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MabThera Continues to Improve Patient Response in Rheumatoid Arthritis With Multiple Courses of Treatment

Basel, Switzerland (ots/PRNewswire)

- MabThera Shown to be Effective and Well Tolerated Over the
Long-Term
A study(1) has shown that rheumatoid arthritis patients given
multiple courses of MabThera experienced further improvements in
their condition with each subsequent treatment course. The patients
in the study all suffered from moderate to severe rheumatoid
arthritis (RA) and had failed to respond adequately to another class
of RA drug known as tumour necrosis factor (TNF) inhibitors, the most
commonly prescribed first-line biologic therapy for RA. The continued
response seen with MabThera is a particularly important outcome as it
highlights durable efficacy over time.
The impressive new data presented at the American College of
Rheumatology (ACR) annual meeting in San Francisco show that MabThera
continues to improve RA symptoms with each subsequent course of
treatment, maximising patient response. The number of patients
achieving remission from their disease doubled over three successive
treatment courses with MabThera (Disease Activity Scores (DAS)(*)
increased from 8.8% after the first course to 17.6% after the third
course). Additionally, almost twice as many patients achieved a 70%
reduction of their symptoms after their third course of treatment
compared to their first course of treatment (increase in ACR70(i)
response from 14% to 25.7%).
"Prolonged treatment with MabThera clearly demonstrates an
improvement in symptoms for patients with rheumatoid arthritis who do
not respond adequately to TNF inhibitor therapy," said Professor
Edward Keystone, Rheumatology Department at the University of
Toronto, Canada. "These findings confirm that MabThera controls
rheumatoid arthritis effectively, giving patients greater freedom
from the disease with repeat courses of treatment."
Long-term treatment with MabThera also shown to reduce joint
damage
MabThera's effectiveness over the long term is reinforced by
further data presented at ACR which demonstrate that the drug
continues to significantly inhibit the progression of joint damage
caused by RA over a period of two years in those patients who do not
respond to TNF inhibitor therapy(2). Damage to the structure of
joints ultimately causes joint destruction and contributes to joint
deformity and loss of mobility. The inhibition of structural damage
is therefore a major goal of treatment. In patients who do not
respond to TNF inhibitor therapy, MabThera is the first and only
therapy to have demonstrated a reduction in joint structural damage.
Data demonstrates long-term safety of MabThera
Six-year follow-up data also presented at the ACR prove that
MabThera continues to be well-tolerated over several courses of
treatment. The safety profile of MabThera remained consistent with a
low rate of adverse events and infections in 2578 patients, receiving
multiple treatment courses. These results add to the wealth of data
contributing to MabThera's safety profile with 5013 patient-years of
follow-up now collected.(3)
Commenting on the findings, Dr Ronald van Vollenhoven,
Rheumatology Unit at Karolinska University Hospital, Sweden, said,
"This data confirms that the excellent safety profile identified with
MabThera in clinical trials after one course of therapy is maintained
over multiple courses. This is very reassuring for physicians. Given
that rheumatoid arthritis is a long-term condition, we want to ensure
that treatments for patients are both effective and safe over an
extended period of time."
Editor's Notes
About rheumatoid arthritis and MabThera
Rheumatoid arthritis (RA) is an autoimmune disease characterized
by inflammation that leads to stiff, swollen and painful joints. This
ultimately results in irreversible joint damage and disability.
MabThera selectively targets B cells and represents a new highly
effective therapeutic approach for RA in addition to existing
treatments such as disease-modifying anti-rheumatic drugs (DMARDs)
and tumour necrosis factor (TNF) inhibitors.
B cells are known to play a key role in the inflammation
associated with RA. As the first and only selective B cell therapy
available for the treatment of RA, MabThera represents a proven and
truly different alternative for patients who have inadequate response
or are not able to tolerate TNF inhibitor therapy. MabThera is the
only RA treatment that has demonstrated the ability to preserve joint
structure in this patient group and offers an unprecedented duration
of response of at least six months with each course. Each course of
MabThera also provides the opportunity of sustained or improved
relief for patients from the signs and symptoms of their disease.
MabThera is marketed in the US by Genentech and Biogen Idec under
the brand name Rituxan(R).
For a selection of broadcast footage clips relating to MabThera
and rheumatoid arthritis please visit
http://www.thenewsmarket.com/roche.
To view and download high resolution stills and media materials
please visit the MabThera Virtual Press Office at
http://www.mabthera-ra.com
All trademarks used or mentioned in this release are protected by
law.
References
(1) Keystone, EC et al. Efficacy and safety of repeat treatment
courses of rituximab (RTX) in RA patients with inadequate response to
tumor necrosis factor inhibitors: long-term experience from the
REFLEX study. ACR 2008.
(2) Cohen S et al. Continued inhibition of structural damage in
RA patients treated with rituximab at two years: REFLEX study. ACR,
2008.
(3) van Vollenhoven, RF et al. Long-term safety of rituximab:
6-year follow-up of the RA clinical trials and re-treatment
population. ACR 2008.
(*) DAS is a measurement score used to assess whether a patient
shows an improvement in disease activity. DAS provides a number on a
scale from 0 to 10 which indicates the current activity of the
disease. Disease remission is defined as DAS<2.6.
(i) The ACR response is a standard assessment used to measure
patients' responses to anti-rheumatic therapies, devised by the
American College of Rheumatology (ACR). It requires a patient to have
a defined percentage reduction in a number of symptoms and measures
of their disease. For example, a 20%, 50% or 70% level of reduction
is represented as ACR20, ACR50 or ACR70. An ACR 70 response is
exceptional for existing treatments and represents a significant
improvement in a patient's condition.
For further information, please contact:
    Roche
    Federico Maiardi
    Associate International Communications Manager
    Tel: +41-79-264-3978
     federico.maiardi@roche.com
    Cohn & Wolfe
    Rebecca Hibble
    Tel: +44-207-331-5318
     rebecca.hibble@cohnwolfe.com

Contact:

For further information, please contact: Roche, Federico Maiardi,
Associate International Communications Manager, Tel: +41-79-264-3978,
federico.maiardi@roche.com; Cohn & Wolfe, Rebecca Hibble, Tel:
+44-207-331-5318, rebecca.hibble@cohnwolfe.com

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