AspenBio Pharma Reports Progress on the Supplemental Clinical Trial, Work to Improve the Clinical Utility of AppyScore(TM) and Scheduled Meeting With FDA
Company Initiates Interim Trial Data Analysis; January Meeting With FDA
CASTLE ROCK, CO--(Marketwire - December 29, 2009) - AspenBio Pharma, Inc. (NASDAQ: APPY), an
emerging bio-science company dedicated to the development of novel
diagnostics and drugs for humans and animals, reported on its progress and
plans for the Premarket Notification 510(k) submission of its ELISA format
AppyScore™ test. AppyScore is the first blood-based test designed to aid
in the evaluation of patients suspected of having acute appendicitis.
The previously announced AppyScore supplemental clinical trial continues to
advance, with over 400 patients enrolled to-date from the emergency
departments of more than a dozen well-known hospitals across the United
States. Based upon additional analysis of prior trial data, as well as
input from a panel of clinical experts assembled by AspenBio's regulatory
consultants, the Statistical Analysis Plan ("SAP") for this supplemental
trial has now been finalized. This SAP defines a study end point for the
AppyScore test alone, and additionally, adds two alternative end points
which evaluate the AppyScore result in combination with either white blood
cell count ("WBC") or neutrophil count.
Applying the parameters of this SAP in a retrospective analysis of the
previous pivotal clinical trial data improved the negative predictive value
("NPV") of AppyScore to more than 95% in the subset of patients who have
negative results for either the combination of AppyScore/WBC or
AppyScore/neutrophil count. While there can be no absolute assurance that
these results will be repeated in the current supplemental clinical trial,
the company believes such results, if repeated would substantially enhance
the clinical utility and value of AppyScore in the emergency department
setting.
The SAP provides for, and AspenBio has scheduled, an interim analysis of
the clinical trial data to validate the required supplemental trial sample
size necessary to achieve statistical significance for all study endpoints.
Achieving statistical significance is essential for the inclusion of these
important study end points in the submission of the Premarket Notification
510(k) information to the FDA, as well as describing clinical utility to
physicians. This interim analysis was initially planned to be conducted
with data from 250 patients; however, with the addition of the two new
alternative study end points, a 400 patient interim data analysis will
provide better predictive results of the final sample size needed. While
patient recruitment continues uninterrupted, the interim analysis will be
conducted in the upcoming weeks and is expected to be completed by late
January or early February 2010. This analysis may demonstrate that the
previously planned trial size is sufficient, or it may indicate a need to
expand the size in order to achieve statistical significance of all end
points. If an expansion of the trial is determined to be necessary, the
timing for advancing the Premarket Notification 510(k) through the FDA will
be evaluated and adjusted to ensure that the quality of the trial is not
compromised and the clinical and statistical results are sound and
compelling.
In recent weeks a panel of clinical experts was convened to evaluate
AppyScore's clinical utility and offer an independent opinion about its
usefulness. Considering the currently available diagnostic modalities for
appendicitis, the panel identified a strong need for better diagnostic
tools to help identify a group of patients that is at low risk of having
acute appendicitis. For this low-risk group, the panel indicated that a
test with NPVs as high as those seen in the previous trial data when
analyzed using the combination AppyScore/WBC or AppyScore/neutrophil count
would provide compelling clinical evidence for the test to be widely used
in evaluating patients suspected of having acute appendicitis. This panel
also prepared a consensus paper expressing their opinion about the expected
use of AppyScore in clinical practice. The clinical and regulatory
direction the company is currently pursuing is in line with the opinions
expressed in this paper.
AppyScore is anticipated to be used as a diagnostic tool to aid emergency
department physicians in identifying a subset of patients for whom the risk
of acute appendicitis is sufficiently low to support consideration for
delaying or eliminating the need for computed tomography (commonly known as
a CAT scan) and/or immediate surgical consultation.
To address the 510(k) and related matters, the company has scheduled a
meeting with the FDA in January 2010. One of the objectives of the meeting
is to ensure alignment with the FDA with respect to the data requirements
necessary to support the proposed intended use and clinical utility of the
AppyScore test.
Following the meeting with the FDA and the completion of the interim data
analysis, the company expects to be in a position to provide a further
update to shareholders regarding the supplemental clinical trial patient
size and plans for advancing 510(k) clearance.
Dr. Robert Caspari, COO and CMO of AspenBio, commented: "We have received a
clear message from our outside clinical experts, which is supported by our
Medical Advisory Board, that the clinical value of AppyScore will be
significantly enhanced by data that demonstrate that AppyScore achieves a
negative predictive value substantially higher than current diagnostic
modalities when used in conjunction with other commonly ordered diagnostic
tests. We believe that taking the steps necessary to accomplish this
objective will be well worth the time and costs and will result in added
value."
While the ELISA-based supplemental AppyScore trial has been preceding,
AspenBio has also been advancing the development of its new stand alone,
state-of-the-art cassette and reader instrument platform that provides
AppyScore results more rapidly and efficiently than the ELISA format. This
platform offers many benefits over an ELISA-based test. It can produce
results in approximately 15 minutes, which in turn can be rapidly and
accurately uploaded to a hospital's Laboratory Information System ("LIS")
via a built-in electronic interface. More importantly, as a fully
integrated, stand alone assay system, it can significantly reduce an
operator's processing steps and the corresponding potential for errors.
Clinical trials of the rapid assay are planned for 2010 and will be
designed to support a 510(k) submission for this rapid assay platform using
the ELISA test as a predicate, assuming the ELISA test is cleared by the
FDA. In addition, these trials will provide AspenBio and physicians with
additional information on the product's potential utility. The company
expects to announce the execution of supply agreements with internationally
recognized manufacturers for the rapid assay device and reader instrument
as they are finalized.
About AspenBio Pharma, Inc.
AspenBio Pharma is an emerging bio-science company dedicated to the
discovery, development and commercialization of novel products that address
unmet diagnostic and therapeutic needs in both human and animal health. The
company's AppyScore blood-based test addresses the difficult challenge of
diagnosing human appendicitis in the hospital emergency department. The
company is also advancing unique therapeutic proteins designed to improve
reproduction in non-companion animals of economic importance. For more
information, go to www.aspenbiopharma.com.
Forward-Looking Statements
This news release includes "forward-looking statements" of AspenBio Pharma,
Inc. ("APPY") as defined by the Securities and Exchange Commission ("SEC").
All statements, other than statements of historical fact, included in the
press release that address activities, events or developments that APPY
believes or anticipates will or may occur in the future are forward-looking
statements. These statements are based on certain assumptions made based on
experience, expected future developments and other factors APPY believes
are appropriate in the circumstances. Such statements are subject to a
number of assumptions, risks and uncertainties, many of which are beyond
the control of APPY. Investors are cautioned that any such statements are
not guarantees of future performance. Actual results or developments may
differ materially from those projected in the forward-looking statements as
a result of many factors, including statements regarding the ability to
successfully complete the clinical trial data assessments required for FDA
submission, obtain FDA approval for, cost effectively manufacture and
generate revenues from the appendicitis test as well as the animal products
and other new products, execute agreements required to successfully advance
the company's objectives, retain the scientific management team to advance
the products, overcome adverse changes in market conditions and the
regulatory environment, fluctuations in sales volumes, obtain and enforce
intellectual property rights, and realization of intangible assets.
Furthermore, APPY does not intend (and is not obligated) to update publicly
any forward-looking statements. The contents of this news release should be
considered in conjunction with the warnings and cautionary statements
contained in APPY's recent filings with the SEC.