Celsion Corporation
CLSN announced today that Professor Riccardo Lencioni, MD, FSIR,
EBIR, 2013 ECIO Program Co-Chairman and the Director of the Division of
Diagnostic Imaging and Intervention at Pisa University School of Medicine in
Italy and Lead European Principal Investigator for the HEAT Study reviewed
the clinical trial results from the Company's Phase III HEAT Study including
findings from the HEAT Study post-hoc analysis at the 2013 European Conference
on Interventional Oncology, which is being held June 19-22, 2013 in Budapest,
Hungary. The emerging post-hoc findings suggest that the heating cycles can
be optimized to markedly improve radiofrequency ablation (RFA) when used with
ThermoDox®. The post-hoc data indicates that ThermoDox® may provide potential
for clinically relevant improved progression free survival (PFS) and Overall
Survival (OS) outcomes. Professor Lencioni made two presentations on
hepatocellular carcinoma (HCC) and related advances in interventional
management.
o Professor Lencioni's first presentation, titled "New Interventional
Oncology Approaches in HCC; An Update on Clinical Trials" was held on
Wednesday, June 19, 2013 at 2:30 p.m. (local time) in Plenary Session:
Open Issues in the Management of Liver Cancer. This presentation is part
of a joint symposium of the ECIO and the International Liver Cancer
Association (ILCA). This special event will be chaired by Professor
Lencioni (2013 ECIO Program Co-Chairman) and Dr. Joseph Llovet (ILCA
President)
o His second presentation, titled "Thermally Sensitive Doxorubicin Carriers"
was held on Thursday, June 20, 2013 at 10:30 a.m. (local time) in Plenary
Session: New Horizons in Interventional Oncology
"I am pleased to present this post-hoc analysis of a large subgroup of
patients from the Phase III HEAT Study to the European and international
interventional oncology community which may be indicating a meaningful
clinical benefit in both progression free survival (PFS) and overall survival
(OS) in patients who received an optimized RFA procedure," said Professor
Lencioni. "It is important to note the duration of heat from the RFA
procedure is a key factor in a successful clinical outcome when combined with
ThermoDox®. These findings are consistent with our understanding that
increased perfusion and associated heating time are important factors for
ensuring that the heat-sensitive liposomes are activated to deposit high
concentrations of doxorubicin in the tumor and the surrounding liver tissue."
The data from the HEAT Study post-hoc analysis presented by Professor Lencioni
demonstrate that ThermoDox® markedly improves PFS and OS in patients with a
single lesion if their lesions undergo RFA for 45 minutes or more. These
findings apply to HCC lesions regardless of size and represent a subgroup of
approximately 300 patients or 42% of the patients in the HEAT Study.
o In the patient subgroup treated in the ThermoDox® arm whose RFA procedure
lasted longer than 45 minutes and was completed within 90 minutes (40% of
single lesion patients) Overall Survival improved by 66% (Hazard Ratio of
0.602) when compared to the control arm of RFA treatment only.
o In the patient subgroup treated in the ThermoDox® arm whose RFA procedure
lasted longer than 90 minutes (23% of single lesion patients), Overall
Survival almost doubled (Hazard Ratio of 0.508) when compared to the
control arm of RFA treatment only.
o When combined, these two subgroups show clinical results that indicated a
53% improvement in Overall Survival, a Hazard Ratio of 0.65, and a
P[value] = 0.105.
o In contrast, the patient subgroup treated with ThermoDox® whose RFA
procedure lasted less than 45 minutes in duration (37% of single lesion
patients) indicated that the control arm had an improved Overall Survival
benefit when compared to the ThermoDox® arm.
o The Hazard Ratios reported above should be viewed with caution since they
are not statistically significant and the HEAT Study has not reached its
median point for Overall Survival analysis. Celsion will continue
following all patients enrolled in the HEAT Study to the secondary
endpoint, Overall Survival, and update its subgroup analysis based on RFA
heating duration.
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