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Kyowa Releases Results to Phase III Clinical Studies of an Anti-Parkinson's
Disease Drug Istradefylline (KW-6002) Conducted Overseas
3/7/2006 8:00:00 AM EST
Kyowa Hakko Kogyo Co., Ltd., located in Chiyoda-ku, Tokyo, Japan (President:
Dr. Yuzuru Matsuda) has completed three Phase III clinical studies of KW-6002
(generic (INN) name: Istradefylline), an agent developed in-house for the
treatment of Parkinson's Disease.
 Parkinson's Disease is initiated by a shortage of the neurotransmitter
dopamine in the brain, which causes an imbalance in the nervous system. This
disease is treated mainly by dopamine replacement with L-DOPA. Long-term
therapy with L-DOPA is associated with the development of a shortening
response to each dose. This is called "wearing-off phenomenon."
 The three Phase III clinical studies were conducted in Parkinson's Disease
patients with "wearing off phenomenon" on treatment with L-DOPA alone or
L-DOPA administered concomitantly with other Parkinson's Disease medications.
Two studies were conducted in North America and one study was conducted in 14
countries of the EU/and other regions. In all three studies, the efficacy and
safety of Istradefylline (KW-6002) were assessed. Istradefylline (KW-6002)
was administered for 12-16 weeks. The primary endpoint was reduction in the
percentage of awake time spent in the "off" state, and it served as an
indicator of the improvement in the "wearing off phenomenon."
 One of the North American studies revealed a statistically significant
reduction in the percentage of awake time spent in the "off" state. The other
North American study and the trial conducted in the EU/other regions did not
demonstrate a significant reduction in percentage of awake time per day spent
in the "off" state compared with placebo patients, but showed a significant
improvement or a trend toward improvement in one of the secondary endpoints,
the motor function score, assessed using the Unified Parkinson's Disease
Rating Scale (UPDRS) subscore III. Istradefylline (KW-6002) showed a similar
safety profile as previously reported in Phase II studies. Based on these
results, together with the results of the Phase IIb program (also
demonstrating a statistically significant reduction in the percentage of
awake time per day spent in the off state), Kyowa Hakko intends to submit a
New Drug Application (NDA) to the United States Food and Drug Administration
(FDA) in the latter half of this year.
 Istradefylline (KW-6002) has a specific antagonistic effect on the adenosine
A(2A) receptor in the brain. This compound is expected to be a novel
anti-parkinson's drug and to contribute to relieving various symptoms in many
patients with Parkinson's Disease.
 Kyowa Hakko Kogyo Co., Ltd. is a leading life science company headquartered
in Tokyo, Japan. Kyowa Pharmaceutical, Inc. (KPI) is the US development
company in Princeton, NJ. KPI's current focus is the development of unique
agents in CNS, oncology and urology.

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