Investor Update
Basel, 2 June 2007
Avastin
significantly prolongs progression free survival
in patients with advanced lung cancer
Only first-line treatment to demonstrate
extended survival in over a decade
Avastin (bevacizumab),
significantly improves the time patients with advanced non-small cell lung cancer (NSCLC) live without
their disease advancing ("progression free survival") when added to cisplatin/gemcitabine
chemotherapy,
compared with chemotherapy alone. NSCLC is the most common form of the disease and accounts for more
than 80 percent of all lung cancers2, with histology other than squamous
cell as the most common subtype
accounting for approximately 60 percent of NSCLC cases. These findings were presented for the
first time, today at the 43rd annual meeting of the American Society of Clinical Oncology (ASCO) in
Chicago.
The results of the Avastin in Lung ("AVAiL", BO17704)
trial
showed that by adding Avastin to a cisplatin/gemcitabine regimen:
- Progression free survival was significantly prolonged by 20 to 30 % over chemotherapy alone
- Tumour response rate was increased by up to 70% compared with chemotherapy alone
- Duration of tumour response was increased from 4.7 to 6.1 months compared with chemotherapy alone
"Avastin
is the only treatment in over a decade which has extended survival for patients with previously untreated
advanced NSCLC as demonstrated by the pivotal E4599 trial. AVAiL now shows that Avastin is also effective
when administered with a different chemotherapy regimen" said Professor Christian Manegold, Professor
of Medicine, Heidelberg University, University Medical Center, Mannheim, Germany and Principal Investigator
of the study. "Lung cancer is an extremely difficult disease to treat and this will give
real
hope to many patients."
Two doses of Avastin were investigated in
the
study (7.5 and 15 mg/kg) and both demonstrated similar benefits. No new or unexpected adverse
events were observed. Overall survival data are still pending and will be presented at a future
oncology conference.
Lung cancer accounts for 1 in 3 cancer related deaths
in men and 1 in 4 in women. Worldwide, there are more than 1.2 million new cases of lung and bronchial
cancer diagnosed each year, 1 and new treatment options are urgently
needed as the disease has
a very high mortality rate.
About AVAiL
The
AVAiL study
is a randomised, controlled, double-blind Phase III study that includes more than 1,000 patients with
previously untreated advanced NSCLC, the most common form of lung cancer, with histology other than
squamous cell. The primary objective of the study was to demonstrate superiority in progression-free
survival of both Avastin containing treatment arms versus the control regimen.
In
the AVAiL study patients received treatment with either Avastin at 7.5mg/kg or 15mg/kg + cisplatin-gemcitabine
or placebo + cisplatin-gemcitabine and a similar treatment effect was observed between the two arms.
About
Lung Cancer
The majority of NSCLC cases are still diagnosed at an advanced stage
when
the cancer is inoperable or has already spread to another part of the body. In spite of the use of chemotherapy
as the first-line treatment option, less than five percent of people with advanced NSCLC survive for
five years after diagnosis and most die within twelve months 2.
About
Avastin
Avastin is the first treatment that inhibits angiogenesis – the growth
of a network
of blood vessels that supply nutrients and oxygen to cancerous tissues. Avastin targets a naturally
occurring protein called VEGF (Vascular Endothelial Growth Factor), a key mediator of angiogenesis,
thus choking off the blood supply that is essential for the growth of the tumour and its spread throughout
the body (metastasis).
Avastin has now demonstrated a progression-free
and/or overall survival benefit for patients in four cancer types, namely: colorectal, breast, lung
and renal cell cancer.
Roche and Genentech are pursuing a comprehensive
clinical programme investigating the use of Avastin in various tumour types (including colorectal, breast,
lung, pancreatic cancer, ovarian cancer, renal cell carcinoma and others) and different settings (advanced
and adjuvant ie post-operation). The total development programme is expected to include over 40,000
patients worldwide.
About Roche
Headquartered
in Basel, Switzerland, Roche is one of the world’s leading research-focused healthcare groups in the
fields of pharmaceuticals and diagnostics. As the world’s biggest biotech company and an innovator of
products and services for the early detection, prevention, diagnosis and treatment of diseases, the
Group contributes on a broad range of fronts to improving people’s health and quality of life. Roche
is the world leader in in-vitro diagnostics and drugs for cancer and transplantation, a market leader
in virology and active in other major therapeutic areas such as autoimmune diseases, inflammation, metabolism
and central nervous system. In 2006 sales by the Pharmaceuticals Division totalled 33.3 billion Swiss
francs, and the Diagnostics Division posted sales of 8.7 billion Swiss francs. Roche employs roughly
75,000 worldwide and has R&D agreements and strategic alliances with numerous partners, including
majority ownership interests in Genentech and Chugai. Additional information about the Roche Group is
available on the Internet at www.roche.com.
All trademarks used or mentioned in this release are protected by law
.Additional information
- Roche in Oncology
- Roche Health Kiosk, Cancer
- Avastin
References
1)
Stewart BW and Kleihues P. World Cancer Report. IARC Press, Lyon, pp.183-87, 2003
2)
Wilking N and Jonsson B. A Pan-European comparison regarding patient access to cancer drugs. Karolinska
Institute in collaboration with Stockholm School of Economics, Stockholm, Sweden, 2005.