- Study met primary endpoint of significantly improving
progression-free survival -
- Data will be presented at an upcoming medical meeting -
- Roche and Genentech plan to submit data to health authorities
around the world -
- First of four phase 3 data sets for Exelixis-discovered
compounds expected in 2014 -

Company Website:
http://www.exelixis.com
SOUTH SAN FRANCISCO, Calif. -- (Business Wire)
Exelixis, Inc. (NASDAQ:EXEL) today announced positive top-line results
from coBRIM, the phase 3 pivotal trial evaluating cobimetinib, a
specific MEK inhibitor discovered by Exelixis, in combination with
vemurafenib in previously untreated patients with unresectable locally
advanced or metastatic melanoma harboring the BRAFV600
mutation. Exelixis’ collaborator Genentech, a member of the Roche Group,
informed the company that coBRIM met its primary endpoint, delivering a
statistically significant increase in progression-free survival (PFS)
for the combination of cobimetinib plus vemurafenib as compared to
vemurafenib alone. Adverse events were consistent with those observed in
a previous study of the combination. Genentech will present these coBRIM
data at an upcoming medical meeting and plans to initiate regulatory
filings before year end.
“These positive top-line results from coBRIM represent an important
milestone for melanoma patients and their physicians, and are the first
of four anticipated phase 3 pivotal trial read-outs for
Exelixis-discovered compounds in 2014,” said Michael M. Morrissey,
Ph.D., president and chief executive officer of Exelixis. “Despite
recent therapeutic innovations, BRAFV600 mutation-positive
advanced melanoma can be difficult to treat due to the emergence of
resistance. We look forward to the full presentation of the data later
this year. If ultimately approved, we will execute on our collaborative
U.S. co-promotion effort with Genentech and work alongside our partner
to bring this important new therapeutic option to melanoma patients in
need.”
In addition to the coBRIM results just announced, Exelixis anticipates
delivering on the following key clinical development initiatives before
the end of 2014:
-
Top-line results from pivotal phase 3 studies COMET-1 (overall
survival endpoint) and COMET-2 (pain palliation endpoint) of
cabozantinib in metastatic castration-resistant prostate cancer;
-
Top-line results from the overall survival analysis of EXAM, the phase
3 pivotal trial of cabozantinib in progressive, metastatic medullary
thyroid cancer; and
-
Completing enrollment in METEOR, the phase 3 pivotal trial of
cabozantinib in metastatic renal cell cancer.
About the Phase 3 Pivotal Trial coBRIM
coBRIM is an international, randomised, double-blind, placebo-controlled
phase 3 study evaluating the safety and efficacy of cobimetinib in
combination with vemurafenib, compared to vemurafenib alone, in 495
patients with BRAFV600 mutation-positive unresectable locally
advanced or metastatic melanoma, previously untreated in the metastatic
setting. The primary endpoint for coBRIM is progression-free survival.
Secondary endpoints include overall survival, objective response rate,
duration of response, and other safety, pharmacokinetic and quality of
life measures.
About the Collaboration
Exelixis discovered cobimetinib internally and advanced the compound to
investigational new drug (IND) status. In late 2006, Exelixis entered
into a worldwide co-development agreement with Genentech, under
which Exelixis received initial upfront and milestone payments for
signing the agreement and submitting the IND. Exelixis was responsible
for development of cobimetinib through the end of phase 1, at which
point Genentech exercised its option to further develop the compound.
In November 2013, Exelixis exercised its option to co-promote
cobimetinib, if approved, in the United States. Exelixis is entitled to
an initial equal share of U.S. profits and losses, which will decrease
as sales increase, and will share equally in the U.S. marketing and
commercialization costs. Exelixis is eligible to receive royalties on
any sales of the product outside the United States.
About the Combination of Cobimetinib and Vemurafenib
Cobimetinib is a selective inhibitor that blocks the activity of MEK, a
protein kinase that is part of a key pathway (the RAS-RAF-MEK-ERK
pathway) that promotes cell division and survival. This pathway is
frequently activated in human cancers including melanoma, where mutation
of one of its components (BRAF) causes abnormal activation in about 50%
of tumors. Tumors with BRAF mutations may develop resistance and
subsequently progress after treatment with a BRAF inhibitor. In
preclinical melanoma models, co-treatment with vemurafenib and the MEK
inhibitor cobimetinib may delay the emergence of resistant tumors. In
addition to the combination with vemurafenib in melanoma, cobimetinib is
also being investigated in combination with several investigational
medicines, including an immunotherapy, in several tumor types, including
non-small cell lung cancer and colorectal cancer.
About Melanoma and its BRAFV600
Mutation-Positive Form
Melanoma is the less common, but more serious category of skin cancer
that starts in the skin’s pigment producing cells known as melanocytes.
According to the American Cancer Society, approximately five percent of
skin cancer diagnoses are melanoma, but melanoma accounts for a large
majority of skin cancer deaths. Cases of melanoma have been increasing
for at least 30 years, and in 2014, it is estimated that in the United
States, more than 76,100 people will be diagnosed with melanoma and more
than 9,700 people will die from the disease. It is thought that
approximately half of all melanomas, and eight percent of solid tumors,
contain a mutation of the BRAF protein. BRAF is a key component of the
RAS-RAF-MEK-ERK pathway involved in normal cell growth and survival.
However, mutations that keep the BRAF protein in an active state may
cause excessive signaling in the pathway, leading to uncontrolled cell
growth and survival. The BRAFV600 mutation-positive form of
melanoma is associated with high-risk characteristics of the disease,
including early onset, the absence of chronic skin damage, and decreased
survival.
About Cabozantinib
Cabozantinib inhibits the activity of tyrosine kinases including MET,
VEGFRs and RET. These receptor tyrosine kinases are involved in both
normal cellular function and in pathologic processes such as
oncogenesis, metastasis, tumor angiogenesis, and maintenance of the
tumor microenvironment. Exelixis markets cabozantinib for the treatment
of progressive, metastatic medullary thyroid cancer, and the compound is
the subject of a broad clinical development program encompassing more
than fifty clinical trials conducted either by Exelixis, independent
investigators, or through the company’s collaboration with the National
Cancer Institute’s Cancer Therapy Evaluation Program (NCI-CTEP). For
more information on cabozantinib, please visit www.exelixis.com.
For information on cabozantinib’s commercial applications, including
Important Safety Information and Boxed Warnings, please visit www.cometriq.com.
About Exelixis
Exelixis, Inc. is a biopharmaceutical company committed to developing
small molecule therapies for the treatment of cancer. Exelixis is
focusing its development and commercialization efforts primarily on
COMETRIQ® (cabozantinib), its wholly-owned inhibitor of
multiple receptor tyrosine kinases. Another Exelixis-discovered
compound, cobimetinib, a highly selective inhibitor of MEK, is being
evaluated by Roche and Genentech (a member of the Roche Group) in a
broad development program under a collaboration with Exelixis. For more
information, please visit the company's web site at www.exelixis.com.
Forward-Looking Statements
This press release contains forward-looking statements, including,
without limitation, statements related to: the continued development and
clinical, therapeutic and commercial potential of cobimetinib in
combination with vemurafenib and other investigational medicines; future
coBRIM data presentations; future regulatory filings and potential
approvals; Exelixis’ future U.S. co-promotion efforts with Genentech;
the plan of Genentech and Exelixis to share U.S. profits and losses for
cobimetinib and U.S. marketing and commercialization costs for
cobimetinib; Exelixis' potential receipt of royalties on net sales of
cobimetinib products outside the United States; and the anticipated
delivery by Exelixis of key clinical development initiatives with
respect to cabozantinib before the end of 2014, including the completion
of enrollment and availability of top-line data from the referenced
phase 3 pivotal trials of cabozantinib. Words such as “will,” “plan,”
“submit,” “initiate,” “represent,” “look forward,” “execute,” “work,”
“bring,” “new,” “option,” “anticipates,” “delivering,” “initiatives,”
“entitled,” “share,” “estimated,” “eligible,” or other similar
expressions, identify forward-looking statements, but the absence of
these words does not necessarily mean that a statement is not
forward-looking. In addition, any statements that refer to expectations,
projections or other characterizations of future events or circumstances
are forward-looking statements. These forward-looking statements are
based upon Exelixis' current plans, assumptions, beliefs, expectations,
estimates and projections. Forward-looking statements involve risks and
uncertainties. Exelixis' actual results and the timing of events could
differ materially from those anticipated in the forward-looking
statements as a result of these risks and uncertainties, which include,
without limitation: risks related to the potential failure of
cobimetinib or cabozantinib to demonstrate safety and efficacy in
clinical testing; the availability of data at the expected times; the
clinical, therapeutic and commercial value of cobimetinib and
cabozantinib; Exelixis' dependence on its relationship with
Genentech/Roche with respect to cobimetinib and Exelixis’ ability to
maintain its rights under the collaboration; the uncertainty of
regulatory approval processes; the sufficiency of Exelixis' capital and
other resources; the uncertain timing and level of expenses associated
with the development of cabozantinib; market competition; changes in
economic and business conditions; and other factors discussed under the
caption “Risk Factors” in Exelixis’ quarterly report on Form 10-Q filed
with the Securities and Exchange Commission (SEC) on May 1, 2014 and in
Exelixis' other filings with the SEC. The forward-looking statements
made in this press release speak only as of the date of this press
release. Exelixis expressly disclaims any duty, obligation or
undertaking to release publicly any updates or revisions to any
forward-looking statements contained herein to reflect any change in
Exelixis' expectations with regard thereto or any change in events,
conditions or circumstances on which any such statements are based.
Exelixis, the Exelixis logo, and COMETRIQ are registered U.S.
trademarks.

Contacts:
Exelixis, Inc.
Susan Hubbard, 650-837-8194
Investor
Relations and
Corporate Communications
shubbard@exelixis.com
Source: Exelixis, Inc.
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