To: Bob Walsh  who wrote (1412 ) 11/4/1999 8:17:00 AM From: Bob Walsh     Read Replies (1)  | Respond to    of 1510  
DATA SAFETY MONITORING BOARD RECOMMENDS COMPLETION OF A PHASE II REMUNE  TRIAL IN SPAIN OF PATIENTS INFECTED WITH HIV   CARLSBAD,  Calif., Nov 4, 1999 /PRNewswire via COMTEX/ -- The Immune  Response Corporation (Nasdaq: IMNR) today announced that an independent  Data Safety Monitoring Board (DSMB) composed of European and U.S.  scientists recommended that the trial in Spain of Remune(TM) (trial  2102) in patients infected with HIV continue to its conclusion. This  decision followed review of efficacy data from the trial concerning  viral load (the amount of HIV detected in the blood) and CD4 helper  T-cell counts (immune cells selectively destroyed by HIV).  Professor Edwardo Fernandez-Cruz, Head of the Division of Clinical  Immunology at University General Hospital "Gregorio Maranon" in Madrid,  and Principal Investigator of the Spain trial commented, "We are  encouraged by evidence of the development of strong immune responses  specifically against HIV, including helper T-cell proliferation and  cytotoxic T-cell activity." T-cells are believed to play an important  role in controlling HIV infection, Professor Fernandez-Cruz explained,  because other researchers have noted an association of strong T-cell  immune responses in individuals who are infected with HIV but remain  AIDS-free for long periods of time (long-term nonprogressors). It has  become clear that treatment with antiretroviral drugs alone may not  prevent the rebound of HIV in some chronically infected patients, and  stimulation of the immune system specifically against HIV may be a key  to the long term control of HIV replication, Professor Fernandez-Cruz  added. Professor Fernandez-Cruz presented immunological data from the  trial (which will remain blinded until its conclusion) at The 4th  International Symposium of AIDS in Madrid, Spain, November 4-5, 1999.  "Given the DSMB's decision to continue the trial to completion, we are  hopeful that this trial will indicate that Remune has clinical  utility," said Dennis J. Carlo, Ph.D., President and CEO of The Immune  Response Corporation. "This trial is examining the effects of Remune  added to antiretroviral therapy on preventing treatment failure in  chronically infected individuals. The Company believes that while  antiviral drugs interrupt the reproduction process of HIV within  infected cells, Remune may stimulate the immune system to destroy  HIV-infected cells, an ability that is lost soon after infection with  HIV," added Dr. Carlo.  The Remune (2102) study in Spain is a double blind placebo-controlled  trial which enrolled 242 HIV infected patients not taking  antiretroviral drugs (ARTs) prior to time of enrollment. The efficacy  of Remune administered in combination with ARTs will be assessed by  comparing the time to increases in viral load (above 5000 copies/mL)  and decreases in CD4 helper T-cell counts between patient groups that  received ART plus Remune or ART plus placebo. Several immunological  markers of HIV disease progression, such as T-cell proliferation,  chemokine and cytokine production (antiviral messengers of the immune  system) and cytotoxic T-cells (T-cells that kill infected CD4 cells),  are also being monitored. The trial, being conducted at 13 clinical  centers throughout Spain, is expected to conclude in the latter part of  2000.