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Prolia(R) (Denosumab) Granted Marketing Authorization in the European Union

Geschrieben am 28-05-2010

Thousand Oaks, California, May 28, 2010 (ots/PRNewswire) - Amgen Inc.
today announced that the European Commission (EC) has granted
marketing authorization for Prolia(R) (denosumab) for the treatment
of osteoporosis in postmenopausal women at increased risk of
fractures, and for the treatment of bone loss associated with hormone
ablation in men with prostate cancer at increased risk of fractures.
Prolia has been approved in all 27 European Union member states plus
Norway, Iceland and Liechtenstein. The European approval of Prolia
marks the first approval of the product worldwide.

"The European approval of Prolia is a significant medical advance
for patients with bone loss conditions," said Will Dere, senior vice
president and international chief medical officer at Amgen. "In
particular, we believe that Prolia will offer patients with
postmenopausal osteoporosis at increased risk for fracture an
important alternative to current treatments. Prolia reduces the risk
of fracture through a convenient injection given every six months.
Amgen is proud to make this new treatment available to physicians and
their patients."

The marketing authorization for Prolia comprises data from six
Phase 3 trials, including two pivotal Phase 3 studies with fracture
endpoints in the osteoporosis and prostate cancer settings, which
demonstrated that Prolia administered as a 60mg subcutaneous
injection every six months reduces the incidence of fractures. All
six studies showed Prolia's ability to increase bone mineral density
(a measure of bone strength) at all skeletal sites measured.

"Osteoporosis is a serious, chronic disease that can
significantly impact the lives of millions of affected women. Despite
widely available treatments, new options are still needed to help
protect against fractures," said Professor Socrates E. Papapoulos,
professor of medicine, consultant physician and director of bone and
mineral research at the department of endocrinology & metabolic
diseases of the Leiden University Medical Center, The Netherlands.
"By targeting RANK Ligand, Prolia offers an innovative new approach
that helps reduce fracture risk."

"The approval of Prolia in the European Union is great news for
patients as it is the first and only product approved in Europe for
the treatment of bone loss associated with hormone ablation in men
with prostate cancer at increased risk of fractures," said Professor
Bertrand Tombal, chairman of the division of urology and associate
professor of physiology at the Universite catholique de Louvain
(UCL), Cliniques universitaires Saint-Luc, Brussels, Belgium. "Bone
loss can be a serious problem for men undergoing hormone ablation
therapy for prostate cancer and if left untreated it can lead to
fractures."

Efficacy

Results from the pivotal three-year Phase 3 Fracture REduction
Evaluation of Denosumab in Osteoporosis every six Months (FREEDOM)
study in 7,808 women with postmenopausal osteoporosis showed that
women receiving a subcutaneous injection of Prolia every six months
experienced a 68 percent reduction in the relative risk of suffering
a new vertebral (spine) fracture compared to those receiving placebo
as well as a 40 percent reduction in the relative risk of suffering a
hip fracture and a 20 percent reduction in the relative risk of
suffering a nonvertebral fracture at 36 months.(i)

Results from the pivotal HALT (Hormone Ablation Bone Loss Trial)
study which evaluated change from baseline in lumbar spine BMD in
1,468 men undergoing androgen deprivation therapy (ADT) for
non-metastatic prostate cancer showed that patients treated with
Prolia experienced a 62 percent reduction in the relative risk of
suffering a new vertebral fracture with Prolia compared to placebo at
36 months, with significant reduction observed as early as month
12.(ii)

Safety and Administration

The most common adverse reactions with Prolia were urinary tract
infection, upper respiratory tract infection, sciatica, cataracts,
constipation, rash, pain in extremity. The most serious adverse
reactions were those of skin infections, predominantly cellulitis,
reported more commonly in the Prolia group compared with placebo (0.4
percent vs. 0.1 percent) in postmenopausal osteoporosis studies. In
breast and prostate cancer studies, serious adverse reactions of skin
infection were similar in the Prolia and placebo groups (0.6 percent
vs. 0.6 percent). In the Phase 3 placebo-controlled clinical trial in
patients with prostate cancer receiving ADT an imbalance in cataract
adverse events was observed with Prolia compared with placebo (4.7
percent vs 1.2 percent placebo). No imbalance in cataract adverse
events was observed in postmenopausal women with osteoporosis or in
women undergoing aromatase inhibitor therapy for nonmetastatic breast
cancer.

The recommended dose of Prolia is 60mg administered as a single
subcutaneous injection every six months.

About Prolia

Prolia (denosumab) has a unique mechanism of action. It is the
first and only approved therapy that specifically targets RANK
Ligand, an essential regulator of osteoclasts (the cells that break
down bone).

Prolia is under regulatory review in the United States (U.S.),
Switzerland, Australia and Canada.

About Osteoporosis

Often referred to as the "silent epidemic," osteoporosis is a
global problem that is increasing in significance as the population
of the world both increases and ages. The World Health Organization
(WHO) has recently identified osteoporosis as a priority health issue
along with other major non-communicable diseases.

An estimated 30 percent of all post-menopausal women in Europe
have osteoporosis, and more than 40 percent of them will suffer
osteoporotic fractures in their lifetime.(iii) Osteoporotic fractures
can impose a significant financial burden to individuals and health
services.(iv) The total direct medical cost of osteoporosis in Europe
has been estimated at more than euro 36 billion annually, and is
expected to increase to euro 76.7 billion in 2050 as the population
ages.(v)

Along with proper diet and weight-bearing exercise, medications
can help slow bone loss and reduce the risk of fracture.

About Cancer Treatment-Induced Bone Loss due to Hormone Ablation

Prostate cancer is the most common form of cancer in men in
Europe and accounts for over 24 percent of cancer diagnoses.(vi)
Prostate cancer patients undergoing ADT experience accelerated bone
loss and an increased fracture risk. It is common for prostate cancer
patients to receive hormone ablation therapies that can lead to a
decrease in bone mass and increased risk of fractures. One in five
men treated with hormone ADT for prostate cancer will experience a
fracture within five years.(vii)

No other EMA-approved therapies currently exist for the
management of bone loss due to hormone ablation therapy in patients
with prostate cancer.

About Denosumab Collaborations

In July 2009, Amgen and GlaxoSmithKline (GSK) announced a
collaboration agreement to jointly commercialize Prolia for
postmenopausal osteoporosis in Europe, Australia, New Zealand and
Mexico once the product is approved in these countries. Amgen will
commercialize Prolia's postmenopausal osteoporosis and oncology
indications in the U.S. and Canada and for all oncology indications
in Europe and in other specified markets.

In addition, GSK will register and commercialize denosumab for
all indications in countries where Amgen does not currently have a
commercial presence, including China, Brazil, India and South Korea
but excluding Japan. The structure of the collaboration allows Amgen
the option of an expanded role in commercialization in both Europe
and certain emerging markets in the future.

Amgen and Daiichi-Sankyo Company, Limited have a collaboration
and license agreement for the development and commercialization of
denosumab in Japan.

About Amgen

Amgen discovers, develops, manufactures and delivers innovative
human therapeutics. A biotechnology pioneer since 1980, Amgen was one
of the first companies to realize the new science's promise by
bringing safe and effective medicines from lab, to manufacturing
plant, to patient. Amgen therapeutics have changed the practice of
medicine, helping millions of people around the world in the fight
against cancer, kidney disease, rheumatoid arthritis and other
serious illnesses. With a deep and broad pipeline of potential new
medicines, Amgen remains committed to advancing science to
dramatically improve people's lives. To learn more about our
pioneering science and our vital medicines, visit
http://www.amgen.com.

About GlaxoSmithKline

GlaxoSmithKline - one of the world's leading research-based
pharmaceutical and healthcare companies - is committed to improving
the quality of human life by enabling people to do more, feel better,
and live longer. For company information, visit GlaxoSmithKline at
www.gsk.com.

Forward-Looking Statements

This news release contains forward-looking statements that are
based on management's current expectations and beliefs and are
subject to a number of risks, uncertainties and assumptions that
could cause actual results to differ materially from those described.
All statements, other than statements of historical fact, are
statements that could be deemed forward-looking statements, including
estimates of revenues, operating margins, capital expenditures, cash,
other financial metrics, expected legal, arbitration, political,
regulatory or clinical results or practices, customer and prescriber
patterns or practices, reimbursement activities and outcomes and
other such estimates and results. Forward-looking statements involve
significant risks and uncertainties, including those discussed below
and more fully described in the Securities and Exchange Commission
(SEC) reports filed by Amgen, including Amgen's most recent annual
report on Form 10-K and most recent periodic reports on Form 10-Q and
Form 8-K.

Please refer to Amgen's most recent Forms 10-K, 10-Q and 8-K for
additional information on the uncertainties and risk factors related
to our business. Unless otherwise noted, Amgen is providing this
information as of May 28, 2010 and expressly disclaims any duty to
update information contained in this news release.

No forward-looking statement can be guaranteed and actual results
may differ materially from those we project. Discovery or
identification of new product candidates or development of new
indications for existing products cannot be guaranteed and movement
from concept to product is uncertain; consequently, there can be no
guarantee that any particular product candidate or development of a
new indication for an existing product will be successful and become
a commercial product. Further, preclinical results do not guarantee
safe and effective performance of product candidates in humans. The
complexity of the human body cannot be perfectly, or sometimes, even
adequately modeled by computer or cell culture systems or animal
models. The length of time that it takes for us to complete clinical
trials and obtain regulatory approval for product marketing has in
the past varied and we expect similar variability in the future. We
develop product candidates internally and through licensing
collaborations, partnerships and joint ventures. Product candidates
that are derived from relationships may be subject to disputes
between the parties or may prove to be not as effective or as safe as
we may have believed at the time of entering into such relationship.
Also, we or others could identify safety, side effects or
manufacturing problems with our products after they are on the
market. Our business may be impacted by government investigations,
litigation and products liability claims. We depend on third parties
for a significant portion of our manufacturing capacity for the
supply of certain of our current and future products and limits on
supply may constrain sales of certain of our current products and
product candidate development. In addition, sales of our products are
affected by the reimbursement policies imposed by third-party payers,
including governments, private insurance plans and managed care
providers and may be affected by regulatory, clinical and guideline
developments and domestic and international trends toward managed
care and healthcare cost containment as well as U.S. legislation
affecting pharmaceutical pricing and reimbursement. Government and
others' regulations and reimbursement policies may affect the
development, usage and pricing of our products. In addition, we
compete with other companies with respect to some of our marketed
products as well as for the discovery and development of new
products. We believe that some of our newer products, product
candidates or new indications for existing products, may face
competition when and as they are approved and marketed. Our products
may compete against products that have lower prices, established
reimbursement, superior performance, are easier to administer, or
that are otherwise competitive with our products. In addition, while
we routinely obtain patents for our products and technology, the
protection offered by our patents and patent applications may be
challenged, invalidated or circumvented by our competitors and there
can be no guarantee of our ability to obtain or maintain patent
protection for our products or product candidates. We cannot
guarantee that we will be able to produce commercially successful
products or maintain the commercial success of our existing products.
Our stock price may be affected by actual or perceived market
opportunity, competitive position, and success or failure of our
products or product candidates. Further, the discovery of significant
problems with a product similar to one of our products that implicate
an entire class of products could have a material adverse effect on
sales of the affected products and on our business and results of
operations.

The scientific information discussed in this news release related
to our product candidates is preliminary and investigative. Such
product candidates are not approved by the U.S. Food and Drug
Administration (FDA), and no conclusions can or should be drawn
regarding the safety or effectiveness of the product candidates. Only
the FDA can determine whether the product candidates are safe and
effective for the use(s) being investigated. Further, the scientific
information discussed in this news release relating to new
indications for our products is preliminary and investigative and is
not part of the labeling approved by the U.S. FDA for the products.
The products are not approved for the investigational use(s)
discussed in this news release, and no conclusions can or should be
drawn regarding the safety or effectiveness of the products for these
uses. Only the FDA can determine whether the products are safe and
effective for these uses. Healthcare professionals should refer to
and rely upon the FDA-approved labeling for the products, and not the
information discussed in this news release.

Editors Note: The FDA has provisionally approved the trade name
Prolia(TM) for the proposed indications of treatment and prevention
of osteoporosis in postmenopausal women, and treatment and prevention
of bone loss in patients undergoing hormone ablation for
non-metastatic prostate or breast cancer, for which denosumab is
administered twice-yearly subcutaneously at a 60mg dose. The
Prolia(TM) trade name is only for these indications and may not apply
for other indications of denosumab.

To view the Prolia (denosumab) Summary of Medicinal Product
Characteristics, click here: http://www.amgen.com.


CONTACT:
Amgen, Zug, Switzerland
Wendy Woods-Williams: +41-(41)-3692-542 (media, osteoporosis)
Sabeena Ahmad: +41-(41)-3692-530 (media, oncology)
Amgen, Thousand Oaks, California
Sarah Reines: +1-805-447-9783 (media, osteoporosis)
Christine Regan: +1-805-447-5476 (media, oncology)
Arvind Sood: +1-805-447-1060 (investors)
i Cummings SR, et al. Twice Yearly Denosumab, a Monoclonal Antibody
to RANK-ligand, for Prevention of Fractures in Postmenopausal Women
with Osteoporosis. N Engl J Med, 2009 Aug. 20; published online at
www.nejm.org on Aug. 11, 2009.'
ii Smith MR, et al. Denosumab for the Prevention of Bone Loss and
Fractures in Men Receiving Androgen Deprivation Therapy in Non-
Metastatic Prostate Cancer. N Engl J Med, 2009 Aug. 20; published
online at www.nejm.org on Aug. 11, 2009.
iii Epidemiology." International Osteoporosis Foundation. Accessed
at http://www.iofbonehealth.org/health-professionals/about-
osteoporosis/epidemiology.html on 10 March 2009.
iv Cooper C. The crippling consequences of fractures and their
impact on quality of life. Am J Med. 1997;103(2A):12S-17S.
v "Facts and statistics about osteoporosis and its impact."
International Osteoporosis Foundation. Accessed at http://
www.iofbonehealth.org/facts-and-statistics.html on 10 March 2009.
vi Ferlay J, et al. Estimates of the cancer incidence and mortality
in Europe in 2006. Annals of Oncology, 2007 Feb. 7.
vii Shahinian VB, Kuo YF, Freeman JL, Goodwin JS. Risk of fracture
after androgen deprivation for prostate cancer. N Engl J Med.
2005;352(2):154-64.


ots Originaltext: Amgen
Im Internet recherchierbar: http://www.presseportal.de

Contact:
CONTACT: Amgen, Zug, Switzerland, Wendy Woods-Williams:
+41-(41)-3692-542(media, osteoporosis), Sabeena Ahmad:
+41-(41)-3692-530 (media, oncology),or Amgen, Thousand Oaks,
California, Sarah Reines, +1-805-447-9783 (media,osteoporosis),
Christine Regan, +1-805-447-5476 (media, oncology), ArvindSood,
+1-805-447-1060 (investors)


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