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Clinical Study in Hematologic Cancers with Aurora Kinase Inhibitor
VX-680, Vertex and Merck
19 Jun 2005
Merck & Co, Inc and Vertex Pharmaceuticals Incorporated today
announced the initiation of an additional Phase I clinical study with
VX-680, a small molecule inhibitor of Aurora kinases. The two-part,
open-label, dose escalation study is designed to evaluate the safety
and tolerability of VX-680 when administered over a five-day treatment
cycle in patients with hematologic cancers. The study will evaluate
VX-680 in patients with relapsed or refractory acute myelogenous
leukemia (AML), myelodysplastic syndrome (MDS), acute lymphocytic
leukemia (ALL) or chronic myelogenous leukemia (CML) in blast crisis.
With the start of this clinical study, Merck and Vertex now have three
clinical studies underway with VX-680 in cancer.

The initiation of this clinical study is supported by VX-680's
activity against hematologic cancers in both in vitro and in vivo
studies. VX-680 is a potent inhibitor of Aurora kinases and of Flt-3
kinase, which have been implicated in the onset and progression of
human leukemias. VX-680 has demonstrated prolonged survival and
induced sustained remission in a model of human AML, and has also
shown profound effects in a number of other preclinical cancer models.

"The biologic profile and preclinical studies of VX-680 indicate that
this compound has the potential for treating a broad range of human
leukemias by inducing apoptosis in the cells that drive disease," said
Stephen H. Friend, M.D., Ph.D., executive vice president, Advanced
Technology and Oncology, Merck Research Laboratories. "The clinical
study announced today is designed to promote rapid clinical assessment
of VX-680 in patients with a variety of leukemic and pre-leukemic
disease states. In addition, access to the leukemic cells in the blood
provides a unique opportunity for understanding the biologic effects
and anti-cancer activity of Aurora kinase inhibition on a molecular
level."

VX-680 Clinical Studies

In addition to this Phase I study in hematologic cancers announced
today, Merck is presently conducting two clinical studies of VX-680 in
patients with recurrent or non-responsive solid tumors, or cancers for
which standard therapy does not currently exist.

Background: Aurora Kinases and the VX-680 Collaboration

Cancer cells typically contain mutations in a number of genes, which
ultimately result in uncontrolled cell growth and tumor metastasis. As
enzymes specific for and essential to cell growth and division, Aurora
kinases hold the potential to be important control points for slowing
the growth and spread of tumors. Aurora kinases (also known as BTAK
and STK15) are a family of serine-threonine kinases that are believed
to play multiple roles in the development and progression of cancer by
acting as regulators of cell proliferation, by transforming normal
cells into cancer cells and by down-regulating p53, one of the body's
natural tumor suppressors. Aurora kinases are known to be
over-expressed in many tumor types, including colon cancer, breast
cancer 
</linkfwd.php?type=kw&link=http://www.patienthealthinternational.com/ncm.aspx?type=article&param=501572>
and leukemia. Amplification of Aurora genes is associated with
progression of colorectal cancer and poor prognosis in certain types
of breast cancer
</linkfwd.php?type=kw&link=http://www.patienthealthinternational.com/ncm.aspx?type=article&param=501572>.

In June 2004, Vertex and Merck entered into a global collaboration to
develop and commercialize VX-680. Along with clinical development,
Vertex and Merck are conducting a joint research program to
characterize VX-680's activity across a broad range of cancer types
and will seek to identify additional drug candidates targeting the
Aurora kinases.


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