Amgen Highlights Data to Be Presented at American Society for Bone and Mineral Research Meeting

THOUSAND OAKS, Calif., Aug. 18, 2011 /PRNewswire via COMTEX/ --

Amgen (NASDAQ: AMGN) today announced that it will present data from several Prolia® (denosumab) studies, including eight year efficacy and safety data from a Phase 2 extension study in women with postmenopausal osteoporosis with low bone mineral density (BMD), at the 2011 American Society for Bone and Mineral Research (ASBMR) Annual Meeting in San Diego, Calif. from Sept. 16-20, 2011.

"The breadth of data being presented at this year's Annual Meeting demonstrates Amgen's continued commitment to advancing the scientific understanding of bone biology," said Catherine Stehman-Breen, M.D., vice president of Global Development at Amgen. "Importantly, the eight year data from our Phase 2 extension study supports the long-term efficacy and safety profile of Prolia for women with postmenopausal osteoporosis at increased risk of fractures."

ASBMR abstracts are available and can be viewed online at Identified below are selected abstracts of interest on Amgen research.

Oral Presentations

Effects of Denosumab on Bone Mineral Density and Biochemical Markers of Bone Turnover: 8 Year Results of a Phase 2 Clinical Trial
Lead Author: Michael R. McClung M.D. FACP FACE, Oregon Osteoporosis Center
Abstract No. 1061, Oral Presentation
(Saturday, Sept. 17, 2:15 p.m. - 2:30 p.m. PT)

Effects of Denosumab on Radius BMD, Strength, and Wrist Fractures: Results From the Fracture REduction Evaluation of Denosumab in Osteoporosis Every 6 Months (FREEDOM) Study
Lead Author: James Simon M.D., George Washington University
Abstract No. 1062, Oral Presentation
(Saturday, Sept. 17, 2:30 p.m. - 2:45 p.m. PT)

Efficacy of Five Years of Denosumab: A Novel "Virtual Twins" Method for Minimizing Bias in Extensions of Trials
Lead Author: Steven R. Cummings M.D., University of California, San Francisco
Abstract No. 1063, Oral Presentation
(Saturday, Sept. 17, 2:45 p.m. - 3:00 p.m. PT)

The Transitory Increase in PTH Following Denosumab Administration is Associated with Reduced Intracortical Porosity: a Distinctive Attribute of Denosumab Therapy
Lead Author: Prof. Ego Seeman, Austin Health, University of Melbourne
Abstract No. 1064, Oral Presentation
(Saturday, Sept. 17, 3:00 p.m. - 3:15 p.m. PT)

Safety Observations From Denosumab Long-term Extension and Cross-over Studies in Postmenopausal Women With Osteoporosis
Lead Author: Henry G. Bone M.D., Michigan Bone and Mineral Clinic
Abstract No. 1065, Oral Presentation
(Saturday, Sept. 17, 3:15 p.m. - 3:30 p.m. PT)

Poster Presentations

Rates of Diagnosis and Treatment of Osteoporosis in Males Before and After Hip, Vertebral, and Non-Hip/Non-Vertebral (NHNV) Fractures
Lead Author: Susan K. Brenneman, PT Ph.D., Innovus
Abstract No. SA0445, Poster Presentation
(Saturday, Sept. 17, 11:00 a.m. - 1:00 p.m. PT)

Medication Adherence in Patients on Osteoporosis Therapy: Physician Perceptions Versus Patient Behavior
Lead Author: Cai Q, HealthCore
Abstract No. SU0443, Poster Presentation
(Sunday, Sept. 18, 11:00 a.m. - 1:00 p.m. PT)

Discontinuation of Denosumab and Associated Fracture Incidence: Analysis From the FREEDOM Trial
Lead Author: Jacques P. Brown M.D., CHUQ-CHUL Research Centre
Abstract No. SA0446, Plenary Poster Presentation
(Saturday, Sept. 17, 11:00 a.m. - 1:00 p.m. PT)

The Effect of Denosumab on the Bone Matrix Mineralization in Mice
Lead Author: Barbara M. Misof, Ph.D., Ludwig Boltzmann Institute of Osteology at Hanusch Hospital
Abstract No. SA0058, Plenary Poster Presentation
(Saturday, Sept. 17, 11:00 a.m. - 1:00 p.m. PT)

Adherence to Osteoporosis Medications in Men: A Systematic Review of the Literature
Lead Author: Robyn VonMaltzahn, HERON Evidence Development Ltd.
Abstract No. SU0442, Poster Presentation
(Sunday, Sept. 18, 11:00 a.m. - 1:00 p.m. PT)

Development of a Comorbidity Index Using the FREEDOM Trial in Women with Postmenopausal Osteoporosis
Lead Author: Neil S. Silverman M.D., Cedar-Sinai Medical Center
Abstract No. SU0455, Poster Presentation
(Sunday, Sept. 18, 11:00 a.m. - 1:00 p.m. PT)

Psychometric Properties of the Osteoporosis-Specific Morisky Medication Adherence Scale (OS-MMAS) in Postmenopausal Women With Osteoporosis (OP) Treated with Bisphosphonates (BP)
Lead Author: Kristi Reynolds, Ph.D., MPH, Kaiser Permanente Southern California
Abstract No. SU0439, Poster Presentation
(Sunday, Sept. 18, 11:00 a.m. - 1:00 p.m. PT)

Persistence, Gaps in Therapy, and Re-initiation of Osteoporosis (OP) Therapy Among Women in a Commercially Insured US Population
Lead Author: Akhila Balasubramanian, Ph.D., Amgen Inc.
Abstract No. MO0435, Poster Presentation
(Monday, Sept. 19, 11:30 a.m. - 1:30 p.m. PT)

Healthcare Costs for Males After Closed Fracture in Commercially Insured and Medicare Advantage Populations From a National Health Plan
Lead Author: Susan K. Brenneman, PT Ph.D., Innovus
Abstract No. MO0441, Poster Presentation
(Monday, Sept. 19, 11:30 a.m. - 1:30 p.m. PT)

Associations Between Osteoporosis (OP) Treatment Change, Adherence, and Incident Fractures Among Members in a Medicare Advantage Prescription Drug (MAPD) Plan
Lead Author: Yihua Xu, Ph.D., Competitive Health Analytics, Inc.
Abstract No. MO0429, Poster Presentation
(Monday, Sept. 19, 11:30 a.m. - 1:30 p.m. PT)

A Phase 3 Study of the Efficacy and Safety of Denosumab in Men with Low Bone Mineral Density: Design of the ADAMO Trial
Lead Author: Eric Orwoll M.D., Oregon Health and Science University
Abstract No. MO0442, Poster Presentation
(Monday, Sept. 19, 11:30 a.m. - 1:30 p.m. PT)

Osteoporosis: Impact and Prevalence

Referred to as a "silent epidemic" by the International Osteoporosis Foundation (IOF), osteoporosis is a global problem that is increasing in significance as the population of the world both increases and ages. The World Health Organization has officially declared osteoporosis a public health crisis, and the IOF is urging governments worldwide to make osteoporosis a healthcare priority.

Osteoporosis-associated fractures are a significant cause of mortality and morbidity. In 2000, the number of osteoporotic fractures in Europe was estimated at 3.79 million, of which 890,000 were hip fractures.(i) Since 2001, the incidence of hip fractures in European countries has risen significantly.(ii) In the United States (U.S.), the number of fractures due to osteoporosis is expected to rise to more than three million by 2025. (iii)

The direct medical cost of osteoporotic fractures in Europe is expected to rise from euro 31.7 billion in 2000 to euro 76.7 billion in 2050.(iv) In 2005, osteoporosis-related fractures were responsible for an estimated $19 billion in cost in the U.S., and this cost is expected to rise to approximately $25 billion by 2025. (v)

About Prolia

Prolia is the first approved therapy that specifically targets RANK Ligand, an essential regulator of osteoclasts (the cells that break down bone).

Prolia is approved in the U.S. for the treatment of postmenopausal women with osteoporosis at high risk for fracture, defined as a history of osteoporotic fracture, or multiple risk factors for fracture; or patients who have failed or are intolerant to other available osteoporosis therapy.

Prolia is approved in the European Union (EU) for the treatment of osteoporosis in postmenopausal women at increased risk of fractures, and for the treatment of bone loss associated with hormone ablation in men with prostate cancer at increased risk of fractures.

Prolia is approved in 20 European countries, the U.S., Canada and Australia. Applications in the rest of the world are pending.

Prolia is administered as a single subcutaneous injection of 60mg once every six months. For further information on Prolia, including prescribing information and medication guide, please visit:

Important U.S. Safety Information

Prolia is contraindicated in patients with hypocalcemia. Pre-existing hypocalcemia must be corrected prior to initiating Prolia. Hypocalcemia may worsen, especially in patients with severe renal impairment. All patients should be adequately supplemented with calcium and vitamin D. Patients receiving Prolia should not receive Xgeva®, as both Prolia and Xgeva contain the same active ingredient, denosumab.

In the Phase 3 pivotal study, serious infections leading to hospitalizations were reported more frequently in the Prolia-treated patient group. Serious skin infections, as well as infections of the abdomen, urinary tract and ear, were more frequent in patients treated with Prolia. Patients should be advised to seek prompt medical attention if they develop signs or symptoms of severe infection, including cellulitis. Endocarditis was reported more frequently in the Prolia-treated patient group. Epidermal and dermal adverse events such as dermatitis, rashes and eczema have been reported. Discontinuation of Prolia should be considered if severe symptoms develop.

Prolia resulted in significant suppression of bone remodeling. The significance of these findings is unknown. The long-term consequences of the degree of suppression of bone remodeling observed with Prolia may contribute to adverse outcomes such as osteocronosis of the jaw (ONJ), atypical fractures and delayed fracture healing. ONJ has been reported in patients with Prolia. Patients should be monitored for these adverse outcomes. The most common adverse reactions (> 5 percent and more common than placebo) were back pain, pain in extremity, musculoskeletal pain, hypercholesterolemia and cystitis. Pancreatitis has also been reported with Prolia.

Important EU Safety Information

The most common adverse reactions with Prolia were urinary tract infection, upper respiratory tract infection, sciatica, cataracts, constipation, rash and pain in extremity. The most serious adverse reactions were those of skin infections, predominantly cellulitis, reported more commonly in the Prolia group compared with placebo (0.4 percent vs. 0.1 percent) in postmenopausal osteoporosis studies. In breast and prostate cancer studies, serious adverse reactions of skin infection were similar in the Prolia and placebo groups (0.6 percent vs. 0.6 percent). In the Phase 3 placebo-controlled clinical trial in patients with prostate cancer receiving ADT, an imbalance in cataract adverse events was observed with Prolia compared with placebo (4.7 percent vs. 1.2 percent placebo). No imbalance in cataract adverse events was observed in postmenopausal women with osteoporosis or in women undergoing aromatase inhibitor therapy for nonmetastatic breast cancer.

Prolia may lead to hypocalcaemia. Hypocalcaemia must be corrected by adequate intake of calcium and vitamin D before initiating therapy. ONJ has been reported rarely in clinical studies in patients receiving denosumab at a dose of 60 mg every 6 months for osteoporosis.

Denosumab Commercialization Collaborations

In July 2009, Amgen and GlaxoSmithKline announced a collaboration agreement to jointly commercialize Prolia for postmenopausal osteoporosis in Europe, Australia, New Zealand and Mexico once the product is approved in these countries. Amgen will commercialize Prolia's postmenopausal osteoporosis and potential oncology indications in the U.S. and Canada and for all oncology indications in Europe and in other specified markets.

In addition, GlaxoSmithKline will register and commercialize denosumab for all indications in countries where Amgen does not currently have a commercial presence, including China, India and South Korea but excluding Japan. The structure of the collaboration allows Amgen the option of an expanded role in commercialization in both Europe and certain emerging markets in the future.

Amgen and Daiichi-Sankyo Company, Limited have a collaboration and license agreement for the development and commercialization of denosumab in Japan.

About Amgen

Amgen discovers, develops, manufactures, and delivers innovative human therapeutics. A biotechnology pioneer since 1980, Amgen was one of the first companies to realize the new science's promise by bringing safe, effective medicines from lab to manufacturing plant to patient. Amgen therapeutics have changed the practice of medicine, helping millions of people around the world in the fight against cancer, kidney disease, rheumatoid arthritis, bone disease and other serious illnesses. With a deep and broad pipeline of potential new medicines, Amgen remains committed to advancing science to dramatically improve people's lives. To learn more about our pioneering science and vital medicines, visit

Forward-Looking Statements

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CONTACT: Amgen, Thousand Oaks
Christine Regan, 805-447-5476 (Media)
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(i) "Facts and statistics about osteoporosis and its impact." International Osteoporosis Foundation. Accessed at on 4 February 2011

(ii) "Osteoporosis in the European Union in 2008: Ten years of progress and ongoing challenges." Accessed at on 4 February 2011

(iii) Burge R, et al. Incidence and economic burden of osteoporosis-related fractures in the United States, 2005-2025. J Bone Miner Res. 2007: 22::465-475

(iv) "Facts and statistics about osteoporosis and its impact." International Osteoporosis Foundation. Accessed at on 4 February 2011

(v) "Fast Facts" National Osteoporosis Foundation. Accessed at on 4 February 2011