{"id":2581,"date":"2020-10-27T00:00:00","date_gmt":"2021-03-18T01:05:10","guid":{"rendered":"https:\/\/www.eisai.com.cn\/?p=2581"},"modified":"2021-03-18T09:05:10","modified_gmt":"2021-03-18T01:05:10","slug":"global-coalition-for-adaptive-research-amgen-and-eisai-announce-first-patient-enrolled-in-international-covid-19-trial","status":"publish","type":"post","link":"https:\/\/www.eisai.com.cn\/en\/2020\/10\/27\/global-coalition-for-adaptive-research-amgen-and-eisai-announce-first-patient-enrolled-in-international-covid-19-trial\/","title":{"rendered":"GLOBAL COALITION FOR ADAPTIVE RESEARCH, AMGEN, AND EISAI ANNOUNCE FIRST PATIENT ENROLLED IN INTERNATIONAL COVID-19 TRIAL"},"content":{"rendered":"
AMGEN AND EISAI TO PARTICIPATE IN THE IMMUNE MODULATION DOMAIN OF REMAP-COVID, AN ADAPTIVE CLINICAL TRIAL TO TEST INTERVENTIONS FOR PATIENTS HOSPITALIZED WITH COVID-19<\/p>\n AMGEN\u2019S APREMILAST AND EISAI\u2019S ERITORAN TO BE EVALUATED ACROSS MULTIPLE INTERNATIONAL TRIAL SITES WITHIN THE REMAP NETWORK<\/em><\/p>\n (BUSINESS WIRE)–Global Coalition for Adaptive Research (LOS ANGELES, CA), Amgen (THOUSAND OAKS, CA),\u00a0and Eisai Co., Ltd. (TOKYO, Japan “Eisai”) — The Global Coalition for Adaptive Research (GCAR) in collaboration with Amgen and Eisai, today announced enrollment of the first patient in the immune modulation domain of REMAP-COVID, a sub-study of REMAP-CAP (A\u00a0R<\/u>andomized,\u00a0E<\/u>mbedded,\u00a0M<\/u>ultifactorial,\u00a0A<\/u>daptive\u00a0P<\/u>latform trial for\u00a0C<\/u>ommunity-A<\/u>cquired\u00a0P<\/u>neumonia) that tests multiple interventions for the treatment of patients hospitalized with COVID-19. Amgen\u2019s\u00a0apremilast<\/em>\u00a0and Eisai\u2019s investigational\u00a0eritoran<\/em>\u00a0are being evaluated as potential therapeutic agents.<\/p>\n REMAP-CAP was developed to test treatments for severe pneumonia both in non-pandemic and pandemic settings. In February 2020, REMAP-CAP rapidly pivoted to its pandemic mode (the REMAP-COVID sub-study), as per its original intent, to incorporate additional potential treatment regimens specifically targeting COVID-19 and to expand enrollment to COVID-19 patients. This trial is a multicenter, randomized platform study, with treatments tested within groupings or “domains” based on pathway or mechanism of action.<\/p>\n The trial is being conducted in the multi-hospital UPMC (University of Pittsburgh Medical Center) health system along with over 20 hospitals in the United States. Additional global sites across the trial network will follow. University of Pittsburgh is serving as the U.S. Regional Coordinating Center.<\/p>\n “Partnering with the biopharmaceutical industry to be able to efficiently test well-understood targeted agents is critical to understanding treatment paradigms for COVID-19 patients,” says Derek Angus, MD., MPH, FRCP, U.S. Principal Investigator of REMAP and Chief Healthcare Innovation Officer, UPMC Health System. “Today\u2019s announcement marks an important milestone in the collaboration between industry and the scientific and academic community to work collectively to evaluate potentially promising therapies to support patients hospitalized with COVID-19.”<\/p>\n Amgen\u2019s\u00a0apremilast<\/em>\u00a0is an oral drug which inhibits the activity of PDE4 (Phosphodiesterase 4), an enzyme found in inflammatory cells in the human body. By inhibiting PDE4,\u00a0apremilast<\/em>\u00a0is thought to modulate the production of inflammatory cytokines and other mediators, which may prove helpful in inhibiting the inflammatory response associated with the signs, symptoms and pulmonary involvements observed in some COVID-19 patients.\u00a0Apremilast<\/em>\u00a0is currently approved for use in more than 45 countries as an oral treatment for inflammatory diseases including moderate to severe plaque psoriasis, psoriatic arthritis and oral ulcers associated with Behcet\u2019s disease.<\/p>\n “Amgen believes that, based on its mechanism of action,\u00a0apremilast<\/em>\u00a0might help prevent the respiratory distress seen in moderate to severe-stage adult COVID-19 patients,” said David M. Reese, M.D., Executive Vice President of Research and Development at Amgen. “We are proud to be joining REMAP-COVID, which is an important and innovative effort utilizing a platform approach and has the\u00a0potential to rapidly identify whether\u00a0apremilast<\/em>\u00a0may improve health outcomes for patients hospitalized with moderate to severe COVID-19.”<\/p>\n Eritoran\u00a0<\/em>is Eisai\u2019s in-house discovered and developed investigational TLR4 (Toll-Like Receptor 4) antagonist created with natural product organic synthesis technology. It is a structural analogue of Lipid A, which is an activator of endotoxins of bacteria. It has been previously observed to be safe in 14 clinical studies including a large Phase 3 randomized trial in severe sepsis. It is expected to suppress inflammation and increasing in severity caused by COVID-19 by inhibiting the activation of TLR4, which is found in the most upstream of various cytokine gene expression signaling that causes the cytokine-storm.<\/p>\n “Eisai is pleased to participate in the groundbreaking REMAP-COVID effort, and we expect that this study will generate important insights about\u00a0eritoran\u2019s<\/em>\u00a0potential to possibly improve health outcomes for patients with moderate and severe COVID-19,” said Lynn Kramer, M.D., FAAN, Chief Clinical Officer, Neurology Business Group, Eisai “As part of our human health care mission, we are committed to making a difference for patients, their families and health care professionals across the globe.”<\/p>\n GCAR is the U.S. Sponsor of REMAP-COVID and is guiding efforts to facilitate the inclusion of multiple pharma partners in REMAP-COVID globally.<\/p>\n “GCAR is delighted to utilize our expertise in implementing and overseeing innovative trials to collaborate on this important effort,” shared Meredith Buxton, PhD, Chief Executive Officer of GCAR.\u00a0 “We are committed to working closely with pharma and the REMAP Network to identify new effective treatments for patients with COVID-19 by serving as U.S. sponsor of this important and innovative platform trial.<\/p>\n \nAbout REMAP-CAP<\/strong><\/p>\n REMAP-CAP is led by world experts in critical care, clinical trials, pandemic and infectious disease outbreaks, virology, immunology, emergency medicine, and Bayesian statistics. REMAP-CAP has enrolled over 2000 patients at 263 sites across 19 countries. This vital research is being conducted in collaboration with Berry Consultants, leaders in statistical design for adaptive platform trials, and is being supported by governments and non-profits worldwide.<\/p>\n To learn more about REMAP-CAP and the REMAP-COVID sub-study, please visit\u00a0<\/em><\/strong>www.remapcap.org<\/em><\/strong><\/a>\u00a0and follow\u00a0<\/em><\/strong>@remap_cap<\/em><\/strong><\/a><\/p>\n Otezla\u00ae\u00a0(apremilast) is an oral small-molecule inhibitor of phosphodiesterase 4 (PDE4) specific for cyclic adenosine monophosphate (cAMP). PDE4 inhibition results in increased intracellular cAMP levels, which is thought to indirectly modulate the production of inflammatory mediators. The specific mechanism(s) by which Otezla exerts its therapeutic action in patients is not well defined.<\/p>\n By inhibiting PDE4, Otezla is thought to modulate the production of inflammatory cytokines and other mediators, which may prove helpful in inhibiting the inflammatory response associated with the signs, symptoms and pulmonary involvements observed in some COVID-19 patients. Amgen plans to collaborate with platform trials to investigate Otezla in treatment of hospitalized COVID-19 patients.<\/p>\n \nOtezla\u00ae\u00a0(apremilast)\u00a0U.S.\u00a0INDICATIONS<\/strong><\/p>\n Otezla\u00ae\u00a0(apremilast) is indicated for the treatment of adult patients with moderate to severe plaque psoriasis who are candidates for phototherapy or systemic therapy.<\/p>\n Otezla is indicated for the treatment of adult patients with active psoriatic arthritis.<\/p>\n Otezla is indicated for the treatment of adult patients with oral ulcers associated with Beh\u00e7et\u2019s\u00a0Disease.<\/p>\n Contraindications<\/strong><\/p>\n \u00a0 o\u00a0Psoriasis:<\/u>\u00a0Treatment with Otezla is associated with an increase in depression. During clinical trials, 1.3% (12\/920) of patients reported depression compared to 0.4% (2\/506) on placebo. Depression was reported as serious in 0.1% (1\/1308) of patients exposed to Otezla, compared to none in placebo-treated patients (0\/506). Suicidal behavior was observed in 0.1% (1\/1308) of patients on Otezla, compared to 0.2% (1\/506) on placebo. One patient treated with Otezla attempted suicide; one patient on placebo committed suicide<\/p>\n \u00a0 o\u00a0Psoriatic Arthritis:<\/u>\u00a0Treatment with Otezla is associated with an increase in depression. During clinical trials, 1.0% (10\/998) reported depression or depressed mood compared to 0.8% (4\/495) treated with placebo. Suicidal ideation and behavior was observed in 0.2% (3\/1441) of patients on Otezla, compared to none in placebo-treated patients. Depression was reported as serious in 0.2% (3\/1441) of patients exposed to Otezla, compared to none in placebo-treated patients (0\/495). Two patients who received placebo committed suicide compared to none on Otezla<\/p>\n \u00a0 o\u00a0\u00a0Behcet\u2019s Disease:<\/u>\u00a0Treatment with Otezla is associated with an increase in depression. During the phase 3 clinical trial, 1% (1\/104) reported depression or depressed mood compared to 1% (1\/103) treated with placebo. No instances of suicidal ideation or behavior were reported in patients treated with Otezla or treated with placebo<\/p>\n \u00a0 o\u00a0\u00a0Psoriasis:<\/u>\u00a0During the clinical trials, body weight loss of 5-10% occurred in 12% (96\/784) of patients treated with Otezla and in 5% (19\/382) of patients treated with placebo. Body weight loss of \u226510% occurred in 2% (16\/784) of patients treated with Otezla compared to 1% (3\/382) of patients treated with placebo<\/p>\n \u00a0 o\u00a0\u00a0Psoriatic Arthritis:<\/u>\u00a0During the clinical trials, body weight loss of 5-10% was reported in 10% (49\/497) of patients taking Otezla and in 3.3% (16\/495) of patients taking placebo<\/p>\n \u00a0 o\u00a0\u00a0Behcet\u2019s Disease:<\/u>\u00a0During the clinical trials, body weight loss of >5% was reported in 4.9% (5\/103) of patients taking Otezla and in 3.9% (4\/102) of patients taking placebo<\/p>\n Please click\u00a0here<\/a>\u00a0for Otezla\u00ae<\/sup>\u00a0Full Prescribing Information.<\/p>\n \nAbout Eritoran (E5564)<\/strong><\/p>\n Eritoran is Eisai\u2019s in-house discovered and developed investigational TLR4 (Toll-Like Receptor 4) antagonist created with natural product organic synthesis technology. It is a structural analogue of Lipid A which is an activator of endotoxins of bacteria. It has been previously observed to be safe in 14 clinical studies including a large Phase 3 randomized trial in severe sepsis. It is expected to suppress inflammation and increasing in severity caused by COVID-19 by inhibiting the activation of TLR4, which is found in the most upstream of various cytokine gene expression signaling that causes the cytokine-storm.<\/p>\n \nAbout Global Coalition for Adaptive Research (GCAR)<\/strong><\/p>\n The Global Coalition for Adaptive Research (GCAR) is a 501(c)(3) nonprofit organization uniting physicians, clinical researchers, advocacy and philanthropic organizations, biopharma, health authorities, and other key stakeholders in healthcare to expedite the discovery and development of treatments for patients with rare and deadly diseases by serving as Sponsor of innovative and complex trials including master protocols and platform trials. In this effort, GCAR is serving as U.S. Trial Sponsor of REMAP-CAP.<\/p>\n To learn more about GCAR, visit\u00a0www.gcaresearch.org<\/a>\u00a0and follow us: @GCAResearch and\u00a0www.facebook.com\/GCAResearch<\/a>.<\/p>\n Pittsburgh-based UPMC is inventing new models of patient-centered, cost-effective, accountable care. UPMC integrates more than 90,000 employees, 40 hospitals, 700 doctors\u2019 offices and outpatient sites.\u00a0U.S. News & World Report<\/em>\u00a0consistently ranks UPMC Presbyterian Shadyside on its annual Honor Roll of America\u2019s Best Hospitals and ranks UPMC Children\u2019s Hospital of Pittsburgh on its Honor Roll of America\u2019s Best Children\u2019s Hospitals.\u00a0<\/em>For more information, go to\u00a0UPMC.com<\/a>.<\/p>\n Amgen\u00a0is committed to unlocking the potential of biology for patients suffering from serious illnesses by discovering, developing, manufacturing and delivering innovative human therapeutics. This approach begins by using tools like advanced human genetics to unravel the complexities of disease and understand the fundamentals of human biology.<\/p>\n Amgen\u00a0focuses on areas of high unmet medical need and leverages its biologics manufacturing expertise to strive for solutions that improve health outcomes and dramatically improve people\u2019s lives. A biotechnology pioneer since 1980,\u00a0Amgen\u00a0has grown to be the world\u2019s largest independent biotec<\/p>\n","protected":false},"excerpt":{"rendered":" AMGEN AND EISAI TO PARTICIPATE IN THE IMMUNE MODULATION DOMAIN OF REMAP-COVID, AN ADAPTIVE CLINICAL TRIAL TO TEST INTERVENTIONS FOR PATIENTS HOSPITALIZED WITH COVID-19<\/p>\n AMGEN\u2019S APREMILAST AND EISAI\u2019S ERITORAN TO BE EVALUATED ACROSS MULTIPLE INTERNATIONAL TRIAL SITES WITHIN THE REMAP NETWORK<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-2581","post","type-post","status-publish","format-standard","hentry","category-news-en"],"_links":{"self":[{"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/posts\/2581"}],"collection":[{"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/comments?post=2581"}],"version-history":[{"count":2,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/posts\/2581\/revisions"}],"predecessor-version":[{"id":2583,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/posts\/2581\/revisions\/2583"}],"wp:attachment":[{"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/media?parent=2581"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/categories?post=2581"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.eisai.com.cn\/wp-json\/wp\/v2\/tags?post=2581"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\n<\/strong>About Otezla\u00ae\u00a0(apremilast)<\/strong><\/p>\n
\nOtezla\u00ae\u00a0(apremilast)\u00a0U.S.\u00a0IMPORTANT SAFETY INFORMATION<\/strong><\/p>\n\n
\nWarnings and Precautions<\/strong><\/p>\n\n
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\nAdverse Reactions<\/u><\/strong><\/p>\n\n
\nUse in Specific Populations<\/u><\/strong><\/p>\n\n
\n<\/strong>About UPMC (University of Pittsburgh Medical Center)<\/strong><\/p>\n
\n<\/strong>About\u00a0Amgen\u00a0<\/strong><\/p>\n