IntraBiotics Pharmaceuticals Inc announced preliminary results of its 509 patient Phase III clinical trial of its lead product, iseganan hydrochloride (HCl) oral solution, in reducing the incidence and severity of ulcerative oral mucositis in patients undergoing high-dose chemotherapy for the treatment of cancer. These results indicated that iseganan did not meet its primary endpoint of reducing oral mucositis.
The study''s primary endpoint was the proportion of patients who did not develop severe oral mucositis (defined as NCI CTC stomatitis Grade 1 or less, meaning patients did not experience painful lesions of their oral cavity) during chemotherapy in the iseganan group versus placebo. 43% of patients in the iseganan arm did not develop severe oral mucositis versus 37% of patients in the placebo group, a difference that did not reach statistical significance (p=0.18).
Secondary analyses predefined by the protocol included reduction in pain, swallowing difficulty, the proportion of patients who developed ulcerative oral mucositis, narcotic use and the severity of oral mucositis during chemotherapy. The study''s secondary endpoints trended in favor of iseganan, but did not achieve statistical significance. Iseganan was well tolerated by this group of cancer patients, corroborating earlier findings of the safety of oral-topical application of iseganan.
Iseganan hydrochloride (HCl) oral solution is a potent, broad-spectrum, fast-acting antibiotic that functions by a novel mechanism of action, substantially reducing the likelihood of microbial resistance. It is the first in a new class of antibiotic peptide drugs known as protegrins, which are naturally-occurring substances found in mammals where they form part of the first line of defense against invading bacteria and fungi.
Iseganan is also in clinical development for prevention of ventilator-associated pneumonia (VAP) the most common infection occurring among patients in the intensive care unit. Iseganan is also being developed as a treatment of respiratory infections associated with cystic fibrosis. These indications represent substantial clinical and market opportunities.