EANS-News: Epigenomics AG: Screening More People for Colorectal Cancer with
Septin9 Blood Tests Could Provide Medical Benefit and Be Cost-Effective
Geschrieben am 09-05-2011 |   
 
 Health economic analysis in favor of Septin9 testing presented by  
renowned Stanford University researcher at Digestive Disease Week  
2011 
  
 Patient behavior study underway to demonstrate compliance  
benefit 
 
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  Corporate news transmitted by euro adhoc. The issuer/originator is solely 
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Company Information/molecular diagnostics 
 
Subtitle: Health economic analysis in favor of Septin9 testing  
presented by renowned Stanford University researcher at Digestive  
Disease Week 2011 
 
Patient behavior study underway to demonstrate compliance benefit 
 
Berlin, Germany, and Seattle, WA, USA, May 9, 2011 (euro adhoc) -  
Epigenomics AG (Frankfurt Prime Standard: ECX), the cancer molecular  
diagnostics company, reports that Dr. Uri Ladabaum, Associate  
Professor in the Department of Gastroenterology and Hepatology at the 
School of Medicine of Stanford University (Redwood City, CA, U.S.A.), 
has presented the results of a health economic analysis of potential  
future colorectal cancer screening with Septin9 blood tests at the  
ongoing Digestive Disease Week 2011 (Ref. 1). Septin9 tests detect  
cell-free DNA derived from tumors in the colon and rectum in the  
blood stream by means of a DNA methylation pattern in the SEPT9 gene  
that is specific for colorectal cancer. The biomarker and detection  
technologies used in Septin9 testing are proprietary to Epigenomics. 
 
Using a validated Markov model for colorectal cancer screening  
reflecting U.S. colorectal cancer epidemiology and health care cost  
structure, Dr. Ladabaum and coworkers compared Septin9 testing to  
current standard methods of colorectal cancer screening, i.e. fecal  
occult blood testing (FOBT), fecal immunochemical testing (FIT),  
sigmoidoscopy and colonoscopy. 
 
Their analysis is based on clinical performance data for Septin9  
testing from a prospective trial with over 7,900 average-risk  
screening guideline-eligible subjects, previously reported at  
Digestive Disease Week in 2010. In this study, a first generation  
Septin9 test detected up to 67% of the cancer cases at 88%  
specificity (Ref. 2). 
 
The analysis demonstrates that at the population level, Septin9  
testing yielded the greatest incremental benefit at acceptable costs  
when it increases the fraction of the population screened. The group  
concluded that screening for colorectal cancer using Septin9 tests is 
a medically beneficial and health economically cost-effective  
strategy when it addresses the currently unscreened population in the 
U.S. 
 
Patient behavior studies to understand screening barriers in  
unscreened individuals and the potential impact of a blood test as an 
alternative option for screening are ongoing at the University of  
Utah and the Huntsman Cancer Institute in collaboration with ARUP  
Laboratories, Salt Lake City, UT, U.S.A. First results from focus  
groups, recently presented by Jennifer Taber, M.S., of the Department 
of Psychology at the University of Utah at the 2011 Annual Meeting of 
the American Society of Preventive Oncology, indicated that the  
majority of the currently unscreened patients would take a Septin9  
test for screening. No significant differences with regard to gender, 
religion, marital status, health care coverage or ethnicity were  
observed. Going forward, a quantitative survey and a prospective  
longitudinal clinical study are planned to further investigate the  
impact of blood tests on patient acceptance of colorectal cancer  
screening and their potential to increase overall screening  
compliance (Ref. 3). 
 
Jennifer Taber remarked: "The initial results suggest that community  
members are interested in Septin9 testing in part because of its high 
accuracy and the convenient and noninvasive aspects of the procedure. 
Going forward, we hope to learn whether blood-based tests will  
increase colorectal cancer screening rates by reducing the currently  
existing barriers." 
 
Dr. Philip Schoenfeld, M.D., M.Sc., M.Sc., Associate Professor of  
Medicine, Division of Gastroenterology at the University of Michigan  
School of Medicine and member of Epigenomics´ Medical Advisory Board  
commented on the two studies: "The cost effectiveness and patient  
behavior studies are important additions to the clinical utility  
study completed last year for Septin9. These are essential steps to  
support physician and payer acceptance of Septin9 testing, and its  
potential to improve patient access to colorectal cancer screening  
approaches with clear clinical benefit."  
 
Under licenses by Epigenomics, Septin9 testing is currently offered  
in the U.S. by Quest Diagnostics (ColoVantage?) and ARUP Laboratories 
(Methylated Septin9 Test) based on laboratory-developed tests aiding  
in the detection of colorectal cancer. Epigenomics and its partner  
Abbott already market their respective first generation CE-marked  
Septin9 tests in Europe, the Middle East, Asia/Pacific and further  
markets. Epigenomics is in the process of developing a second  
generation Septin9 assay as a colorectal cancer screening test for  
the U.S. and European market. Epigenomics expects to submit this  
enhanced Septin9 test branded Epi proColon® 2.0 to the FDA for  
regulatory review and pre-market approval as a colorectal cancer  
screening test before year-end 2011. 
 
Dr. Juergen Beck, M.D., Epigenomics´ Senior Vice President of Medical 
Affairs commented: "Dr. Ladabaum and his colleagues have undertaken a 
thorough and stringent analysis. The results of the study confirm our 
own expectations on the medical benefit and cost-effectiveness of  
Septin9 testing and are in line with a future positioning as an  
additional screening option for those people currently reluctant to  
undergo screening by available conventional methods. Our emphasis in  
clinical research now lies on demonstrating the required compliance  
benefit of Septin9 blood tests and we are looking forward to further  
results of the ongoing study at the University of Utah and the  
Huntsman Cancer Institute." 
 
-Ends- 
 
About Colorectal Cancer 
 
For 2011 the American Cancer Society expects an estimated 140,000 new 
cases of colorectal cancer to be diagnosed in the United States and  
almost 50,000 U.S. citizens to die from the disease. The 5-year  
survival rate is over 90% if the disease is treated in early stages  
but diminishes to about 12% once the cancer has affected other  
organs. Today, the majority of cancers are still found in advanced  
stages due to insufficient patient compliance to screening  
recommendations that leaves 47% of the population unscreened.  
Increasing compliance to regular cancer screening in the population  
aged 50 years and older is considered key to decreasing mortality  
from this disease. (Ref. 4) 
 
References 
 
Ref. 1: Ladabaum, Uri; Allen, John I.; Wandell, Michael; Ramsey,  
Scott: Screening for Colorectal Cancer with a Blood Test: Projected  
Effectiveness and Cost-Effectiveness of a Novel Plasma Methylated  
Septin-9 DNA (mSEPT9) Assay. Oral presentation at Digestive Disease  
Week 2011, May 7-10 2011, Chicago, IL, U.S.A. (Abstract #220) 
 
Ref. 2: Church et al.: Methylated SEPT9 Gene in Plasma as a Marker  
for Detection of Occult Colorectal Cancer in a Screening Population.  
Oral presentation at Digestive Disease Week 2010, May 1-5, 2010, New  
Orleans, LA, U.S.A. (Abstract #711d) 
 
Ref. 3: Taber, Jennifer M.; Aspinwall, Lisa G.; Heichman, Karen;  
Kinney, Anita Y.: Blood-based colorectal cancer screening: Eliciting  
attitudes and determining predictors of interest in a multiethnic  
sample. Poster presentation at the 35th Annual Meeting of the  
American Society of Preventive Oncology, March 4-8, 2011, Las Vegas,  
NV, U.S.A. 
 
Ref. 4: American Cancer Society. Colorectal Cancer Facts & Figures  
2011-2013. Atlanta: American Cancer Society, 2011. 
 
Contact Epigenomics AG 
Dr. Achim Plum 
Sen. VP Corporate Development 
Epigenomics AG 
Tel +49 (0) 30 24345 368 
pr@epigenomics.com 
www.epigenomics.com 
 
About Epigenomics 
 
Epigenomics (www.epigenomics.com) is a molecular diagnostics company developing 
 
and commercializing a pipeline of proprietary products for cancer.  
The Company´s products enable doctors to diagnose cancer earlier and  
more accurately, leading to improved outcomes for patients.  
Epigenomics´ lead product, Epi proColon®, is a blood-based test for  
the early detection of colorectal cancer, which is currently marketed 
in Europe and is in development for the U.S.A. The Company´s  
technology and products have been validated through multiple  
partnerships with leading global diagnostic companies including  
Abbott, QIAGEN, Sysmex, and Quest Diagnostics. Epigenomics is an  
international company with operations in Europe and the U.S.A. 
 
Epigenomics legal disclaimers. This communication expressly or  
implicitly contains certain forward-looking statements concerning  
Epigenomics AG and its business. Such statements involve certain  
known and unknown risks, uncertainties and other factors which could  
cause the actual results, financial condition, performance or  
achievements of Epigenomics AG to be materially different from any  
future results, performance or achievements expressed or implied by  
such forward-looking statements. Epigenomics AG is providing this  
communication as of this date and does not undertake to update any  
forward- looking statements contained herein as a result of new  
information, future events or otherwise. 
 
The information contained in this communication does not constitute  
nor imply an offer to sell or transfer any product, and no product  
based on this technology is currently available for sale by  
Epigenomics in the United States or Canada. The analytical and  
clinical performance characteristics of any Epigenomics product based 
on this technology which may be sold at some future time in the U.S.  
have not been established. 
 
end of announcement                               euro adhoc 
-------------------------------------------------------------------------------- 
 
ots Originaltext: Epigenomics AG 
Im Internet recherchierbar: http://www.presseportal.de 
 
Further inquiry note: 
 
Dr. Achim Plum 
Sen. VP Corporate Development 
Epigenomics AG 
Tel: +49 30 24345 368 
achim.plum@epigenomics.com 
 
Branche: Biotechnology 
ISIN:    DE000A0BVT96 
WKN:     A0BVT9 
Index:   Prime All Share, Technology All Share 
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