Array BioPharma Inc. (NASDAQ: ARRY) today announced top-line results
from its Phase 1 seven-day dose escalation trial up to 1,200 mg daily of
p38 inhibitor, ARRY-797, in healthy volunteers. In addition, the
top-line results were announced in a second study, where ARRY-797 was
evaluated in a 28-day Phase 1b trial in stable rheumatoid arthritis (RA)
patients taking methotrexate. This study compared two doses of ARRY-797
to placebo.
A preliminary analysis of both trials indicates that ARRY-797 was well
tolerated with a pharmacokinetic profile consistent with earlier
studies. In the 28-day, three-arm RA study with a total of 28 patients,
ARRY-797 showed inhibition of CRP levels (marker of inflammation) only
during the first three weeks of dosing and a beneficial reduction in NTx
levels (marker of bone remodeling) throughout the study. In addition,
ARRY-797 showed a trend to improve the patients’ assessment of pain (VAS
score) over the course of the study.
“In the 28-day RA study, ARRY-797 demonstrated a transient inhibition of
the inflammatory biomarker CRP and a trend towards analgesic efficacy in
the pain endpoint,” said Kevin Koch, Ph.D., President and Chief
Scientific Officer. “Since these results are similar to other p38
inhibitors evaluated in rheumatoid arthritis, these findings have led us
to discontinue testing of ARRY-797 in chronic inflammatory diseases. We
continue to believe that a p38 inhibitor holds promise in treating
patients with cancer and sub-chronic pain.”
The Company continues to conduct a full analysis of safety,
pharmacokinetics and efficacy data from both studies. Array anticipates
that complete results from the studies will be presented at a medical
conference in 2010. Based on these preliminary results, Array plans to
cease the enrollment of new patients in its current clinical trial of
ARRY-797 in ankylosing spondylitis patients.
Phase 1b Dose Escalation Trial in Healthy Volunteers: Clinical
Study Design and Results
This Phase 1b dose escalation trial was a randomized, double-blind,
placebo-controlled study in healthy volunteers and was designed to
evaluate the safety and pharmacokinetics of ARRY-797 after single-day
and multiple-day administration of ARRY-797. Single ascending-doses of
900 mg (once) and 1,200 mg/day (800 mg followed by 400 mg 12 hours
later), and multiple-day, ascending-doses of 200, 300 and 400 mg/day TID
(every eight hours) for eight consecutive days were explored.
Safety, Tolerability and Pharmacokinetics: Overall, ARRY-797 was
well-tolerated after single-day and multiple-day administration of total
daily doses of 600 mg, 900 mg, and 1,200 mg. In the multiple-day cohorts
up to 400 mg TID, no adverse event (AE) was reported by more than one
subject in any treatment group and all AEs were considered mild in
intensity. In the single-day cohorts, mild dizziness was reported by two
of the 6 subjects receiving a 900 mg dose of ARRY-797 and moderate
dizziness by one of the 6 subjects receiving 800 mg followed by 400 mg
ARRY-797. Approximately dose-proportional increases in mean total and
peak exposures were observed with increasing dose following single- and
multiple-dose administration. Mean plasma concentrations of ARRY-797
reached steady-state on day two after repeat-dose administration with
modest accumulation.
Phase 1b 28-day Study in Patients with RA: Clinical Study
Design and Results
This Phase 1b trial was a randomized, double-blind, placebo-controlled
design that enrolled 29 patients with RA. Twenty eight patients
completed four weeks of treatment. The trial was conducted at six sites
in the United States. Patients received either 100 mg or 200 mg ARRY-797
twice daily, or placebo.