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Press Release: Santhera Starts Phase III Study (SIDEROS) with Raxone in Patients with Duchenne Muscular Dystrophy Using Glucocorticoids

Santhera Pharmaceuticals Holding AG / Santhera Starts Phase III Study 
(SIDEROS) with Raxone in Patients with Duchenne Muscular Dystrophy Using 
Glucocorticoids . Processed and transmitted by Nasdaq Corporate 
Solutions. The issuer is solely responsible for the content of this 
announcement. 
 
   Liestal, Switzerland, September 28, 2016 - Santhera Pharmaceuticals 
(SIX: SANN) announces that the first patient has been enrolled at the 
University of Kansas Medical Center (KUMC), Department of Neurology, 
Kansas (USA) in Santhera's randomized, double-blind, placebo-controlled 
phase III (SIDEROS) trial. The trial will assess the efficacy of Raxone 
in slowing the rate of respiratory function decline in Duchenne muscular 
dystrophy (DMD) patients receiving concomitant glucocorticoids. 
 
   "We first observed the efficacy of Raxone in slowing the rate of 
respiratory function decline in DMD patients in both 
glucocorticoid-using and non-using patients in the phase II DELPHI study, 
" commented Thomas Meier, PhD, CEO of Santhera. "The successful Phase 
III DELOS trial which enrolled glucocorticoid non-using patients then 
confirmed a clinically relevant and statistically significant benefit of 
Raxone treatment on pulmonary function. The now initiated Phase III 
SIDEROS trial is designed to confirm the efficacy of Raxone in patients 
experiencing respiratory function decline that are currently taking 
glucocorticoids. If successful, this study will provide data that 
support use of Raxone in all DMD patients experiencing respiratory 
decline irrespective of their glucocorticoid use. The high level of 
interest from investigators and the patient community should allow us to 
recruit this study quickly." 
 
   "We are hopeful that this phase III trial is the final step in the 
development program with Raxone in DMD," said Gunnar Buyse, MD, PhD, 
Professor of Child Neurology at the University Hospitals Leuven 
(Belgium) and SIDEROS PI and Lead Investigator for Europe. "Following 
the exploratory phase II program and the successful phase III DELOS 
trial, I am grateful that Santhera is committed in exploring the full 
therapeutic potential of Raxone for patients with DMD." 
 
   "Maintaining pulmonary function in patients with DMD has only recently 
become a prominent therapeutic objective in DMD, particularly in 
non-ambulatory patients," added Oscar Henry Mayer, MD, Medical Director 
of the Pulmonary Function Testing Laboratory at the Children's Hospital 
of Philadelphia and Lead Investigator for US. "A patient and caregiver 
survey conducted by Parent Project Muscular Dystrophy clearly 
demonstrated that the DMD community highly values treatment options for 
pulmonary complications." 
 
   About the SIDEROS Trial 
 
   SIDEROS is a phase III, double-blind, randomized, placebo-controlled 
trial with Raxone in approximately 260 DMD patients receiving 
concomitant glucocorticoids. Patients with declining respiratory 
function on any stable glucocorticoid treatment scheme and irrespective 
of the underlying dystrophin mutation or ambulatory status will be 
eligible. Study participants will receive either Raxone (900 mg/day; 
given as 2 tablets 3 times a day with meals) or placebo for 78 weeks (18 
months). The primary endpoint of the trial is change from baseline to 
week 78 in forced vital capacity % predicted (FVC%p). Secondary 
endpoints include changes from baseline in % predicted peak expiratory 
flow (PEF%p), time to first 10% decline in FVC and change from baseline 
in inspiratory flow reserve. Patients completing the trial will be 
offered the opportunity to enroll in an open label extension study where 
all patients receive Raxone. The study will be conducted at about 50 
centers in the United States and Europe. Patients wishing to enroll in 
the study should contact their neuromuscular clinic physician. Further 
information about the study is available under www.clinicaltrials.gov. 
 
   About Raxone(R) (Idebenone) in Duchenne Muscular Dystrophy and 
Regulatory Status 
 
   Duchenne muscular dystrophy (DMD) is one of the most common and 
devastating types of muscle degeneration and results in rapidly 
progressive muscle weakness. DMD is characterized by a loss of the 
protein dystrophin, leading to cell damage, impaired calcium homeostasis, 
elevated oxidative stress and reduced energy production in muscle cells. 
This results in progressive muscle weakness and wasting and early 
morbidity and mortality due to respiratory failure. 
 
   Idebenone is a synthetic short-chain benzoquinone and a cofactor for the 
enzyme NAD(P)H:quinone oxidoreductase (NQO1) capable of stimulating 
mitochondrial electron transport, reducing and scavenging reactive 
oxygen species (ROS) and supplementing cellular energy levels. 
 
   DELOS was a phase III, double-blind, placebo-controlled trial which 
randomized 64 patients, not taking concomitant glucocorticoids, to 
receive either Raxone (900 mg/day) or matching placebo. The trial met 
its primary endpoint and demonstrated that Raxone can slow the loss of 
respiratory function and reduces bronchopulmonary complications. The 
positive outcome of the phase III DELOS study was published: Buyse et 
al., The Lancet 2015, 385:1748-1757 
http://www.ncbi.nlm.nih.gov/pubmed/25907158; McDonald et al., 
Neuromuscular Disorders 2016, 26: 473-480 and Buyse et al., Pediatric 
Pulmonology 2016: http://dx.doi.org/10.1002/ppul.23547. 
 
   The European Medicines Agency's Committee for Medicinal Products for 
Human Use (CHMP) is currently assessing a Marketing Authorization 
Application (MAA) for Raxone in DMD patients with respiratory function 
decline who are not taking concomitant glucocorticoids. The indication 
would include patients who previously were treated with glucocorticoids 
or in whom glucocorticoid treatment is not desired, not tolerated or is 
contraindicated. The MAA was submitted as a Type II variation of the 
company's existing marketing authorization for Raxone for the treatment 
of visual impairment in patients with Leber's hereditary optic 
neuropathy (LHON). 
 
   About Santhera 
 
   Santhera Pharmaceuticals (SIX: SANN) is a Swiss specialty pharmaceutical 
company focused on the development and commercialization of innovative 
pharmaceutical products for the treatment of orphan mitochondrial and 
neuromuscular diseases. Santhera's lead product Raxone is authorized in 
the European Union, Norway, Iceland and Liechtenstein for the treatment 
of Leber's hereditary optic neuropathy (LHON). For Duchenne muscular 
dystrophy (DMD), the second indication for Raxone, Santhera has filed a 
Marketing Authorization Application (MAA) in the European Union. In 
collaboration with the US National Institute of Neurological Disorders 
and Stroke (NINDS) Santhera is developing Raxone in a third indication, 
primary progressive multiple sclerosis (PPMS), and omigapil for 
congenital muscular dystrophy (CMD), all areas of high unmet medical 
need. For further information, please visit the Company's website 
www.santhera.com. 
 
   Raxone(R) is a trademark of Santhera Pharmaceuticals. 
 
 
 
 
For further information, contact: 
 Thomas Meier, PhD, Chief Executive Officer    Christoph Rentsch, Chief Financial Officer 
 Phone +41 61 906 89 64                        Phone +41 61 906 89 65 
 thomas.meier@santhera.com                     christoph.rentsch@santhera.com 
Daniel Piller, Head Communications 
 Phone +41 61 906 89 26 
 daniel.piller@santhera.com 
US investor contact:                         US Public Relations contact: 
 Hans Vitzthum, LifeSci Advisors, LLC         Deanne Eagle, Planet Communications 
 Phone +1 212 915 2568                        Phone +1 917 837 5866 
 hans@lifesciadvisors.com                     deanne@planetcommunications.nyc 
 
   Disclaimer / Forward-looking statements 
 
   This communication does not constitute an offer or invitation to 
subscribe for or purchase any securities of Santhera Pharmaceuticals 
Holding AG. This publication may contain certain forward-looking 
statements concerning the Company and its business. Such statements 
involve certain risks, uncertainties and other factors which could cause 
the actual results, financial condition, performance or achievements of 
the Company to be materially different from those expressed or implied 
by such statements. Readers should therefore not place undue reliance on 
these statements, particularly not in connection with any contract or 
investment decision. The Company disclaims any obligation to update 
these forward-looking statements. 
 
   # # # 
 
   News Release Sideros: http://hugin.info/137261/R/2045115/763840.pdf 
 
   This announcement is distributed by Nasdaq Corporate Solutions on behalf 
of Nasdaq Corporate Solutions clients. 
 
   The issuer of this announcement warrants that they are solely 
responsible for the content, accuracy and originality of the information 
contained therein. 
 
   Source: Santhera Pharmaceuticals Holding AG via Globenewswire 
 
   --- End of Message --- 
 
   Santhera Pharmaceuticals Holding AG 
 
   Hammerstrasse 49 Liestal Switzerland 
 
   ISIN: CH0027148649; 
 
 
  http://www.santhera.com 
 

(END) Dow Jones Newswires

September 28, 2016 01:00 ET (05:00 GMT)

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