Thursday April 26, 2:06 AM
XenoPort, Glaxo restless legs drug works in trial
LOS ANGELES, April 25 (Reuters) - Drug developer XenoPort
Inc. said on Wednesday that the first pivotal-stage
study of its experimental pill for restless legs syndrome met
its goal of showing that the drug alleviated the symptoms and
was well tolerated by patients.
The results sent the company's shares up more than 30
percent to an all-time high on Nasdaq.
The Phase III trial is one of three in which XenoPort and
partner GlaxoSmithKline Plc are testing the drug, known
as XP13512, in patients with moderate-to-severe RLS.
Glaxo Chief Executive Jean-Pierre Garnier said the results
were "pretty impressive" and the medicine had significant
potential to complement his firm's existing Requip product.
"It has a mechanistic effect that is different from Requip,
so we will have two entries in a large and growing market," he
told reporters on a conference call to discuss the British
company's first-quarter financial results.
Results from the two other trials are expected later this
year and XenoPort has said it expects to file for U.S. Food and
Drug Administration approval of the drug in the second half of
next year, following receipt of long-term safety studies,
including one looking at carcinogenicity in rodents.
News of the trial results "represents a major risk
reduction" for the drug's development, FBR Research analyst
David Amsellem said in a report on Wednesday.
Santa Clara, California-based XenoPort, which is also
testing XP13512 as a treatment for neuropathic pain, agreed in
February to co-develop the drug with Glaxo in a deal worth up
to $666 million, including an upfront payment of $75 million.
Industry analysts have estimated that, if successful,
XP13512 could earn $700 million to $800 million a year for RLS
and potentially twice that for nerve pain.
Andrew Baum of Morgan Stanley, who believes the drug could
reach the market in 2009, said in a recent note that XP13512
plus a new form of its existing drug Requip could double
Glaxo's current RLS revenues in the key U.S. market.
According to the National Institutes of Health, up to 12
million Americans are afflicted with RLS, a neurological
disorder that causes unpleasant sensations in the legs and an
uncontrollable urge to move to get relief.
Symptoms typically occur at night, making it difficult for
RLS patients to fall asleep.
IMPROVED SYMPTOMS
XenoPort said that the 12-week trial involving 222 patients
showed that those treated with XP13512 saw a 13.2-point
reduction on a 40-point symptom scorecard, compared with a drop
of 8.8 points for patients on a placebo.
Investigators also reported that symptoms were "much
improved" or "very much improved" for 76 percent of treated
patients, compared with 39 percent of placebo patients.
The most common side effects of the drug, given in a daily
1200-mg dose, were sleepiness and dizziness.
XP13512 is a version of generic epilepsy drug gabapentin
designed to take advantage of mechanisms in the
gastrointestinal tract to improve absorption.
The two drugs currently FDA-approved for RLS -- Glaxo's
Requip and Boehringer Ingelheim's Mirapex -- are dopamine
agonists that can cause worsening, or "augmentation," of
symptoms in a significant number of patients, said Dr. Clete
Kushida, director of Stanford University's sleep research
center and a trial investigator.
"The advantage of XP13512 is that it showed improvement in
sleep," Kushida said.
XenoPort Chief Executive Ronald Barrett declined to
disclose whether the positive Phase III trial triggered a
payment from Glaxo.
The data did, however, result in a $5 million payment from
Japan's Astellas Pharma Inc. under a licensing deal
covering several Asian countries, he said.
XenoPort said it plans to present full details of the RLS
trial at a future medical conference.
XenoPort's shares rose to a record high of $38.28, before
trading up $9.39 at $38.25 at mid-afternoon.
(Additional reporting by Ben Hirschler in London)
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