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US Food and Drug Administration grants priority review for Actelion's miglustat in Niemann-Pick type C disease


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Copyright © Hugin AS 2009. All rights reserved.
2009-11-19 07:04:03 -


London, November , 19, 2009
Corporate news announcement processed and transmitted by Hugin AS.
The issuer is solely responsible for the content of this 
announcement. 
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ALLSCHWIL/BASEL, SWITZERLAND - 19 November 2009 - Actelion Ltd  (SIX:
ATLN) announced today that a supplemental new drug application (sNDA)
for an  extension  of indication  for  Zavesca® (miglustat)  for  the
treatment of  progressive neurological  manifestations in  adult  and
pediatric patients with Niemann-Pick type  C disease (NP-C) has  been
accepted by the U.S. Food and Drug Administration (FDA).

In the US, Zavesca® is currently indicated for the oral treatment  of
adult patients with  mild to  moderate type 1  Gaucher disease  where
enzyme replacement  therapy is  unsuitable or  is not  a  therapeutic
option.

The sNDA, based on results  from the clinical trial OGT 918-007,  and
two multicenter retrospective cohort  studies in patients with  NP-C,
has been granted a priority review. A priority review designation  is
given to drugs that offer major  advances in treatment, or provide  a
treatment where no adequate therapy  exists.  It also means that  the
FDA will aim to complete the review within 6 months.

Actelion has been informed by the FDA that this sNDA will be reviewed
by the Endocrine  and Metabolic  Drug Advisory  Committee (EMDAC)  on
12th January 2010.  The FDA  often seeks  the advice  of an  Advisory
Committee when  evaluating  potential treatments  for  diseases,  for
instance when there is no approved therapy available.

Jean-Paul  Clozel,  M.D.  and  Chief  Executive  Officer   commented:
"Actelion is working closely with  the FDA to provide information  as
needed to support the review process and make miglustat available  in
the  United   States   to   patients  suffering   from   this   fatal
neurodegenerative  genetic  disorder  affecting  both  children   and
adults. Miglustat could become  the first treatment  for NP-C in  the
USA, which  would  represent  a major  therapeutic  breakthrough  for
patients and their treating physicians".

In 2008, FDA granted orphan drug status to miglustat for NP-C in  the
United States.

                                 ###


Notes to the editor

About Zavesca® (miglustat)
Zavesca® (100  mg  miglustat  capsule)  is  indicated  for  the  oral
treatment of  adult patients  with mild  to moderate  type 1  Gaucher
disease. Zavesca® may only be used in the treatment of type 1 Gaucher
patients for whom enzyme replacement therapy is unsuitable or is  not
a therapeutic  option. It  is  approved in  the European  Union,  the
United  States,  Canada,  Switzerland,  Brazil,  Australia,   Turkey,
Israel, South Korea, New Zealand and Russia.

In the European Union,  South Korea, Brazil  and Russia, Zavesca®  is
also  indicated  for  the   treatment  of  progressive   neurological
manifestations  in  adult  patients   and  pediatric  patients   with
Niemann-Pick type C disease.

About Niemann-Pick type C disease
NP-C is  a very  rare, fatal,  neurodegenerative, genetic  condition,
primarily affecting children  and teenagers but  which can strike  at
any  age.  The   symptoms  are   caused  by  the   storage  of   some
glycosphingolipids within certain  cells in the  body, including  the
brain. It is invariably progressive and most patients die within five
to ten years  of diagnosis;  for the  majority the  disease is  fatal
during childhood. Neurological  deterioration is the  key feature  of
the disease,  and  can  manifest itself  as  clumsy  body  movements,
balance problems, slow and slurred speech, difficulty in  swallowing,
problems with  eye movements  and seizures.  Intellectual decline  is
also common. In the  final stages of the  disease the child or  young
adult is  frequently  bedridden, has  little  muscle control  and  is
intellectually impaired. Diagnosis  of the disease  can be  difficult
and lengthy due to its rarity and heterogeneity.

Zavesca® safety information
Gastrointestinal events, mainly diarrhea, have been observed in  more
than 80% of patients  treated with Zavesca®, either  at the onset  of
treatment or intermittently during  treatment. The majority of  cases
are mild  and  are expected  to  resolve  after the  first  weeks  on
therapy. In clinical practice, diarrhea has been observed to  respond
to diet  modification (reduction  of lactose  and other  carbohydrate
intake), to taking Zavesca® away from meals, and/or to  antidiarrheal
medicinal products such  as loperamide. In  some patients,  temporary
dose reduction may  be necessary. Patients  with chronic diarrhea  or
other persistent gastrointestinal events that do not respond to these
interventions should be investigated according to clinical  practice.
Zavesca® has  not  been  evaluated  in patients  with  a  history  of
significant gastrointestinal  disease, including  inflammatory  bowel
disease.

Cases of peripheral  neuropathy have been  reported in patients  with
type 1 Gaucher disease  treated with Zavesca®. Peripheral  neuropathy
seems to  be more  common in  patients with  type 1  Gaucher  disease
compared to  the  general  population. All  patients  should  undergo
baseline and  repeat neurological  evaluation. Patients  who  develop
symptoms  such  as  numbness  and  tingling  should  have  a  careful
re-assessment of risk benefit.

Zavesca® may cause fetal harm if administered to a pregnant woman and
is contraindicated  in women  who  are or  who may  become  pregnant;
patients should be  informed of  the potential hazard  to the  fetus.
There is a  risk of impaired  fertility in men.  Men should  maintain
reliable contraceptive methods and not plan to conceive while  taking
Zavesca® and for three months thereafter.

Actelion Ltd
Actelion Ltd  is  a  biopharmaceutical  company  with  its  corporate
headquarters in Allschwil/Basel,  Switzerland. Actelion's first  drug
Tracleer®, an orally available  dual endothelin receptor  antagonist,
has been approved as a  therapy for pulmonary arterial  hypertension.
Actelion markets  Tracleer®  through  its  own  subsidiaries  in  key
markets worldwide, including  the United States  (based in South  San
Francisco),  the  European  Union,   Japan,  Canada,  Australia   and
Switzerland. Actelion, founded in late  1997, is a leading player  in
innovative science related to the  endothelium - the single layer  of
cells separating every blood vessel from the blood stream. Actelion's
over  2'200  employees  focus  on  the  discovery,  development   and
marketing of innovative  drugs for significant  unmet medical  needs.
Actelion shares are traded on the SIX Swiss Exchange (ticker  symbol:
ATLN) as part of  the Swiss blue-chip index  SMI (Swiss Market  Index
SMI®).

For further information please contact:
Roland Haefeli
Vice President, Head of Investor Relations & Public Affairs
Actelion Pharmaceuticals Ltd, Gewerbestrasse 16, CH-4123 Allschwil
+41 61 565 62 62
+1 650 624 69 36
www.actelion.com

hugin.info/131801/R/1356015/329390.pdf


 
--- End of Message ---

Actelion Pharmaceuticals Ltd
Gewerbestrasse 16 Allschwil 
Switzerland

WKN: 936767; ISIN: CH0010532478; Index: SBIOM, SLIFE, SMCI, SMIEXP, 
SMIM, SPI, SPIEX;
Listed: Main Market in SIX Swiss Exchange;


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