Single-Agent Activity of Genta's Lead Anticancer Compound, Genasense(TM), Reported in Patients with Advanced Chronic Lymphocytic Leukemia
PHILADELPHIA, Dec. 9 /PRNewswire-FirstCall/ -- Genta Incorporated (NASDAQ:GNTA), in collaboration with Aventis (NYSE:AVE), announced the presentation of new clinical data that shows activity of the Company's lead anticancer compound, Genasense(TM), as a single agent in patients with advanced chronic lymphocytic leukemia (CLL). The results were presented on Saturday at the 44th annual meeting of the American Society of Hematology (ASH) in Philadelphia, PA. Genasense is currently being evaluated in a randomized Phase 3 trial that is testing its ability to enhance the effectiveness of standard chemotherapy. At the ASH meeting in 2001, preliminary information from a Phase 1 trial suggested Genasense alone -- without concomitant use of chemotherapy -- could directly kill leukemia cells in patients with CLL. This unexpected activity prompted expansion of that trial into a formal Phase 2 evaluation using the optimal Genasense dose. Preliminary results from this multicenter trial were presented over the weekend by Dr. Kanti Rai, Chief of Hematology/Oncology at the Long Island Jewish Medical Center, who is a leading CLL expert and investigator in the study.
Data were presented on the first 23 patients from the trial, which showed the following results:
-- Despite having failed 4 or more prior treatment regimens, 2 patients (9%) achieved partial responses. -- Eleven patients (48%) achieved stabilization of their disease, 5 of whom had failed 4 or more prior treatments. -- Circulating CLL cells were reduced by more than 50% in 9 patients (39%). -- Eight of 19 patients (42%) achieved greater than 50% decrease in the size of enlarged lymph nodes. -- 8 of 16 patients (50%) achieved greater than 50% decrease in the size of enlarged liver or spleen. -- To date, the major side effects of Genasense have been fatigue and fever.
Genasense attacks a protein in cancer cells known as Bcl-2. High levels of Bcl-2 are believed to be a prime cause of the failure of standard therapy to kill cancer cells. Genasense is being evaluated in randomized trials to determine its ability to amplify the effectiveness of cancer treatment in many diseases, including CLL. "The preliminary evidence of single-agent agent activity in CLL that we observed last year was quite unexpected," said Dr. Raymond P. Warrell, Jr. MD, Genta's Chief Executive Officer. "This new activity is highly gratifying and makes a substantial contribution to the Company's registration strategy for Genasense in CLL. Broadly speaking, we are continuing our focus on randomized controlled trials to establish that Genasense may broadly increase the efficacy of chemotherapy. These new results suggest that the potential benefit that may be seen using Genasense in combination with chemotherapy could represent the combined effects of synergy plus single-agent activity."
About CLL Chronic lymphocytic leukemia (CLL) arises in lymphocytes, which are white blood cells that provide important immune functions and make antibodies. Compared with normal lymphocytes, CLL cells are unusually long-lived due to high expression of Bcl-2. Patients with CLL typically have very high numbers of leukemia cells that circulate in blood and can cause massive enlargement of lymph nodes, spleen, and liver. Chronic lymphocytic leukemia is the most common form of leukemia in adults, affecting about 8,000 new patients each year in the U.S.
About Genasense Genasense works by inhibiting the production of Bcl-2, a protein made by cancer cells that is thought to block chemotherapy-induced cell death. By reducing the amount of Bcl-2 in cancer cells, Genasense may enhance the effectiveness of current anticancer treatments. Genasense is currently in multiple late-stage randomized clinical trials including malignant melanoma, multiple myeloma, chronic lymphocytic leukemia (CLL) and non-small cell lung cancer. |