SI
SI
discoversearch

We've detected that you're using an ad content blocking browser plug-in or feature. Ads provide a critical source of revenue to the continued operation of Silicon Investor.  We ask that you disable ad blocking while on Silicon Investor in the best interests of our community.  If you are not using an ad blocker but are still receiving this message, make sure your browser's tracking protection is set to the 'standard' level.
Biotech / Medical : Ligand (LGND) Breakout! -- Ignore unavailable to you. Want to Upgrade?


To: John McCarthy who wrote (11412)11/18/1997 11:45:00 PM
From: Henry Niman  Read Replies (3) | Respond to of 32384
 
John, Please define J&J debacle.



To: John McCarthy who wrote (11412)11/19/1997
From: Henry Niman  Read Replies (1) | Respond to of 32384
 
John, I think that LGND is closer to infinity than you realize. With LLY on board, the clinicals will really crank up in the diabetes area. However, LGND has already made significant progress on its own. LGND chose Targretin to be its initial flagship product. Consequently, they initiated several clinical trials for cancer. Targretin has been in cancer patients for three years and Phase II/III trials for oral treatment of CTCL should be completed in about 6 months. Recently, LGND presented Phase I/II data which put oral Targretin approval in the slam dunk category. Virtually all patients responded (with complete remission, partial remission, or stabilization of disease), even among advanced or refractory patients. Thus it seems likely that oral Targretin will be on pharmacy shelves in 1999 (for CTCL).

Once the drug is availble, MDs can perscribe it for anything they deem appropriate. LGND began a Phase II diabetes trial in Europe last spring. The trial was small. It was designed to determine the optimal dose and to provide some initial clinical data to show LLY (or other interested pharmas). IR seems to be again indicating that the initial data will be released this year. I expect LLY to start US trials on Targretin in early 1998 and I also expect the second generation compound, LGD1268, to also enter the clinic then. By 1999, there will be a signicant amount of data on using Targretin to treat Type II diabetes. I expect it to work well in humans and to synergize with TZD's such as WLA's Rezulin or 2nd generation TZDs in SBH and Tekeda advanced trials.

Type II trials or Targretin will take awhile and approval may be a bit tougher for type II diabetes than for cancer. However, I do expect off label use to be significant, beginning in 1999.



To: John McCarthy who wrote (11412)11/19/1997 12:15:00 AM
From: Henry Niman  Respond to of 32384
 
John, Here's the press relase on the European trial:
Ligand Announces Start of Phase II Targretin(TM) Trial In Diabetic Patients Six Months
From Preclinical Data to Human Trials

SAN DIEGO, Calif., March 20 /PRNewswire/ -- Ligand Pharmaceuticals
Incorporated (Nasdaq: LGND) announced today it had initiated Phase II clinical
trial with Targretin(TM) (LGD1069) for type II diabetic patients in Europe.
The purpose of this 12-week trial is to assess the metabolic efficacy,
safety and tolerability of four dose levels of Targretin Oral Capsules in 48
patients with non-insulin dependent diabetes mellitus (NIDDM or type II
diabetes). The trial, to be conducted at multiple sites in Belgium and the
Netherlands, is designed to determine Targretin's potential to positively
impact carbohydrate and lipid metabolism in type II diabetic patients. In
order to determine ideal dosing levels, patients will be randomly assigned to
one of six groups, and will take Targretin in doses ranging from 150 mg to 600
mg per day.
"Ligand's intensive preclinical and clinical trial programs are rapidly
uncovering Targretin's broad range of activity," according to Steven D. Reich,
Senior Vice President, Clinical Research, Ligand Pharmaceuticals. "Clinical
researchers have already explored Targretin's safety and efficacy in over 300
cancer patients and we are eager to more fully explore the compound's
mechanism of action in the management of type II diabetes. We are especially
pleased that in less than six months from reporting key animal data, we have
activated human trials."
"We are excited to be conducting a study involving a new drug to treat
non-insulin dependent type II diabetes," according to Professor Luc Van Gaal
from the University Hospital Antwerp, Belgium, and one of the trial's
principal investigators. "Targretin may act as an insulin sensitizer; insulin
insensitivity or insulin resistance is one of the recently developed pathways
playing a role in the pathophysiology of type II diabetes and is probably
involved in the diabetes associated morbidity. Treating our patients with
this new drug may offer significant benefits over conventional diabetes
treatments." Dr. Van Gaal is also the president of the Belgium Diabetes
Association.
In in vivo preclinical studies, Targretin acted as an "insulin
sensitizer," enabling diabetic mice to use insulin more efficiently and
resulting in 40% glucose reduction, 20% insulin reduction and 30% reduction in
triglyceride levels. These beneficial effects were comparable to those
observed with the thiazolidinedione (TZD) class of drugs, one of which was
found to be efficacious in diabetic patients and recently approved for
marketing in the U.S. by the FDA earlier this year.

Targretin Mechanism of Action
Targretin, a small organic compound discovered by Ligand scientists,
selectively activates a subclass of retinoid receptors called retinoid X
receptors (RXRs). RXR receptors play an important role in regulating cellular
activities, including the enhancement of insulin action and lipid metabolism.
When the RXR receptor is paired to another unique cell receptor,
peroxisome proliferator activated receptor (PPAR) gamma, which is known to be
a target for antidiabetic therapies, activation of the pair causes increased
insulin sensitivity which impacts glucose metabolism and creates an anti-
diabetic effect. Since Targretin binds to the RXR receptor, which is part of
the paired heterodimer RXR/PPAR complex, it, too, influences the way the body
uses insulin, glucose and lipids.
Ligand is developing Targretin in both topical and oral formulations. In
addition to affecting glucose and lipid metabolism, RXRs also play an
important role in other cellular activities, such as programmed cell death or
"apoptosis," a natural process by which the body eliminates unwanted cells.
This unique activity may be involved in the actions of Targretin as an anti-
cancer agent. During the last three years, Targretin has been tested in over
300 cancer patients.
In the oncology arena, Topical Targretin is in pivotal Phase III clinical
trials for the treatment of cutaneous T-cell lymphoma (CTCL). In addition,
Oral Targretin is in pivotal Phase II/III trials for the treatment of CTCL and
is in Phase II/III trials in lung cancer and in Phase II trials for head and
neck cancer, Kaposi's sarcoma, ovarian cancer, prostate cancer and renal cell
cancer.
Ligand Pharmaceuticals, Inc., founded in 1987, is a leader in gene
transcription technology, particularly intracellular receptor (IR) technology,
including retinoids like Targretin, and Signal Transducers and Activators of
Transcription (STATs). Ligand applies IR and STATs technology to the
discovery and development of small molecule drugs to enhance therapeutic and
safety profiles and to address major unmet patient needs in cancer, women's
health and skin diseases, as well as osteoporosis, cardiovascular and
inflammatory diseases.
This statement may contain certain forward looking statements by Ligand
and actual results could differ materially from those described as a result of
factors, including, but not limited to the following. There can be no
assurance that: (a) human clinical trials will result from the preclinical
studies discussed herein; (b) that the preclinical results described herein
will be observed in human patients; (c) that these or any new products under
development by Ligand or any of its partners will receive approval from the
U.S. Food and Drug Administration or other authorities to market any of these
products; (d) that, if approved, there will be a market for the drugs; (e)
that preclinical results will be predictive of any final results. Targretin
is the trademark of Ligand Pharmaceuticals Inc.
If you would prefer to receive Ligand press releases via email, please
inform Ligand at investors@ligand.com and request to be placed on the priority
email list.

SOURCE Ligand Pharmaceuticals Incorporated

CONTACT: Susan Atkins of Ligand Pharmaceuticals, Inc.,
619-550-7687; John Bluth of Fleishman-Hillard, 212-265-9150



To: John McCarthy who wrote (11412)11/19/1997 12:20:00 AM
From: Henry Niman  Read Replies (1) | Respond to of 32384
 
Here's the press release on the Nature study:
'Nature' Study Finds Ligand and ALRT Compounds Increase Efficiency of Insulin in
Body; Could Ultimately Delay Diabetes

Targretin(TM) Already in Phase II Diabetes Trials

SAN DIEGO, March 26 /PRNewswire/ -- A new class of retinoids, acting as
insulin sensitizers, could eventually help more than 15 million Americans with
diabetes halt progression of the potentially fatal disease, a study in today's
issue of the journal "Nature" concludes.
Researchers at Ligand Pharmaceuticals (Nasdaq: LGND) found that the RXR
selective retinoids, Targretin(TM) (LGD 1069) and ALRT268, enabled diabetic
mice to use insulin more efficiently resulting in significantly reduced
glucose, insulin and triglyceride levels, important measures of the onset of
and abnormalities associated with diabetes.
Using two well-studied mouse models of non-insulin dependent diabetes
mellitus (NIDDM or type II diabetes), the investigators compared the anti-
diabetic effects of Targretin and ALRT268 to treatment with a second
generation member of a new class of recently approved anti-diabetic drugs
called thiazolidinediones (TZDs), and with a control group.
"We found that Targretin and ALRT268 reduced glucose levels by
approximately 40 percent and that ALRT268 reduced insulin levels by 70
percent," said Dr. Richard A. Heyman, the study's author and Senior Director
of Retinoid Research at Ligand. "In addition, both compounds were capable of
reducing triglycerides, an important risk factor in cardiovascular disease.
In combination with a potent TZD used in this study, RXR agonists reduced the
glucose and triglyceride levels even further."
Ligand is developing Targretin in both topical and oral formulations on
its own behalf, and Ligand and Allergan are developing the second generation,
RXR-selective, preclinical compound ALRT268 on behalf of Allergan Ligand
Retinoid Therapeutics, Inc. (ALRT).

Targretin Research Now in Phase II Trials
The positive results reported today in 'Nature' highlight the opportunity
for further expansion of Ligand's retinoid clinical trial program. Last week,
the company announced the commencement of clinical human Phase II trials with
Targretin for treatment of type II diabetes in Europe. More extensive trials
are planned in the United States this year.
"A key question in pharmaceutical research is whether the preclinical
results in animal studies, will translate into safety and efficacy in humans,"
according to Andres Negro-Vilar, Senior Vice President, Research and Chief
Scientific Officer of Ligand Pharmaceuticals, Inc. "Targretin is particularly
exciting because, even before the diabetes trial, Ligand has had human
clinical trials under way for a wide range of cancers for nearly three years,
and results from these trials have already provided evidence that the drug has
an acceptable safety profile in cancer patients at high doses," said Dr.
Negro-Vilar.
"We are now able to evaluate the safety and efficacy of the drug in this
diabetic patient population. We have cautious optimism about the translation
of the animal efficacy data because TZDs, which have also shown promise in
these animal models, have been translated into human type II diabetes clinical
trials, and now a marketed drug," according to Dr. Heyman.

Insulin Resistance; A Growing Concern
The risk of developing insulin resistance, a deficiency in the body's
ability to use insulin efficiently, increases with age and with obesity.
Insulin-resistant individuals need more insulin to meet their basic metabolic
needs. People with type II diabetes are often severely insulin-resistant and
consequently need to produce so much insulin that their insulin-producing
cells cannot keep up with their bodies' demands and ultimately fail.
"These animal data show that drugs like Targretin have the potential to
delay disease progression in insulin resistant patients with type II
diabetes," Dr. Heyman said.
Diabetes is the fourth leading cause of death by disease in the United
States with an estimated annual cost to the economy of $92 billion, according
to the American Diabetes Association. Type II diabetes is the most common
form of the disease, affecting more than 15 million Americans.

RXR Mechanism of Action
Targretin, a small organic compound discovered by Ligand scientists,
selectively activates a subclass of retinoid receptors called retinoid X
receptors (RXRs) that play an important role in several cellular activities.
ALRT268 is a second generation RXR selective compound owned by Allergan Ligand
Retinoid Therapeutics, Inc. Scientists have known for several years that
retinoids that bind to the RXR receptors deliver their therapeutic effects by
partnering with other intracellular receptors in an activated complex called a
heterodimer. The RXR can partner with several other intracellular receptors
with different physiologic effects. One of these partners is peroxisome
proliferator activated receptor (PPAR) gamma, a target of the antidiabetic
class of drugs, the TZDs.
When the RXR receptor is linked to PPAR gamma receptor which is a target
for antidiabetic therapies; the RXR ligand activates the pair and can have an
antidiabetic effect. The recently approved TZD is known to exert at least
part of its antidiabetic effects through PPAR receptors.
In addition to glucose metabolism, RXRs also play an important role in
other cellular activities such as programmed cell death or "apoptosis," a
natural process by which the body eliminates unwanted cells. Topical
Targretin is in pivotal Phase III clinical trials for the treatment of
cutaneous T-cell lymphoma (CTCL). In addition, Oral Targretin is in pivotal
Phase II/III trials for the treatment of CTCL. It is also in Phase II/III
trials in lung cancer, and in Phase IIb trials for head and neck carcinoma,
Kaposi's sarcoma, ovarian cancer, prostate cancer and renal cell cancer.
Targretin is a compound discovered and developed by Ligand. ALRT268 is a
compound of Allergan Ligand Retinoid Therapeutics Inc. (Nasdaq: ALRIZ), a
research and development company formed by Ligand and Allergan, Inc.
(NYSE: AGN) to develop retinoid pharmaceutical products. Ligand and Allergan
share specific buyback rights to all compounds and assets of ALRT. Ligand
owns 100% worldwide rights to Targretin in all indications.
Ligand Pharmaceuticals Inc., founded in 1987, is a leader in gene
transcription technology, particularly intracellular receptor (IR) technology,
including retinoids like Targretin, and Signal Transducers and Activators of
Transcription (STATs). Ligand applies IR and STATs technology to the
discovery and development of small molecule drugs to enhance therapeutic and
safety profiles and to address major unmet patient needs in cancer, women's
and men's health and skin diseases, as well as osteoporosis, metabolic,
cardiovascular and inflammatory disease.
Allergan Ligand Retinoid Therapeutics, Inc. was formed in 1994 to discover
and develop drugs base on retinoids. Retinoids have a broad range of
biological actions, and evidence suggests they may be useful in the treatment
of a variety of cancers including leukemias and certain metabolic, skin and
eye diseases.
This statement may contain certain forward looking statements by Ligand
and actual results could differ materially from those described as a result of
factors, including, but not limited to the following. There can be no
assurance that: (a) human clinical trials will result from the preclinical
studies discussed herein; (b) that the preclinical results described herein
will be observed in human patients; (c) that these or any new products under
development by Ligand or any of its partners will receive approval from the
U.S. Food and Drug Administration or other authorities to market any of these
products; (d) that, if approved, there will be a market for the drugs; or (e)
that preclinical results will be predictive of any final results.
Targretin is the trademark of Ligand Pharmaceuticals Inc.
If you would prefer to receive Ligand press releases via email, please
inform Ligand at investors@ligand.com and request to be placed on the priority
email list.

SOURCE Ligand Pharmaceuticals

CONTACT: Susan Atkins of Ligand Pharmaceuticals, 619-550-7687; or
John Bluth of Fleishman-Hillard, media, 212-265-9150