Additional Phase 3 Data Supporting OPKO’s Rayaldee as a Treatment for Secondary Hyperparathyroidism in Chronic Kidney Disease to be Presented at Kidney Week 2015

OPKO Health (Ireland) · San Diego Convention Center

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November 05, 2015 8:30am EST

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MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE: OPK) , a multinational biopharmaceutical

and diagnostics company, announces that additional Phase 3 data on

Rayaldee™ as a treatment for secondary hyperparathyroidism (SHPT) will

be highlighted later today in a poster presentation at Kidney Week 2015,

the Annual Meeting of the American Society of Nephrology (ASN) underway

in San Diego, California. The data showed that plasma levels of intact

parathyroid hormone (iPTH) continued to fall as serum levels of

25-hydroxyvitamin D (25D) rose above 30 ng/mL, a level considered

sufficient for CKD patients in published clinical practice guidelines.

These data suggest that patients with stage 3 or 4 CKD require higher

levels of serum 25D than previously thought in order to control elevated

iPTH.

OPKO’s poster presentation entitled “Efficacy and Safety of

Modified-Release Calcifediol in Stage 3-4 CKD Patients with Secondary

Hyperparathyroidism and Vitamin D Insufficiency,” will be presented by

lead author Stuart M. Sprague, DO, Chief, Division of Nephrology and

Hypertension, NorthShore University Health System - University of

Chicago, Pritzker School of Medicine.

Session details

Date

Thursday, November 5

Time

10:00 a.m. – 12:00 p.m. Pacific time

Poster

About Rayaldee

Rayaldee (calcifediol modified-release capsules) is an oral vitamin D

prohormone treatment being developed for SHPT in patients with stage 3

or 4 CKD and vitamin D insufficiency. It has a proprietary

modified-release formulation designed to gradually raise serum total

25-hydroxyvitamin D (prohormone) concentrations to targeted levels (at

least 30 ng/mL) while avoiding upregulation of CYP24A1, a cytochrome

P-450 enzyme which interferes with the desired parathyroid hormone

(PTH)-lowering effect. Gradual elevation of serum total

25-hydroxyvitamin D is intended to prevent excessive elevation of serum

calcium and related vascular and renal calcification.

About Chronic Kidney Disease

CKD is a condition characterized by a progressive decline in kidney

function. The kidney is normally responsible for excreting waste and

excess water from the body, and for regulating various hormones. CKD is

classified in five stages — mild (stage 1) to severe (stage 5) disease —

as measured by the kidney's glomerular filtration rate. According to the

National Kidney Foundation, CKD afflicts over 26 million people in the

U.S., including more than 20 million patients with moderate (stages 3 or

4) and severe (stage 5) forms of CKD. In stage 5 CKD, kidney function is

minimal to absent and patients require regular dialysis or a kidney

transplant for survival.

About Vitamin D Insufficiency

Vitamin D insufficiency is a condition in which the body has low vitamin

D stores, characterized by inadequate blood levels of vitamin D

prohormone, known as 25-hydroxyvitamin D. An estimated 70-90% of CKD

patients have vitamin D insufficiency, which can lead to SHPT and

resultant debilitating bone diseases. Vitamin D insufficiency has been

associated with increased mortality in CKD.

About Secondary Hyperparathyroidism (SHPT)

SHPT is a condition commonly associated with CKD in which the

parathyroid glands secrete excessive amounts of PTH. SHPT arises as a

result of vitamin D insufficiency or impaired kidney function that

prevents sufficient production of vitamin D hormone to properly regulate

calcium and phosphorus metabolism, and PTH secretion. Prolonged

elevation of blood PTH causes excessive calcium and phosphorus to be

released from bone, leading to elevated serum calcium and phosphorus,

softening of the bones (osteomalacia) and calcification of vascular and

renal tissues. SHPT affects 40-60% of patients with moderate CKD and

approximately 90% of patients with severe CKD .

About OPKO Health, Inc.

OPKO Health, Inc. is a diversified healthcare company that seeks to

establish industry-leading positions in large, rapidly growing markets.

Our diagnostics business includes Bio-Reference Laboratories, the

nation’s third-largest clinical laboratory with a core genetic testing

business and a 420-person sales force to drive growth and leverage new

products, including the 4Kscore® prostate cancer test and the Claros®1

in-office immunoassay platform. Our pharmaceutical business features

Rayaldee™, a treatment for SHPT in stage 3-4 CKD patients with vitamin D

insufficiency (March 29, 2016 PDUFA date) and VARUBI™ for

chemotherapy-induced nausea and vomiting (oral formulation approved by

FDA and pending launch by partner Tesaro, IV formulation in Phase 3).

Our biologics business includes hGH-CTP, a once-weekly human growth

hormone injection (in Phase 3 and partnered with Pfizer), and a

long-acting Factor VIIa drug for hemophilia (entering Phase 2a). We also

have production and distribution assets worldwide, multiple strategic

investments and an active business development strategy. More

information is available at www.opko.com .

This press release contains "forward-looking statements," as that

term is defined under the Private Securities Litigation Reform Act of

1995 (PSLRA), regarding product development efforts and other

non-historical facts about our expectations, beliefs or intentions

regarding our business, technologies and products, financial condition,

strategies or prospects, including statements regarding the expected

PDFUA date and whether Rayaldee will be approved by the FDA, our ability

to successfully launch and commercialize Rayaldee, expectations about

Rayaldee, that Rayaldee will effectively control secondary

hyperparathyroidism in patients with stage 3 or 4 chronic kidney disease

by correcting vitamin D insufficiency, whether Rayaldee is appropriate

for patients with minimal functioning kidney mass and its efficacy

during longer term administration, whether Rayaldee will be highly

effective in correcting vitamin D insufficiency, allowing more reliable

treatment of patients, market potential for Rayaldee, and that we will

be able to successfully develop, obtain approval for and launch sales of

Rayaldee. Many factors could cause our actual activities or results to

differ materially from the activities and results anticipated in

forward-looking statements. These factors include those described in our

filings with the Securities and Exchange Commission, as well as risks

inherent in funding, developing and obtaining regulatory approvals of

new, commercially-viable and competitive products and treatments,

including the risks that the phase 3 clinical trials for Rayaldee may

not generate data that would support the approval or marketing of this

product for the indications being studied, that others may develop

products which are superior to Rayaldee, and that Rayaldee may not have

advantages or prove to be superior over presently marketed products,

including the currently used high monthly doses of prescription vitamin D 2 ,

activated vitamin D hormone and over-the-counter vitamin D supplements.

In addition, forward-looking statements may also be adversely affected

by general market factors, competitive product development, product

availability, federal and state regulations and legislation, the

regulatory process for new products and indications, manufacturing

issues that may arise, patent positions and litigation, among other

factors. The forward-looking statements contained in this press release

speak only as of the date the statements were made and we do not

undertake any obligation to update forward-looking statements. We intend

that all forward-looking statements be subject to the safe-harbor

provisions of the PSLRA.

View source version on businesswire.com: http://www.businesswire.com/news/home/20151105005877/en/

OPKO Health, Inc.

Charles W. Bishop, PhD, CEO, Renal

Division

or

Media

Rooney

& Associates

Terry Rooney, 212-223-0689

or

Marion

Janic, 212-223-4017

or

Investors

LHA

Anne

Marie Fields, 212-838-3777

or

Bruce

Voss, 310-691-7100

Source: OPKO Health, Inc.

Released November 5, 2015

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