Amarantus Bioscience Holdings, Inc.
(OTCQX: AMBS) - February 10, 2016
Amarantus Receives Orphan Drug Designation
from the US FDA for Eltoprazine in the Treatment of Parkinson’s disease Levodopa-Induced
Dyskinesia
SAN FRANCISCO, CA, - February 10, 2016 - Amarantus BioScience
Holdings, Inc. (OTCQX: AMBS),
a biotechnology company focused on developing products for Regenerative
Medicine, Neurology and Orphan Diseases, today announced that it has received
orphan drug designation from the US FDA for Eltoprazine in the treatment of
Parkinson’s disease levodopa-induced dyskinesia (PD-LID). Amarantus published
positive results from a Phase 2 initial proof-of-concept clinical study in
February of 2015 in the journal Brain, and highlighted the publication of two
independent peer-reviewed scientific publications describing the mechanism of
action of eltoprazine for the treatment of PD LID in August of 2015 and December
2016.
“The grant of this orphan drug designation for eltoprazine in PD-LID squarely
positions Amarantus as an orphan drug company, as each of our pipeline
candidates in our therapeutics division has received such designations from the
FDA for one or more indications,” said Gerald E. Commissiong, President & CEO of
Amarantus. “PD-LID is a tremendously debilitating disorder, and we will now
begin evaluating expedited pathways to market for eltoprazine that may now be
afforded by the orphan drug designation.”

The FDA Orphan Drug Designation program provides a special status to drugs and
biologics intended to treat, diagnose or prevent so-called orphan diseases and
disorders that affect fewer than 200,000 people in the U.S. This designation
provides for a seven year marketing exclusivity period against competition, as
well as certain incentives, including federal grants, tax credits and a waiver
of PDUFA filing fees.
About Parkinson's disease Levodopa-induced dyskinesia (PD LID)
Parkinson's disease is a chronic, progressive motor disorder that causes
tremors, rigidity, slowed movements and postural instability. The Parkinson's
Disease Foundation estimates that there were approximately one million people
living with Parkinson's disease in the United States in 2011. The most
commonly-prescribed treatments for Parkinson's disease are levodopa-based
therapies. In the body, levodopa is converted to dopamine to replace the
dopamine loss caused by the disease. The therapeutic efficacy of levodopa is
gradually lost over time, and abnormal involuntary movements, dyskinesias,
gradually emerge as a prominent side-effect in response to previously beneficial
doses of the drug. Levodopa-induced dyskinesia can be severely disabling,
rendering patients unable to perform routine daily tasks.
About Eltoprazine
Eltoprazine is a small molecule 5HT1A/1B partial agonist in clinical development
for the treatment of Parkinson's disease levodopa-induced dyskinesia (PD-LID),
adult attention deficit hyperactivity disorder (ADHD) and Alzheimer’s
aggression. Eltoprazine has been evaluated in over 680 human subjects to date,
and has a well-established safety profile. Eltoprazine was originally developed
by Solvay Pharmaceuticals for the treatment of aggression. Upon Solvay's merger
with Abbott Pharmaceuticals, the eltoprazine program was out-licensed to
PsychoGenics. PsychoGenics licensed eltoprazine to Amarantus following
successful proof-of-concept trials in PD-LID and adult ADHD.
About Amarantus BioScience Holdings, Inc.
Amarantus BioScience Holdings (AMBS) is a biotechnology company developing
treatments and diagnostics for diseases in the areas of neurology, regenerative
medicine and orphan diseases. AMBS’ Therapeutics division has development rights
to eltoprazine, a Phase 2b-ready small molecule indicated for Parkinson's
disease levodopa-induced dyskinesia, adult ADHD and Alzheimer’s aggression, and
owns the intellectual property rights to a therapeutic protein known as
mesencephalic-astrocyte-derived neurotrophic factor (MANF) and is developing
MANF-based products as treatments for brain and ophthalmic disorders. More
recently, AMBS acquired the rights to the Engineered Skin Substitute program (ESS),
a regenerative medicine-based approach for treating severe burns with full
thickness autologous skin grown in tissue culture. ESS is entering Phase 2
clinical studies under a CRADA agreement with the US Army. AMBS’ Diagnostics
division owns the rights to MSPrecise®, a proprietary next-generation DNA
sequencing (NGS) assay for the identification of patients with
relapsing-remitting multiple sclerosis (RRMS) at first clinical presentation,
has an exclusive worldwide license to the Lymphocyte Proliferation test (LymPro
Test®) for Alzheimer's disease, which was developed by Prof. Thomas Arendt,
Ph.D., from the University of Leipzig, and owns intellectual property for the
diagnosis of Parkinson's disease (NuroPro). AMBS also owns the discovery of
neurotrophic factors (PhenoGuard™) that led to MANF’s discovery.
For further information please visit www.Amarantus.com, or connect with the
Company on Facebook, LinkedIn, Twitter and Google+.
Forward-Looking Statements
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estimates, projections, statements relating to our business plans, objectives,
and expected operating results, and the assumptions upon which those statements
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capital, interest rates, competition, and generally accepted accounting
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such statements.
Investor and Media Contact:
Ascendant Partners, LLC
Fred Sommer
732-410-9810
fred@ascendantpartnersllc.com
Source: Amarantus Bioscience Holdings, Inc.
ABOUT AMARANTUS BIOSCIENCE HOLDINGS
Amarantus BioScience Holdings, Inc. is a publicly traded biotechnology company
focused on developing therapeutic products with the potential for orphan drug
designation in the areas of neurology, psychiatry, ophthalmology and
regenerative medicine, and diagnostics in neurology.
The Company’s lead therapeutic program, eltoprazine is a small molecule
indicated for the treatment of Levodopa-induced dyskinesia, one of the most
difficult problems facing patients with Parkinson’s disease. Eltoprazine is
currently in a Phase 2b clinical trial with results from the study expected in
2016. Eltoprazine is also being evaluated for the treatment of adult attention
deficit hyperactivity disorder (ADHD) and Alzheimer’s aggression.
Amarantus recently completed the acquisition of Cutanogen Corporation (Cutanogen)
from Lonza Walkersville, Inc., a subsidiary of Lonza Group Ltd. Cutanogen has an
exclusive worldwide license to intellectual property rights associated with
Engineered Skin Substitute (ESS). ESS is a full thickness skin replacement
product prepared from autologous (patient's own) tissue-engineered skin cells in
development for the treatment of severe burns. ESS received orphan drug
designation from the FDA for the treatment of hospitalized patients with deep
partial and full thickness burns requiring grafting. Amarantus expects to
commence a Phase 2 study of ESS in the U.S. in the third quarter of 2015.
Amarantus is also developing MANF (mesencephalic-astrocyte-derived neurotrophic
factor), which was discovered by the company’s own discovery platform,
PhenoGuard. MANF is being developed for the treatment of brain and ophthalmic
disorders and has received Orphan Drug Designation from the FDA and the European
Medicines Agency (EMA) for the treatment of Retinitis Pigmentosa.
The company’s diagnostics division, Amarantus Diagnostics is dedicated to the
development and commercialization of neurology diagnostic products. The
company’s lead diagnostic product, LymPro Test® is a blood based assay to
diagnose Alzheimer’s disease and is approved for investigational use only to be
used in biotech and pharmaceutical clinical trials.
Amarantus Diagnostics is also developing MSPrecise®, a proprietary,
next-generation DNA sequencing (NGS) assay for the identification of patients
with relapsing-remitting multiple sclerosis (RRMS) at first clinical
presentation. In January 2015, the company entered into an exclusive option
agreement with Georgetown University to enter into a license for rights related
to certain blood based biomarkers for memory loss and Alzheimer’s disease.
The company is active exploring a number of strategic options for Amarantus
Diagnostics, including a potential spin-off, to derive the full value of its
premier neuro-diagnostics business.
ENGINEERED SKIN SUBSTITUTE (ESS)
Engineered Skin Substitute (ESS) is a full thickness skin replacement product
prepared from autologous (patient's own) tissue-engineered skin cells in
development for the treatment of severe burns. It is a combination of cultured
epithelium with a collagen-fibroblast implant that produces a skin substitute
that contains both epidermal and dermal components. This model has been shown in
preclinical studies to generate a functional skin barrier. Most importantly,
self-to-self skin grafts for autologous skin tissue are less likely to be
rejected by the immune system of the patient, unlike with porcine or cadaver
grafts in which immune system rejection is a possibility. ESS has been used in
an investigator initiated clinical setting in over 130 human subjects, primarily
pediatric patients, for the treatment of severe burns up to 95% total body
surface area. ESS received orphan drug designation from the U.S. Food and Drug
Administration for the treatment of hospitalized patients with deep partial and
full thickness burns requiring grafting.
Amarantus recently completed the acquisition of Cutanogen Corporation (Cutanogen)
from Lonza Walkersville, Inc., a subsidiary of Lonza Group Ltd. Cutanogen has an
exclusive worldwide license to intellectual property rights associated with
Engineered Skin Substitute.
Amarantus expects to commence a Phase 2 study of ESS in the U.S. in the third
quarter of 2015.
ELTOPRAZINE
Eltoprazine is a small molecule 5HT1A/1B partial agonist in clinical development
for the treatment of Parkinson's disease levodopa-induced dyskinesia (PD-LID)
and adult attention deficit hyperactivity disorder (ADHD). Eltoprazine has been
evaluated in over 680 human subjects to date, and has a well-established safety
profile. Eltoprazine was originally developed by Solvay Pharmaceuticals for the
treatment of aggression. Upon Solvay's merger with Abbott Pharmaceuticals, the
eltoprazine program was out-licensed to PsychoGenics. PsychoGenics licensed
eltoprazine to Amarantus following successful proof-of-concept trials in PD-LID
and adult ADHD.
PARKINSON'S DISEASE LEVADOPA-INDUCED DYSKINESIA
Parkinson's disease is a chronic, progressive neurodegenerative disorder that
causes motor symptoms such as tremors, rigidity and slowed movements as well as
non-motor symptoms including cognitive impairment, mood disorders and autonomic
dysfunction. The Parkinson's Disease Foundation estimates that there are
approximately one million people living with Parkinson's disease in the United
States and seven to 10 million PD patients worldwide. The most commonly
prescribed treatments for Parkinson's disease are levodopa-based therapies. In
the body, levodopa is converted to dopamine to replace the dopamine loss caused
by the disease. As dopamine neurons in the brain are lost the therapeutic
efficacy of levodopa attenuates, and increased use is associated with a side
effect of dyskinesias. These are involuntary, uncontrollable and often
exaggerated and jerky movements. They are distinct from the static, rhythmic
tremor as a symptom of Parkinson's disease. Levodopa-induced dyskinesia can be
severely disabling, rendering patients unable to perform routine daily tasks.
ATTENTION DEFICIT HYPERACTIVITY DISORDER
Attention deficit hyperactivity disorder (ADHD), is a psychiatric disorder of
the neurodevelopmental type in which there are significant problems of
attention, hyperactivity, or acting impulsively that are not appropriate for a
person's age.
SUMMARY OF THE DATA WITH ELTOPRAZINE:
The data produced demonstrated that at both 5mg and 10 mg, the study met its
Primary endpoint as measured by change from baseline in ADHD-RS-IV score in 5mg
(p=0.003) and 10mg (p=0.037) doses which were statistically significantly
superior to placebo with approximately 25% greater efficacy compared to placebo.
Total ADHD-RS-IV scores improved by 13.6, 17.9 and 17.4 points from baseline for
placebo, 5mg and 10mg of eltoprazine, respectively. Inattention, Hyperactivity,
and Impulsivity ADHD-RS-IV subscales were also analyzed.
For the Inattention subscale, both 5mg and 10mg groups showed a statistically
significant benefit over placebo (0.003 and 0.039, respectively).
For the Hyperactivity subscale, the 5mg dose showed a statistically significant
benefit in favor of eltorprazine treatment compared to placebo (p=0.008); the
10mg dose was superior to placebo, however the difference was not statistically
significant (p=0.130).
For the Impulsivity subscale, no significant benefit was observed for either
drug dose compared to placebo.
Both 5mg and 10mg demonstrated significantly greater improvement over placebo
for CGI-I scores (p=0.023 and 0.004, respectively).
The percentage of subjects who were considered improved by the investigator was
57.9% for placebo, 68.4% for 5mg, and 81.1% for 10mg. The percentage difference
was significant between 10mg and placebo (0.029), but it was not between 5mg and
placebo (p=0.342).
The results indicate the overall positive outcomes reported on the ADHD-RS-IV
were largely driven by the Inattention and Hyperactivity subscales. This
phenomenon was expected because most enrolled subjects had primary deficit in
Inattention at baseline. Significant benefits of the active treatments were also
observed for the following secondary efficacy variables:
Profile of Mood States (POMS):
The 5mg dose was statistically significantly better than placebo for POMS total
score (p=0.006)
Both the 5mg and 10mg groups were statistically significantly better than
placebo for anger-hostility score (p<0.001 and p=0.036, respectively)
The 5mg group was also statistically significantly better than placebo for
tension anxiety score (p=0.046)
Barnes Akathisia Scale (BAS)
Both 5mg and 10mg groups showed a reduction in restlessness and were
statistically significantly better than placebo for BAS (p=0.029 and p=0.007,
respectively)
Both 5mg and 10mg groups were statistically significantly better than placebo
for Awareness of Restlessness subscore (p=0.003 and p<0.001, respectively).
The 10mg group was also statistically significantly better than placebo for
Distress Related Restlessness subscore (p=0.047)
Abnormal Involuntary Movement Scale (AIMS)
10mg showed a significantly greater reduction in abnormal movements than placebo
(p<0.001)
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