Blueprint
FORM 6-K
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
Report
of Foreign Issuer
Pursuant
to Rule 13a-16 or 15d-16 of
the
Securities Exchange Act of 1934
For the
month of August
2018
Commission
File Number: 001-11960
AstraZeneca PLC
1
Francis Crick Avenue
Cambridge
Biomedical Campus
Cambridge
CB2 0AA
United
Kingdom
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AstraZeneca PLC
INDEX
TO EXHIBITS
1.
AstraZeneca Update
on Anifrolumab in SLE
This announcement contains inside information
31 August 2018 07:00 BST
Update on TULIP 1 Phase III trial for
anifrolumab in systemic lupus erythematosus
Trial did not meet the primary endpoint of a reduction
of
disease activity as measured by the SLE Responder
Index
AstraZeneca and MedImmune, its global biologics research and
development arm, today announced top-line results from the TULIP 1
Phase III trial for anifrolumab in adult patients with
moderate-to-severe systemic lupus erythematosus
(SLE).
The trial did not meet the primary endpoint of a
statistically-significant reduction in disease activity in patients
with SLE as measured by the SLE Responder Index 4 (SRI4) at 12
months.
Sean Bohen, Executive Vice President, Global Medicines Development
and Chief Medical Officer, said: "SLE is a debilitating
autoimmune disease with significant unmet need among patients who
struggle to achieve meaningful disease control. The result of this
trial is disappointing for patients and the lupus
community."
The pivotal Phase III TULIP 1 trial was a randomised,
double-blinded, 52-week placebo-controlled, multi-centre trial
assessing the safety and efficacy of anifrolumab as a treatment for
adult patients with moderate-to-severe SLE. A full evaluation of
the data will be conducted when TULIP 2 data are available later
this year. TULIP 1 data will be presented at a future medical
meeting.
About Anifrolumab
Anifrolumab (formerly MEDI-546) is a fully human monoclonal
antibody and potential new medicine that binds to subunit 1 of the
type I interferon receptor, blocking the activity of all type I
interferons including IFN-a, IFN-b and IFN-y.1 Type
I interferons are cytokines involved in the inflammatory
pathways.2 60%
- 80% of adult lupus patients have an increased type I interferon
gene signature, which has been shown to correlate with disease
activity.2,
3
About the Phase III TULIP Programme
The pivotal TULIP (Treatment of Uncontrolled Lupus via the
Interferon Pathway) programme includes two Phase III clinical
trials, TULIP 1 and TULIP 2, that are evaluating the efficacy and
safety of anifrolumab versus placebo in patients with
moderately-to-severely active autoantibody-positive SLE who are
receiving standard of care treatment. TULIP 1 randomised 460
eligible patients (1:2:2) to receive a fixed-dose intravenous
infusion of 150mg anifrolumab, 300mg anifrolumab, or placebo every
4 weeks. TULIP 2 randomised 373 eligible patients (1:1) to receive
a fixed-dose intravenous infusion of 300mg anifrolumab or placebo
every 4 weeks.
The programme assesses the effect of anifrolumab in reducing
disease activity, as measured by the SRI4, decreasing use of oral
corticosteroids, improving skin manifestations, as measured by
Cutaneous Lupus Erythematosus Disease Area and Severity Index
(CLASI)4,
and reducing flares. In addition to the pivotal trials, anifrolumab
is also being tested in a Phase III SLE long-term extension trial,
a Phase II trial using subcutaneous delivery in SLE and a Phase II
trial for lupus nephritis.
About SLE
SLE is an autoimmune disease in which the immune system attacks
healthy tissue in the body instead of primarily targeting viruses
or other foreign invaders.5 Lupus
can cause a range of symptoms, including pain, rashes, fatigue,
swelling in joints and fevers.6 It
is associated with a greater risk of death from causes such as
infection and cardiovascular disease.7 There
has been only one new medicine approved for lupus in the last 60
years.8
About MedImmune
MedImmune is the global biologics research and development arm of
AstraZeneca, a global, innovation-driven biopharmaceutical business
that focuses on the discovery, development and commercialization of
small molecule and biologic prescription medicines. MedImmune is
pioneering innovative research and exploring novel pathways across
Oncology, Respiratory, Cardiovascular, Renal and Metabolic
Diseases, and Infection and Vaccines. The MedImmune headquarters is
located in Gaithersburg, Md., one of AstraZeneca's three global
R&D centres, with additional sites in Cambridge, UK and South
San Francisco, Calif. For more information, please
visit www.medimmune.com.
About AstraZeneca
AstraZeneca is a global, science-led biopharmaceutical company that
focuses on the discovery, development and commercialisation of
prescription medicines, primarily for the treatment of diseases in
three therapy areas - Oncology, Cardiovascular, Renal &
Metabolism and Respiratory. AstraZeneca operates in over 100
countries and its innovative medicines are used by millions of
patients worldwide.
For more information, please visit www.astrazeneca.com and
follow us on Twitter @AstraZeneca.
Media Relations
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Adrian Kemp
Company Secretary
AstraZeneca PLC
References
1. Furie, R, et al. Anifrolumab, an
Anti-Interferon‐a
Receptor Monoclonal Antibody, in Moderate‐to‐Severe
Systemic Lupus Erythematosus. Arthritis & Rheumatology.
2017;69(2);376-386.
2.
Lauwerys, Bernard R, et al. Type I interferon blockade in systemic
lupus erythematosus: where do we stand?. Rheumatology.
2013;53(8);1369-1376.
3.
Crow, M. K, Type I Interferon in the Pathogenesis of Lupus, J
Immunol. 2014;192(12);5459-5468.
4. Albrecht,
Joerg et al. The CLASI (Cutaneous LE Disease Area and Severity
Index): An Outcome Instrument for Cutaneous Lupus Erythematosus.
The Journal of Investigative Dermatology.
2005;125(5);889-894.
5.
The Lupus Foundation of America. Available at
https://resources.lupus.org/entry/what-is-lupus?utm_source=lupusorg&utm_medium=answersFAQ.
[Accessed August 2018]
6. ACR.
Guidelines for referral and management of systemic lupus
erythematosus in adults. American College of Rheumatology Ad Hoc
Committee on Systemic Lupus Erythematosus Guidelines, Arthritis
& Rheumatism. 1999; 42; 1785-1796.
7. Nossent,
J., et al. Current causes of death in systemic lupus erythematosus
in Europe, 2000-2004: relation to disease activity and damage
accrual. Lupus. 2007;16(5);309-317.
8.
Mahieu, M. A. et al. A critical review of clinical trials in
systemic lupus erythematosus. Lupus.
2016;25(10);1122-1140.
SIGNATURES
Pursuant
to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf
by the undersigned, thereunto duly authorized.
Date:
31 August
2018
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By: /s/
Adrian Kemp
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Name:
Adrian Kemp
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Title:
Company Secretary
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