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New Large-Scale, Global Study Provides Additional Information About an Intensified Dose-Regimen of PLAVIX(R) in Acute Coronary Syndrome Patients Undergoing Angioplasty

Geschrieben am 30-08-2009

Paris, and Princeton, New Jersey (ots/PRNewswire) -

-No added benefit on the composite primary end-point with the
higher dose when entire ACS study population considered-

-Important new findings with higher loading dose of PLAVIX(R) for
heart patients undergoing coronary angioplasty (PCI)-

Today, the OASIS study group will present initial results of the
CURRENT-OASIS 7 clinical trial at the European Society of Cardiology
congress in Barcelona. Sanofi-aventis (EURONEXT: SAN, and NYSE: SNY)
and Bristol-Myers Squibb (NYSE: BMY), co-commercialization and
co-development partners for PLAVIX(R) (clopidogrel bisulfate), were
sponsors of the study.

CURRENT-OASIS 7 is the largest clinical trial (25,087 patients)
to evaluate different dosing regimens of PLAVIX(R) plus aspirin in a
broad range of acute coronary syndrome (ACS) patients
(UA/NSTEMI/STEMI). The study was designed to assess the efficacy and
safety of an intensified clopidogrel regimen (600 mg loading dose day
1 / 150 mg days 2-7 / 75 mg days 8-30) versus the approved PLAVIX
dosage (300 mg loading dose day 1 / 75 mg days 2-30) for patients
managed with an early invasive strategy with an intent for
percutaneous coronary intervention (PCI).

The primary end-point (cardiovascular death, heart attack, or
stroke at thirty days) for the entire study population (including
subpopulations of patients that underwent PCI (70%) or not (30%)
examining the difference between the high-dose and standard-dose
PLAVIX(R) (clopidogrel bisulfate) regimens did not reach statistical
significance (4.2% vs. 4.4%, HR 0.95, p=0.37).

For clinically relevant subgroups that were pre-specified for
preliminary analyses, such as the PCI subgroup (70% of the trial
population, 17,232 patients), potentially medically relevant
differences in patient outcomes were observed. In this subgroup,
analysis showed an improvement in outcome for patients taking the
higher dose regimen (600 mg loading / 150 mg for days 2-7 / 75 mg
days 8-30) over the standard dose regimen (300 mg loading / 75 mg for
days 2-30), as shown by the reduction of the same composite end-point
of cardiovascular death, myocardial infarction and stroke by 15%
(4.5% vs 3.9%, p=0.037). In addition, analysis showed an important
42% relative risk reduction in definite stent thrombosis (1.2% vs
0.7%, p=0.001) with the higher dose regimen of clopidogrel over the
standard loading dose.

"An artery opening procedure with stent placement exposes a
patient to an increased risk of stent occlusion and subsequent heart
attack," said Doctor Jean-Pierre Lehner, Chief Medical Officer,
sanofi-aventis. "CURRENT-OASIS 7 provides important new information
about a high-dose regimen of PLAVIX(R) in ACS patients planned for
PCI. We are pleased to contribute to furthering the understanding of
patient care during the acute phase of coronary intervention."

The primary safety end-point was assessed by the stringent
bleeding definition of OASIS and while a significant increase in the
primary safety end-point of major bleeding with the high-dose
compared to the standard-dose PLAVIX(R) regimen was observed in the
overall trial population (2.5% vs 2.0%, HR 1.25, p=0.01) and the PCI
population (1.6% vs 1.1%, HR 1.44, p=0.006), there was no
statistically significant difference in intracranial bleeding or
fatal hemorrhage in the overall population and the PCI population.

Sanofi-aventis and Bristol-Myers Squibb believe that the
CURRENT-OASIS 7 data add to the broad clinical experience with
PLAVIX(R), which has been used in over 90 million patients during the
11 years it has been on the market.

About PLAVIX(R) (clopidogrel bisulfate)

Please see full prescribing information for the United States by
visiting www.PLAVIX.com. For the most updated PLAVIX(R) labelling
information in Europe please refer to:
http://www.emea.europa.eu/humandocs/PDFs/EPAR/PLAVIX/H-174-PI-en.pdf.

About sanofi-aventis

Sanofi-aventis, a leading global pharmaceutical company,
discovers, develops and distributes therapeutic solutions to improve
the lives of everyone. Sanofi-aventis is listed in Paris (EURONEXT:
SAN) and in New York (NYSE: SNY). For more information, please visit:
www.sanofi-aventis.com.

About Bristol-Myers Squibb

Bristol-Myers Squibb is a global biopharmaceutical company whose
mission is to extend and enhance human life. For more information,
visit www.bms.com.

Statement on Cautionary Factors

Sanofi-aventis

This press release contains forward-looking statements as defined
in the Private Securities Litigation Reform Act of 1995, as amended.
Forward-looking statements are statements that are not historical
facts. These statements include product development, product
potential projections and estimates and their underlying assumptions,
statements regarding plans, objectives, intentions and expectations
with respect to future events, operations, products and services, and
statements regarding future performance. Forward-looking statements
are generally identified by the words "expects," "anticipates,"
"believes," "intends," "estimates," "plans" and similar expressions.
Although sanofi-aventis' management believes that the expectations
reflected in such forward-looking statements are reasonable,
investors are cautioned that forward-looking information and
statements are subject to various risks and uncertainties, many of
which are difficult to predict and generally beyond the control of
sanofi-aventis, that could cause actual results and developments to
differ materially from those expressed in, or implied or projected
by, the forward-looking information and statements. These risks and
uncertainties include among other things, the uncertainties inherent
in research and development, future clinical data and analysis,
including post marketing, decisions by regulatory authorities, such
as the FDA or the EMEA, regarding whether and when to approve any
drug, device or biological application that may be filed for any such
product candidates as well as their decisions regarding labelling and
other matters that could affect the availability or commercial
potential of such products candidates, the absence of guarantee that
the products candidates if approved will be commercially successful,
the future approval and commercial success of therapeutic
alternatives as well as those discussed or identified in the public
filings with the SEC and the AMF made by sanofi-aventis, including
those listed under "Risk Factors" and "Cautionary Statement Regarding
Forward-Looking Statements" in sanofi-aventis' annual report on Form
20-F for the year ended December 31, 2008. Other than as required by
applicable law, sanofi-aventis does not undertake any obligation to
update or revise any forward-looking information or statements.

Bristol-Myers Squibb

This press release contains "forward-looking statements" as that
term is defined in the Private Securities Litigation Reform Act of
1995, regarding the research, development and commercialization of
products. Such forward-looking statements are based on current
expectations and involve inherent risks and uncertainties, including
factors that could delay, divert or change any of them, and could
cause actual outcomes and results to differ materially from current
expectations. No forward-looking statement can be guaranteed. Among
other risks, there can be no guarantee that the clinical trials
described in this release will support a regulatory filing.
Forward-looking statements in the press release should be evaluated
together with the many uncertainties that affect Bristol-Myers
Squibb's business, particularly those identified in the cautionary
factors discussion in Bristol-Myers Squibb's Annual Report on Form
10-K for the year ended December 31, 2008, its Quarterly Reports on
Form 10-Q, and Current Reports on Form 8-K. Bristol-Myers Squibb
undertakes no obligation to publicly update any forward-looking
statement, whether as a result of new information, future events, or
otherwise.

ots Originaltext: Sanofi-aventis; Bristol-Myers Squibb
Im Internet recherchierbar: http://www.presseportal.de

Contact:
Ingrid Gorg-Armbrecht, Media, +33-153-774-625, Mobile:
+33-686-056-688, or ingrid.goerg-armbrecht@sanofi-aventis.com,
Sebastien Martel, Investors, +33-153-774-545, or
ir@sanofi-aventis.com, both of sanofi-aventis; Laura Hortas, Media,
+1-609-240-7025, or laura.hortas@bms.com , John Elicker, Investors,
+1-609-252-4611, or john.elicker@bms.com, both of Bristol-Myers
Squibb


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