Publicado 31/05/2014 13:32
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Ibrutinib Three Year Follow-up of Single-Agent and Combination Study Results in Chronic Lymphocytic Leukemia (2)

CLL is a usually slow growing blood cancer that most commonly originates from B cells, a type of white blood cell (lymphocyte) that develops in the bone marrow. B cells are part of the immune system and play an important role in fighting infection in the body. CLL is the most common adult leukemia in the Western world, with the median age at diagnosis being primarily those over 70 years old. The incidence rates among men and women in Europe are approximately 5.87 and 4.01 cases per 100,000 persons per year, respectively. CLL is a chronic disease; median overall survival ranges between 18 months and more than 10 years according to the stage of disease. When cancer cells are located mostly in the lymph nodes, the disease is called SLL.[3-7]

About Ibrutinib

Ibrutinib is an investigational compound within a class of medicines called Bruton's tyrosine kinase (BTK) inhibitors. BTK is an important protein involved in mediating the cellular signalling pathways which control B cell maturation and survival. In malignant B cells, there is excessive signalling through the B cell receptor signalling (BCR) pathway, which includes BTK. The malignant cell ignores the natural signal to die and continues to develop and proliferate. Malignant cells migrate and adhere to protective environmental areas such as the lymph nodes where they proliferate and survive. Ibrutinib is specifically designed to target and inhibit BTK. Ibrutinib forms a strong covalent bond with BTK, which inhibits the excessive transmission of cell survival signals within the malignant B cells and stops their excessive build up in these protected environmental areas. The efficacy and safety of ibrutinib alone and in combination with other treatments is being studied in several blood cancers including CLL, MCL, Waldenstrom's macroglobulinemia (WM), diffuse large B-cell lymphoma (DLBCL), follicular lymphoma (FL) and multiple myeloma (MM).[8-12]

Ibrutinib is marketed as IMBRUVICA(R) in the U.S., where it received approval from the U.S. Food and Drug Administration (FDA) for the treatment of patients with MCL who have received at least one prior therapy on November 13, 2013,[1] followed by further indication approval for the treatment of patients with CLL who have received at least one prior therapy on February 12, 2014.[2] The approval made ibrutinib one of the first medications to receive FDA approval via the Breakthrough Therapy Designation pathway (a new U.S. FDA mechanism intended to expedite the review and development for new medicines showing great promise to treat serious or life-threatening conditions where there is currently an unmet medical need).

About Janssen

Janssen Pharmaceutical Companies of Johnson and Johnson are dedicated to addressing and solving the most important unmet medical needs of our time, including oncology (e.g. multiple myeloma and prostate cancer), immunology (e.g. psoriasis), neuroscience (e.g. schizophrenia, dementia and pain), infectious disease (e.g. HIV/AIDS, hepatitis C and tuberculosis), and cardiovascular and metabolic diseases (e.g. diabetes). Driven by our commitment to patients, we develop sustainable, integrated healthcare solutions by working side-by-side with healthcare stakeholders, based on partnerships of trust and transparency. More information can be found on http://www.janssen-emea.com/ [http://www.janssen-emea.com ]. Follow us on http://www.twitter.com/janssenEMEA for our latest news.

Janssen in Oncology

In oncology, our goal is to fundamentally alter the way cancer is understood, diagnosed and managed, reinforcing our commitment to the patients who inspire us. In looking to find innovative ways to address the cancer challenge, our primary efforts focus on several treatment and prevention solutions. These include a focus on hematologic malignancies, prostate cancer and lung cancer; cancer interception with the goal of developing products that interrupt the carcinogenic process; biomarkers that may help guide targeted, individualized use of our therapies; as well as safe and effective identification and treatment of early changes in the tumour microenvironment.

(This press release contains "forward-looking statements" as defined in the Private Securities Litigation Reform Act of 1995 regarding product development. The reader is cautioned not to rely on these forward-looking statements. These statements are based on current expectations of future events. If underlying assumptions prove inaccurate or unknown risks or uncertainties materialize, actual results could vary materially from the expectations and projections of Janssen Research & Development, LLC, any of the other Janssen Pharmaceutical Companies and/or Johnson & Johnson. Risks and uncertainties include, but are not limited to: challenges inherent in new product development, including obtaining regulatory approvals; competition, including technological advances, new products and patents attained by competitors; challenges to patents; changes in behavior and spending patterns or financial distress of purchasers of health care products and services; changes to governmental laws and regulations and domestic and foreign health care reforms; general industry conditions including trends toward health care cost containment; and increased scrutiny of the health care industry by government agencies. A further list and description of these risks, uncertainties and other factors can be found in Johnson & Johnson's Annual Report on Form 10-K for the fiscal year ended December 29, 2013, including in Exhibit 99 thereto, and our subsequent filings with the Securities and Exchange Commission. Copies of these filings are available online at http://www.sec.gov, http://www.jnj.com or on request from Johnson & Johnson. None of the Janssen Pharmaceutical companies or Johnson & Johnson undertakes to update any forward-looking statement as a result of new information or future events or developments.)

References

        
        1) U.S. Food and Drug Administration. Press Announcement: FDA approves
          Imbruvica for rare blood cancer. Nov 2013. Available from:
          http://www.fda.gov/newsevents/newsroom/p.... Accessed
          May 2014.
        2) U.S. Food and Drug Administration. Press Announcement: FDA approves Imbruvica
          to treat chronic lymphocytic leukemia. Feb 2014. Available from:
          http://www.fda.gov/newsevents/newsroom/p.... Accessed
          May 2014.
        3) Parker, T. Chronic lymphocytic leukemia: prognostic factors and impact on
          treatment. Discovery Medicine. 2011; 57.
        4) American Cancer Society. Detailed guide: what is chronic lymphocytic
          leukemia. Available from:
          http://www.cancer.org/cancer/leukemia-chroniclymphocyticcll/...
          . Accessed March 6, 2013.
        5) Sant M, Allemani C, Tereanu C, et al. Incidence of hematologic malignancies
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        6) Cancer Research UK. The most common types of non-Hodgkins lymphoma. Available
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          . Accessed March 14, 2013.
        7) Sagatys EM, Zhang L. Clinical and laboratory prognostic indicators in chronic
          lymphocytic leukemia. Cancer Control 2012;19:18-25.
        8) Qiu Y, Kung HJ. Signaling network of the Btk family kinases. Oncogene
          2000;19:5651-61.
        9) Shaffer AL, Rosenwald A, Staudt LM. Lymphoid malignancies: the dark side of
          B-cell differentiation. Nat Rev Immunol. 2002;2:920-32.
          10) Puri KD, di Paolo JA, Gold MR. B-cell receptor signaling inhibitors for
          treatment of autoimmune inflammatory diseases and B-cell malignancies. Int Rev Immunol
          2013;32:397-427.
          11) Woyach JA, Johnson AJ, Byrd JC. The B-cell receptor signaling pathway as a
          therapeutic target in CLL. Blood 2012;120:1175-84.
          12) Akinleye A, Chen Y, Mukhi N, Song Y, Liu D. Ibrutinib and novel BTK
          inhibitors in clinical development. J Hematol Oncol 2013;6:59.

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