NIH Study States Risk/Benefits of Transdermal HRT May Differ From Oral Therapy Miami, FL, July 10,
2002 Noven Pharmaceuticals, Inc. (NASDAQ: NOVN), a leading developer
of transdermal hormone replacement therapy (HRT) products, today commented
on the release of data from the Women's Health Initiative (WHI) study
sponsored by the National Institutes of Health. The WHI study was
designed to evaluate the risks and benefits associated with long-term
use of oral HRT by healthy women. The NIH recently announced that it is
discontinuing the combination oral HRT arm of the study after an average
follow-up period of 5.2 years because Prempro, the combination oral
HRT product used in the study, caused an increase in the risk of invasive
breast cancer. "It is important
to clarify the scope of the WHI study and to understand whether or not
its findings apply to Noven's transdermal HRT products," said Karen
A. Frank, M.D., Noven's Vice President Clinical Research and Regulatory
Affairs. In their report,
the WHI study investigators specifically state: "The [study] results
do not necessarily apply to lower dosages of these drugs, to other formulations
of oral estrogens and progestins, or to estrogens and progestins administered
through the transdermal route. It remains possible that transdermal estradiol
with progesterone, which more closely mimics the normal physiology and
metabolism of endogenous sex hormones, may provide a different risk-benefit
profile." Noven developed and manufactures the only FDA-approved
transdermal estrogen/progestin patch in the United States CombiPatch®. Both the estrogen
and progestin components of Prempro are different chemical entities than
those used in Noven's CombiPatch, and the means of delivery into the system
are significantly different. Prempro is an oral tablet formulation consisting
of conjugated equine estrogens and medroxyprogesterone acetate as active
ingredients. CombiPatch® is a transdermal delivery system
containing estradiol, which is identical to the estrogen produced naturally
by a woman's ovaries, and norethindrone acetate. Dr. Frank added:
"Women generally begin HRT to treat menopausal symptoms such as hot
flashes, vaginal dryness and sleep disturbances, that can disrupt normal
daily activities. Most of these patients remain on therapy for well under
one year, and in most cases patients terminate therapy when their menopausal
symptoms subside." According to the NIH, the WHI study did not address
the short-term risks and benefits of hormones for the treatment of menopausal
symptoms. HRT
is the only therapy proven to relieve menopausal symptoms. In addition, the
WHI study includes an arm evaluating the long-term use of estrogen replacement
therapy (ERT), and this portion of the study was not terminated. The acting
director of the study stated that the estrogen arm will continue because
at this point there is no evidence that the risks of ERT exceed its benefits.
Noven's best selling and fastest growing product, Vivelle-Dot (estradiol
transdermal system), is an estrogen-only transdermal delivery system indicated
for the treatment of menopausal symptoms. "Millions of
women annually struggle with hot flashes, sleepless nights and other symptoms
of menopause," added Dr. Frank. "Transdermal HRT, when used
as indicated, remains a safe and effective treatment for menopausal women." Robert C. Strauss,
Noven's President, Chief Executive Officer & Chairman, added: "As
the developer of the nation's only FDA-approved transdermal combination
HRT therapy, we are hopeful that the observations of the WHI study investigators
will lead to greater interest in the benefits of our transdermal HRT products." About
Noven This release contains forward-looking statements related to the business of Noven that can be identified by the use of forward-looking terminology such as "are hopeful", "will" and similar words and phrases. Such statements are qualified by and subject to the risks and uncertainties specified in Noven's most recent filings with the Securities and Exchange Commission and in this press release, including the risk that physicians and patients will extrapolate the study results to transdermal HRT products and that prescription growth of Noven's products will be adversely affected. Investor
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