Last updated on April 23, 2014 at 17:36 EDT

Shire Announces Top-line Results of the PREVENT2 Trial

March 30, 2012

PHILADELPHIA, Pennsylvania, March 30, 2012 /PRNewswire/ –

Shire plc (LSE: SHP, NASDAQ: SHPGY), the global specialty biopharmaceutical company,
today announced top-line results of the PREVENT2 trial, a phase 3 investigational study of
once-daily SPD476, MMX(R) mesalamine in patients with a history of diverticulitis.[1] The
study, conducted in 10 countries worldwide including the United States, did not meet the
primary endpoint in reducing the rate of recurrence of diverticulitis over a 2-year
treatment period. In addition, SPD476, MMX mesalamine did not show a significant
difference compared to placebo on the key secondary endpoint of the study.[1]

“PREVENT2, a large, well-controlled trial, provided us with important information
regarding diverticulitis.” said Dr Jeffrey Jonas, Senior Vice President of Research and
Development for Shire’s Specialty Pharmaceuticals and Regenerative Medicine businesses.
“We will continue to analyze these data and those of the second study, PREVENT1, which was
similar in design to PREVENT2 and will report later in the year. Although the results of
the second trial are pending, it is our current intention not to pursue a regulatory
filing for this indication for MMX(R) mesalamine.”

The objective of the PREVENT2 investigational study was to evaluate the safety and
efficacy of SPD476, MMX mesalamine versus placebo in reducing the incidence of recurrent
attacks of diverticulitis in patients with a history of at least one prior attack.[1]

The primary efficacy measure was the proportion of patients without a recurrence of
diverticulitis between three doses of SPD476, MMX mesalamine and placebo at week 104.
Recurrence of diverticulitis was defined as: 1) the presence of each and all of the
following three items: abdominal pain, a 15% increase in white blood cell count from
baseline, and bowel wall thickening (>5mm) and/or fat stranding as evidenced by spiral
computerized axial tomography (CT) scan, or 2) surgical intervention for diverticular
disease. The key secondary endpoint evaluated recurrence based on CT scan only.[1] There
were no new safety observations identified in the PREVENT2 trial.

About the PREVENT program

The PREVENT investigational program consists of two trials, PREVENT1 and PREVENT2.
These are phase 3, randomized, double-blind, dose-response, stratified, placebo-controlled
studies with an identical design. PREVENT2 randomized 592 subjects to receive once-daily
SPD476, MMX mesalamine 1.2g, 2.4g or 4.8g, or placebo, over a period of 104 weeks.[1] The
PREVENT1 trial results are expected later this year.

About SPD476, MMX mesalamine[2,3]

SPD476, MMX mesalamine is an anti-inflammatory drug, with each delayed-release tablet
containing 1.2g of 5-aminosalicylic acid (5-ASA; mesalamine). In the U.S., SPD476, MMX
mesalamine is registered as Lialda(R) (mesalamine) and is approved for the induction of
remission in patients with active, mild to moderate ulcerative colitis and for the
maintenance of remission of ulcerative colitis. In Europe, it is registered as
Mezavant(R)/Mezavant XL(R) and is approved for the induction of clinical and endoscopic
remission in patients with mild to moderate, active ulcerative colitis and for maintenance
of remission. SPD476, MMX mesalamine should be taken once daily with food.[2,3]

MMX is a registered trademark of Cosmo Technologies, Ltd., Ireland.


You should not take Lialda if you are allergic to salicylates (including mesalamine,
aspirin, or aspirin-containing products) or to any of the ingredients of Lialda.

Reports of problems with kidney function have been associated with
mesalamine-containing products like Lialda. Tell your doctor if you have or have had
problems with your kidneys. It is recommended that all patients have their kidney function
checked before starting Lialda and periodically while on therapy.

Products that contain mesalamine, like Lialda, have been associated with a condition
that may be difficult to distinguish from an ulcerative colitis flare-up. Symptoms include
cramping, stomach ache, bloody diarrhea, fever, headache, and rash. If you experience any
of these symptoms, talk to your doctor immediately. Your doctor may decide to discontinue
your medication.

Tell your doctor if you are allergic to sulfasalazine, as you may also be allergic to
Lialda or drugs that contain or are converted to mesalamine. Some patients taking Lialda
or mesalamine-containing products have reported heart-related allergic reactions, such as
inflammation of the heart muscle and inflammation of the lining of the heart. Tell your
doctor if you have or have had a history of myocarditis or pericarditis as this may
increase your likelihood of having these types of reactions.

Reports of liver failure have been associated with mesalamine-containing products like
Lialda in patients that have or have had liver disease. Tell your doctor if you have a
problem with your liver.

Tell your doctor if you have a stomach blockage, as this may delay the release of

In clinical trials, common side effects reported with Lialda included ulcerative
colitis, headache, gas, abnormal liver function test results, and stomach ache.
Inflammation of the pancreas was reported which led to discontinuation of Lialda therapy.
Other side effects may occur.

Before starting Lialda, tell your doctor about all medications you are taking.
Mesalamine may increase the risk of kidney problems when used with non-steroidal
anti-inflammatory drugs (NSAIDs) (eg, ibuprofen, naproxen). Mesalamine may increase the
risk of blood disorders when used with azathioprine and 6-mercaptopurine.

Please see Full Prescribing Information
[http://pi.shirecontent.com/PI/PDFs/Lialda_USA_ENG.pdf ].


1. DoF corresponding to PREVENT2 topline data presentation.

2. Lialda (mesalamine delayed release tablets) Prescribing Information. Wayne, PA:
Shire US, Inc; 2011.

3. Mezavant XL, 1200mg, gastro-resistant, prolonged release tablets. Summary of
Product Characteristics. Shire Pharmaceuticals Limited, 2010.

Notes to editors


Shire’s strategic goal is to become the leading specialty biopharmaceutical company
that focuses on meeting the needs of the specialist physician. Shire focuses its business
on attention deficit hyperactivity disorder, human genetic therapies, gastrointestinal
diseases and regenerative medicine as well as opportunities in other therapeutic areas to
the extent they arise through acquisitions. Shire’s in-licensing, merger and acquisition
efforts are focused on products in specialist markets with strong intellectual property
protection and global rights. Shire believes that a carefully selected and balanced
portfolio of products with strategically aligned and relatively small-scale sales forces
will deliver strong results.

For further information on Shire, please visit the Company’s website:



Statements included herein that are not historical facts are forward-looking
statements. Such forward-looking statements involve a number of risks and uncertainties
and are subject to change at any time. In the event such risks or uncertainties
materialize, the Company’s results could be materially adversely affected. The risks and
uncertainties include, but are not limited to, risks associated with: the inherent
uncertainty of research, development, approval, reimbursement, manufacturing and
commercialization of the Company’s Specialty Pharmaceuticals, Human Genetic Therapies and
Regenerative Medicine products, as well as the ability to secure new products for
commercialization and/or development; government regulation of the Company’s products; the
Company’s ability to manufacture its products in sufficient quantities to meet demand; the
impact of competitive therapies on the Company’s products; the Company’s ability to
register, maintain and enforce patents and other intellectual property rights relating to
its products; the Company’s ability to obtain and maintain government and other
third-party reimbursement for its products; and other risks and uncertainties detailed
from time to time in the Company’s filings with the Securities and Exchange Commission.

        For further information please contact:

        Investor Relations
        Eric Rojas, erojas@shire.com, +1-781-482-0999
        Sarah Elton-Farr, seltonfarr@shire.com, +44-1256-894157
        Jessica Mann (Corporate), jmann@shire.com, +44-1256-894-280
        Gwen Fisher (Specialty Pharma), gfisher@shire.com, +1-484-595-9836

SOURCE Shire plc

Source: PR Newswire