Business Wire - January 24, 2012
- Phase 2 Study Will Examine GS-7340 as Part of a New Once-Daily,
Single-Tablet Regimen -
FOSTER CITY, Calif. - Gilead Sciences, Inc.
(Nasdaq: GILD) today announced the initiation of a Phase 2
clinical trial evaluating GS-7340 for the treatment of HIV-1
infection in treatment-na�ve adults. GS-7340 is a novel prodrug
of tenofovir, the active agent in Viread(R) (tenofovir disoproxil
fumarate). In previous studies, GS-7340 has demonstrated the
ability to provide greater antiviral efficacy at a dose that is
ten times lower than Viread.
"The advancement of GS-7340 into this Phase 2 study is an
important milestone in Gilead's efforts to develop the next
generation of best-in-class therapies for HIV," said Norbert
Bischofberger, PhD, Executive Vice President, Research and
Development and Chief Scientific Officer, Gilead Sciences.
"Because it can be used once-daily at one-tenth the dose of
Viread, which is a much lower dose compared to other currently
available anti-HIV compounds, GS-7340 could enable the
development of a new range of single-tablet regimens for HIV that
optimize clinical efficacy, safety and tolerability for
patients."
The Phase 2 study will evaluate GS-7340 as part of a once-daily,
co-formulated single-tablet regimen that will also contain the
boosting agent cobicistat, the integrase inhibitor elvitegravir,
and Emtriva(R) (emtricitabine). The GS-7340-containing
single-tablet regimen will be compared to Gilead's Quad
single-tablet regimen, which contains Viread and Emtriva (as
Truvada(R)), elvitegravir and cobicistat, and is currently under
review for marketing approval by U.S. and European regulatory
agencies.
Gilead plans to initiate a second Phase 2 trial for GS-7340 later
in 2012 that will assess GS-7340 as part of another single-tablet
regimen containing cobicistat, Emtriva and Tibotec
Pharmaceuticals' protease inhibitor Prezista(R) (darunavir). Gilead
announced an agreement with Tibotec to develop this single-tablet
regimen on November 15, 2011.
Viread was approved for HIV treatment in 2001 and has accumulated
more than 4.4 million patient years of clinical experience to
date.
About the GS-7340 Phase 2 Study
The Phase 2 study is a randomized, double-blind 48-week clinical
trial among HIV-1 infected adults with HIV RNA levels (viral
load) greater than or equal to 5,000 copies/mL and CD4 cell
counts greater than 50 cells/mm3. A total of 150 patients will be
randomized (2:1) to receive a once-daily tablet containing
GS-7340 10 mg/cobicistat 150 mg/elvitegravir 150 mg/emtricitabine
200 mg (n=100) or the Quad (tenofovir disoproxil fumarate 300
mg/cobicistat 150 mg/elvitegravir 150 mg/emtricitabine 200 mg)
(n=50). The HIV virus of participants must be sensitive to both
tenofovir and emtricitabine, prior use of antiretrovirals is not
allowed and participants must have adequate renal function
(defined as an estimated glomerular filtration rate of greater
than or equal to 70 mL/min, according to the Cockcroft-Gault
formula).
The primary endpoint will be the proportion of patients with
viral load less than 50 copies/mL at 24 weeks of treatment as
determined by the FDA-defined snapshot analysis. Secondary
endpoints will include the proportion of patients who achieve
viral load of less than 50 copies/mL at 48 weeks of therapy, and
change from baseline in HIV-1 RNA and in CD4+ cell count to Weeks
24 and 48. After week 48, patients will continue to take their
blinded study drug until treatment assignments have been
unblinded, at which point all will be given the option to
participate in an open-label rollover extension and receive the
GS-7340-based single-tablet regimen.
Additional information about the study can be found at
www.clinicaltrials.gov.
About GS-7340
GS-7340 is a novel prodrug of tenofovir, the active agent in the
company's HIV drug Viread. Like Viread, GS-7340 is a nucleotide
reverse transcriptase inhibitor (NtRTI). Phase 2a dose-ranging
studies have identified a dose that is ten times lower than
Viread and provides greater antiviral efficacy. The smaller
milligram size of GS-7340 may enable the development of new
fixed-dose combinations and single-tablet regimens for HIV
therapy that are not feasible with Viread.
About Cobicistat
Cobicistat is a potent mechanism-based inhibitor of cytochrome
P450 3A (CYP3A), an enzyme that metabolizes drugs in the body.
Gilead is evaluating cobicistat in three separate pivotal Phase 3
studies, both as a stand-alone boosting agent for protease
inhibitors, as well as part of the Quad regimen. Gilead has
exclusive rights to develop cobicistat worldwide, except for
Japan, where JT is licensed to develop and commercialize the
product.
About Elvitegravir
As an integrase inhibitor, elvitegravir interferes with HIV
replication by blocking the ability of the virus to integrate
into the genetic material of human cells. Elvitegravir was
licensed by Gilead from Japan Tobacco Inc. (JT) in March 2005.
Under the terms of Gilead's agreement with JT, Gilead has
exclusive rights to develop and commercialize elvitegravir in all
countries of the world, excluding Japan, where JT retains rights.
About Quad
The Quad is a single-tablet regimen that contains elvitegravir,
cobicistat, emtricitabine and tenofovir disoproxil fumarate. In
October 2011, Gilead submitted a New Drug Application to the U.S.
FDA for the Quad for the treatment of HIV among treatment-na�ve
patients.
GS-7340, cobicistat, elvitegravir and the Quad are
investigational products and their safety and efficacy have not
yet been established.
About Gilead Sciences
Gilead Sciences is a biopharmaceutical company that discovers,
develops and commercializes innovative therapeutics in areas of
unmet medical need. The company's mission is to advance the care
of patients suffering from life-threatening diseases worldwide.
Headquartered in Foster City, California, Gilead has operations
in North America, Europe and Asia Pacific.
Forward-Looking Statement
This press release includes forward-looking statements, within
the meaning of the Private Securities Litigation Reform Act of
1995, that are subject to risks, uncertainties and other factors,
including risks related to our ability to enroll patients in the
Phase 2 clinical trial of a single-tablet regimen containing
elvitegravir, cobicistat, emtricitabine and GS-7340, our ability
to initiate the Phase 2 trial of a single-tablet regiment
containing cobicistat, emtricitabine, darunavir and GS-7340, the
possibility of unfavorable results of this or other clinical
trials involving GS-7340, the need to modify or delay the
clinical trials or to perform additional trials and the risk of
failing to obtain U.S. Food and Drug Administration and other
regulatory body approvals for GS-7340 and single-tablet regimens
containing GS-7340, including the Quad. As a result, GS-7340 may
never be successfully commercialized. Further, we may make a
strategic decision to discontinue development of GS-7340 if, for
example, we believe commercialization will be difficult relative
to other opportunities in our pipeline. These risks,
uncertainties and other factors could cause actual results to
differ materially from those referred to in the forward-looking
statements. The reader is cautioned not to rely on these
forward-looking statements. These and other risks are described
in detail in Gilead's Quarterly Report on Form 10-Q for the
quarter ended September 30, 2011, as filed with the U.S.
Securities and Exchange Commission. All forward-looking
statements are based on information currently available to
Gilead, and Gilead assumes no obligation to update any such
forward-looking statements.
U.S. full prescribing information for Viread is available at
www.Viread.com.
U.S. full prescribing information for Truvada is available at
www.Truvada.com.
U.S. full prescribing information for Emtriva is available at
www.GileadHIV.com.
Viread, Truvada and Emtriva are registered trademarks of Gilead
Sciences, Inc.
For more information on Gilead Sciences, please visit the
company's website at www.gilead.com or call Gilead Public Affairs
at 1-800-GILEAD-5 or 1-650-574-3000.
Contacts
Gilead Sciences, Inc.
Susan Hubbard, 650-522-5715 (Investors)
Erin Rau, 650-522-5635 (Media)
www.aegis.org