OPKO Announces Publication of ProtecT Study Using Kallikrein Biomarkers in 4Kscore Test

OPKO Health (Ireland)

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April 21, 2015 10:57am EDT

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MIAMI--(BUSINESS WIRE)--

OPKO Health, Inc. (NYSE:OPK) today announced the online publication of a

study entitled “ Predicting High-Grade Cancer at Ten-Core Prostate

Biopsy Using Four Kallikrein Markers Measured in Blood in the ProtecT

Study ” in the Journal

of the National Cancer Institute . The study shows that the four

kallikrein panel of biomarkers utilized in the OPKO 4Kscore® Test (Total

PSA, Free PSA, Intact PSA and hK2) accurately identifies risk for

aggressive prostate cancer prior to prostate biopsy.

The Prostate Testing for Cancer and Treatment (ProtecT) study is a

prospective randomized controlled trial conducted in the United Kingdom

for the purpose of evaluating the cost effectiveness of conventional

treatments in PSA-detected, clinically localized prostate cancer. Of the

82,428 men recruited for the trial, a total of 6129 men with elevated

PSA (≥3.0 ng/mL) who underwent prostate biopsy and provided an adequate

blood sample were tested for the four kallikreins and their 4Kscore

result was determined. The study showed that the four kallikrein panel

enhanced aggressive prostate cancer detection compared with PSA and age

alone. The area under the curve (AUC) for the 4K model was 0.820 (95% CI

= 0.802 to 0.838) while the PSA model was 0.738 (95% CI = 0.716 to

0.761) for high-grade cancer.

“The ProtecT study is the latest in a series of peer-reviewed

publications demonstrating the superior clinical value that testing with

four kallikrein markers adds to risk prediction for aggressive prostate

cancer compared to PSA alone,” said Dr. Peter Scardino, Chair,

Department of Surgery, Memorial Sloan Kettering Cancer Center. “The high

level of discrimination for differentially detecting high-grade disease

supports use of the four kallikrein panel as a reflex test prior to

having a prostate biopsy for men with an elevated PSA.”

“The 4Kscore biomarker algorithm has now been tested and published on

over 20,000 men in 11 peer-reviewed publications covering multiple US

and European cohorts,” said David Okrongly, President of OPKO

Diagnostics. “The results all demonstrated the high discrimination and

favorable decision curve benefit of the 4Kscore algorithm for predicting

the results of prostate biopsy pathology, as well as 20 year outcomes

for risk of metastatic prostate cancer.”

About Prostate Cancer

According to the World Health Organization, prostate cancer is the

second most common cancer in men worldwide, with over 1.1 million men

diagnosed with prostate cancer in 2012 and over 300,000 men dying from

the disease. In countries like the U.S. where screening for prostate

cancer with the PSA test began 20 years ago there has been a sharp

increase in the number of prostate cancers detected. However, most of

the prostate cancers detected are an indolent, non-life threatening form

of the disease. The net result has been a decrease in prostate cancer

mortality during the PSA era, but at a cost of over detection and over

treatment of indolent prostate cancers.

About the 4Kscore Test

The 4Kscore is the only blood test that accurately identifies risk for

aggressive prostate cancer. The 4Kscore measures the blood plasma levels

of four different prostate-derived kallikrein proteins: Total PSA, Free

PSA, Intact PSA and Human Kallikrein-2 (hK2). These biomarkers are

combined with a patient's age, Digital Rectal Exam (DRE) status (nodule

/ no nodule), and prior negative biopsy status (yes / no) using a

proprietary algorithm to calculate the risk (probability) of finding a

Gleason Score 7 or higher prostate cancer. The four kallikrein panel of

biomarkers utilized in the 4Kscore Test is based on over a decade of

research conducted by scientists at Memorial Sloan-Kettering Cancer

Center and leading European institutions. The 4Kscore Test provides

individualized risk for the presence of aggressive prostate cancer and

adds new information to the shared decision making discussion between a

Urologist and patient.

About OPKO Health

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 .

SAFE HARBOR STATEMENT

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

4Kscore, whether the 4Kscore will accurately identify men more likely to

develop distant prostate cancer metastases, whether the 4Kscore will improve

long-term prediction of distant prostate cancer metastasis, whether the

4Kscore test will be used as a reflex test before prostate biopsy in men

with elevated PSA, the power of the 4Kscore to predict the 20 year risk

for metastatic prostate cancer and provide valuable information to

accurately identify aggressive prostate cancer and guide clinical

decision making, whether it will accurately predict high-grade cancers,

whether OPKO will successfully commercialize the 4Kscore, and the market

for and expected sales of 4Kscore, 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 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 the

risks inherent in funding, developing and obtaining regulatory approvals

of new, commercially-viable and competitive products and treatments. 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. Peter Scardino, M.D., serves as a member of the

OPKO Urology Advisory Board.

OPKO Health, Inc.

David Okrongly, 305-575-4133

Source: OPKO Health, Inc.

Released April 21, 2015

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