BASINGSTOKE, UK - (October 20, 2003) - Shire Pharmaceuticals Group plc (LSE: SHP,
NASDAQ: SHPGY, TSX: SHQ) announced today that it has received an
'approvable' letter from the US Food and Drug Administration (FDA) for
ADDERALL XR® once daily treatment for adult Attention Deficit Hyperactivity
Disorder (ADHD).
The Supplemental New Drug Application (sNDA), which was submitted to the FDA
on 18 December 2002, included a comprehensive clinical programme in adult
patients and supplements the largest ever open-label community assessment
trial in paediatric ADHD research1. ADDERALL XR is patented until 2018 and
the adult indication is expected to receive a three-year Hatch-Waxman protection.
ADDERALL XR is a once daily formulation containing the same active
ingredients as ADDERALL® (mixed salts of a single entity amphetamine
product), which was developed by Shire's drug delivery division, Shire
Laboratories Inc., using the Microtrol® oral controlled release technology.
Shire already successfully markets ADDERALL XR for paediatric use in the US
where it is recognised as the ADHD brand leader.
The adult market is roughly twice the size of the paediatric market2.
Approximately 66%2 of children with ADHD will continue to suffer from the
disease throughout their adult life. The National Institute of Mental Health
reported in 1999 that ADHD affected 8.2 million adults in the US, of which
only 360,000 patients were receiving treatment. Non-treated, this disease
can lead to psychological maladjustment, as well as occupational and social
disability. Appropriate diagnosis and treatment of ADHD in adults helps
improve self-esteem, work performance and skills, educational attainment and
social competencies.
Dr Wilson Totten, Group R&D Director, said: "This is great news for adult
ADHD patients and will give them a new choice of treatment which has already
been widely successful with children.
"This further step for Shire in the establishment of a broad ADHD portfolio
enables us to continue to develop our position as the market leader in the
treatment of this important disease. We will work with the FDA in the
immediate future to resolve the questions asked in the approvable letter."
# # #
Enquiries
Cléa Rosenfeld - Global Investor Relations +44 1256 894160
Jessica Mann - Media Europe +44 1256 894160
Michele Roy - Media North America +1 450 978 7938
Notes to editors
About ADDERALL XR
ADDERALL XR has demonstrated clinically effective ADHD symptom control
throughout the day with just one morning dose. In the 23 months since its
launch in November 2001, ADDERALL XR has quickly become one of the most
widely prescribed ADHD treatments in the US, with over 8.6 million
prescriptions written3. Combined, over 32.7 million prescriptions3 have been
written for ADDERALL and ADDERALL XR over the franchise's seven-year
history. Important benefits of ADDERALL XR include:
- Formulation specifically designed for once-daily dosing
- Potential to directly increase levels of both dopamine and
norepinephrine, two of the major neurotransmitters believed to be involved
in the pathology of ADHD
- Rapid onset of action
- Proven effectiveness and safety profile
- Dosing flexibility and versatility
About ADHD
ADHD is a significant mental health concern which impacts the patient, their
family, and their social circle. It is considered one of the most commonly
diagnosed psychiatric disorder among school-aged children. Children with
ADHD often are inattentive, impulsive, and hyperactive - difficulties
serious enough to interfere with their ability to function normally in home,
academic or social settings. These symptoms continue beyond the school day,
having an impact on all aspects of the patient's life. In addition, up to
66% of children with ADHD will continue to show symptoms into adulthood.
Although there is no "cure" for ADHD, physicians, parents, teachers, nurses,
and advocates are finding ways to help people with the condition learn to
adapt to their academic, social, and work settings. ADHD usually can be
successfully managed with a combination of treatments, including educational
approaches, psychological and behavioural therapies, and medication. A
recent government-sponsored clinical trial found that therapies that include
carefully monitored medication are more effective than those that do not,
such as behavioural therapy alone. Medication should be considered as part
of an overall multi-modal treatment plan for ADHD. Shire supports the use of
its medication only after a thorough assessment and accurate diagnosis of
ADHD by a physician.
For more information about ADHD, call 1-888-774-3000 or go to
http://www.adhdsupportcompany.com.
1 LADD.CAT is a phase IIIb, open-label, community assessment, 7-week study
(with an 8-week extension) involving 2,968 children with ADHD (ages 6-12) in
378 sites in the United States, conducted between June and December 2001.
2 Weiss G, Hechtman L, Milroy T, Perlman T. Psychiatric Status of
Hyperactives as Adults: A Controlled Prospective 15-Year Follow-up of 63
Hyperactive Children. J Am Acad Child Adolesc Psychiatry. 1985;24:211-220.
3 IMS data August 2003
Shire Pharmaceuticals Group plc
Shire Pharmaceuticals Group plc (Shire) is a global specialty pharmaceutical
company with a strategic focus on meeting the needs of the specialist
physician and currently has a range of projects and products in the areas of
central nervous system (CNS), gastrointestinal (GI), and renal. Shire has
operations in the world's key pharmaceutical markets (US, Canada, UK,
France, Italy, Spain and Germany) as well as a specialist drug delivery unit
in the US.
For further information on Shire Pharmaceuticals, please visit the company's
website: http://www.shire.com.
An approvable letter is an official communication from the FDA indicating
that the agency is prepared to approve the new drug application upon the
finalisation of the labelling and satisfaction of any outstanding issues
specified in that letter.
THE "SAFE HARBOR" STATEMENT UNDER THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995
Statements included herein that are not historical facts, are
forward-looking statements. Such forward-looking statements involve a number
of risks and uncertainties and are subject to change at any time. In the
event such risks or uncertainties materialize, Shire's results could be
materially affected. The risks and uncertainties include, but are not
limited to, risks associated with the inherent uncertainty of pharmaceutical
research, product development, manufacturing and commercialization, the
impact of competitive products, including, but not limited to, the impact on
Shire's Attention Deficit Hyperactivity Disorder (ADHD) franchise, patents,
including but not limited to, legal challenges relating to Shire's ADHD
franchise, government regulation and approval, including but not limited to
the expected product approval date of lanthanum carbonate (FOSRENOL®),
METHYPATCH®, XAGRID® and the adult indication for ADDERALL XR® and other
risks and uncertainties detailed from time to time in our filings, including
the Annual Report filed on Form 10-K by Shire with the Securities and
Exchange Commission.
# # #