UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Form 6-K
REPORT OF FOREIGN PRIVATE ISSUER
PURSUANT TO RULE 13a-16 OR 15d-16
OF THE SECURITIES EXCHANGE ACT OF 1934
For the Month of June, 2014
Commission File Number: 001-35892
GW PHARMACEUTICALS PLC
(Translation of registrants name into English)
Porton Down Science Park, Salisbury
Wiltshire, SP4 0JQ
United Kingdom
(Address of principal executive offices)
(Indicate by check mark whether the registrant files or will file annual reports under cover of Form 20-F or Form 40-F.)
Form 20-F x Form 40-F o
(Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(1))
Yes o No x
(Indicate by check mark if the registrant is submitting the Form 6-K in paper as permitted by Regulation S-T Rule 101(b)(7))
Yes o No x
GW Pharmaceuticals Announces Preliminary Results of Epidiolex® in Children and Young Adults with Treatment-Resistant Epilepsy from Physician-Led Expanded Access Treatment Program
GW Pharmaceuticals plc (the Company), a biopharmaceutical company focused on discovering, developing and commercializing novel therapeutics from its proprietary cannabinoid product platform, announced on June 17, 2014 preliminary results of Epidiolex® in children and young adults with treatment-resistant epilepsy from physician-led Expanded Access Treatment Program and that it will host a conference call and broadcast a slide show today at 8:30 a.m. ET to discuss this data. The press release and slide data are furnished as Exhibits 99.1 and 99.2, respectively, and are incorporated by reference herein.
Exhibits |
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99.1 |
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Press Release dated June 17, 2014 |
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99.2 |
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Epidiolex® Expanded Access INDs Physician Reported Treatment Effect Data |
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.
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GW Pharmaceuticals plc | |
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By: |
/s/ Adam George |
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Name: |
Adam George |
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Title: |
Chief Financial Officer |
Date: June 17, 2014
Exhibit 99.1
GW Pharmaceuticals Announces Physician Reports of Epidiolex® Treatment Effect in Children and Young Adults with Treatment-Resistant Epilepsy from Physician-Led Expanded Access Treatment Program
Data show promising signals of efficacy and safety
Conference Call Today at 8:30 a.m. ET, 1:30 p.m. (UK)
London, UK; 17 June 2014: GW Pharmaceuticals plc (Nasdaq: GWPH, AIM: GWP, GW, the Company or the Group), a biopharmaceutical company focused on discovering, developing and commercializing novel therapeutics from its proprietary cannabinoid product platform, today announced physician reports of efficacy and safety data on 27 children and young adults with treatment-resistant epilepsy who have been treated with GWs investigational cannabidiol (CBD) product candidate, Epidiolex®, for a period of 12 weeks. The treatment-resistant patients suffer from a range of epilepsies in which current anti-epileptic drugs have been unsuccessful in adequately controlling seizures, and included such severe forms of epilepsy as Dravet syndrome and Lennox-Gastaut syndrome. Uncontrolled data from two hospital sites in the United States that were generated under expanded access Investigational New Drug applications (INDs) authorized by the Food and Drug Administration (FDA) were made available to the Company.
We are pleased to report preliminary data on Epidiolex which provides promising signals of efficacy in children with treatment-resistant epilepsy, including patients with Dravet syndrome. It is noteworthy that, of the patients who have responded to Epidiolex, a high proportion show a reduction in seizure frequency of greater than 50% and a portion of these patients were reported to be seizure-free at the end of 12 weeks of treatment, stated Justin Gover, GWs Chief Executive Officer. We believe that these signals of efficacy, together with the side effect profile observed to date, support GWs decision to advance Epidiolex into a formal development program and we look forward to commencing a Phase 2/3 clinical trial of Epidiolex in Dravet syndrome in the second half of 2014.
There remains an enormous unmet need in a range of pediatric and adult treatment-resistant epilepsy syndromes, which affect approximately 750,000 Americans. Some of the greatest needs are in children with severe epilepsy syndromes such as Dravet and Lennox-Gastaut, where frequent seizures often persist despite high doses of multiple anti-epileptic drugs, stated Orrin Devinsky MD, Professor of Neurology, Neurosurgery, and Psychiatry at NYU School of Medicine, and Director, NYU Comprehensive Epilepsy Center. The initial open-label study with Epidiolex has provided encouraging results. Some children have had marked reductions in their seizures and overall, the medication has been well tolerated.
Available Data
Data were made available on 27 patients whom have been treated with Epidiolex for at least 12 weeks. Two patients commenced treatment in 2013 and the remaining 25 patients commenced treatment in the first quarter of 2014. All patients were treated at New York University Langone Medical Center (NYU) or the University of California at San Francisco (UCSF). Treatment effect data have been calculated in a manner consistent with the FDAs recommended endpoint for evaluating efficacy, which compares percent change in the average 4 week seizure frequency throughout the 12 week treatment period to seizure frequency during a 4 week baseline period. The same approach of average 4 week seizure frequency throughout the 12 week treatment period has been used in a responder analysis.
In addition, safety data have been collected to date on a total of 62 patients (27 patients with 12 weeks treatment plus 35 additional patients who have commenced treatment under the expanded access treatment program but have yet to reach 12 weeks of treatment from NYU, UCSF and Massachusetts General Hospital in Boston).
Data were collected at hospital sites by the local medical teams and sent to GW for compiling into a database. It should be noted that expanded access studies, sometimes called compassionate use, are uncontrolled, carried out by individual investigators, not conducted in strict compliance with Good Clinical Practices and not intended to be analyzed together as study data. Therefore, the data reported from these programs may not be indicative of results from, or duplicated in, placebo-controlled company-sponsored clinical trials.
Epilepsy Types and Demographics
Of the 27 patients, the largest single type of epilepsy was Dravet syndrome (n=9). The remaining patients comprise a range of treatment-resistant epilepsies with convulsive and/or non-convulsive seizures.
The 27 patients were predominately children with an average age of 10.5 years (26 of the 27 patients were between 3 to 18 years of age, and 1 patient was 26 years of age). In all cases, Epidiolex was added to current anti-epileptic drugs (AEDs). On average, patients were taking 2.7 other AEDs.
Clinical Effect Data All Patients
Data were made available on all 27 patients and includes information collected on all seizures (convulsive and non-convulsive) reported for each patient.
· The mean overall reduction in seizure frequency as compared to baseline seizure frequency was 44% and median overall reduction in seizure frequency as compared to baseline seizure frequency was 42%
· 48% of all patients obtained at least a 50% reduction in seizure frequency as compared to baseline seizure frequency
· 41% of all patients obtained at least a 70% reduction in seizure frequency as compared to baseline seizure frequency
· 22% of all patients obtained at least a 90% reduction in seizure frequency as compared to baseline seizure frequency
· At the end of 12 weeks, 15% of all patients were seizure-free
Clinical Effect Data Dravet syndrome patients only
With respect to the 9 patients with Dravet syndrome, the data presented below include only convulsive seizures reported for each patient, the only types of seizures considered by FDA in assessing primary efficacy for Dravet syndrome trials. The 9 patients with Dravet syndrome ranged from 3 years to 16 years of age with an average of age of 8.3 years.
· The mean reduction in seizure frequency as compared to baseline seizure frequency was 52% and median reduction in seizure frequency as compared to baseline seizure frequency was 63%
· 56% of Dravet patients obtained at least a 50% reduction in seizure frequency as compared to baseline seizure frequency
· 44% of Dravet patients obtained at least a 70% reduction in seizure frequency as compared to baseline seizure frequency
· 33% of Dravet patients obtained at least a 90% reduction in seizure frequency as compared to baseline seizure frequency
· At the end of 12 weeks, 33% of Dravet patients were seizure-free
Safety Data
Safety data were made available on 62 patients and represents approximately 120 patient-months of treatment with Epidiolex.
· At least one adverse event was reported in 81% (50) of patients
· The most common adverse events (occurring in 10% or more patients and resulting from all causes) were:
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Somnolence |
40% of patients |
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Fatigue |
26% of patients |
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Diarrhea |
16% of patients |
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Decreased appetite |
11% of patients |
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Increased appetite |
10% of patients |
· 80% of reported adverse events were mild or moderate
· There were no withdrawals from treatment due to adverse events
· There was 1 withdrawal from treatment due to lack of clinical effect. An additional 2 patients are currently being gradually withdrawn from treatment after 3 months due to lack of clinical effect
· Serious adverse events were reported in 7 patients, including 1 death of a patient from SUDEP (sudden unexpected death in epilepsy). None of these serious adverse events, including the 1 reported death, were deemed related to Epidiolex by the independent investigators
· In some instances, the addition of Epidiolex may be associated with changes in serum concentrations of concomitant anti-epileptic drugs
Emergency INDs
In addition to the expanded access IND patients, 5 patients have commenced treatment with Epidiolex under emergency access INDs. GW has received information from the treating physicians that 3 of these patients reported perceived benefits after treatment with Epidiolex and all 5 patients remain on treatment.
GW Development Program
GW is developing Epidiolex in the treatment of Dravet syndrome, for which the Company has received both orphan drug designation and Fast Track designation from the FDA. A company-sponsored IND is open with the FDA and a Phase 2/3 trial is expected to commence in the second half of 2014. GW anticipates commencing an additional Phase 3 trial in Dravet syndrome in the first quarter of 2015. In addition to Dravet syndrome, GW plans to conduct a clinical development program for Epidiolex in the treatment of Lennox-Gastaut syndrome (LGS). Following receipt earlier in 2014 of orphan drug designation by the FDA, GW expects to hold a pre-IND meeting with the FDA for Epidiolex in the treatment of LGS in mid-2014, and expects to conduct two Phase 3 trials in LGS during 2015.
Conference Call and Presentation
The Company will hold a conference call and broadcast a slide show today at 8:30 a.m. ET (13:30 BST) to discuss these data. The audio conference call may be accessed by dialing 877-407-8133 for domestic callers, 201-689-8040 for international callers, and toll free from the United Kingdom, 0 800 756 3429. The passcode for the call is 13584906. To view the slide show while using the audio dial-in please go to the presentation and events section of GWs website at www.gwpharm.com. The call and slide show will also be webcast live under the events section and will be archived there following the call for 90 days. Please connect to GWs website several minutes prior to the start of the broadcast to ensure adequate time for any software download that may be necessary. An audio replay will be available through 17 July, 2014 by calling 1-877-660-6853 (toll free) or 1-201-612-7415 (international) and entering access code 13584906.
Note Regarding Expanded Access Studies
Expanded access studies are uncontrolled, carried out by individual investigators, and not typically conducted in strict compliance with Good Clinical Practices, all of which can lead to a treatment effect which may differ from that in placebo-controlled trials. Data from these studies provide only anecdotal evidence of efficacy for regulatory review, contain no control or comparator group for reference and are not designed to be aggregated or reported as study results. Moreover, data from such small numbers of patients may be highly variable. Such information may not reliably predict data collected via systematic evaluation of the efficacy in company-sponsored clinical trials. Reliance on such information may lead to Phase 2 and 3 clinical trials that are not adequately designed to demonstrate efficacy and could delay or prevent GWs ability to seek approval of Epidiolex. Expanded access programs may provide supportive safety information for regulatory review. Physicians conducting these studies may use Epidiolex in a manner inconsistent with the protocol, including in children with conditions different from those being studied in GW-sponsored trials. Any adverse events or reactions experienced by subjects in the expanded access program may be attributed to Epidiolex and may limit GWs ability to obtain regulatory approval with labeling that GW considers desirable, or at all.
About GW Pharmaceuticals plc
Founded in 1998, GW is a biopharmaceutical company focused on discovering, developing and commercializing novel therapeutics from its proprietary cannabinoid product platform in a broad range of disease areas. GW commercialized the worlds first plant-derived cannabinoid prescription drug, Sativex®, which is approved for the treatment of spasticity due to multiple sclerosis in 25 countries. Sativex is also in Phase 3 clinical development as a potential treatment of pain in people with advanced cancer. This Phase 3 program is intended to support the submission of a New Drug Application for the use of Sativex to treat cancer pain with the U.S. Food and Drug Administration and in other markets around the world. GW has a deep pipeline of additional cannabinoid product candidates, including Epidiolex which has received Orphan Drug Designation from the FDA for the treatment of Dravet and Lennox-Gastaut syndromes, severe, drug-resistant epilepsy syndromes. GWs product pipeline also includes compounds in Phase 1 and 2 clinical development for glioma, ulcerative colitis, type-2 diabetes, and schizophrenia. For further information, please visit www.gwpharm.com.
Forward-looking statements
This news release may contain forward-looking statements that reflect GWs current expectations regarding future events, including statements regarding the therapeutic benefit, safety profile and commercial value of the companys investigational drug Epidiolex®, the development and commercialization of Epidiolex, plans and objectives for product development, plans and objectives for present and future clinical trials and results of such trials, plans and objectives for regulatory approval. Forward-looking statements involve risks and uncertainties. Actual events could differ materially from those projected herein and depend on a number of factors, including (inter alia), the success of the GWs research strategies, the applicability of the discoveries made therein, the successful and timely completion of uncertainties related to the regulatory process, and the acceptance of Sativex®, Epidiolex®,
and other products by consumer and medical professionals. A further list and description of risks, uncertainties and other risks associated with an investment in GW can be found in GWs filings with the U.S. Securities and Exchange Commission. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. GW undertakes no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances or otherwise.
Enquiries:
GW Pharmaceuticals plc |
(Today) +44 20 3727 1000 |
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Justin Gover, Chief Executive Officer |
(Thereafter) + 44 1980 557000 |
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Stephen Schultz, VP Investor Relations (US) |
917 280 2424 / 401 500 6570 |
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FTI Consulting (Media Enquiries) |
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Ben Atwell / Simon Conway / John Dineen (UK) |
+ 44 20 3727 1000 |
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Robert Stanislaro (US) |
212 850 5657 |
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Trout Group, LLC (US investor relations) |
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Todd James / Chad Rubin |
646 378 2900 |
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Peel Hunt LLP (UK NOMAD) |
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James Steel / Clare Terlouw |
+44 20 7418 8900 |
Exhibit 99.2
Epidiolex® Expanded Access INDs Physician Reported Treatment Effect Data 17 June 2014 GW Pharmaceuticals |
Forward Looking Statements 2 This presentation contains forward-looking statements. Some of the matters discussed concerning our operations and financial performance include estimates and forward-looking statements within the meaning of the Securities Act and the Exchange Act. These forward-looking statements are subject to known and unknown risks, uncertainties, assumptions and other factors that could cause our actual results of operations, financial condition, liquidity, performance, prospects, opportunities, achievements or industry results, as well as those of the markets we serve or intend to serve, to differ materially from those expressed in, or suggested by, these forward-looking statements. These forward-looking statements are based on assumptions regarding our present and future business strategies and the environment in which we expect to operate in the future. These statements are based on our current expectations and projections about future events and will be regarded by terminology such as believe, may, will, estimate, continue, anticipate, intend, expect and similar words are intended to identify estimates and forward-looking statements. Estimates and forward-looking statements speak only at the date they were made, and we undertake no obligation to update or to review any estimate and/or forward-looking statement because of new information, future events or other factors, except as required by applicable law. Estimates and forward-looking statements involve risks and uncertainties and are not guarantees of future performance. Our future results may differ materially from those expressed in these estimates and forward-looking statements. Because of these uncertainties, you should not make any investment decision based on these estimates and forward-looking statements. Although we believe that our plans, intentions and expectations are reasonable, we may not achieve our plans, intentions or expectations. You should read this presentation together with the Annual Report filed on Form 20-F and other documents filed with the Securities and Exchange Commission completely and with the understanding that our actual future results, levels of activity, performance and achievements may be different from what we expect and that these differences may be material. We qualify all of our forward-looking statements by these cautionary statements. |
Expanded Access Studies 3 Expanded access studies are uncontrolled, carried out by individual investigators, and not typically conducted in strict compliance with Good Clinical Practices, all of which can lead to a treatment effect which may differ from that in placebo-controlled trials. Data from these studies provide only anecdotal evidence of efficacy for regulatory review, contain no control or comparator group for reference and are not designed to be aggregated or reported as study results. Moreover, data from such small numbers of patients may be highly variable. Such information may not reliably predict data collected via systematic evaluation of the efficacy in company-sponsored clinical trials. Reliance on such information may lead to Phase 2 and 3 clinical trials that are not adequately designed to demonstrate efficacy and could delay or prevent GWs ability to seek approval of Epidiolex. Expanded access programs may provide supportive safety information for regulatory review. Physicians conducting these studies may use Epidiolex in a manner inconsistent with the protocol, including in children with conditions different from those being studied in GW-sponsored trials. Any adverse events or reactions experienced by subjects in the expanded access program may be attributed to Epidiolex and may limit GWs ability to obtain regulatory approval with labeling that GW considers desirable, or at all. |
Treatment-resistant children and young adults (mean age 10.5 years) Epidiolex added to existing meds. Patients on average 2.7 other AEDs Clinical effect data presented on all 27 patients with 12 week data available: Wide range of treatment-resistant epilepsies Data includes all seizures (convulsive and non-convulsive) NYU Dr Devinsky (n=18), UCSF Dr Cilio (n=9) Additional analyses presented for largest sub-group - Dravet syndrome (n=9) Data presented on convulsive seizures only - FDA type of seizures for primary efficacy Treatment effect calculated consistent with FDA's recommended endpoint: % change in average 4 week seizure frequency throughout the 12 week treatment period compared with 4 week baseline Total safety database of 62 patients (35 additional patients from NY, SF and Boston who have yet to reach 12 weeks of treatment) Introduction Expanded Access IND Data 4 |
% of Patients All Patients with 12 Week Data (n=27) Responders - Total Seizures >= 50% Responder >= 70% Responder >= 90% Responder Seizure free at 12 weeks Seizure free data = seizure free at weeks 8-12 Total Seizures = Convulsive and Non-Convulsive 48% 41% 22% 15% (n=13) (n=11) (n=6) (n=4) 5 |
% of Patients All Patients with 12 Week Data (n=27) Response Rates Total Seizures worse 0-24 % decrease 25-49 % decrease 75-100 % decrease 37% 11% 15% 15% 22% 50-74 % decrease (n=10) (n=3) (n=4) (n=4) (n=6) Total Seizures = Convulsive and Non-Convulsive 6 |
% Seizure Reduction mean median 44% 42% All Patients with 12 Week Data (n=27) % Reduction in Total Seizure Frequency FDA efficacy endpoint average 4 week seizure frequency over 12 weeks vs baseline Total Seizures = Convulsive and Non-Convulsive 7 |
% of Patients >= 50% Responder >= 70% Responder >= 90% Responder Seizure free at 12 weeks Dravet Syndrome Patients (n=9) Responders - Total Convulsive Seizures FDA Assessment of Primary Efficacy in Dravet Convulsive Seizures Only Seizure free data = seizure free weeks 8-12 56% 44% 33% 33% (n=5) (n=4) (n=3) (n=3) 8 |
% of Patients worse 0-24 % decrease 25-49 % decrease 75-100 % decrease 50-74 % decrease 33% 22% 22% 11% 11% Dravet Syndrome Patients (n=9) Response Rates - Convulsive Seizures FDA Assessment of Primary Efficacy in Dravet Convulsive Seizures Only (n=3) (n=2) (n=2) (n=1) (n=1) 9 |
% Seizure Reduction mean median 52% 63% Dravet Syndrome Patients (n=9) % Reduction in Convulsive Seizures FDA efficacy endpoint average 4 week seizure frequency over 12 weeks vs baseline FDA Assessment of Primary Efficacy in Dravet Convulsive Seizures Only 10 |
Safety Data (62 patients, 122 patient months treatment) 81% (50 patients) reported any adverse event, 80% mild or moderate Most common AEs all causes (10% or more of patients) - Somnolence 40% - Decreased appetite 11% - Fatigue 26% - Increased appetite 10% - Diarrhoea 16% No withdrawals due to AEs 1 withdrawal due to lack of clinical effect plus additional 2 patients being gradually withdrawn from treatment after 12 weeks due to lack of clinical effect Serious AEs reported in 7 patients (incl 1 death due to SUDEP). None deemed related to Epidiolex 11 |
Conclusions Promising signals of efficacy, especially in Dravet syndrome High proportion show >50% reduction in seizure frequency Seizure freedom in a portion of responders 80% of adverse events were mild or moderate; No withdrawals due to adverse events Data support decision to advance Epidiolex into formal development programs in pediatric epilepsy 12 |
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