Neovasc, an OPKO Supported Company, Reports That Reducer™ Achieves Primary Endpoint in COSIRA Trial, Significantly Improving Function in Patients with Refractory Angina

OPKO Health (Ireland)

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November 06, 2013 3:51pm EST

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MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE:OPK), a multi-national biopharmaceutical and

diagnostics company, today reported that Neovasc Inc. (NVC.V), a

Vancouver-based company in which OPKO has made a strategic investment,

reported topline results for its COSIRA trial assessing the efficacy and

safety of the Neovasc ReducerTM, a novel percutaneous device for the

treatment of refractory angina. The data shows that the Reducer achieved

its primary endpoint, significantly improving the symptoms and

functioning of patients disabled by previously untreatable refractory

angina. The COSIRA trial also confirmed that the Reducer is safe and

well-tolerated, with no reports of device-related serious adverse

events. The safety and efficacy data from the randomized, controlled

COSIRA trial is consistent with results seen in previous non-randomized

pilot studies of the Reducer.

The Reducer is CE-marked in the European Union for the treatment of

refractory angina, a painful and debilitating condition that occurs when

the coronary arteries deliver an inadequate supply of blood to the heart

muscle, despite treatment with standard revascularization or cardiac

drug therapies. It affects millions of patients worldwide, who typically

lead severely restricted lives as a result of their disabling symptoms,

and its incidence is growing. The Reducer provides relief of angina

symptoms by altering blood flow in the heart's venous system, thereby

increasing the perfusion of oxygenated blood to ischemic areas of the

heart muscle. Placement of the Reducer is performed using a minimally

invasive transvenous procedure that is similar to implanting a coronary

stent and takes approximately 20 minutes.

The COSIRA (Coronary Sinus Reducer for treatment of Refractory Angina)

trial is a prospective, multicenter, sham-controlled, randomized,

double-blinded study assessing the safety and efficacy of the Reducer in

104 patients in the European Union and Canada. Patients were randomized

1:1 between treatment and sham control arms. Its primary endpoint is a

two-class improvement six months after implantation in patients' ratings

on the Canadian Cardiovascular Society (CCS) angina

grading scale , a four-class functional classification that is widely

used to characterize the severity of angina symptoms and disability.

Only patients with severe angina, CCS Class 3 or 4, were enrolled in the

COSIRA trial.

The complete results of the COSIRA trial are being submitted as a Late

Breaking Clinical Trial presentation at ACC.14, the 63rd Annual

Scientific Session & Expo of the American College of Cardiology that

will take place in Washington, DC, March 29-31, 2014.

About Neovasc Inc.

Neovasc Inc. is a specialty medical device company that develops,

manufactures and markets products for the rapidly growing global

cardiovascular marketplace. Its products include the Neovasc Reducer™

for the treatment of refractory angina and the Tiara™ transcatheter

mitral value replacement device in development for the treatment of

mitral regurgitation. In addition, Neovasc's advanced biological tissue

products are widely used as key components in a variety of third-party

medical products, such as transcatheter heart valves. For more

information, visit: www.neovasc.com .

About OPKO Health, Inc.

We are a multi-national biopharmaceutical and diagnostics company that

seeks to establish industry-leading positions in large and rapidly

growing medical markets by leveraging our discovery, development and

commercialization expertise and our novel and proprietary technologies.

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

term is defined under the Private Securities Litigation Reform Act of

1995 (PSLRA), which statements may be identified by words such as

"expects," "plans," "projects," "will," "may," "anticipates,"

"believes," "should," "intends," "estimates," and other words of similar

meaning, including statements regarding expected benefits of the Neovasc

Reducer™ and whether the Neovasc Reducer™ will be commercialized at all,

as well as other non-historical statements about our expectations,

beliefs or intentions regarding our business, technologies and products,

financial condition, strategies or prospects. Many factors could cause

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 the risks inherent in funding, developing and

obtaining regulatory approvals of new, commercially-viable and

competitive products and treatments, that earlier clinical results of

effectiveness and safety may not be reproducible or indicative of future

results, that compounds or diagnostic products under development may

fail, may not achieve the expected results or effectiveness and may not

generate data that would support the approval or marketing of products

for the indications being studied or for other indications, that

currently available over-the-counter and prescription products, as well

as products under development by others, may prove to be as or more

effective than our products for the indications being studied. 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.

OPKO Health, Inc.

Steven D. Rubin or Juan F. Rodriguez,

Source: OPKO Health, Inc.

Released November 6, 2013

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