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To: Anthony Wong who wrote (1000)11/9/1998 12:14:00 PM
From: Anthony Wong  Read Replies (1) | Respond to of 1722
 
Centocor's Remicade Seen Effective in Rheumatoid Arthritis

Bloomberg News
November 9, 1998, 11:29 a.m. ET

Centocor's Remicade Seen Effective in Rheumatoid Arthritis

San Diego, Nov. 9 (Bloomberg) -- Centocor Inc.'s Remicade
can reduce swelling and tenderness in the joints of people with
rheumatoid arthritis when combined with one of the leading
approved medicines for the disease, new research shows.

In a study of 428 patients, 52 percent of those given
Remicade and methotrexate, a generic drug long used in hard-to-
treat cases of rheumatoid arthritis, had significant reduction in
their symptoms. Only 20 percent of patients given methotrexate
and a placebo had the same results, Centocor said.

Centocor is looking for clearance to market Remicade,
approved in August as a treatment for the severe bowel disorder
Crohn's disease, for expanded use as a treatments for rheumatoid
arthritis. Competing drugs from Hoechst AG and Immunex Corp. won
U.S. approval in the last three months, becoming the first new
treatments approved for the disease in more than a decade.

''It appears as though Remicade will be a safe, effective
and convenient therapy for rheumatoid arthritis patients'' with
symptoms that aren't being adequately treated by current
therapies, said Peter Lipsky, one of the principal investigators
in the trial.

Lipsky, who is director of the Harold C. Simmons Arthritis
Research Center at the University of Texas Southwestern Medical
Center at Dallas, discussed the study with journalists covering
the American College of Rheumatology meeting in San Diego, the
largest annual U.S. gathering of arthritis specialists. He will
make a detailed presentation to physicians on Thursday.

Centocor intends to file with the U.S. Food and Drug
Administration for approval of this additional use of Remicade by
early January. The results of the study presented today, known as
the ATTRACT trial, were anticipated.

Centocor Shares Up

Centocor shares rose as much as 8 percent in early trading,
boosted by separate research that shows its ReoPro heart drug can
reduce the risk of death in patients who have the artery-opening
procedure known as angioplasty. Centocor shares rose 3 1/8 in
late morning trading to 50 3/8, after earlier trading as high as
51 1/4.

There was no increase in side effects observed among those
treated with Remicade and methotrexate compared to the placebo
group, Lipsky said. The side effects observed in both groups
included upper respiratory tract infections, headache, nausea,
sinusitis, rash and cough.

In previous studies of Remicade for Crohn's and rheumatoid
arthritis patients, there were several cases of malignancies,
including lymphomas, among patients in the Remicade groups.

Lipsky said the data released today showed no sign of
increased incidence of tumors or lymphomas in patients receiving
Remicade, which neutralizes a factor that plays a role in the
immune system.

''I don't think at this stage there is anything more to be
worried about with this drug than any other drug,'' Lipsky said
in an interview. ''For any new drug there are lingering concerns
(about safety) until it gets into a very large patient
population.''

Reduction in Symptoms

The study met its main goal of showing that patients saw a
signification reduction in signs and symptoms of the disease as
measured by a standard known as ACR20. To meet that standard,
patients had to satisfy several criteria, including a 20 percent
reduction in the number of tender and swollen joints.

The study also found that 28 percent of patients reported a
50 percent reduction in tender and swollen joints at the end of
30 weeks, compared to 5 percent on placebo. And 12 percent of
patients achieved a 70 percent reduction, compared to none
in the placebo group.

In addition to reviewing trials of Remicade, specialists
attending the arthritis meeting will hear data on trials of
Enbrel and Arava.

Remicade and Enbrel are part of a new class of drugs that
neutralizes a naturally occurring compound called tumor necrosis
factor, which can trigger a cascade of destructive activity in
the body.

Malvern, Pennsylvania-based Centocor is one of the few
profitable U.S. biotechnology companies. Its leading product is
the heart drug ReoPro. ReoPro and Remicade are new kinds of
drugs, so-called monoclonal antibodies, that mimic in some
degree the body's own defenses.

--Jim Finkle in San Diego and Kerry Dooley in Washington through