Eisai and Biogen's Joint Investigational Asset BAN2401 Data to be Presented at Clinical Trials on Alzheimer's Disease Conference

WOODCLIFF LAKE, N.J., Dec. 2, 2019 /PRNewswire/ -- Eisai Inc., the U.S. pharmaceutical subsidiary of Eisai Co., Ltd., announced today new data from the company's rich dementia pipeline, including BAN2401, lemborexant and diagnostics methods, will be presented at the 12(th) Clinical Trials on Alzheimer's Disease (CTAD) conference, December 4-7, 2019 in San Diego. Data will be communicated in both oral and poster presentations.

Eisai and Biogen Joint Investigational Asset: BAN2401

    --  BAN2401 is a humanized monoclonal antibody comprised of A  protofibrils
        as an antigen, based on the research of cases of Swedish familial
        Alzheimer's disease (AD) with Arctic mutation, which concluded abnormal
        accumulation of A  protofibrils may be a cause of AD onset.
    --  Preliminary findings from a Phase 2 open-label extension study of
        BAN2401 (Study 201) evaluating amyloid status in patients with early AD
        will be shared during the session titled Late Breaking Oral
        Communication, scheduled for December 5 at 11:15 a.m.
    --  Study design for the ongoing, open-label extension of the Phase 3
        Clarity AD trial (Study 301) will also be communicated in a poster
        presentation.

"The breadth of data Eisai will present demonstrates our continued dedication to bring patients therapies for Alzheimer's disease and its symptoms as soon as possible," said Lynn Kramer, MD, Chief Clinical Officer, Neurology Business Group, Eisai. "We look forward to sharing key data and discussing the scientific rationale that the amyloid pathway plays a key role in the pathophysiology of Alzheimer's disease."

Eisai Pipeline Assets
Additional studies will be presented that further explore key topics affecting AD patients.

    --  In partnership with Sysmex, Eisai will share two posters based on key
        findings gleaned from Sysmex's novel, fully-automated biomarker
        immunoassay system, which explored the diagnostic utility of plasma A
        1-40 and A 1-42. Eisai seeks to derive AD composite scores (ADCOMS) to
        stage severity of mild cognitive impairment (MCI) and dementia syndromes
        and to evaluate the utility of the derived scores in distinguishing
        patients across stages, especially patients with MCI due to AD from the
        mild AD dementia stage.
    --  Eisai will present key learnings from a Phase 2 proof-of-concept
        treatment study of lemborexant compared with placebo in patients with
        Irregular Sleep-Wake Rhythm Disorder (ISWRD), a circadian rhythm sleep
        disorder, and mild-to-moderate AD dementia. Results are based on
        wearable device data, network analysis and machine learning methods.

"In addition to a robust pipeline of potential disease-modifying compounds targeting Alzheimer's pathological hallmarks of Amyloid, Tau and Neurodegeneration, Eisai is researching other disease-modifying agents and novel therapies aiming to treat the clinical symptoms of dementia, such as cognition and sleep disorders," said Ivan Cheung, Chairman and CEO, Eisai Inc. "Eisai has dedicated more than 30 years to research, development and commercialization in our relentless pursuit of treatments for Alzheimer's disease and dementia."

CTAD 2019 Presentations by Asset



       
              Pipeline Asset, Session Number 
            
              Title and Scheduled Presentation Date and Time
                                                  (PST)

    ---


       BAN2401                                   
            Persistence of BAN2401-Mediated Amyloid Reductions
                                                  Post-Treatment: A Preliminary Comparison of Amyloid

       Session #: LB10                           Status Between the Core Phase of BAN2401-G000-201
                                                  and Baseline of the Open-Label Extension Phase in
                                                  Subjects With Early Alzheimer's Disease

                                                  
            December 5, (Thurs) 11:15 a.m-11:30 a.m.

    ---




       BAN2401                                   
            BAN2401 in Early Alzheimer's Disease: A Placebo-
                                                  Controlled, Double-Blind, Parallel-Group, 18-Month

       Poster #: P179                            Study with an Open-Label Extension Phase to Confirm
                                                  Safety and Efficacy (Clarity AD)

                                                  
            December 6, (Fri) and December 7 (Sat)

    ---




       BAN2401                                   
            Binding Profiles of BAN2401 and Aducanumab to
                                                  Different Amyloid-Beta Species

       Session #: OC29
                                                  
            December 7, (Sat) 11:30 a.m.-11:45 a.m.

    ---




       Diagnostic                                
            Prediction of Amyloid Pathology by the Plasma A 1-
                                                  42/A 1-40 Ratio Measured with Fully Automated

       Poster #: P75                             Immunoassay System (HISCL(TM) Series)

                                                  
            December 5, (Thurs)

    ---




       Diagnostic                                
            Clinical Utility of Plasma Amyloid Beta Measurements by
                                                  Immunoaffinity Enrichment and LC-MS/MS

       Poster #: P81
                                                  
            December 5, (Thurs)

    ---




       Diagnostic                                
            Staging Early Alzheimer's Disease Using the Alzheimer's
                                                  Disease Composite Score (ADCOMS)

       Poster #: P136
                                                  
            December 6, (Fri) and December 7, (Sat)

    ---




       Lemborexant                               
            Using Network Analysis and Machine Learning Methods
                                                  to Evaluate the Efficacy of Lemborexant in Patients with

       Poster #: P3                              Irregular Sleep Wake Rhythm Disorder and Alzheimer's
                                                  Disease Dementia

                                                  
            December 5, (Thurs)

    ---




       Elenbecestat                              
            The Cognitive Task Force: A Novel Approach to
                                                  Improving the Efficiency of Cognitive Screening for the

       Poster #: P24                             Elenbecestat MissionAD Global Phase 3 Studies in Early
                                                  Alzheimer's Disease

                                                  
            December 5 (Thurs)

    ---




       Elenbecestat                              
            Asian and Non-Asian Countries Screen Subjects with
                                                  Similar MMSE Scores for the Elenebecestat MissionAD

       Poster #: P149                            Global Phase 3 Studies in Early Alzheimer's Disease

                                                  
            December 6, (Fri) and December 7, (Sat)

    ---




       Elenbecestat                              
            Amyloid Positive Subject Characteristics in the
                                                  Elenbecestat MissionAD Phase 3 Program

       Poster #: P46
                                                  
            December 5, (Thurs)

    ---




       Elenbecestat                              
            Association Between Neuraceq Levels and [18F]PI-2620
                                                  Tau PET Tracer Accumulation in Baseline Scans of the

       Session #: LB16                           Elenbecestat MissionAD Program

                                                  
            December 6, (Fri) 8:30 a.m.-8:45 a.m.

    ---

This release discusses investigational uses of agents in development and is not intended to convey conclusions about efficacy or safety. There is no guarantee that such investigational agents will successfully complete clinical development or gain health authority approval.

[Notes to editors]



     
     1.                 About the Joint Development between Eisai and Biogen
                            for 
                Alzheimer's Disease


             Eisai and Biogen are collaborating on the joint
               development and commercialization of Alzheimer's
               disease treatments. Biogen serves as the lead in the
               co-development of aducanumab and Eisai serves as
               the lead in the co-development of BAN2401, anti-
               amyloid beta (A ) protofibril antibodies, and the
               companies plan to pursue marketing authorizations
               for aducanumab and BAN2401 worldwide. If approved,
               the companies will also co-promote aducanumab and
               BAN2401 in major markets, such as the United States,
               the European Union and Japan. Both companies will
               equally split overall costs, including research and
               development expenses. Eisai will book all sales for
               BAN2401 following marketing approval and launch, and
               profits will be equally shared between the
               companies.





     
     2. 
      
                About Aducanumab


             Aducanumab (BIIB037) is an investigational human
               monoclonal antibody studied for the treatment of
               early Alzheimer's disease. Biogen licensed
               aducanumab from Neurimmune under a collaborative
               development and license agreement. Since October
               2017 Biogen and Eisai have collaborated on the
               development and commercialization of aducanumab
               globally. EMERGE and ENGAGE were Phase 3
               multicenter, randomized, double-blind, placebo-
               controlled, parallel-group studies designed to
               evaluate the efficacy and safety of aducanumab. The
               primary objective of the studies was to evaluate the
               efficacy of monthly doses of aducanumab as compared
               with placebo in reducing cognitive and functional
               impairment as measured by changes in the CDR-SB
               score. Secondary objectives were to assess the
               effect of monthly doses of aducanumab as compared to
               placebo on clinical decline as measured by MMSE,
               ADAS-Cog 13, and ADCS-ADL-MCI.





     
     3. 
      
                About BAN2401


             BAN2401 is an investigational humanized monoclonal
               antibody for Alzheimer's disease that is the result
               of a strategic research alliance between Eisai and
               BioArctic. BAN2401 selectively binds to neutralize
               and eliminate soluble, toxic A  aggregates
               (protofibril) that are thought to contribute to the
               neurodegenerative process in Alzheimer's disease. As
               such, BAN2401 may have the potential to have an
               effect on disease pathology and to slow down the
               progression of the disease. Eisai obtained the
               global rights to study, develop, manufacture and
               market BAN2401 for the treatment of Alzheimer's
               disease pursuant to an agreement concluded with
               BioArctic in December 2007. In March 2014, Eisai and
               Biogen entered into a joint development and
               commercialization agreement for BAN2401 and the
               parties amended that agreement in October 2017.





     
     4.                 About BAN2401 Clarity AD Phase 3 Clinical Trial


             Clarity AD will evaluate the efficacy and safety of
               BAN2401 versus placebo and is currently enrolling at
               more than 130 active sites in eight countries. An
               increasing number of clinical trial sites will
               ultimately enroll up to 1,566 patients with early
               Alzheimer's disease (Mild Cognitive Impairment due
               to Alzheimer's disease and Mild Alzheimer dementia)
               as quickly as possible. Additionally, BAN2401 is
               being evaluated in people with asymptomatic
               preclinical Alzheimer's disease, supported by the
               NIH-funded Alzheimer's Clinical Trials Consortium
               (ACTC) in the A3/A45 Studies, recruitment for these
               trials will begin shortly.





     
     5. 
      
                About Elenbecestat


              Working with our partner Biogen, we are continuing to
               analyze our data from the MissionAD elenbecestat
               trial, and will report out the results at future
               meetings.





     
     6.                 About the Collaboration between Eisai and BioArctic
                            for Alzheimer's Disease


             Since 2005, BioArctic has had a long-term
               collaboration with Eisai regarding the development
               and commercialization of drugs for the treatment of
               Alzheimer's disease. The commercialization agreement
               on the BAN2401 antibody was signed in December 2007,
               and the development and commercialization agreement
               on the antibody BAN2401 back-up for Alzheimer's
               disease, which was signed in May 2015. Eisai is
               responsible for the clinical development,
               application for market approval and
               commercialization of the products for Alzheimer's
               disease. BioArctic has no development costs for
               BAN2401 in Alzheimer's disease.





     
     7. 
      
                Lemborexant


             Lemborexant is a novel investigational small molecule
               compound, discovered and developed by Eisai in-
               house scientists, that inhibits orexin signaling by
               binding competitively to both orexin receptor
               subtypes (orexin receptor 1 and 2). In individuals
               with normal daily sleep-wake rhythms, orexin
               signaling is believed to promote periods of
               wakefulness. In individuals with sleep-wake
               disorders, it is possible that orexin signaling that
               regulates wakefulness is not functioning normally,
               suggesting that inhibiting inappropriate orexin
               signaling may enable initiation and maintenance of
               sleep. Eisai is investigating lemborexant as a
               potential treatment option for multiple sleep-wake
               disorders, such as insomnia. Additionally, a Phase 2
               clinical study of lemborexant in patients with
               irregular sleep-wake rhythm disorder and mild to
               moderate Alzheimer's dementia is underway.





     
     8.                 About the Collaboration between Eisai and Sysmex


             Eisai and Sysmex have entered into a comprehensive
               non-exclusive collaboration agreement aimed at the
               creation of new diagnostics in the field of dementia
               in February 2016. Leveraging each other's
               technologies and knowledge, the two companies aim to
               discover next-generation diagnostics that will
               enable early diagnosis, selection of treatment
               options and the regular monitoring of the effects of
               treatment for dementia.





     
     9. 
      
                About Eisai Inc.


             At Eisai Inc., human health care (hhc) is our goal.
               We give our first thoughts to patients and their
               families, and helping to increase the benefits
               health care provides. As the U.S. pharmaceutical
               subsidiary of Tokyo-based Eisai Co., Ltd., we have
               a passionate commitment to patient care that is the
               driving force behind our efforts to discover and
               develop innovative therapies to help address unmet
               medical needs.




             Eisai is a fully integrated pharmaceutical business
               that operates in two global business groups:
               oncology and neurology (dementia-related diseases
               and neurodegenerative diseases). Our U.S.
               headquarters, commercial and clinical development
               organizations are located in New Jersey; our
               discovery labs are in Massachusetts and
               Pennsylvania; and our global demand chain
               organization resides in Maryland and North Carolina.
               To learn more about Eisai Inc., please visit us at
               www.eisai.com/US and follow us on Twitter and
               LinkedIn.

Contact:
Eisai Inc.
Libby Holman
201-753-1945
Libby_Holman@eisai.com

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