86% Response Rate in Gout Patients After Eight Days of Treatment
Ardea Biosciences, Inc. (Nasdaq:RDEA) today announced positive interim
results from an ongoing Phase 2a, proof-of-concept study of RDEA594, its
lead product candidate for the treatment of hyperuricemia and gout, as
well as additional positive results from completed Phase 1 studies of
RDEA594 in normal, healthy volunteers. The Phase 1 results, along with
additional preclinical data, were presented at the Annual European
Congress of Rheumatology hosted by the European League Against
Rheumatism (EULAR) in Copenhagen, Denmark.
In late April 2009, the Company initiated a placebo- and
active-controlled, proof-of-concept study of RDEA594 in gout patients
with hyperuricemia (uric acid ≥ 8 mg/dL). This study is now fully
enrolled and the majority of the 20 patients have completed the first
week of dosing. Patients received RDEA594 200 mg once daily (QD) for the
first week, followed by 400 mg QD for the second week. An immediate
release (IR) capsule formulation, administered under fed conditions, was
used in this study. Of the first 7 patients randomized to RDEA594 to
reach 8 days of dosing (first day after dose increased to 400 mg QD), 6,
or 86%, were responders, as defined by the achievement of target uric
acid concentrations of less than 6 mg/dL. This compares to zero out of 4
patients randomized to placebo and 2 out of 3 patients randomized to a
standard dose of allopurinol (300 mg QD) to reach 8 days of dosing. On
average, RDEA594-treated patients achieved a 40% reduction in serum
urate levels by this early time point. Dosing in this Phase 2a study is
expected to be completed in late June 2009, with full results to be
presented at an upcoming scientific conference. RDEA594 has been well
tolerated in this study, with no serious adverse events and no premature
discontinuations due to adverse events.
Results from two completed, randomized, double-blind,
placebo-controlled, Phase 1 studies were presented at EULAR that
included data from 98 adult male subjects, of which 76 received RDEA594
at doses from 5 mg to 600 mg for 1 to 10 days. Statistically
significant, dose-dependent reductions in serum urate of up to 45% were
demonstrated in the multiple-ascending-dose study, which evaluated QD
doses of RDEA594 100 mg oral solution and 200 and 400 mg IR capsules
given fasted or placebo over a 10-day dosing period. Administration of
the IR capsule with a standard breakfast, as done in the Phase 2a study,
improved the pharmacokinetic profile of the drug and increased the
reduction in uric acid compared to fasted conditions.