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T3Therapeutics, LLC and Archimedes Pharma Ltd Announce Positive Clinical Results for Novel Oral Modified Release Liothyronine

Results Show Proof of Concept for Treatment of Congestive Heart Failure and Hypothyroidism

MANHASSET, NY and READING, 6th June 2008 – T3Therapeutics, LLC and Archimedes Development Ltd, a subsidiary of Archimedes Pharma Ltd the UK-based pan-European specialty pharmaceutical company, today announced positive clinical data from their Phase I study evaluating the relative bioavailability of oral modified release formulations of liothyronine sodium (T3) compared with oral immediate release T3 tablets in healthy volunteers. T3 is a hormone produced by the thyroid gland that is deficient in patients with congestive heart failure and with hypothyroidism where its deficiency can be associated with cardiovascular disease.

The results showed the modified release formulations of T3 produced by Archimedes exhibited pharmacokinetic profiles with lowered Cmax and prolonged Tmax compared to oral immediate release formulations while also maintaining bioavailability. These characteristics have the potential to greatly improve the clinical effectiveness of T3 in the treatment of hypothyroidism and expand its use to congestive heart failure.

A major limitation of current oral T3 therapy is the reliance on an immediate release tablet. The combined effects of rapid absorption and rapid elimination produces wide fluctuations in T3 levels over a 24-hour dosing period. Non-physiologic peaks in serum T3 levels are frequently associated with headache, nervousness, irritability, and sweating, as well as cardiac arrhythmias including tachycardia.  For the successful treatment of congestive heart failure, circulating concentration of T3 must be kept within a narrow and specified therapeutic range.

Dr. Irwin Klein, president of T3Therapeutics said: “The results we are announcing today clearly show that a modified release oral formulation of T3 has the potential to overcome the side effect profile that limits its current use in hypothyroidism, where only a small percentage of over 30 million patients are treated with T3, and also to expand its use as a novel treatment for congestive heart failure, a condition that affects more than 5 million patients in the US and UK.”

Alan Smith, Vice President of Research & Development at Archimedes said: “We are extremely satisfied with this set of results. It highlights the ability of the Archimedes team to transform the commercial prospects of molecules which have yet to achieve their market potential due to their current mode of delivery. We apply the same philosophy and proven skills in the development of our own pipeline products, for example, NasalFent® our innovative fentanyl citrate nasal spray for the treatment of breakthrough cancer pain, and also when working with partners using our core proprietary nasal delivery technologies PecSys™ and ChiSys®.”

T3Therapeutics and Archimedes have a worldwide licensing agreement for the development and commercialisation of a novel oral modified release formulation of T3 for use in the treatment of congestive heart failure and hypothyroidism. T3Therapeutics is now seeking licensees for the further development of the modified release formulation in North America and Japan. 

Study design and results
Archimedes has developed modified release bead formulations of T3 (MR1 and MR2) utilising extrusion-spheronisation technology both for use in conventional thyroid therapy for hypothyroidism and for potential use in the treatment of congestive heart failure.

This open-label, single-dose, randomised, crossover, pharmacokinetic proof-of-concept study was designed to evaluate the relative bioavailability of oral modified release vs. immediate release T3 in healthy volunteers. The trial involved 12 subjects, randomly assigned to a treatment sequence, who each received two modified release formulations and a marketed immediate release tablet formulation (Tertroxin®, Goldshield Pharmaceuticals, UK) at the same 40 mcg dose. The study was designed to assess pharmacokinetics.

The modified release of T3 was achieved with a significant reduction in Cmax of 27% (MR1) and 46% (MR2) for the two test formulations relative to the reference formulation. Both modified release formulations reached Tmax later (3.5 hours and 4.4 hours respectively) than the immediate release formulation (2.4 hours).

The bioavailability of formulation MR1 as measured by the AUC0-t or AUC0-∞ was 86.8% and 91.3% of the reference formulation and the 90% confidence intervals fell within the FDA requirements for bioequivalence for thyroid hormone products. 

This news release contains forward-looking statements. These statements are based upon our current expectations and speak only as of the date hereof. Our actual results may differ materially and adversely from those expressed in any forward-looking statements as a result of various factors and uncertainties, including the future success of our clinical studies, our ability to successfully develop and manufacture products, rapid technological change in our industry, changes in demand for our future products, legislative, regulatory and competitive developments and general economic conditions.

Enquiries
Archimedes: Michael Clark, +44 (0)118 931 5050
T3Therapeutics: Irwin Klein, President, + (516) 562 4368 (iklein@NSHS.edu)
Citigate Dewe Rogerson: Chris Gardner/Heather Keohane, +44 (0)207 638 9571

For more information on Archimedes, visit: www.archimedespharma.com

Notes to Editors

About Archimedes Development Limited
Archimedes Development Limited (ADL) is a subsidiary of Archimedes Pharma Ltd, a fast growing pharmaceutical company focused on meeting the needs of specialist prescribers in Europe. ADL is focused on partnering with companies that have compounds which could benefit from ADL’s suite of world-class drug delivery technologies. These comprise two cutting intra-nasal delivery technologies ChiSys® and PecSys™ as well as TARGIT® which is designed to deliver drugs to precise regions of the large intestine. These technologies are able to optimise the profile of a wide range of drugs by allowing targeted or controlled release. 

ADL’s world-class drug delivery technologies have been validated in a series of partnerships with pharmaceutical and biotechnology companies. ADL has a flexible approach to its partnering activities and can apply its technologies to both existing and new therapeutic products.

ADL currently has development deals in place with a range of companies. ADL’s transmucosal enhancement technology ChiSys® is being used by Javelin Pharmaceuticals for its nasally-delivered morphine product, Rylomine™* and PecSys™, a novel pectin-based nasal drug delivery technology designed to maximise the potential of systemically absorbed drugs by enhancing drug performance and improving patient acceptance is also being used in other development deals.

ADL also has a co-development and commercialisation agreement with Pharmalink AB under which the two parties are developing a TARGIT® formulation for an anti-inflammatory product candidate. The TARGIT® technology is also licensed to Invapharm for specific drug candidates for various indications.

* Rylomine is a trademark of Javelin Pharmaceuticals

About T3Therapeutics, LLC
T3Therapeutics, LLC is an early stage biopharmaceutical company dedicated to the development of thyroid hormone based therapies for human disease states. The scientists at T3Therapeutics have published over 100 peer reviewed articles on the effects of thyroid hormone on the cardiovascular system. T3Therapeutics has identified the potential for and currently holds a U.S. patent for T3 based therapies for heart failure and for the millions of patients with hypothyroidism currently being treated with sodium levothyroxine (T4) alone.

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