Shares in the drug makers Wyeth and Elan
plunged on Wednesday after their experimental Alzheimer’s treatment showed no
result in the majority of patients and was linked to a brain-swelling condition
called vasogenic edema.
The drug, bapineuzumab, is the first
treatment shown to help patients by removing spaghetti-like clumps of protein
that accumulate in their brains.
The drug, made by Elan Corp and Wyeth, did
slow memory loss in some patients better than existing treatments, but it had
no effect in people with the ApoE4 gene, which is found in about half of all
Alzheimer’s patients, Bloombergnews reported. Twelve cases of vasogenic edema
occurred in the trial of 234 patients, and 10 of those cases occurred in
patients with the ApoE4 gene, the same source reported. Patients who were given
a higher dose didn’t record stronger benefits.
Bapineuzumab works by removing clumps of
protein that accumulate in the brains of Alzheimer’s patients. Alzheimer’s disease
has been identified as a protein misfolding disease but also as a tauopathy due
to abnormal aggregation of the tau protein. The drugs may work by dissolving
tangles of the protein (tau protein) that collects in the brain cells of Alzheimer’s
patients. A key enzyme called memapsin 2, or beta-secretase, is also involved
in the development of Alzheimer’s disease. The action of that enzyme on a
protein determines the formation of plaques – which are made of small peptides
called beta-amyloid, a protein fragment from a larger protein – in the brain.
The companies have seen their shares rise
after they announced the partial results of the phase 1 of the study. Last
month the Dublin, Ireland
based Elan’s shares’ price had reached the highest level in three years on the London stock market.
But researchers told the International
Conference on Alzheimer’s Disease in Chicago
that the drug raised the risks of potential side effects in the brain.
“We believe that today’s results leave
unanswered questions about the efficacy profile of bapineuzumab,” Chris Schott,
a JP Morgan analyst said in a research note.
Citigroup Inc. analyst John Boris
recommended investors to sale their shares of Wyeth.
“We removed bapineuzumab from our model, as
the likelihood of phase three clinical success, regulatory approval and
commercial success are extremely low,” he said in a note to investors according
to Bloomberg.
Wyeth fell $5.37, or 12 percent in New York
Stock Exchange composite trading.
The companies have already begun phase 3
clinical trials of the drug.
Alzheimer’s affects about five million
people in the United States.
Alzheimer’s disease is a degenerative and terminal disease for which there is
no known cure. In its most common form, it afflicts individuals over
65 years old. As the disease advances, progressive symptoms include
confusion, anger, mood swings, language breakdown, long-term memory loss. The
causes of the progression of Alzheimer’s disease are not well-understood.
According to the Alzheimer’s Society of
Canada, more than 300,000 Canadians with ages over 65 are currently suffering
from the disease and 97,000 more are expected to develop the condition.
It is estimated that 26.6 million
people worldwide were afflicted by AD in 2006. The number of patients with
Alzheimer’s disease will grow in the next years and will reach more
than 106 million by 2050, a study led by researchers at the Johns Hopkins
Bloomberg School of Public Health showed.