Avexa (ASX:AVX) announced at its Annual General Meeting (AGM) today that it has received positive feedback from both North American and European regulatory authorities allowing immediate progression into a Phase III program for apricitabine (ATC), an NRTi the company is developing for the treatment of drug-resistant HIV patients. At the AGM the company stated that it will move forward with two pivotal clinical trials which have been reviewed and will form the basis for future approval. The end point of the trials will be the percentage of patients that reach less than 400 copies of the virus per millilitre of blood after 24 weeks. The start dates of the trials will be staggered as the company is required to assess two dose levels in the first trial to confirm the optimum dose. The second trial will study the optimum dose only. The patient population and clinical end points will be very similar to those of the current Phase IIb 24 week timepoint, the results of which were announced in September of this year. Those results showed that apricitabine was superior to lamivudine, was very well tolerated and increased patients’ CD4 cell levels. Avexa further advised that there are now 37 patients on the Phase IIb extension study, with some patients having been treated with ATC for over 2 years. “This is an extremely exciting time for Avexa� stated CEO Dr Julian Chick. “We have plenty of work ahead of us but we have a clear path forward towards approval and subsequent marketing of ATC. Furthermore, we are encouraged by the very positive results from the 24 week study, which have direct relevance to the planned phase III studies. In addition, the number of patients requesting to continue ATC treatment gives us further confidence that ATC is providing patients with an effective new treatment in the fight against HIV and making a significant difference to their lives.� Avexa expects to initiate the Phase III program next month. The company stated that it will seek a partner to assist in the completion of the Phase III program and prepare the product for filing and launch. The company will also seek partners for possible combination products for ATC. During the AGM Dr Chick also announced that Avexa’s antibacterial program for the treatment of MRSA infections (“superbugs�) and its HIV integrase inhibitor program have both entered into formal preclinical studies with a goal of entering Phase I studies (IND filing) in 12 months. “This is an extremely positive advance for these earlier stage programs� stated Dr Chick “and it demonstrates the growing value of Avexa’s product pipeline.�
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