Archive for January, 2008

United Health hit with $3.5 million fine

Thursday, January 31st, 2008


United Health has been hit with a $3.5 million dollar fine by the Department of Managed Health and it couldn’t happen to a more deserving company! The department of Insurance investigated the company and found it had violated more than 130,000 claims and improperly denied 30% of claims that were reviewed during the investigation. That is not an accident. Underpaying or denying 130,000 claims is a company culture!

Here’s one little example of what they do.

This after noon I received a letter from United Health regarding a patient I saw December 7, 2007. The charge was $115.00, submitted on the usual standard claim form with the proper codes and descriptors. Get this…instead of a payment for services rendered seven weeks ago, they are requesting the Doctor’s name (!!!), title (!!!), and medical license number. Yes, I have been seeing United Health patients for years, but they are requesting, from Dr. Toni Brayer, my name. If this isn’t the most blatant delay in payment I don’t know what is.

David Hansen, regional CEO for United Health told the Wall Street Journal “We have already taken and continue to take aggressive steps to address the issues raised by the departments and to improve our operational performance in California.” Gee, I guess someone forgot to tell the claims payment department that.

Promising Drugs For Non-Hodgkin’s Lymphoma May Change European Market Dynamics

Wednesday, January 30th, 2008

The European non-Hodgkin’s lymphoma (NHL) therapeutics market has been monopolised by MabThera for a number of years. Although CHOP chemotherapy is the major treatment for all forms of NHL, it is highly genericised with limited prospects for revenue growth. However, market dynamics are poised to change in the near future due to the anticipated launch of many promising pipeline drugs currently in phase 3 of their development.

New analysis from growth consulting company Frost & Sullivan (http://www.pharma.frost.com), European Non-Hodgkin’s Lymphoma Therapeutics Markets, finds that the market earned revenues of USD 2.2 billion in 2006 and estimates this to reach USD 7.2 billion in 2013.

“The relapsing nature of NHL is creating the need for new therapeutic options,” notes Frost & Sullivan Research Analyst Ranjith Gopinathan. “Though MabThera is very popular and has gained widespread acceptance, there still exists a high unmet need among NHL patients.”

About 1.75 million people worldwide are living with NHL. As the risk of developing the disease increases with age, the rising life expectancy across Europe is leading to a growing demand for treatments.

MabThera is projected to retain its market leadership position over the next 5-6 years. Most drugs in the pipeline are being positioned as add-on combination therapies with MabThera or CHOP. The market is poised to accelerate from 2012 onwards, pushed by several promising drugs, currently in their phase 3 development stage.

“Add-on drugs, in combination with MabThera or chemotherapy, are a prospective market driver,” states Gopinathan. “For instance, Favrille expects Favid to be a blockbuster when approved for commercialisation.”

Most research-based biotechnology firms are however currently facing considerable losses. Moreover, stringent clinical and regulatory hurdles could curb potential returns from biotechnology products. For such companies, difficulties in securing resources to fund clinical trials will delay the development process and extend the time to market.

Companies such as Favrille and Genitope are facing mounting operating expenses due to high investments in research. Any regulatory setback could jeopardise their business sustainability.

Additionally, most oncologists are satisfied with MabThera and may not feel the need to replace it entirely with new drugs. Hence, combination drugs with MabThera or CHOP would gain easier acceptance among oncologists and patients.

“Big pharma should look for strategic alliances or acquisition of promising pipeline drugs,” advises Gopinathan. “Small-sized biotechnology companies should focus on research and finding a suitable marketing partner.”

European Non-Hodgkin’s Lymphoma Therapeutics Markets is part of the Pharmaceutical & Biotechnology Growth Partnership Service Programme, which also includes research in the following markets: European Urinary Incontinence Therapeutics Markets, European Endometriosis Therapeutics Markets, Blockbusters Going Off-patent: Opportunities for Generics Manufacturers in Europe, European Osteoarthritis Market, European Head and Neck Cancer Therapeutics Markets and European Breast Cancer Therapeutics Markets. All research included in subscriptions provide detailed market opportunities and industry trends that have been evaluated following extensive interviews with market participants. Interviews with the press are available.

Grand Rounds - don’t miss it

Wednesday, January 30th, 2008

If you want to keep up with the medical blogosphere, check out this week’s Grand Rounds hosted by Kim at Emergiblog. Check it out!.

Picoplatin Safety Data In Colorectal Cancer

Monday, January 28th, 2008

Poniard Pharmaceuticals, Inc. (Nasdaq: PARD), a biopharmaceutical company focused on oncology, announced that it has presented safety data from a Phase 1 dose-escalation study of picoplatin, the Company’s lead product candidate, at the 2008 Gastrointestinal Cancers Symposium, a meeting of the American Society of Clinical Oncology (ASCO) which is being held in Orlando, Fla.

The poster presentation included safety data from a Phase 1 study of picoplatin in combination with 5-fluorouracil (5FU) and leucovorin (LV) as a first-line treatment for metastatic colorectal cancer (mCRC). The Phase 1 study seeks to establish the maximum tolerated dose of picoplatin and provide information on the safety of picoplatin when combined with 5FU and LV for the treatment of colorectal cancer. Promising safety data observed from the study to date formed the basis for further development of picoplatin in our ongoing Phase 2 trial in mCRC.

“These study results suggest that picoplatin does not cause severe neurotoxicity, as is commonly seen in mCRC patients treated with the regimen of 5FU and LV with oxaliplatin,” said Jerry McMahon, Ph.D., chairman and CEO of Poniard Pharmaceuticals. “Picoplatin has demonstrated both good tolerability and no severe neuropathies when combined with 5FU and LV. We believe picoplatin has the potential to be a preferred platinum for the treatment of colorectal and other cancer indications.”

Current National Comprehensive Cancer Network (NCCN) guidelines encourage the discontinuation of FOLFOX (5FU and LV with oxaliplatin) after three months of therapy or sooner if significant (Grade 3 or greater) neurotoxicity develops. For more information, please see http://www.nccn.org.

In the Phase 1 study, 50 patients were treated with picoplatin on either an every-two-week or an every-four-week basis in combination with the standard of care every-two-week dose of 5FU and LV. Patients received up to 28 cycles, and the therapy was well tolerated. Increased hematological toxicity was observed at higher doses. None of the patients treated with picoplatin exhibited a Grade 3 or higher neuropathy and only 9 of 45 patients (20 percent) experienced mild neuropathy. No neuropathy of Grade 2 or greater was observed in the 26 patients who received greater than or equal to 400 mg/m squared picoplatin. Mild nephro- and oto- toxicity were observed infrequently. The dose limiting toxicity (DLT) was most frequently hematological with neutropenia and thrombocytopenia. The maximum tolerated dose was established in the every-four-week schedule at 150 mg/m squared. The maximum tolerated dose for the every-two-week schedule has not yet been reached.

Based on the evidence of a more attractive safety profile of picoplatin in this combination (FOLPI) compared to the standard of care regimen with oxaliplatin (FOLFOX) as well as clinical activity in the Phase 1 study, the Company initiated a randomized Phase 2 trial in November, 2007 to evaluate intravenous picoplatin in the first-line treatment of mCRC. The Phase 2 trial is intended to generate proof-of-concept data to further evaluate efficacy and safety, including neuropathy of picoplatin in combination with 5-FU and LV (FOLPI versus FOLFOX) and to provide support for a potential registrational Phase 3 trial. The Company expects to present data from the Phase 1 and 2 mCRC program in scientific forums around mid year.

About Picoplatin

Picoplatin is an intravenous chemotherapeutic agent that has an improved safety profile compared to existing platinum-based chemotherapeutics. It was designed to overcome platinum resistance associated with the treatment of solid tumors. Picoplatin has been evaluated in more than 750 patients and has demonstrated activity in multiple indications with no evidence of significant kidney, nerve toxicity or hearing loss, toxicities commonly observed with other platinum chemotherapy drugs.

In addition to the Phase 2 clinical trial in patients with mCRC, Poniard is evaluating intravenous picoplatin in an ongoing pivotal Phase 3 trial, known as SPEAR (Study of Picoplatin Efficacy After Relapse), in small cell lung cancer. This registrational trial is being conducted under a Special Protocol Assessment (SPA) from the U.S. Food and Drug Administration (FDA) and is evaluating overall survival as the primary endpoint. The Company also is evaluating intravenous picoplatin in an ongoing Phase 2 clinical trial for the treatment of hormone refractory prostate cancer (HRPC). Oral picoplatin is being evaluated in a Phase 1 clinical trial in solid tumors.

About Poniard Pharmaceuticals

Poniard Pharmaceuticals, Inc. is a biopharmaceutical company focused on the development and commercialization of innovative oncology products to impact the lives of people with cancer. Picoplatin, the Company’s lead platform product candidate, is a new generation platinum therapy with an improved safety profile. Picoplatin is designed to overcome and prevent platinum resistance associated with chemotherapy in solid tumors, and is being studied in multiple cancer indications, combinations and formulations. Clinical trials of intravenous picoplatin include a Phase 3 trial in small cell lung cancer and Phase 2 trials in metastatic colorectal and hormone- refractory prostate cancer, as well as a clinical trial of oral picoplatin in solid tumors. Picoplatin has not been approved by regulatory authority for use in humans. For additional information please visit http://www.poniard.com.

This release contains forward-looking statements, including statements regarding the Company’s business objectives and strategic goals, drug development plans, results of clinical trials and the potential safety and efficacy of its products in development. The Company’s actual results may differ materially from those indicated in these forward-looking statements based on a number of factors, including risks and uncertainties associated with the Company’s research and development activities; the results of pre- clinical and clinical testing; the receipt and timing of required regulatory approvals; the market’s acceptance of the Company’s proposed products; the Company’s anticipated operating losses, need for future capital and ability to obtain future funding; competition from third parties; the Company’s ability to preserve and protect intellectual property rights; the Company’s dependence on third-party manufacturers and suppliers; the Company’s lack of sales and marketing experience; the Company’s ability to attract and retain key personnel; changes in technology, government regulation and general market conditions; and the risks and uncertainties described in the Company’s current and periodic reports filed with the Securities and Exchange Commission, including the Company’s Annual Report on Form 10-K for the year ended December 31, 2006, as amended, and most current Quarterly Report on Form 10-Q. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release. The Company undertakes no obligation to update any forward-looking statement to reflect new information, events or circumstances after the date of this release or to reflect the occurrence of unanticipated events.

European Medicines Agency Recommends Apprval Of Novel Oral Anticoagulant, Dabigatran Etexilate - Pradaxa (R)

Monday, January 28th, 2008

Boehringer Ingelheim announced that the Committee for Medicinal Products in Human Use (CHMP) of the European Medicines Agency has issued a positive opinion to recommend marketing authorisation of their novel, oral direct thrombin inhibitor, dabigatran etexilate. The CHMP recommends approval of dabigatran etexilate for the prevention of venous thromboembolic events in patients who have undergone total hip replacement surgery or total knee replacement surgery.

The positive opinion is a recommendation to the European Commission that authorization to market the drug should be granted in the European Union which normally occurs within 67 days. Dabigatran etexilate will be marketed by Boehringer Ingelheim exclusively under the brand name Pradaxa®, with a planned launch in all 27 countries of the European Union.

Dr Andreas Barner, Member of the Board of Boehringer Ingelheim and responsible for Research, Development and Medicine said “We welcome the positive opinion of the EMEA which is the first recommendation for approval by a regulatory authority for our novel oral anticoagulant drug Pradaxa®. This announcement represents a major milestone in the advancement of anticoagulation therapy for thromboembolic diseases. We are pleased that our new oral thrombin inhibitor offers the potential for physicians to ensure that patients in need receive effective and safe thromboprophylaxis.”

Patients who have undergone total hip or knee replacement are at high risk of venous thromboembolism (VTE). This risk extends beyond the usual period of hospitalisation, as thromboprophylaxis treatment is often discontinued following discharge due to the complex administration of current anticoagulants.2 As dabigatran etexilate is given as a fixed oral dose, it can be administered conveniently both in and out of the hospital setting, providing patients with effective protection from potentially dangerous thrombi (blood clots).

Dabigatran etexilate has a rapid onset and offset of action and predictable anticoagulation effect, without the need for coagulation monitoring. It specifically and reversibly inhibits thrombin, the central and essential enzyme in the coagulation cascade responsible for thrombus formation. Dabigatran etexilate exhibits no drug-food interactions and has a low potential for drug-drug interactions.3,4

Clinical data from the RE-NOVATETM and RE-MODELTM trials were included in the submission to European authorities in February 2007 for the first intended license indication for dabigatran etexilate. Oral, once daily administration of both 150 or 220 mg dabigatran etexilate was demonstrated to be as effective and safe as injectable enoxaparin (40mg) in preventing VTE and all cause mortality following total hip replacement surgery and following total knee replacement surgery in the RE-NOVATETM and RE-MODELTM trials respectively.5,6 All test results were evaluated by a central adjudication committee that was blinded to the treatment received by any patient.

Anticoagulation-related bleeding is the primary safety concern during hip or knee replacement surgery, since major bleeding into the replaced joint can have a detrimental impact on clinical outcome.5 In both trials, few major bleeding events (including those occurring at the surgical site) were reported and incidence did not differ significantly between dabigatran etexilate and enoxaparin treatment groups (during the RE-NOVATETM trial, major bleeding events occurred at 2.0% and 1.3% for dabigatran etexilate 220 mg and 150mg groups versus 1.6% for enoxaparin and during the RE-MODELTM trial, major bleeding events occurred at 1.5% and 1.3% for dabigatran etexilate 220 mg and 150mg groups versus 1.3% for enoxaparin).5,6

In all phase III trials reported to date, patients were frequently monitored and assessed for liver enzyme elevations by an independent data safety monitoring committee. Liver enzyme aminotransferase (ALT) elevations greater than three time the upper limit of normal (ULN) were low throughout the entire treatment periods with dabigatran etexilate and did not differ significantly between the treatment groups.

Similarly, the incidence of acute coronary events was low, particularly in the three month follow up period, with no significant differences between all treatment groups.

Boehringer Ingelheim continues to evaluate the efficacy and safety of dabigatran etexilate in a range of thromboembolic disease conditions. RE-VOLUTION™ is an extensive clinical trial programme involving more than 34,000 patients worldwide. Recent progress announcements include the early enrolment completion of 18,114 patients in the landmark RE-LY™ trial to evaluate the efficacy and safety of dabigatran etexilate for stroke prevention in patients with atrial fibrillation. Other ongoing studies are evaluating the efficacy and safety of dabigatran etexilate in the treatment of acute VTE, the secondary prevention of VTE and acute coronary syndromes.

The Law of Unintended Consequences

Monday, January 28th, 2008


Health care is filled with the unintended consequences of laws, regulations and poor planning that plague our ability to care for patients. Here are a few, in no particular order. You may have more to add.

  • Lab laws. I used to be able to contract with labs to do tests on my patients. I negotiated a low fee, kept a few dollars for lab draw and my services and everyone won. Enter California Legislature. Now patients have to go to another lab for blood tests. Pap smears cost $55 rather than $7 and a blood panel that was $22 now costs $180. Unintended consequence: Primary care lost a revenue stream, patients get gouged on test costs. (By the way, this law was sponsored by the big laboratories.)
  • Employee break legislation. A wonderful new law says all employees (think nurses) must take a lunch break within 5 hours of starting a shift, even if she is taking care of a patient, in the OR, dieting, or just not hungry. To stagger breaks some nurses will be eating lunch at 9:30 AM. Yes, more nurses will be hired to cover breaks. Unintended consequence: Watch health care costs continue to soar.
  • Stark Laws. Primary care physicians are not allowed to invest in ambulatory care centers or surgi-centers. It’s fine for surgeons, anesthesiologists, gastroenterologists and all others to be part of the out-patient trends for patient care and they are partnering with hospitals and other organizations across the U.S. Unintended consequence: More reasons for demise of Primary Care.
  • Discounts Illegal. Medicare and Health insurers have made it illegal for physicians to offer discounts for their share of the co-pay for covered services. I guess they think patients will utilize more service (?) if they don’t pay their share. Unintended consequence: Patients pay more even if they need a break.
  • New Triplicate Laws. The State and Feds have made it so difficult to prescribe pain medication with special prescription pads and regulations regarding refills that physicians are hamstrung in prescribing the best medication. Unintended consequence: patients that need pain meds aren’t getting them or are getting the wrong (no triplicate needed) med instead.

Design, Production Of Extremely Novel Drugs Enabled By New Method

Sunday, January 27th, 2008

A new chemical synthesis method based on a catalyst worth many times the price of gold and providing a far more efficient and economical method than traditional ones for designing and manufacturing extremely novel pharmaceutical compounds is described by its University at Buffalo developers in a review article in the current issue of Nature.

The chemistry, the basis of a new biotech startup company called Dirhodium Technologies, LLC in Buffalo, has the potential to improve dramatically the design and production of new drugs based on small molecule organic compounds, which comprise the great majority of new drug applications.

“If you tend to make things by methods that have been around for 100 years, there’s a decent chance that you’ll make something that’s already known or is very close to something that is,” said Huw M.L. Davies, Ph.D., UB Distinguished Professor in the Department of Chemistry and lead author on the Nature paper. “But if you use an entirely new strategy like the one we developed, virtually every reaction you run will result in a new structural entity. That’s critical to drug development.”

The chemical strategy Davies developed depends on the use of proprietary catalysts his company manufactures.

Minute amounts of the rhodium-based catalyst can have a major impact, he explained, with 1 gram capable of producing 10 kilograms of a pharmaceutical product.

“So it’s like a bit of ‘golden dust’ to get everything going,” said Davies, a researcher at UB’s New York State Center of Excellence in Bioinformatics and Life Sciences and president and chief executive officer of Dirhodium Technologies.

“As rhodium metal costs 10 times the price of gold, the catalyst is a high-value material,” he said.

Available through chemical supply companies, the reagents are being used by pharmaceutical scientists in both industry and academia.

Already, one major pharmaceutical company is using the reagents to synthesize a compound now in clinical trials.

“Demand for our catalysts has gone from gram to kilogram quantities, from fractions of an ounce to multiple pounds,” said Davies.

So far, the new synthesis strategy has generated compounds that have potential activity against a broad range of disease states, from cancer to central nervous system disorders, such as depression, to inflammatory and microbial diseases and medications for treating cocaine addiction.

“This method is like an enabling technology, making available new targets and materials that previously were out of range,” said Davies.

Its ability to result in never-before-seen chemical structures is making Davies’ collaborations with scientists in partner institutions on the Buffalo Niagara Medical Campus especially fruitful.

“We’re using this as a platform for drug discovery, collaborating through the Center of Excellence with biologists at UB, Roswell Park and Hauptman Woodward Medical Research Institute,” said Davies.

Davies’ company is one of 10 life sciences spinoffs based in the Center of Excellence, which has the dual mission of promoting life sciences research while facilitating economic development in Upstate New York.

In addition to helping drug companies design novel leads for new products, the new chemistry also allows pharmaceutical companies to synthesize efficiently and economically large quantities of novel compounds.

Through catalysis, the chemical synthesis method the UB researchers developed allows for highly unusual functionalizations of carbon-hydrogen bonds, Davies explained.

“The method allows you to transform a molecule from a simple structure to a much more elaborate, drug-like material,” he said, “so it goes from a cheap building block to a potential drug-like candidate. Without a catalyst, it won’t happen.”

A major advantage of Davies’ chemical strategy is that the resulting compounds are produced selectively as single mirror images.

Pharmaceutical companies prefer to develop new chiral drugs (chiral meaning “handed”) as a single isomer because opposite mirror images can have different biological effects and may be harmful.

“A small amount of our catalyst can be used to generate large amounts of the active mirror image of the pharmaceutical ingredient,” Davies said.
—————————-

The UB research has been funded by the National Institutes of Health and the National Science Foundation, both of which were recently renewed for a total of $1.6 million. The work also has been supported by the UB Center for Advanced Biomedical and Bioengineering Technology (UB CAT), located in the Center of Excellence.

The Nature paper was co-authored by James R. Manning, a graduate student in the Department of Chemistry in the UB College of Arts and Sciences.

The New York State Center of Excellence in Bioinformatics and Life Sciences was created in Buffalo in 2002 as part of more than $200 million dollars in investment from state, federal, industrial and philanthropic sources to create a hub of life sciences expertise and innovation in Upstate New York. The COE brings a strong foundation in life sciences research and discovery to its mission and collaborative efforts with industry, government and researchers around the world to improve the health and well-being of the population. The Center of Excellence is a major UB research center; its research partners are Roswell Park Cancer Institute and Hauptman-Woodward Medical Research Institute.

The University at Buffalo is a premier research-intensive public university, the largest and most comprehensive campus in the State University of New York. UB’s more than 28,000 students pursue their academic interests through more than 300 undergraduate, graduate and professional degree programs. Founded in 1846, the University at Buffalo is a member of the Association of American Universities.

Source: Ellen Goldbaum
University at Buffalo

<!–
google_ad_client = “pub-8376575547217667″;
//CTW POST
google_ad_slot = “0325528953″;
google_ad_width = 336;
google_ad_height = 280;
//–>
<script type=”text/javascript”
src=”http://pagead2.googlesyndication.com/pagead/show_ads.js”>

IQ - Why do Men Think They are Smarter?

Sunday, January 27th, 2008


A number of studies have shown that “men” think they are better looking than they really are and “women” often underestimate their good looks, thinking they are less attractive. It should come as no surprise that the same holds true when it comes to intelligence.

Adrian Furnham, a professor of psychology at University College London, reported that men and women have fairly equal IQ’s but men think they are smarter than they really are and women underestimate their own brain power. In 30 international studies, the men overstated their intelligence and women underplayed it. This happens in Japan, Argentina, Britain, Zimbabwe and America. What is going on here?

Another interesting fact is that both men and women think their sons are smarter than their daughters. So those perceptions are passed on to the kids and keep the myth going.

Women in the workplace talk about this all the time. Men are so confident about their abilities and they think they are capable of anything. They speak forcefully, can dominate the discussion and are often looked to as the experts…even when the women in the room are smarter and have better track records. The most assertive female is often seen as aggressive, yet if you compare styles, she is likely less dominant than the males in the room.

Confidence and self-belief may be what propels men forward. It doesn’t hurt to think you are better looking than you really are too.

Hematide(TM) To Treat Chemotherapy Induced Anemia

Saturday, January 26th, 2008

Takeda Pharmaceutical Company Limited (TSE: 4502) and Affymax, Inc. (Nasdaq: AFFY) announced that Takeda has dosed the first patient in the United States in a clinical trial of the investigational new drug, Hematide(TM), for the treatment of anemia in cancer patients undergoing chemotherapy.

Under the terms of the 2006 collaboration, Takeda and Affymax are jointly developing Hematide, and Affymax is now conducting Phase 3 studies for the treatment of anemia in chronic renal failure patients in the U.S. and Europe.

“We are pleased to begin the first U.S.-based clinical trial of Hematide in chemotherapy induced anemia (CIA),” said Masaomi Miyamoto, Ph.D., general manager of Takeda’s pharmaceutical development division. “We will actively conduct development activities together with Affymax in order to bring this novel, potential treatment option to patients with anemia and physicians who treat them.”

Arlene M. Morris, president and chief executive officer of Affymax, added “We look forward to continuing to support Takeda’s efforts in the clinical development of Hematide in chemotherapy induced anemia. We are pleased with the data generated to date from our trial in CIA in Europe, which was completed last year and look forward to additional data in this indication from this first U.S.-based trial.”

The multicenter, open-label, repeat dose clinical trial in CIA will enroll approximately 100 non-small cell lung cancer, prostate or breast cancer patients who have relapsed or progressed after previous treatment and who are anemic and receiving a taxane-containing chemotherapy. Patients will be dosed every three weeks (Q3W) until four weeks after discontinuation of their chemotherapy regimen, the occurrence of dose limiting toxicity, documented disease progression, or change in chemotherapy regimen.

The trial will evaluate the safety, pharmacokinetics and preliminary efficacy of various doses of Hematide in the correction of anemia. Initial dosing in this trial is based on results from an earlier trial in a more heterogeneous population of cancer patients that was conducted by Affymax in Europe in 2006. This new U.S. trial will aid in the selection of the appropriate dose or doses to be used in this more homogeneous patient population in additional later stage clinical trials.

About Hematide

Hematide is a novel synthetic, pegylated peptidic compound that binds to and activates the erythropoietin receptor and acts as an erythropoiesis stimulating agent. The product is being developed for treatment of anemia in patients with chronic renal failure and cancer patients receiving chemotherapy.

About Takeda

Located in Osaka, Japan, Takeda (TSE: 4502) is a research-based global company with its main focus on pharmaceuticals. As the largest pharmaceutical company in Japan and one of the global leaders of the industry, Takeda is committed to striving toward better health for individuals and progress in medicine by developing superior pharmaceutical products. Additional information about Takeda is available through its corporate website, http://www.takeda.com.

About Affymax, Inc.

Affymax, Inc. is a biopharmaceutical company developing novel drugs to improve the treatment of serious and often life-threatening conditions. Affymax’s lead product candidate, Hematide(TM), is currently being evaluated in Phase 3 clinical trials for the treatment of anemia associated with chronic renal failure and is in clinical trials for the treatment of chemotherapy-induced anemia in cancer patients. For additional information, please visit http://www.affymax.com.

This release contains forward-looking statements, including statements regarding the timing, design and results of the Companies’ clinical trials and drug development program and the timing and likelihood of the commercialization of Hematide. The Companies’ actual results may differ materially from those indicated in these forward-looking statements due to risks and uncertainties, including risks relating to the continued safety and efficacy of Hematide in clinical development, the potential for once per month dosing, the timing of patient accrual in ongoing and planned clinical studies, regulatory requirements and approvals, research and development efforts, industry and competitive environment, intellectual property rights and disputes and other matters that are described in Affymax’s Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission. Investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date of this release. The Companies undertake no obligation to update any forward-looking statement in this press release.

Takeda Pharmaceutical Company Limited
http://www.takeda.com

Phase II Clinical Trial Of CPP-109 For Treatment Of Patients With Cocaine Addiction

Saturday, January 26th, 2008

Catalyst Pharmaceutical Partners, Inc. (Nasdaq: CPRX), a biopharmaceutical company that acquires, in-licenses, develops and commercializes prescription drugs for the treatment of drug addiction, announced that it has initiated enrollment of patients for its 180- patient, U.S. Phase II clinical trial evaluating the use of CPP-109 in treating patients with cocaine addiction. CPP-109, an orally administered, small molecule drug which inhibits psychostimulant-induced dopamine release, is Catalyst’s lead compound, vigabatrin.

The Phase II trial is designed as a randomized, double-blind, placebo- controlled, intent-to-treat, multi-center study to evaluate the safety and efficacy of CPP-109 as a treatment for cocaine addiction. Under the study protocol, patients will be treated for a period of 12 weeks, with an additional 12 weeks of follow-up. The primary objective of the study is to demonstrate that a larger proportion of CPP-109-treated subjects than placebo- treated subjects are cocaine-free during their last two weeks of treatment (weeks 11 and 12). Additionally, Catalyst will be measuring a number of secondary endpoints based on reductions of cocaine use and craving.

Catalyst’s web site http://www.catalystpharma.com includes a listing of the CPP- 109 study sites and relevant contact information. For more information about enrolling in this study, please contact the study sites directly. Additional detailed information can be found on http://www.clinicaltrials.gov (search for Catalyst).

Patrick J. McEnany, Chief Executive Officer of Catalyst, commented: “We are very pleased to announce the start of active enrollment in our study of CPP-109 as a potential treatment for cocaine addiction. We expect to add more clinical trial sites to the 10 previously disclosed in order to complete the trial as soon as possible. We anticipate initial top-line results from this trial to be available by year-end.”

Douglas Winship, Catalyst’s Vice President of Regulatory Operations, stated: “Vigabatrin has previously shown the potential to be a safe and effective non-addictive drug treatment for cocaine and methamphetamine addiction in a Phase II double-blind, placebo-controlled trial and two pilot studies conducted in Mexico. We are excited to now evaluate the therapeutic benefit of CPP-109 in cocaine-addicted patients enrolled in a large, double- blind, placebo-controlled trial conducted in the U.S. under our sponsorship. There are currently no prescription drugs approved for the treatment of this population. As a result, drug therapies are desperately needed which can improve abstinence achievement rates of behavioral therapy administered by addiction treatment specialists, and reduce recidivism. We have worked diligently with regulatory authorities and the independent institutional review boards at each of the clinical sites where our trial will be conducted to be able to finalize and implement our protocol for this trial.”

On December 7, 2007, Catalyst announced positive initial top-line results from a 103-patient, investigator-initiated Phase II double-blind, placebo- controlled trial, in which vigabatrin met its primary efficacy endpoint of abstinence during the last weeks of treatment for cocaine addiction. Additional results of this study will be reported when they become available.

About CPP-109

CPP-109 works by inhibiting an enzyme that normally breaks down gamma aminobutyric acid (GABA), a dopamine-modulating neurotransmitter. The resulting excess GABA suppresses the increase in dopamine release caused by cocaine. All addictive drugs elevate dopamine levels in the parts of the brain associated with reward and reinforcement. It is thought that this reinforcing effect is the primary biochemical explanation for addiction. CPP-109 indirectly keeps dopamine levels in the normal range without impairing normal dopamine-based mechanisms. It is also thought that this effect may reduce craving, an effect in addicts which makes it very difficult for them to stop their drug habit.