Merck & Co., Inc., Medarex, Inc. And Massachusetts Biologic Laboratories Sign Exclusive Licensing Agreement For Investigational Monoclonal Antibody Combination For Clostridium Difficile Infection
Merck & Co., Inc., (through an affiliate), Medarex, Inc. (NASDAQ: MEDX) and Massachusetts Biologic Laboratories (MBL) of the University of Massachusetts Medical School (UMMS) today announced that they have signed an exclusive worldwide license agreement for CDA-1 and CDB-1 (also known as MDX-066/MDX-1388 and MBL-CDA1/MBL-CDB1), an investigational fully human monoclonal antibody combination developed to target and neutralize Clostridium difficile toxins A and B, for the treatment of C. difficile infection (CDI). CDA-1 and CDB-1 were co-developed by Medarex and MBL.
Under the terms of the agreement, Merck gains worldwide rights to develop and commercialize CDA-1 and CDB-1. Medarex and MBL will receive an upfront payment of $60 million and are potentially eligible to receive additional cash payments up to $165 million upon achievement of certain milestones associated with the development and approval of a drug candidate covered by this agreement. Upon commercialization, Medarex and MBL will also be eligible to receive double-digit royalties on product sales and milestones if certain sales targets are met. In accordance with the co-development agreement between Medarex and MBL, all payments will be divided equally.
The incidence of C. difficile infection (CDI) in the U.S. is rapidly increasing, with rates doubling from 2000 to 2005. The Centers for Disease Control and Prevention has projected that there will be as many as 750,000 cases of CDI per year by 20101.
"C. difficile infection is the primary cause of infectious diarrhea in hospitalized elderly patients in developed countries," said Tony Ford-Hutchinson, Ph.D., senior vice president and franchise head, Infectious Diseases and Vaccines, Merck Research Laboratories. "This agreement underscores Merck's ongoing commitment to infectious disease and our strategy of licensing promising candidates with the potential to address serious unmet medical needs."
"Discovering and developing an effective new treatment for a significant public health threat is the mission of MBL," said Donna Ambrosino, M.D., executive director of MBL and professor of pediatrics at UMMS. "We are delighted that through this license agreement this candidate will advance towards final clinical studies and thus will potentially be available to patients in the shortest possible time."
"This agreement exemplifies our ability to execute our corporate strategy combining creative science with an industry-leading platform to successfully enter into partnerships that are financially attractive and value-enhancing," said Howard H. Pien, chairman and chief executive officer of Medarex. "We will continue to invest in our growing pipeline of innovative product candidates to address significant unmet medical needs, advance them to proof-of-concept and explore strategic options, either through partnership or by advancing the candidate ourselves, that would create long-term value for Medarex shareholders."
Top-line results from a Phase II multicenter, randomized, double-blind, placebo-controlled trial evaluating CDA-1/CDB-1 provided evidence of a statistically significant reduction in the rate of recurrence of CDI compared with placebo. In the study, 200 patients symptomatic with an acute episode of CDI receiving standard of care antibiotics (metronidazole or vancomycin) were randomized to receive intravenous CDA-1/CDB-1 or intravenous placebo. An oral presentation of the Phase II data is scheduled at the upcoming Digestive Disease Week (DDW) in Chicago on June 2, 2009 at 2:15 p.m. local time.
About CDA-1 and CDB-1
CDA-1 and CDB-1 (also known as MDX-066/MDX-1388 and MBL-CDA1/MBL-CDB1)
are novel, fully human antibodies that were developed by MBL and Medarex
to target and neutralize the effects of toxin A and toxin B,
respectively, the toxins produced by the bacterium C. difficile
and which are associated with a serious and sometimes deadly form of
diarrhea called C. difficile associated diarrhea. Published
epidemiologic studies of hospitalized patients at risk for CDI have
shown a positive correlation between detectable levels of antibodies in
the blood to both toxins A and B and protection from disease or relapse.
About Clostridium difficile infection (CDI)
C. difficile is a spore-forming bacterium that is common in the
environment and can colonize the gastrointestinal (GI) tract. It can be
easily spread among hospitalized patients and residents of long-term
care facilities, but also can be found in otherwise healthy individuals
in the community. The disease most often develops in the presence of
antibiotics administered for other infections, in which the complex
microbial makeup of the GI tract is altered, and C. difficile
spores may germinate, grow, and produce toxins A and B. The toxins cause
damage to the GI tract lining in the colon, resulting in severe
diarrhea, and may lead to perforation of the colon and/or death.
Treatment of severe disease requires administration of additional
antibiotics to kill the C. difficile bacteria, but because of the
persistence of spores, as well as the difficulty for the intestinal
flora to re-normalize in the setting of antibiotics, relapse/recurrence
of CDI is common, and is estimated to occur in 20 percent of cases, with
post-therapy recurrence rates as high as 60 percent. Recurrence can be
difficult to manage and is a challenging complication of CDI; however,
the use of non-antibiotic based approaches to neutralize C. difficile
toxins may be important options to facilitate recovery of the GI flora.
More information on CDI can be found at: www.cdc.gov/ncidod/dhqp/id_Cdiff.html
About Merck
Merck & Co., Inc. is a global research-driven pharmaceutical company
dedicated to putting patients first. Established in 1891, Merck
discovers, develops, manufactures and markets vaccines and medicines to
address unmet medical needs. The Company devotes extensive efforts to
increase access to medicines through far-reaching programs that not only
donate Merck medicines but help deliver them to the people who need
them. Merck also publishes unbiased health information as a
not-for-profit service. For more information, visit www.merck.com.
About Massachusetts Biologic Laboratories
The Massachusetts Biologic Laboratories is the only non-profit FDA-
licensed manufacturer of vaccines and other biologic products in the
United States. MBL produces 30 percent of the U.S. tetanus/diphtheria
vaccine supply. In addition to the C. difficile program, MBL has
discovered and developed human monoclonal antibodies for rabies and
Hepatitis C, which are expected to enter clinical trials in 2009. The
MBL was established in 1894 and since then the MBL's mission has been to
improve public health through applied research, development and
production of biologic products. MBL has been a part of the University
of Massachusetts Medical School since 1997.
About The University of Massachusetts Medical School
The University of Massachusetts Medical School is one of the fastest
growing academic health centers in the country and has built a
reputation as a world-class research institution, consistently producing
noteworthy advances in clinical and basic research. The Medical School
attracts more than $200 million in extramural research funding annually.
Visit www.umassmed.edu
for additional information.
About Medarex
Medarex is a biopharmaceutical company focused on the discovery,
development and potential commercialization of fully human
antibody-based therapeutics to treat life-threatening and debilitating
diseases, including cancer, inflammation, autoimmune disorders and
infectious diseases. Medarex applies its UltiMAb(R) technology and product
development and clinical manufacturing experience to generate, support
and potentially commercialize a broad range of fully human antibody
product candidates for itself and its partners. Over forty of these
therapeutic product candidates derived from Medarex technology are in
human clinical testing or have had INDs submitted for such trials, with
the most advanced product candidates currently in Phase III clinical
trials, the subject of regulatory applications for marketing
authorization or approved in Canada and Europe. Medarex is committed to
building value by developing a diverse pipeline of antibody products to
address the world's unmet healthcare needs. For more information about
Medarex, visit its website at www.medarex.com.
SOURCE: Medarex, Inc.