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Results of Paclitaxel Poliglumex Trials Miss Primary Endpoint Demonstrating Superior Overall Survival
"The STELLAR studies are landmark trials in the treatment of non-small cell lung cancer and have all consistently shown that XYOTAX is as effective as conventional therapy for the treatment of lung cancer. We will continue our ongoing dialogue and work with FDA to register XYOTAX," stated James A. Bianco, M.D., president and CEO of CTI. "We are excited by the XYOTAX product profile demonstrated in these trials and believe an effective, better tolerated, less toxic taxane, with convenient administration, represents a preferable alternative to currently marketed treatments for patients with non- small cell lung cancer. At CTI, we're committed to making XYOTAX available as a treatment option for patients and physicians as quickly as possible."
STELLAR 4 Trial Results
STELLAR 4, a phase III clinical trial of XYOTAX versus either gemcitabine or vinorelbine for the first-line treatment of poor performance status (PS2) patients with NSCLC, resulted in a median survival of 7.3 months and 2 year survival of 15 percent for patients on the XYOTAX arm compared to 6.6 months and 10 percent for the control arm. Significantly more patients (p=0.003) completed full six courses of therapy on the XYOTAX arm compared to the control arm. Side effects were comparable on both arms, except for a significant reduction in all cardiac toxicities (p=0.013), gastrointestinal side effects (p=0.004), nausea (p=0.041), and vomiting (p=0.013). XYOTAX patients also had a significant reduction in severe hematologic toxicities including anemia (p "The STELLAR 4 study is the largest controlled, randomized phase III trial of single-agent therapy ever conducted in PS2 patients," stated Alan Sandler, M.D., of Vanderbilt-Ingram Cancer Center and a principal investigator on the STELLAR 4 study. "This study shows that XYOTAX offers high-risk lung cancer patients a safer, more convenient alternative to the current mainstay single- agent standards, gemcitabine or vinorelbine, with efficacy comparable to platinum-based doublet therapy."
STELLAR 2 Trial Results
STELLAR 2, a phase III clinical trial of XYOTAX versus docetaxel for the second-line treatment of NSCLC patients, resulted in a 6.9 month median survival for both arms. Patients treated with XYOTAX had significantly fewer hematologic side effects than patients on the docetaxel arm, including grade 3/4 infections (p=0.01), severe neutropenia (p=0.001), and febrile neutropenia (p=0.002). XYOTAX therapy also resulted in a significant reduction in hair loss (p "While XYOTAX had comparable efficacy, it resulted in a significant reduction in many side effects attributable to docetaxel therapy in relapsed lung cancer and can be delivered in a patient-convenient, 10 minute infusion, without hair loss or the need for premedications," stated Philip Bonomi, M.D., of Rush Cancer Institute and a principal investigator on the STELLAR 2 study. "As an oncologist, I've seen firsthand the serious impact side effects have on patients. Fatigue, weakness, infections, fever, and even hair loss, are not insignificant to patients undergoing treatment for their disease."
XYOTAX (paclitaxel poliglumex) is a pharmaceutical that links paclitaxel, the active ingredient in Taxol(R), to a biodegradable polyglutamate polymer. This polymer technology results in a new chemical entity, designed to selectively deliver higher and potentially more effective levels of active chemotherapeutics to tumors. Blood vessels in tumor tissue, unlike blood vessels in normal tissue, are porous to molecules like polyglutamate. Based on preclinical studies, it appears that XYOTAX is preferentially trapped in the tumor blood vessels allowing significantly more of the dose of chemotherapy to localize in the tumor. Because more of the chemotherapy is targeted to the tumor and the levels of chemotherapy delivered to normal tissue are reduced, XYOTAX may be potentially more effective and have less severe side effects than currently available chemotherapeutics.
Source: Cell Therapeutics, Inc.