Lilly Oncology Focused on Pharmacogenomics at AACR Annual Meeting
 
 
BN003644  15 de abril de 2007  09:00 HORALOCAL


Lilly Oncology to present more than a dozen studies designed to 
better predict patient outcomes

    LOS ANGELES, April 15 /PRNewswire-FirstCall/ -- Delivering on its 
commitment to relentless progress in cancer care; Lilly Oncology will 
present 17 studies at the 2007 American Association for Cancer 
Research (AACR) Annual Meeting in Los Angeles from April 14-18, 2007. 
 Many of the studies -- which investigate ALIMTA(R) (pemetrexed for 
injection); GEMZAR(R) (gemcitabine HCl for injection), enzastaurin 
and other products in Lilly's pipeline are aimed at utilizing 
pharmacogenomic information such as biomarkers to enhance treatment 
and improve patient outcomes. Biomarkers are genetic indicators that 
help predict how patients will respond to certain therapies.
    "Lilly Oncology shares the commitment of the American Association for 
Cancer Research to use innovative research as a true catalyst in the 
fight against cancer," said Richard Gaynor, M.D., vice president, 
cancer research and global oncology platform leader at Lilly. "The 
goal of the Lilly Oncology research program is to investigate our 
current medications, and those in our pipeline, to find the right 
medication, at the right dose at the right time for patients." 
    Lilly Oncology's newest product, ALIMTA, is the foundation of eight 
studies being presented at AACR and is currently being investigated 
in several global Phase III trials -- JMDB in 1st-line metastatic 
non-small cell lung cancer (NSCLC), JMEN as a maintenance therapy in 
metastatic NSCLC, in the GALES trial for the treatment of small cell 
lung cancer, and the global Phase III SPINNAKER trial for the 
treatment of head and neck cancer.  ALIMTA is also being studied in 
locally advanced and adjuvant NSCLC, ovarian and gastric cancers. 
ALIMTA is a standard-of-care in the treatment of malignant pleural 
mesothelioma (MPM) and second-line non-small cell lung cancer.
    GEMZAR, which celebrated its 10th anniversary as a marketed product 
for patients in the United States last year, forms the basis of two 
trials being presented at AACR. GEMZAR is approved in the treatment 
of pancreatic, NSCLC, breast and ovarian cancers in the United States. 
 In addition, outside of the US, several countries have the additional 
indication in metastatic bladder, cervical and biliary tract cancers. 
 
    Enzastaurin is an investigational oral, serine threonine kinase 
inhibitor which selectively targets the PKC-(beta) and PI3/AKT 
signaling pathways and is the subject of seven studies being 
presented at AACR. Enzastaurin is currently being investigated in a 
global Phase III PRELUDE trial for the treatment of diffuse large 
B-cell lymphoma, the most common type of non-Hodgkin's lymphoma. 
Enzastaurin is also being evaluated in Phase II studies across 
several tumor types including: breast, colon, non-small cell lung, 
pancreas, ovarian and prostate cancers. 
    In partnership with the AACR, Lilly Oncology will also recognize 
innovative and collaborative research with the sponsorship and 
presentation of the first-ever Team Science Award and the annual 
G.H.A. Clowes Memorial Award.
    The most common adverse events (grades 3/4) with ALIMTA in 
combination with cisplatin for the treatment of patients with MPM were 
neutropenia (24%); leukopenia (16%); anemia (6%); thrombocytopenia 
(5%); infection without neutropenia (2%); fatigue (17%); 
thrombosis/embolism (6%); nausea (12%); vomiting (11%); dyspnea 
(11%); and chest pain (9%). The most common clinically relevant 
adverse events (all grades) were fatigue (80%); thrombosis/embolism 
(7%); nausea (84%); vomiting (58%); constipation (44%); anorexia 
(35%); stomatitis/pharyngitis (28%); diarrhea (26%); dyspnea (66%); 
chest pain (40%); and rash (22%).
    The most common adverse events (grades 3/4) with ALIMTA for the 
treatment of patients with NSCLC were anemia (8%); leukopenia (5%); 
neutropenia (5%); thrombocytopenia (2%); infection without 
neutropenia (6%); fatigue (16%); thrombosis/embolism (3%); cardiac 
ischemia (3%); anorexia (5%); dyspnea (18%); and chest pain (7%). The 
most common clinically relevant adverse events (all grades) were 
fatigue (87%); anorexia (62%); nausea (39%); constipation (30%); 
vomiting (25%); diarrhea (21%); stomatitis/pharyngitis (20%); dyspnea 
(72%); chest pain (38%); neuropathy/sensory (29%); infection without 
neutropenia (23%); and rash (17%).
    The most severe adverse events (grades 3/4) with GEMZAR plus 
paclitaxel for the treatment of patients with MBC were neutropenia 
(48%); alopecia (18%); leukopenia (11%); anemia (7%); fatigue (7%); 
thrombocytopenia (6%); ALT elevation (6%); and neuropathy-sensory 
(6%). The most common adverse events (all grades) were nausea (50%); 
fatigue (40%); myalgia (33%); and vomiting (29%). 
    The most severe adverse events (grades 3/4) with GEMZAR for the 
first-line treatment of patients with pancreatic cancer were 
neutropenia (24%-26%); alkaline phosphatase elevation (16%-20%); AST 
elevation (12%-17%); nausea/vomiting (12%-13%); ALT elevation 
(10%-11%); anemia (10%); leukopenia (9%-10%); thrombocytopenia 
(8%-10%); bilirubin elevation (4%-8%); and pain (2%-7%). The most 
common adverse events (all grades) were AST (72%-78%); alkaline 
phosphatase (71%-77%); anemia (65%-73%); ALT (72%); leukopenia 
(64%-71%); nausea and vomiting (64%-71%); neutropenia (61%-62%); 
thrombocytopenia (36%-47%); pain (10%-42%); fever (30%-38%); 
proteinuria (10%-32%); constipation (10%-31%); diarrhea (24%-30%); 
rash (24%-28%); and bilirubin (16%-26%).
    The most severe adverse events (grades 3/4) with GEMZAR plus 
cisplatin for the first-line treatment of patients with NSCLC were 
neutropenia (57%-64%); thrombocytopenia (50%-55%); leukopenia 
(29%-46%); anemia (22%-25%); nausea (27%); vomiting (23%); 
nausea/vomiting (39%); neuromotor (12%); hypomagnesemia (7%); 
neurohearing (6%); creatinine elevation (5%); alopecia (1%-13%); and 
dyspnea (1%-7%). The most common adverse events (all grades) were 
paresthesias (38%); hyperglycemia (30%); infection (18%-28%); and 
constipation (17%-28%).
    The most severe adverse events (grades 3/4) with GEMZAR plus 
carboplatin for the treatment of patients with advanced ovarian 
cancer were neutropenia (71%), thrombocytopenia (35%), leukopenia 
(53%), anemia (28%), nausea (6%), vomiting (6%), and constipation 
(7%). The most common adverse events (all grades) were RBC 
transfusion (38%), alopecia (49%), neuropathy/sensory (29%), nausea 
(69%), fatigue (40%), vomiting (46%), diarrhea (25%), and 
constipation (42%).
    See complete Warnings, Precautions, Adverse Reactions, Dosage and 
Administration sections in the accompanying full Prescribing 
Information for safety and dosing guidelines.
    Enzastaurin administration is associated with fatigue, diarrhea, 
nausea, decreased platelets, cough, vomiting, transaminase elevation, 
dyspnea, peripheral edema, and dizziness. Further testing in Phase 
III versus a placebo will provide a more complete look at the side 
effect profile for enzastaurin.

    O-LLY

    (Logo:  http://www.newscom.com/cgi-bin/prnh/20031219/LLYLOGO )

SOURCE  Eli Lilly and Company
                              04/15/2007
    CONTACT:  Christine Van Marter of Eli Lilly and Company, 
+1-317-651-1473, or cell, +1-317-554-7923
First Call Analyst: 
FCMN Contact: 
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(LLY)


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