FDA Accepts OPKO’s New Drug Application for Rayaldee™

OPKO Health (Ireland)

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July 28, 2015 1:41pm EDT

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MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE: OPK) today announced that the U.S. Food and

Drug Administration (FDA) has accepted for review OPKO’s New Drug

Application (NDA) for calcifediol modified-release capsules (proposed

trade name, Rayaldee™). In the NDA, OPKO seeks approval of Rayaldee for

the prevention and treatment of secondary hyperparathyroidism (SHPT) in

patients with stage 3 or 4 chronic kidney disease (CKD) and vitamin D

insufficiency.

“FDA acceptance of this NDA should be cheered by healthcare

professionals who care for CKD patients,” commented Dr. Kevin J. Martin,

Director of the Division of Nephrology at Saint Louis University School

of Medicine. “If approved, Rayaldee will provide a new therapeutic

option for controlling elevated parathyroid hormone levels in this large

and undertreated patient population.”

OPKO expects written notification of NDA acceptance along with the

Prescription Drug User Fee Act (PDUFA) date in the FDA’s 74-Day letter,

which the Company expects to receive by mid-August 2015.

The NDA is supported by data from three randomized, double-blind,

placebo-controlled studies and one open-label extension study conducted

in the targeted patient population at a total of 105 U.S. sites. These

studies met all primary efficacy and safety endpoints, as previously

announced.

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 and reliably 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

OPKO is a multinational biopharmaceutical and diagnostics company that

seeks to establish industry leading positions in large, rapidly growing

markets by leveraging its discovery, development and commercialization

expertise and novel and proprietary technologies. For more information,

visit http://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

receipt of the 74-Day letter from the FDA, the contents of the

74-Day Letter and our ability to address the same, the expected

PDUFA 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/20150728006530/en/

OPKO Health, Inc.

Charles W. Bishop, PhD,

CEO, Renal Division

or

Media

Contacts

Rooney & Associates

Terry

Rooney, 212-223-0689

or

Rooney

& Associates

Marion Janic, 212-223-4017

Source: OPKO Health, Inc.

Released July 28, 2015

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