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Subject: Pharmacyclics' ANTRIN(TM) Photoangioplasty Data Presented at American Society For Photobiology Meeting
====================================================================== Preliminary Phase I Data Demonstrate Activity in Atherosclerosis
SUNNYVALE, Calif., July 15 /PRNewswire/ -- Pharmacyclics, Inc. (NASDAQ:PCYC) today announced that two presentations on ANTRIN(TM) photoangioplasty were delivered at a symposium on Phototherapy in Cardiology at the meeting of the American Society of Photobiology (ASP) in Snowbird, Utah. Stan Rockson, M.D., a cardiologist from Stanford University Medical Center, presented preliminary results from a phase I dose escalation study in fourteen patients with peripheral arterial disease. This study is primarily designed to evaluate safety and feasibility of ANTRIN photoangioplasty. Patients with lower extremity arterial insufficiency were entered and received a single intravenous injection of ANTRIN followed 24 hours later by endovascular delivery of light using an optical fiber catheter. Patients were evaluated for systemic toxicity and for local arterial effects by follow-up angiograms and intravascular ultrasound. Various dose levels of ANTRIN have been evaluated to date and no serious treatment-related adverse reactions or vascular toxicity have been noted. Dr. Rockson reported having demonstrated the ability to increase lumen size and reduce atherosclerotic plaque after ANTRIN photoangioplasty at the dose level recently achieved. Based on the results, the investigators are expanding the study to include patients with disease in the iliac and deep femoral arteries. "We are encouraged by these early findings and the demonstration of activity," said Dr. Rockson. "ANTRIN photoangioplasty may represent a novel approach to the treatment of atherosclerosis and restenosis with the potential to enhance the efficacy of existing endovascular procedures." In another presentation, Moto Hayase, M.D., a cardiologist from Stanford University Medical Center, presented data from animal models of atherosclerosis and restenosis. Dr. Hayase showed that administration of ANTRIN followed by light delivered by an optical fiber catheter introduced inside the vessel resulted in substantial reduction of atherosclerotic plaque. In a restenosis model, reduction of disease and improvement in lumen size was observed following ANTRIN photoangioplasty. In some of the studies presented, ANTRIN was delivered intra-arterially, directly to the diseased site. This resulted in the deposition of high concentrations of the drug in the plaque with minimal amounts of the drug being deposited in other areas of the body. The investigators demonstrated that ANTRIN photoangioplasty caused dramatic reduction in infiltrating macrophages in the lesions. Macrophages are increasingly noted to be critical to the formation of atheroma and restenosis. "We are excited with the progress of our ANTRIN photoangioplasty pre-clinical and clinical studies," said Richard A. Miller, M.D., president and CEO of Pharmacyclics. "The pre-clinical and early clinical results will lead us to expand our studies into the treatment of both atherosclerosis and restenosis." ANTRIN is a water-soluble photosensitizer that accumulates in atherosclerosis, is cleared rapidly from the blood and is activated by 732nm light, a wavelength that is able to penetrate through tissue and blood. This property enables the treatment of atherosclerosis or restenosis without interruption of blood flow. Once localized in the diseased vessel, ANTRIN may be activated by endovascularly-delivered light using an optical fiber inserted in the vessel. In animal studies, ANTRIN photoangioplasty appears to reduce atherosclerosis without damaging the endothelium and without damaging the vessel wall, both important factors leading to restenosis. Long segments of diseased vessels may be treated; a potential advantage over balloon angioplasty which is useful only for treating relatively short segments. Atherosclerosis results from the accumulation of cholesterol, macrophages and smooth muscle cells in the walls of blood vessels. This may result in narrowing of the lumen and reduction of blood flow. Recent research indicates that macrophages are responsible for eliciting the disease by scavenging low-density lipoproteins. In the coronary arteries (arteries that supply the heart with blood) atherosclerosis can result in angina or heart attacks. In the cerebrovascular circulation (arteries supplying blood to the brain) atherosclerosis may result in stroke, and in the peripheral circulation it may result in ischemia leading to decreased function and ultimately loss of limbs. Currently, atherosclerosis is treated with medical therapy, surgery or endovascular procedures such as balloon angioplasty. There are approximately 600,000 coronary angioplasty procedures performed annually in the U.S. and another 150,000 such procedures performed in the lower extremities. Angioplasty is complicated by the development of restenosis, or the renarrowing of blood vessels, in a significant number of patients, which has led to the widespread use of stents. Although stents are effective in opening the vessel, this procedure has only partially addressed the problem. Pharmacyclics is a pharmaceutical company developing energy-potentiating drugs to improve radiation therapy and chemotherapy of cancer, and to enable or improve the photodynamic therapy of certain cancers and atherosclerotic cardiovascular disease. The company's products are small ring-shaped molecules, called "texaphyrins," which are patented agents derived from Pharmacyclics' versatile technology platform for designing and synthesizing energy-potentiating drugs. These texaphyrins localize in cancer cells and atherosclerotic plaque, where they can be activated by forms of energy, including X-ray, chemical and light, to eliminate diseased tissue. The statements made in this press release may contain certain forward-looking statements that involve a number of risks and uncertainties. Actual events or results may differ from the company's expectations. In addition to the matters described in this release, future actions by the U.S. Food and Drug Administration and other domestic and foreign regulatory agencies, the initiation, timing and results of pending or future clinical trials, as well as risk factors listed from time to time in the company's reports as filed with the U.S. Securities and Exchange Commission, including but not limited to, its reports on Forms 10-Q and 10-K, may affect the actual results achieved by the company. NOTE: ANTRIN is a trademark of Pharmacyclics, Inc. The symposium, an official part of the ASP meeting, consisted of six presentations on the applications of phototherapy in cardiovascular medicine. Pharmacyclics is a sponsor of the symposium.
SOURCE Pharmacyclics, Inc. -0- 07/15/98 /CONTACT: Leiv Lea of Pharmacyclics, Inc., 408-774-0330; or Angela Bitting of Russell-Welsh, Inc. 650-312-0700, ext. 15, for Pharmacyclics/ /Company News On-Call: prnewswire.com or fax, 800-758-5804, ext. 110031/
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