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Prometheus Announces New Findings
Regarding Patients at Risk for Celiac Disease at DDW
New Insights into the Prediction of IBD Using Serology
Testing Also Presented
San Diego, June 2, 2009 – Prometheus Laboratories Inc., a
specialty pharmaceutical and diagnostic company, announced new
findings regarding a correlation between an important serologic
marker used in the detection of Crohn’s disease and particular
genetic markers in patients at risk for celiac disease. In an
oral presentation yesterday at Digestive Disease Week (DDW) in
Chicago, Prometheus reported a statistically significant
correlation between antibodies to the flagellin CBir1 and HLA
haplotypes DQ2.5 and DQ8 in a study of 5,406 patients at risk
for celiac disease who are EMA positive. Blood and serum samples
were analyzed using PROMETHEUS® Celiac PLUS and PROMETHEUS® IBD
Serology 7 diagnostic tests.
"Genetic tests to rule out celiac disease are now readily
available. However, few genetically predisposed individuals
actually develop the disease, despite gluten ingestion, for
reasons that are not well understood," said Dr. Michelle Pietzak,
a Pediatric Gastroenterologist in the Division of
Gastroenterology at the University of Southern California Keck
School of Medicine. "The results from this study show that an
overly aggressive immune response to particular bacteria in the
intestine, as in Crohn’s disease, may contribute to the
inflammation seen in patients with celiac disease."
New Insights into IBD Serology Testing
Results from two additional studies regarding the prediction of
inflammatory bowel disease (IBD) using serology testing were
also presented yesterday at DDW. The first examined the
consistency of biomarkers in patients who received multiple
PROMETHEUS IBD Serology 7 tests within a two-year period. The
overall rate of repeat testing ordered was only 2.2%. The
results showed high concordance between the original and repeat
tests; median changes in biomarker serum concentrations ranged
between 2.2 EU/mL and 4.3 EU/mL. These results are consistent
with reports in the scientific literature suggesting biomarker
stability over similar time periods. Further studies are
required to evaluate the impact of therapy on biomarker
stability over longer periods of time.
The clinical utility of PROMETHEUS IBD Serology 7 was further
demonstrated in a separate, multi-center clinical study of an
additional 1,574 patient samples, increasing the total
development cohort of the test to a more heterogeneous 3,626
patient samples. Results with this large patient cohort further
confirmed that using multiple markers combined with Prometheus’
Smart Diagnostic Algorithm is more effective at differentiating
IBD vs. non-IBD and Crohn’s disease vs. ulcerative colitis than
using traditional cutoff value analysis of the individual
markers alone. PROMETHEUS IBD Serology 7 combines multiple
serologic markers with a proprietary Smart Diagnostic Algorithm,
which increases the sensitivity of the test by more than 25%
when compared to single marker sensitivity values.
About Celiac
Celiac disease is an immune-mediated digestive disease that is
triggered by the consumption of gluten and damages the small
intestine, interfering with the absorption of nutrients from
food. Gluten is a protein found in grains such as wheat, barley
and rye. Symptoms of celiac disease will vary significantly from
person to person and include, but are not limited to, diarrhea,
anemia, abdominal pain, skin rash and weight loss. It is
estimated that about 1% of people in the United States live with
celiac disease and the disease is greatly undiagnosed. The
number of diagnosed patients is expected to increase
significantly over the next several years, driven by broad-based
educational campaigns, National Institutes of Health research
funding and widely-available genetic and blood tests for
highly-specific antibodies.
About IBD
IBD represents a group of chronic, progressive, recurring and
debilitating inflammatory disorders of the gastrointestinal
tract. Although IBD has no known cause, there is a presumed
genetic component to susceptibility. It is estimated that
Crohn’s disease and ulcerative colitis, the two main types of
IBD, together affect more than one million individuals in the
U.S. The main difference between Crohn’s disease and ulcerative
colitis is the location and nature of the inflammation. Because
the symptoms of Crohn’s disease and ulcerative colitis are so
similar, it is sometimes difficult to establish a definite
diagnosis. However, differentiating between the two diseases is
extremely important as treatment is often very different.
About Prometheus
Prometheus Laboratories Inc. is a specialty pharmaceutical and
diagnostic company committed to developing and commercializing
novel pharmaceutical and diagnostic products to help physicians
individualize patient care. Prometheus is a leader in applying
the principles of personalized medicine to the diagnosis and
treatment of gastrointestinal diseases and intends to apply
these principles to oncology. Its strategy includes the
marketing and delivery of pharmaceutical products complemented
by proprietary, high-value diagnostic testing services. By
integrating pharmaceutical products and diagnostic testing
services, Prometheus believes it can address the full continuum
of care, thereby providing physicians with a comprehensive
solution to treat chronic diseases. Prometheus’ corporate
offices are located in San Diego.
Contact
Pete De Spain
Director, Investor Relations
& Corporate Communications
Prometheus Laboratories Inc.
(858) 587-4117
pdespain @prometheuslabs.com |