The Medicines Company to Present Data at ASM Microbe 2017 on Infectious Disease Portfolio Including Late-Stage Investigational Antibiotic Meropenem-Vaborbactam

30 May 2017

PARSIPPANY, N.J.--(BUSINESS WIRE)--May 30, 2017-- (NASDAQ:MDCO) today announced that data from its portfolio of antimicrobial products and late-stage product candidates will be featured in presentations at the American Society for Microbiology’s ASM Microbe 2017 to be held June 1-5, 2017 in New Orleans. The Medicines Company’s infectious disease research and product development is focused on the most serious multi-drug resistant infections, including carbapenem-resistant Enterobacteriaceae (CRE).

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The Company will present data on its investigational antibiotic, meropenem-vaborbactam, from the TANGO 1 Phase III trial that compared it to piperacillin-tazobactam in the treatment of complicated urinary tract infections (cUTIs). Additional data on meropenem-vaborbactam’s in vitro activity against clinical isolates of carbapenem-resistant Enterobacteriaceae, and in experimental treatment models will also be presented. Data from studies of the Company’s marketed products Orbactiv® (oritavancin) and Minocin® (minocycline) for Injection will also be presented.

“ASM Microbe 2017 will display cutting-edge science and the latest developments in the field of microbiology and clinical trials of antibiotics. The Medicines Company is pleased to demonstrate its strong commitment to advancing the discovery and development of innovative antimicrobial drugs for pathogens that The World Health Organization recently identified as a critical need,” said Michael Dudley, PharmD, FIDSA, Senior Vice President, Head of R&D and Co-Leader of The Medicines Company’s Infectious Disease Business.

Tony Kingsley, President and Chief Operating Officer of The Medicines Company, added, “The research presented at ASM Microbe further showcases The Medicines Company’s fully-integrated infectious disease franchise. We are a biopharmaceutical company with capabilities from discovery to commercialization and are tackling major multi-drug resistant antibacterial threats which we also believe represent attractive global market opportunities. We are committed to growing this focused, effective, and fully-integrated infectious disease business.”

The American Society for Microbiology’s ASM Microbe 2017, showcases the best microbial sciences in the world, and provides a one-of-a-kind forum to explore the complete spectrum of microbiology from basic science to translation and application. Details of The Medicines Company’s presentations are provided below. The complete program of titles, abstracts, and electronic versions of posters can be accessed on the ASM Microbe 2107 website at . All times listed below are in Central Daylight Time.

               

Date          

Time          

 

Product

 

Event

 

Details

Friday June 2nd 12:45 pm

to

2:45 pm

  Meropenem-vaborbactam  

Session: Antibacterial Resistance: Beta-lactamase and Carbapenemase Inhibitors

 

Meropenem-Vaborbactam Activity against Enterobacteriaceae Isolates, Including Carbapenem-Resistant and Carbapenemase-Producing Isolates, Collected in United States (US) Hospitals During 2016

 

Presentation authors: M. Castanheira, L.N. Woosley, M.D. Huband, R.K. Flamm

 

Poster Session:
36-AAID01

 

Poster #

Friday-58

Friday June 2nd 12:45 pm

to

2:45 pm

  Meropenem-vaborbactam  

Session: Antibacterial Susceptibility Testing I

 

Meropenem-Vaborbactam (Carbavance) MIC and Zone DIameter Quality Control Ranges Using a CLSI M23-A4 Multi-Laboratory Study Design

 

Presentation authors: M. Huband M. Castanheira, K.A. Fedler, P.R. Rhomberg, R.K. Flamm

 

Poster Session: 57-CPHM02

 

Poster #

Friday-417

Friday June 2nd 12:45 pm

to

2:45 pm

  Meropenem-vaborbactam  

Session: Antibacterial Resistance: Beta-lactamase and Carbapenemase Inhibitors

 

Vaborbactam (VAB) is Not Affected by KPC-2 and KPC-3 Variants Containing Asp179Tyr Amino Acid Substitution that are Resistant to Ceftazidime (CAZ) Potentiation with Avibactam

 

Presentation authors: O. Lomovskaya, R. Tsivkovski

 

Poster Session:
36-AAID01

 

Poster #

Friday-69

Saturday

June 3rd

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Sexually-transmitted, Urinary Tract, and Obstetrics and Gynecology Infections: Treatment of Urinary Tract Infections

 

Meropenem-Vaborbactam (M-V): Clinical Outcomes by Bacteremia Status in a Phase 3 Randomized, Double-blind Trial in cUTIs (TANGO 1)

 

Presentation authors: K. Kaye, R. Darouiche, T. File, J. Pough, M. Dudley, J. Loutit

 

Poster Session:
199-AAID14

 

Poster #

Saturday-304

Saturday

June 3rd

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Sexually-transmitted, Urinary Tract, and Obstetrics and Gynecology Infections: Treatment of Urinary Tract Infections

 

Clinical Outcomes with Meropenem-Vaborbactam (M-V) by β-Lactamase Production in TANGO 1, a Phase 3 Randomized Trial vs. Piperacillin-Tazobactam (P-T)

 

Presentation authors: K. Kaye, T. File, A. Shorr, J. Loutit, M. Dudley, O. Lomovskaya, M. Zervos

 

Poster Session:
199-AAID14

 

Poster #

Saturday-305

Saturday

June 3rd

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Sexually-transmitted, Urinary Tract, and Obstetrics and Gynecology Infections: Treatment of Urinary Tract Infections

 

Meropenem-Vaborbactam (M-V): Clinical Outcomes by Comorbidity Severity in TANGO 1

 

Presentation authors: A. Shorr, J. Loutit, M. Dudley, T. Bhowmick

 

Poster Session:
199-AAID14

 

Poster #

Saturday-306

Saturday

June 3rd

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Sexually-transmitted, Urinary Tract, and Obstetrics and Gynecology Infections: Treatment of Urinary Tract Infections

 

Hospital and Intensive Care Unit (ICU) Length of Stay (LOS) Associated with Meropenem-Vaborbactam (M-V) versus Piperacillin-Tazobactam (P-T) in the Treatment of Adults with Complicated Urinary Tract Infections (cUTI), including Acute Pyelonephritis (AP) in TANGO 1, a Phase 3 Randomized, Double-blind, Double-dummy Trial

 

Presentation authors: A. Shorr, J. Loutit, W. Fan, K. A. Sulham, T. Chopra, S. Dufour

 

Poster Session:
199-AAID14

 

Poster #

Saturday-307

Sunday

June 4th

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Antimicrobial Pharmacokinetics: PK/PD of New Antimicrobial Agents

 

Population Pharmacokinetics (PPK) of Meropenem and Vaborbactam in Healthy Volunteers and Infected Patients

 

Presentation authors: M. Trang, D. C. Griffith, S. M. Bhavnani, J. S. Loutit, M. N. Dudley, P. G. Ambrose, C. M. Rubino

 

Poster Session:
341-AAID03

 

Poster #

Sunday-192

Sunday

June 4th

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Antimicrobial Pharmacokinetics: PK/PD of New Antimicrobial Agents

 

Meropenem-Vaborbactam Pharmacokinetic-Pharmacodynamic Analyses for Efficacy Based on Data from Patients Enrolled in Phase 3 Studies

 

Presentation authors: S. M. Bhavnani, J. P. Hammel, C. M. Rubino, M. Trang, J. S. Loutit, D. C. Griffith, O. Lomovskaya, M. N. Dudley, P. G. Ambrose

 

Poster Session:
341-AAID03

 

Poster #

Sunday-193

Sunday

June 4th

12:15 pm

to

2:15 pm

  Meropenem-vaborbactam  

Session: Antimicrobial Pharmacokinetics: PK/PD of New Antimicrobial Agents

 

Pharmacodynamics of Vaborbactam When Administered in Combination with Meropenem

 

Presentation authors: D. Griffith, M. Sabet, Z. Tarazi, O. Lomovskaya, M. N. Dudley

 

Poster Session:
341-AAID03

 

Poster #

Sunday-194

Sunday

June 4th

12:15 pm

to

2:15 pm

  MINOCIN® (minocycline) for Injection  

Session: Antimicrobial Pharmacokinetics: Polymyxins: PK/PD & Clinical Studies

 

Minocycline But Not Tigecycline is Associated with a Reduction in Colistin-Associated Acute Renal Failure in Critically Ill Adult Patients

 

Presentation authors: T.P. Lodise, W. Fan, D.C. Griffith, M.N. Dudley, K.A. Sulham

 

Poster Session:
342-AAID03

 

Poster #

Sunday-223

Friday June 2nd 12:45 pm

to

2:45 pm

  ORBACTIV®

(oritavancin)

 

Session: Antibacterial Resistance: Laboratory Studies of Antimicrobial Resistance

 

Evaluation of Daptomycin and Oritavancin against Vancomycin-Resistant Enterococcus faecium in an In Vitro Pharmacokinetic/Pharmacodynamic Model

 

Presentation authors: A. Belley, D. Lalonde Sequin, F.F. Arhin, G. Moeck

 

Poster Session:
AAID01

 

Poster #

Friday-98

Friday June 2nd 12:45 pm

to

2:45 pm

  ORBACTIV®

(oritavancin)

 

Session: New Antimicrobial Agents: New Antibacterial Approaches

 

In Vitro Elution and Compressive Strength of Oritavancin from Polymethylmethacrylate (PMMA)

 

Presentation authors: K. E. Greenwood-Quaintance, S.M. Schmidt-Malan, L.J. Berglund, R. Patel

 

Poster Session:
50-AAID11

 

Poster #

Friday-328

Friday June 2nd 12:45 pm

to

2:45 pm

  ORBACTIV®

(oritavancin)

 

Session: New Antimicrobial Agents: Novel Anti Gram-positive Therapeutic Approaches

 

Oritavancin in vitro activity against a collection of gram-positive clinical isolates causing bone and joint infections, including osteomyelitis, in United States and European hospitals (2012-2016)

 

Presentation authors: R.E. Mendes, H.S. Sader, M. Castanheira, D. Shortridge, M.A. Pfaller, R.K. Flamm

 

Poster Session:
51-AAID11

 

Poster #

Friday-324

Saturday

June 3rd

12:45 pm

to

2:45 pm

  ORBACTIV®

(oritavancin)

 

Session: Antimicrobial Susceptibility Testing II

 

Static time-kills of oritavancin (ORI) and daptomycin (DAP) against high inocula of Staphylococcus aureus (SA) – assessment of selection of isolates with reduced susceptibility (RS)

 

Presentation authors: F.F. Arhin, D. Lalonde Seguin, A. Belley, G. Moeck

 

Poster Session:
205-CPHM02

 

Poster #

Saturday-424

Sunday June 4th 12:15 pm

to

2:15 pm

  ORBACTIV®

(oritavancin)

 

Session: Design, Evaluation, Combination and Antibacterial Activity of New Drugs

 

Updated analysis of oritavancin (ORI) activity against gram-positive (GP) clinical isolates responsible for bloodstream infections (BSI) in United States (US) and European hospitals (2014-2016)

 

Presentation authors: R.E. Mendes, H.S. Sader, M.D. Huband, D. Shortridge, M.A. Pfaller, R.K. Flamm

 

Poster Session:
335-AAID

 

Poster #

Sunday-33

     

About Meropenem-Vaborbactam

Meropenem-vaborbactam (formerly known as Carbavance), an investigational agent not approved for commercial use in any market, is a combination of the carbapenem, meropenem, and the novel beta-lactamase inhibitor, vaborbactam administered as a fixed combination by IV infusion. It is being developed to treat serious gram-negative infections, such as complicated urinary tract infections, including those infections caused by bacteria resistant to currently available carbapenems. Meropenem-vaborbactam has been granted Fast Track status by the U.S. Food and Drug Administration (FDA) for the treatment of complicated urinary tract infections and has been designated by the FDA as a Qualified Infectious Disease Product (QIDP), as authorized under the GAIN Act.

Meropenem-vaborbactam was designed to address gram-negative bacteria that produce new beta-lactamase enzymes that have spread in the United States and Europe, including strains producing the Klebsiella pneumoniae carbapenemase (KPC) enzyme. KPC-producing bacteria are the predominant form of carbapenem-resistant Enterobacteriaceae (CRE) in the United States and are classified by the U.S. Centers for Disease Control and Prevention (CDC) to be an urgent antimicrobial resistance threat. A Phase III clinical trial for meropenem-vaborbactam in cUTI was successfully completed in 2016, and our NDA was accepted for filing by the FDA with a priority review classification in February 2017.

About MINOCIN® (minocycline) for Injection

MINOCIN® (minocycline) for Injection is indicated for the treatment of infections due to susceptible strains of designated microorganisms, including Acinetobacter species bacteria. For additional indications and designated susceptible pathogens, please see the full prescribing information available at .

Important Safety Information

Contraindications

MINOCIN® for Injection is contraindicated in persons who have shown hypersensitivity to any of the tetracyclines or to any of the components of the product formulation.

Warnings and Precautions

Tooth Development

MINOCIN® for Injection, like other tetracycline-class antibacterials, can cause fetal harm when administered to a pregnant woman. If any tetracycline is used during pregnancy, or if the patient becomes pregnant while taking these drugs, the patient should be apprised of the potential hazard to the fetus. The use of drugs of the tetracycline class during tooth development (last half of pregnancy, infancy, and childhood to the age of 8 years) may cause permanent discoloration of the teeth (yellow-gray-brown).

This adverse reaction is more common during long-term use of the drugs but has been observed following repeated short-term courses. Enamel hypoplasia has also been reported. Tetracycline drugs, therefore, should not be used during tooth development unless other drugs are not likely to be effective or are contraindicated.

Skeletal Development

All tetracyclines form a stable calcium complex in any bone-forming tissue. A decrease in the fibula growth rate has been observed in premature human infants given oral tetracycline in doses of 25 mg/kg every six hours. This reaction was shown to be reversible when the drug was discontinued.

Results of animal studies indicate that tetracyclines cross the placenta, are found in fetal tissues, and can have toxic effects on the developing fetus (often related to retardation of skeletal development). Evidence of embryotoxicity has been noted in animals treated early in pregnancy.

Dermatologic Reaction

Drug Rash with Eosinophilia and Systemic Symptoms (DRESS) including fatal cases have been reported with minocycline use. If this syndrome is recognized, the drug should be discontinued immediately.

Anti-anabolic Action

The anti-anabolic action of the tetracyclines may cause an increase in BUN. While this is not a problem in those with normal renal function, in patients with significantly impaired function, higher serum levels of tetracycline may lead to azotemia, hyperphosphatemia, and acidosis. Under such conditions, monitoring of creatinine and BUN is recommended, and the total daily dosage should not exceed 200 mg in 24 hours. If renal impairment exists, even usual oral or parenteral doses may lead to systemic accumulation of the drug and possible liver toxicity.

Photosensitivity

Photosensitivity manifested by an exaggerated sunburn reaction has been observed in some individuals taking tetracyclines. This has been reported with minocycline.

Central Nervous System Effects

Central nervous system side effects including light-headedness, dizziness or vertigo have been reported. Patients who experience these symptoms should be cautioned about driving vehicles or using hazardous machinery while on minocycline therapy. These symptoms may disappear during therapy and usually disappear rapidly when the drug is discontinued.

Clostridium difficile Associated Diarrhea

Clostridium difficile associated diarrhea (CDAD) has been reported with use of nearly all antibacterial agents, including MINOCIN® for Injection, and may range in severity from mild diarrhea to fatal colitis. If CDAD is suspected or confirmed, ongoing antibacterial use not directed against C. difficile may need to be discontinued.

Intracranial Hypertension

Intracranial hypertension (IH, pseudotumor cerebri) has been associated with the use of tetracyclines including MINOCIN® for Injection. Clinical manifestations of IH include headache, blurred vision, diplopia, and vision loss; papilledema can be found on fundoscopy. Women of childbearing age who are overweight or have a history of IH are at greater risk for developing tetracycline associated IH. Concomitant use of isotretinoin and MINOCIN® for Injection should be avoided because isotretinoin is also known to cause pseudotumor cerebri.

Although IH typically resolves after discontinuation of treatment, the possibility for permanent visual loss exists. If visual disturbance occurs during treatment, prompt ophthalmologic evaluation is warranted. Since intracranial pressure can remain elevated for weeks after drug cessation patients should be monitored until they stabilize.

As with other antibacterial preparations, use of this drug may result in overgrowth of nonsusceptible organisms, including fungi. If superinfection occurs, the antibacterial should be discontinued and appropriate therapy instituted.

Hepatotoxicity has been reported with minocycline; therefore, minocycline should be used with caution in patients with hepatic dysfunction and in conjunction with other hepatotoxic drugs.

Incision and drainage or other surgical procedures should be performed in conjunction with antibiotic antibacterial therapy when indicated.

MINOCIN® for Injection contains magnesium sulfate heptahydrate. Because magnesium is excreted primarily by the kidney, serum levels of magnesium should be monitored in patients with renal impairment.

Because MINOCIN® for Injection contains magnesium, close monitoring is recommended in patients with heart block or myocardial damage.

Prescribing MINOCIN® for Injection in the absence of a proven or strongly suspected bacterial infection or a prophylactic indication is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.

Adverse Reactions

For a complete list of adverse reactions that have been observed in patients receiving tetracyclines, consult the full US prescribing information for MINOCIN® for Injection.

Please see for the full US prescribing information.

About ORBACTIV® (oritavancin) for Injection

ORBACTIV® (oritavancin) for Injection is indicated for the treatment of adult patients with acute bacterial skin and skin structure infections (ABSSSI) caused or suspected to be caused by susceptible isolates of the following gram-positive microorganisms: Staphylococcus aureus (including methicillin-susceptible [MSSA] and methicillin–resistant [MRSA] isolates), Streptococcus pyogenes, Streptococcus agalactiae, Streptococcus dysgalactiae, Streptococcus anginosus group (includes S. anginosus, S. intermedius, and S. constellatus), and Enterococcus faecalis (vancomycin-susceptible isolates only).

Important Safety Information

Contraindications

Use of intravenous unfractionated heparin sodium is contraindicated for 120 hours (5 days) after ORBACTIV® administration because the activated partial thromboplastin time (aPTT) test results are expected to remain falsely elevated for approximately 120 hours (5 days) after ORBACTIV® administration.

ORBACTIV® is contraindicated in patients with known hypersensitivity to ORBACTIV®.

Warnings and Precautions

Coagulation test interference: ORBACTIV® has been shown to artificially prolong aPTT for up to 120 hours, and may prolong PT and INR for up to 12 hours, ACT for up to 24 hours, and D-dimer for up to 72 hours.

Hypersensitivity reactions have been reported with the use of antibacterial agents including ORBACTIV®. Discontinue infusion if signs of acute hypersensitivity occur. Monitor closely patients with known hypersensitivity to glycopeptides.

Infusion-related reactions have been reported. Slow the rate or interrupt infusion if infusion reaction develops.

Clostridium difficile-associated colitis: Evaluate patients if diarrhea occurs.

Concomitant warfarin use: Patients should be monitored for bleeding if concomitantly receiving ORBACTIV® and warfarin.

Osteomyelitis: Institute appropriate alternate antibacterial therapy in patients with confirmed or suspected osteomyelitis.

Prescribing ORBACTIV® in the absence of a proven or strongly suspected bacterial infection is unlikely to provide benefit to the patient and increases the risk of the development of drug-resistant bacteria.

Adverse Reactions

The most common adverse reactions (≥ 3%) in patients treated with ORBACTIV® were headache, nausea, vomiting, limb and subcutaneous abscesses, and diarrhea.

Please see for the full prescribing information.

About The Infectious Disease Business

The Medicines Company’s Infectious Disease Business (MDCO IDC) is committed to bringing life-saving antimicrobial products to patients with the most serious drug-resistant infections – infections caused by “super bugs” which are no longer treatable with available antibiotics. MDCO IDC encompasses basic research and drug discovery focused on bacterial mechanisms of drug resistance; drug development focused on the most threatening bacterial diseases; and a distribution and commercial infrastructure that serves the leading hospitals and healthcare facilities in the United States. MDCO IDC is currently developing meropenem-vaborbactam to treat serious gram-negative infections, such as complicated urinary tract infections, including those infections caused by bacteria resistant to currently available carbapenems. MDCO IDC has a leading pipeline of novel agents directed towards existing and emerging multidrug-resistant bacteria. A Phase III clinical trial for meropenem-vaborbactam was successfully completed in 2016, and our NDA was accepted for filing by the FDA with a priority review classification in February 2017. Since 2014, our team has successfully developed and launched two antibiotics against serious infections: Orbactiv® (oritavancin) for treatment of acute bacterial skin and skin-structure infections in adults, including those due to methicillin-resistant Staphylococcus aureus (MRSA), and a new formulation of Minocin® (minocycline) for Injection, which is among the few FDA-approved agents for the treatment of infections due to Acinetobacter sp., a serious antimicrobial resistance threat. For more information on these products, including their respective prescribing information, please see  and .

About The Medicines Company

The Medicines Company is a biopharmaceutical company driven by an overriding purpose – to save lives, alleviate suffering and contribute to the economics of healthcare. The Company’s mission is to create transformational solutions to address the most pressing healthcare needs facing patients, physicians and providers in three critical therapeutic areas: serious infectious disease care, cardiovascular care and surgery and perioperative care. The Company is headquartered in Parsippany, New Jersey, with global innovation centers in California and Switzerland.

The Medicines Company Forward-Looking Statements

Statements contained in this press release that are not purely historical may be deemed to be forward-looking statements for purposes of the safe harbor provisions under The Private Securities Litigation Reform Act of 1995. Without limiting the foregoing, the words "believes," "anticipates," "expects," “potential,” and similar expressions are intended to identify forward-looking statements. These forward-looking statements involve known and unknown risks and uncertainties that may cause the Company's actual results, levels of activity, performance or achievements to be materially different from those expressed or implied by these forward-looking statements. Important factors that may cause or contribute to such differences include whether clinical trials will advance on a timely basis, or at all, or succeed in achieving their specified endpoints; whether physicians, patients and other key decision makers will accept clinical trial results; whether the Company will make regulatory submissions on a timely basis, or at all; whether the Company’s regulatory submissions will receive approvals from regulatory agencies on a timely basis, or at all; and such other factors as are set forth in the risk factors detailed from time to time in the Company's periodic reports and registration statements filed with the Securities and Exchange Commission, including, without limitation, the risk factors detailed in the Company's Quarterly Report on Form 10-Q filed with the Securities and Exchange Commission on May 5, 2017, which are incorporated herein by reference. The Company specifically disclaims any obligation to update these forward-looking statements.

Source: The Medicines Company

The Medicines Company
Media
Meg Langan, 973-290-6319
Vice President
[email protected]
or
Investors
Krishna Gorti, M.D., 973-290-6122
Vice President, Investor Relations
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