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Boehringer Ingelheim GmbH and Eli Lilly and Company

EU Scientific Committee Recommends Approval of Cymbalta and Xeristar for Treatment of Major Depressive Episodes

Indianapolis, Indiana and Ingelheim, Germany (ots/PRNewswire)

Eli Lilly and Company and Boehringer Ingelheim today announced that
the Committee for Medicinal Products in Human Use (CHMP) of the
European Medicines Agency (EMEA) has issued a positive opinion
recommending approval of duloxetine for the treatment of major
depressive episodes. The CHMP has recommended that the European
Commission authorize the drug to be marketed. If approved, this
pharmaceutical treatment for depression will be marketed throughout
the European Union by Lilly under the brand name Cymbalta(R) and by
Boehringer Ingelheim under the brand names Cymbalta and, in Greece,
Italy and Spain, as Xeristar(R).
The European Commission is expected to grant marketing
authorization within the next few months. Duloxetine for major
depressive disorder was recently approved by the U.S. Food and Drug
Administration and launched in the United States.
The CHMP, comprised of regulators from the European Union
countries, based its positive opinion on its review of a
comprehensive data package of duloxetine in the treatment of major
depressive episodes. The submission package to support the efficacy
and safety of duloxetine consisted of data collected from studies
that enrolled nearly 3,000 patients with depression. The European
Medicines Agency issued a press release communicating the following:
"The benefits with Cymbalta are its demonstrated statistical
superiority over placebo as measured by improvement in the 17-item
Hamilton Depression Rating Scale (HAM-D) total score (including both
the emotional and somatic symptoms of depression). ... The CHMP, on
the basis of quality, safety and efficacy data submitted, considers
that there is a favourable benefit to risk balance for Cymbalta and
therefore recommends the granting of the marketing authorisation."
Duloxetine is also being studied for the treatment of stress
urinary incontinence and diabetic neuropathic pain, conditions
believed to respond to treatment with medicines that affect the
neurotransmitters serotonin and norepinephrine. On 11 August 2004 the
European Commission granted marketing authorization throughout the
European Union for duloxetine, for the treatment of
moderate-to-severe stress urinary incontinence in women, to be
marketed under the brand name Yentreve(R).
Eli Lilly and Company and Boehringer Ingelheim
In November 2002, Eli Lilly and Company and Boehringer Ingelheim
signed a long-term agreement to jointly develop and commercialize
duloxetine hydrochloride. This partnership covers most countries
worldwide with few exceptions. In the USA, the collaboration excludes
neuroscience indications.
About Eli Lilly and Company
Lilly, a leading innovation-driven corporation, is developing a
growing portfolio of best-in-class pharmaceutical products by
applying the latest research from its own worldwide laboratories and
from collaborations with eminent scientific organizations.
Headquartered in Indianapolis, Ind., Lilly provides answers - through
medicines and information - for some of the world's most urgent
medical needs. Additional information about Lilly is available at
http://www.lilly.com .
About Boehringer Ingelheim
The Boehringer Ingelheim group is one of the world's 20 leading
pharmaceutical companies. Headquartered in Ingelheim, Germany, it
operates globally with 152 affiliates in 45 countries and more than
34,000 employees. Since it was founded in 1885, the family-owned
company has been committed to researching, developing, manufacturing
and marketing novel products of high therapeutic value for human and
veterinary medicine. In 2003, Boehringer  Ingelheim posted net sales
of 7.4 billion euro while spending more than one  fifth of net sales
in its largest business segment, Prescription Medicines,  on research
and development.
For more information please visit
http://www.boehringer-ingelheim.com .
This press release contains forward-looking statements about the
potential of duloxetine for the treatment of depression and reflects
Lilly's and Boehringer Ingelheim's current beliefs. However, as with
any pharmaceutical product, there are substantial risks and
uncertainties in the process of commercialization. For further
discussion of these and other risks and uncertainties, see Lilly's
filings with the United States Securities and Exchange Commission.
Lilly and Boehringer Ingelheim undertake no duty to update
forward-looking statements.
(Logo: http://www.newscom.com/cgi-bin/prnh/20031219/LLYLOGO
           http://www.newscom.com/cgi-bin/prnh/20040122/BILOGO )

Contact:

Jennifer Yoder of Eli Lilly and Company, Work: +1-317-433-3445,
Mobile: +1-317-652-0912; or Ursula Bardon of Boehringer Ingelheim
GmbH, +49-6132-77-2622/ Photo: NewsCom:
http://www.newscom.com/cgi-bin/prnh/20031219/LLYLOGO
http://www.newscom.com/cgi-bin/prnh/20040122/BILOGO; PRN Photo Desk,
photodesk@prnewswire.com