Ardea Biosciences, Inc. (Nasdaq:RDEA) today announced positive results
from a Phase 1 study in normal, healthy volunteers of RDEA594, its lead
product candidate for the treatment of hyperuricemia and gout, and a
pilot Phase 2a proof-of-concept study in gout patients of RDEA594’s
prodrug, RDEA806 (RDEA806 is converted to RDEA594 in the body). RDEA594
is an inhibitor of URAT1, a transporter in the kidney that regulates
uric acid excretion. These data, as well as future development plans for
RDEA594, are being presented today at an investor and analyst event
hosted by the Company in New York, NY. The Company intends to present
further data from RDEA594 studies at an upcoming scientific conference.
Phase 1
Over 60 normal, healthy volunteers have been administered RDEA594 in
Phase 1 single-dose and multiple-dose studies at doses ranging from 5 to
600 mg. Results from the randomized, double-blind, placebo-controlled,
multiple-ascending-dose study of RDEA594 that evaluated 100, 200 and 400
mg, oral, once-daily doses of RDEA594 or placebo over a 10-day dosing
period are being presented. Statistically significant reductions in uric
acid were dose-dependent and seen in all dose groups. A reduction of 45%
from baseline (corrected for placebo) was observed after 10 days at the
highest dose evaluated. In Phase 1 studies, RDEA594 has been
well-tolerated, with no serious adverse events or drug-related
discontinuations due to adverse events. Adverse events were infrequent,
transient and of mild to moderate severity, with no imbalance between
placebo and drug groups.
Following is a summary of uric acid percentage reductions from baseline
observed in the multiple-ascending-dose study of RDEA594:
|
RDEA594 Dose
|
|
Placebo-Corrected Change from Baseline (%)
|
|
p-value vs. Placebo
|
|
100 mg QD
|
|
16
|
|
< 0.05
|
|
200 mg QD
|
|
31
|
|
< 0.01
|
|
400 mg QD
|
|
45
|
|
< 0.001
|
Ardea is initiating a comprehensive Phase 2 program to demonstrate the
broad clinical utility of RDEA594 in the treatment of hyperuricemia and
gout. This program includes a Phase 2 dose-ranging study of RDEA594 in
gout patients, as well as a number of additional studies, including a
combination study with RDEA594 added on to allopurinol, currently the
most prescribed medication for the treatment of hyperuricemia and gout,
a drug-drug interaction study of RDEA594 in combination with febuxostat
(ULORIC® from Takeda Pharmaceuticals North America, Inc.), and a renal
impairment and pharmacodynamic study of RDEA594 in subjects with varying
degrees of renal insufficiency. The Phase 2 program will be initiated in
the second quarter of this year and is designed to further assess the
safety, pharmacodynamics and efficacy of RDEA594 as a single agent and
in combination with other agents that lower uric acid via a different,
and potentially complementary, mechanism. Initial results from this
program are expected in the fourth quarter of 2009.
Phase 2a
The uric acid-lowering activity of RDEA594, when administered as its
prodrug, RDEA806, was also evaluated in a randomized, double-blind,
placebo-controlled pilot Phase 2a proof-of-concept study. RDEA806 was
administered as 400 mg once- and twice-daily oral doses over a 28-day
dosing interval in patients with hyperuricemia (uric acid greater than
or equal to 8 mg/dl) and a history of gout. Dose-dependent reductions in
uric acid were observed in both groups, with a linear relationship
between plasma concentrations of RDEA594 and uric acid reduction.
Placebo-corrected reductions from baseline of approximately 40% were
observed after 28 days in the twice-daily dosing group, which was
consistent with reductions seen in previous studies of RDEA806 in
normal, healthy volunteers. RDEA806 was also well-tolerated. There were
no serious adverse events or discontinuations due to adverse events, and
there was no significant difference in the rates of adverse events
across drug- and placebo-treated groups. Following this successful
demonstration of proof-of-concept in gout patients, all further studies
in gout will be conducted directly with RDEA594.
“Positive results from the Phase 1 study of RDEA594 confirm its
selection as our lead product candidate for the treatment of
hyperuricemia and gout,” commented Barry D. Quart, PharmD, Ardea’s
president and chief executive officer. “Results from our pilot Phase 2a
study confirm RDEA594’s ability to significantly lower serum uric acid
levels in gout patients and again demonstrate the strong correlation
between RDEA594 drug levels and uric acid lowering, which has now been
seen in both healthy volunteers and gout patients.”
"Gout is a debilitating disease that affects millions of individuals
worldwide,” added Dr. Mark C. Genovese, professor of medicine, co-chief
of the division of immunology and rheumatology at Stanford University
Medical Center and a participant in today’s expert panel discussion.
“There is a significant unmet medical need for new, well-tolerated, oral
urate-lowering agents, particularly those working via a novel mechanism.
Such an agent could be combined with allopurinol in the many patients
who are not achieving an adequate response. It could also be extremely
useful in patients who do not tolerate allopurinol or other available
products. These results with RDEA594 are highly encouraging, and I look
forward to its further development."
Ardea will host a live webcast on Monday, April 20, 2009 from 5:00 p.m.
to 7:00 p.m. Eastern Daylight Time. To access the webcast, please log
onto Ardea’s website at www.ardeabio.com
and click on the Investors Center section approximately 10 minutes prior
to the start of the webcast to allow for any software downloads that may
be necessary. An archived recording of the event will be available on
Ardea’s website for one month.
About RDEA594
RDEA594 is our lead product candidate for the treatment of hyperuricemia
and gout. RDEA594 is an inhibitor of the URAT1 transporter in the
kidney, which is responsible for the regulation of uric acid levels.
Over 300 people have safely received RDEA594, either by direct
administration or through administration of RDEA806, its prodrug.
About Ardea Biosciences, Inc.
Ardea Biosciences, Inc., of San Diego, California, is a biotechnology
company focused on the discovery and development of small-molecule
therapeutics for the treatment of gout, human immunodeficiency virus
(HIV), cancer and inflammatory diseases. We have five product candidates
in clinical development for four indications and others in preclinical
development and discovery. Our most advanced product candidate is
RDEA806, a non-nucleoside reverse transcriptase inhibitor (NNRTI), which
has successfully completed a Phase 2a study for the treatment of
patients with HIV. We have evaluated our second-generation NNRTI for the
treatment of HIV, RDEA427, in a human micro-dose pharmacokinetic study
and have selected it for clinical development based on a plasma
half-life of greater than 40 hours. RDEA594, our lead product candidate
for the treatment of hyperuricemia and gout, has completed Phase 1
clinical trials and will begin Phase 2 in the second quarter of 2009. We
are evaluating our lead MEK inhibitor, RDEA119, in a Phase 1/2 study in
combination with sorafenib (Nexavar®, Onyx Pharmaceuticals,
Bayer HealthCare) and as a single agent in a Phase 1 study, both in
advanced cancer patients, and have completed a Phase 1 study in normal
healthy volunteers as a precursor to trials in patients with
inflammatory diseases. Lastly, we have evaluated our second-generation
MEK inhibitor for the treatment of cancer and inflammatory diseases,
RDEA436, in a human micro-dose pharmacokinetic study and have selected
it for clinical development.
Statements contained in this press release regarding matters that are
not historical facts are "forward-looking statements" within the meaning
of the Private Securities Litigation Reform Act of 1995. Because
such statements are subject to risks and uncertainties, actual results
may differ materially from those expressed or implied by such
forward-looking statements. Such statements include, but are not
limited to, statements regarding our plans and goals, the expected
properties and benefits of RDEA806, RDEA594, RDEA427, RDEA119, RDEA436
and our other compounds and the timing and results of our preclinical,
clinical and other studies. Risks that contribute to the
uncertain nature of the forward-looking statements include risks related
to the outcome of preclinical and clinical studies, risks related to
regulatory approvals, delays in commencement of preclinical and clinical
studies, costs associated with our drug discovery and development
programs, and risks related to the outcome of our business development
activities. These and other risks and uncertainties are described
more fully in our most recently filed SEC documents, including our
Annual Report on Form 10-K and our Quarterly Reports on Form 10-Q, under
the headings "Risk Factors." All forward-looking
statements contained in this press release speak only as of the date on
which they were made. We undertake no obligation to update such
statements to reflect events that occur or circumstances that exist
after the date on which they were made.
Ardea Biosciences, Inc.
John Beck
858-652-6523
jbeck@ardeabio.com