Scientists Report Intermittent, Oral Dosing of the HIF-PH Inhibitor,
FG-2216, Increases and Maintains Hemoglobin Levels in a Preclinical
Study of Chronic Anemia
Data Presented at the American Society of Hematology 2005 Annual
Meeting Are Results of the Longest Dosing Period Reported to Date for
FG-2216
Atlanta, Georgia - December 13, 2005 - FibroGen today announced
results from a preclinical study indicating that FG-2216, the Company's
lead investigational HIF-PH inhibitor for treating anemia, administered
orally twice weekly for six months was safe and well tolerated in
non-human primates and stimulated increases in hemoglobin levels,
which were dose-dependent and stable for the duration of therapy at
each dose level. In addition, FG-2216 prevented reduction in hemoglobin
levels due to phlebotomy in this model of chronic anemia. There were
no clinical adverse events or significant changes in serum chemistry
or renal or hepatic parameters observed over the treatment period. The
study was conducted by the National Institute of Diabetes and Digestive
and Kidney Diseases, and the National Heart, Lung, and Blood Institute
and presented at the American Society of Hematology (ASH) annual meeting
(Abstract #570; Abstract).
"These results demonstrate that oral dosing of FG-2216 for six
months, which is a clinically relevant period of time for treating
many types of anemia, including chemotherapy-induced anemia, was
well tolerated and showed no evidence of causing toxicity in treated
animals," said David Y. Liu, Ph.D., Vice President of Research
at FibroGen. "In addition, the weekly doses used in this study
were four- to seven-fold higher than doses of FG-2216 associated with
significant increases in hemoglobin levels in anemic patients with
chronic kidney disease. Our research also indicates that anemic subjects
require less FG-2216 therapy to stimulate erythropoiesis than non-anemic
counterparts. Taken together, these observations suggest that there may be
a significant safety margin for FG-2216 for treating anemic patients."
This dose-escalation study randomized experimental animals to receive
either placebo or FG-2216 as an oral dose twice a week on Monday and
Thursday, starting with 40 mg/kg for two months, followed by dose
escalation to 60 mg/kg. Animals treated with FG-2216 exhibited an
increase in total hemoglobin from a mean baseline of 12.0 g/dL to
13.2 g/dL at 40 mg/kg and a further increase to 14.6 g/dL
at 60 mg/kg. After approximately two months of twice weekly
therapy at 60 mg/kg, weekly phlebotomy (15-20% reduction in blood
volume) was introduced for six to eight weeks while FG-2216 dosing was
continued. The average hemoglobin levels in the phlebotomized animals
treated with FG-2216 were in excess of 2.5 g/dL higher than the
hemoglobin levels in phlebotomized animals receiving placebo.
"The data also indicate that management of hemoglobin rate of rise
and maintenance of the corrected hemoglobin level were predictable and
dose-dependent," said Dr. Liu. "We expect that by modulating
the dosing schedule of FG-2216, we can successfully manage hemoglobin
correction to treat anemic patients, and phase 2 studies of FG-2216
are underway to determine the optimal dosing regimen."
About FG-2216
FG-2216 is an orally active, small molecule inhibitor of hypoxia-inducible
factor-prolyl hydroxylase (HIF-PH), an enzyme that regulates the stability
and activity of HIF. FG-2216 is designed to stabilize HIF and selectively
activate the body's natural process of HIF-2-mediated erythropoiesis,
including the induction of endogenous EPO, the mobilization and
utilization of iron stores, and suppression of the inhibitory effects
of inflammatory cytokines on erythropoiesis, features essential to
the formation of new oxygen-carrying red blood cells and the treatment
of anemia.
In 2004, FibroGen entered an agreement to license FG-2216 (and other
compounds) to Astellas Pharma Inc. for development and sale in Japan for
the treatment of anemia. FibroGen retains rights to all prolyl hydroxylase
inhibitors for the treatment of anemia in the rest of the world.
About FibroGen
FibroGen, Inc., is a biotechnology-based drug discovery company using
its expertise in the fields of tissue fibrosis, connective tissue growth
factor (CTGF), and hypoxia-inducible factor (HIF) biology to discover,
develop, and commercialize novel therapeutics for fibrotic disorders,
diabetic complications, anemia, ischemic disease, cancer, and other areas
of unmet medical need. FibroGen also develops and produces recombinant
human collagens and gelatins using unique production technology that
provides the basis for FibroGen's proprietary cosmetic dermal filler
and biomaterials supply business.
For more information about FibroGen, Inc., please visit
www.fibrogen.com.
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Contact: Laura Hansen 650-866-7828 or lhansen@fibrogen.com