US FDA approves Extavia® - the first in a new portfolio of planned MS
therapies from Novartis to help patients with this devastating
disease
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* Extavia is branded version of interferon beta-1b, a
standard-of-care for multiple sclerosis in the US for more than
16 years[1]
* MS affects around 400,000 people in US[2] - one of the most
common neurological disorders in young adults[3]
* FDA approval marks important step forward for Novartis, laying
foundation for innovative approach to treatment of MS
Basel, August 17, 2009 - The US Food and Drug Administration (FDA)
has approved Extavia® (interferon beta-1b), the first in a new
planned portfolio of multiple sclerosis (MS) medicines from Novartis
to help patients manage this devastating disease.
Extavia is approved by the FDA for the treatment of relapsing forms
of MS to reduce the frequency of clinical exacerbations. The therapy
is also indicated for patients who have experienced a first clinical
episode of MS and have features consistent with the disease as shown
by magnetic resonance imaging (MRI)[4].
The same medicinal product as Betaseron®*, Extavia offers patients
and physicians a new branded version of interferon beta-1b, a
first-line disease-modifying therapy that has been a standard-of-care
for MS in the US for more than 16 years[1]. Extavia will be marketed
by the Pharmaceuticals Division of Novartis.
"Interferon is a mainstay of treatment in MS," said Doug Jeffery, MD,
Associate Professor at Wake Forest University Baptist Medical Center
in Winston-Salem, North Carolina, USA. "With the approval of Extavia,
patients have another option with a well-established safety and
efficacy profile to help manage this disease."
MS is estimated to affect approximately 400,000 patients in the
US[2], of whom more than 80% have relapsing-remitting MS[5]. MS is
one of the most common causes of neurological disability in young
adults. It is a chronic autoimmune disease in which the body's immune
system attacks the myelin sheath, or protective tissue surrounding
the nerve fibers that carry electrical signals in the brain[6]. The
destruction of myelin causes problems with muscle control and
strength, vision, balance, sensation and mental function[7].
"Novartis has been a leader in neuroscience for more than 50 years,
having pioneered a number of breakthrough therapies which remain
important treatments to this day," said Joe Jimenez, CEO of the
Novartis Pharmaceuticals Division. "We are committed to providing new
approaches to MS care, and the FDA approval of Extavia marks the
beginning of our long-term commitment to the MS community in the US."
Extavia will be available to patients in the US this fall. Along with
their prescription for Extavia, patients will be given access to a
support program including a nurse helpline, one-on-one injection
training and reimbursement support services. Extavia patients will
have an autoinjector available to them from Novartis.
"MS is unpredictable and can be difficult to manage," said Aaron
Miller, MD, Professor of Neurology at Mount Sinai School of Medicine
in New York, USA. "Support programs are an essential element to help
patients and physicians effectively manage this complicated disease."
MS typically presents in relapsing forms involving acute
self-limiting attacks of neurological dysfunction (known as
exacerbations or relapses), followed by complete or partial
restoration of function[6].
Interferon beta-1b has been shown to reduce annualized relapse rates
by 34% (p=0.0001)[8], with patients nearly twice as likely to remain
relapse-free for more than two years compared to those receiving
placebo (31% vs. 16%, p=0.007)[8]. In addition, treatment with
interferon beta-1b may slow disease progression[9]. After two years,
almost three-quarters of patients who experienced a single episode of
neurological disease lasting 24 hours or more did not progress to
clinically definite MS[10].
In the European Union Extavia is available in 12 countries and is
approved for relapsing-remitting MS as well as early MS (defined as a
single demyelinating event with an active inflammatory process) and a
steadily worsening form of the disease known as secondary progressive
MS with relapses.
* Novartis gained the rights to seek approval for its own branded
version of interferon beta-1b through agreements with Bayer Schering,
the company that markets Betaseron.
Betaseron is marketed under the name of Betaferon® outside the US.
Betaseron and Betaferon are registered trademarks of Bayer Schering
Pharma AG.
Disclaimer
The foregoing release contains forward-looking statements that can be
identified by terminology such as "planned," "may," "committed,"
"long-term commitment," "will," "can," "likely," or similar
expressions, or by express or implied discussions regarding potential
future multiple sclerosis products or regarding potential future
revenues from Extavia or other multiple sclerosis products. You
should not place undue reliance on these statements. Such
forward-looking statements reflect the current views of management
regarding future events, and involve known and unknown risks,
uncertainties and other factors that may cause actual results to be
materially different from any future results, performance or
achievements expressed or implied by such statements. There can be no
guarantee that any additional Novartis multiple sclerosis products
will be approved for sale in any market. Nor can there be any
guarantee that Extavia or such other products will achieve any
particular levels of revenue in the future. In particular,
management's expectations regarding such products could be affected
by, among other things, unexpected regulatory actions or delays or
government regulation generally; unexpected clinical trial results,
including unexpected new clinical data and unexpected additional
analysis of existing clinical data; competition in general;
government, industry and general public pricing pressures; the
company's ability to obtain or maintain patent or other proprietary
intellectual property protection; the impact that the foregoing
factors could have on the values attributed to the Novartis Group's
assets and liabilities as recorded in the Group's consolidated
balance sheet, and other risks and factors referred to in Novartis
AG's current Form 20-F on file with the US Securities and Exchange
Commission. Should one or more of these risks or uncertainties
materialize, or should underlying assumptions prove incorrect, actual
results may vary materially from those anticipated, believed,
estimated or expected. Novartis is providing the information in this
press release as of this date and does not undertake any obligation
to update any forward-looking statements contained in this press
release as a result of new information, future events or otherwise.
About Novartis
Novartis provides healthcare solutions that address the evolving
needs of patients and societies. Focused solely on healthcare,
Novartis offers a diversified portfolio to best meet these needs:
innovative medicines, cost-saving generic pharmaceuticals, preventive
vaccines, diagnostic tools and consumer health products. Novartis is
the only company with leading positions in these areas. In 2008, the
Group's continuing operations achieved net sales of USD 41.5 billion
and net income of USD 8.2 billion. Approximately USD 7.2 billion was
invested in R&D activities throughout the Group. Headquartered in
Basel, Switzerland, Novartis Group companies employ approximately
99,000 full-time-equivalent associates and operate in more than 140
countries around the world. For more information, please visit
http://www.novartis.com.
References
1. FDA approves Betaseron® for use after the first event suggestive
of multiple sclerosis [press release]. Wayne, NJ: Berlex: 23 October
2006.
2. National Multiple Sclerosis Society website:
http://www.nationalmssociety.org/about-multiple-sclerosis/who-gets-ms/index.aspx.
Accessed August 12, 2009.
3. Multiple Sclerosis International Federation website.
http://www.msif.org/en/about_ms/what_is_ms.html. Accessed August 12,
2009.
4. Extavia Prescribing Information, August 14, 2009.
5. Habermann, T. and Amit K. Ghosh ed. Mayo Clinic Internal Medicine
Concise Textbook. Florence, KY: Informa HealthCare, 2007.
6. National Multiple Sclerosis Society website.
http://www.nationalmssociety.org/about-multiple-sclerosis/what-is-ms/index.aspx.
Accessed August 12, 2009.
7. Multiple Sclerosis International Federation website.
http://www.msif.org/en/about_ms/symptoms.html. Accessed August 12,
2009.
8. The IFNB Multiple Sclerosis Study Group. Interferon beta-1b is
effective in relapsing-remitting multiple sclerosis. Neurology.
1993;43:655-661.
9. Betaseron (interferon beta-1b) Prescribing Information. Available
online at
http://berlex.bayerhealthcare.com/html/products/pi/Betaseron_PI.pdf.
10. Kappos L, Freedman MS, Polman CH, et al. Treatment with
interferon beta-1b delays conversion to clinically definite and
McDonald MS in patients with clinically isolated syndromes.
Neurology. 2006;67:1242-1249.
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