscopic vascular invasion.
"Liver cancer in the Asia-Pacific region continues to grow because of a high
incidence of chronic hepatitis B infections, which now impacts approximately
275 million people in the region," said Ann-Lii Cheng, MD, Ph. D., Department
of Internal Medicine and Department of Oncology, National Taiwan University
Hospital, Taipei, Taiwan and principal investigator of the trial. "Nexavar
demonstrated a clear survival benefit in Asia-Pacific patients and had
comparable results to last year's international SHARP trial, despite these
patients in the Asia-Pacific trial having poorer health status and more
metastases."
Additional results from the trial showed that median time to progression was
2.8 months in Nexavar-treated patients versus 1.4 months for those taking
placebo. Median time to symptomatic progression was 3.5 months in patients
treated with Nexavar versus 3.4 months for those taking placebo. The disease
control rate (complete response + partial response + stable disease ? 12 weeks)
was 35 percent in Nexavar-treated patients versus 16 percent for those taking
placebo.
Data from the study indicate that Nexavar was safe and well-tolerated in
patients from the Asia-Pacific region. Adverse events were low to moderate in
severity and treatment was well tolerated. The most common serious adverse
events observed in the study were hand-foot-skin reaction, diarrhea, alopecia,
fatigue, and rash/desquamation.
"These data provide further evidence that Nexavar is efficacious in liver
cancer across multiple geographical regions and independent of disease
characteristics and etiologies of underlying liver disease," said Susan Kelley,
MD, Vice President, Therapeutic Area Oncology, Bayer HealthCare
Pharmaceuticals. "Nexavar has quickly become the systemic standard of care for
liver cancer, and is the only systemic therapy that has been shown to improve
overall survival in Asian patients with liver cancer."
About Hepatocellular Carcinoma
Hepatocellular carcinoma is the most common form of liver cancer and is
responsible for about 90 percent of the primary malignant liver tumors in
adults. Liver cancer is the sixth most common cancer in the world and the third
leading cause of cancer-related deaths globally. More than 600,000 cases of
liver cancer are diagnosed worldwide each year (more than 400,000 in China,
South Korea, Japan and Taiwan, 54,000 in the European Union, and 15,000 in the
United States) and the incidence is increasing. In 2002, approximately 600,000
people died of liver cancer including approximately 370,000 in China, South
Korea and Japan, 57,000 in the European Union, and 13,000 in the United
States.
In addition, chronic hepatitis B and C infections are the leading cause of
primary liver cancer worldwide. In the Asia-Pacific region, more than eight
percent of the general population is infected with hepatitis B and between two
and four percent is infected with hepatitis C.
About Nexavar®
Nexavar® targets both the tumor cell and tumor vasculature. In preclinical
studies, Nexavar has been shown to target members of two classes of kinases
known to be involved in both cell proliferation (growth) and angiogenesis
(blood supply) - two important processes that enable cancer growth. These
kinases included Raf kinase, VEGFR-1, VEGFR-2, VEGFR-3, PDGFR-B, KIT, FLT-3 and
RET.
Nexavar is currently approved in more than 40 countries for liver cancer and in
more than 70 countries for the treatment of patients with advanced kidney
cancer. In Europe, Nexavar is approved for the treatment of hepatocellular
carcinoma and for the treatment of patients with advanced renal cell carcinoma
(RCC) who have failed prior interferon-alpha or interleukin-2 based therapy or
are considered unsuitable for such therapy. Nexavar is also being evaluated by
the companies, international study groups, government agencies and individual
investigators as a single agent or combination treatment in a wide range of
cancers, including metastatic melanoma, lung cancer, breast cancer and as an
adjuvant therapy for kidney cancer.
About Onyx Pharmaceuticals, Inc.
Onyx Pharmaceuticals, Inc. is a biopharmaceutical company committed to
improving the lives of people with cancer. The company, in collaboration with
Bayer HealthCare Pharmaceuticals, Inc., is developing and marketing Nexavar®
(sorafenib) tablets, a small molecule drug. For more information about Onyx,
visit the company's website at www.onyx-pharm.com.
About Bayer HealthCare
The Bayer Group is a global enterprise with core competencies in the fields of
health care, nutrition and high-tech materials. Bayer HealthCare, a subsidiary
of Bayer AG, is one of the world's leading, innovative companies in the
healthcare and medical products industry and is based in Leverkusen, Germany.
The company combines the global activities of the Animal Health, Consumer Care,
Diabetes Care and Pharmaceuticals divisions. The pharmaceuticals business
operates under the name Bayer Schering Pharma AG. Bayer HealthCare's aim is to
discover and manufacture products that will improve human and animal health
worldwide. Find more information at www.bayerhealthcare.com.
Bayer Schering Pharma is a worldwide leading specialty pharmaceutical company.
Its research and business activities are focused on the following areas:
Diagnostic Imaging, General Medicine, Specialty Medicine and Women's
Healthcare. With innovative products, Bayer Schering Pharma aims for leading
positions in specialized markets worldwide. Using new ideas, Bayer Schering
Pharma aims to make a contribution to medical progress and strives to improve
the quality of life. Find more information at www.bayerscheringpharma.de.