OPKO Announces Publication of Study Using Kallikrein Biomarkers of the 4Kscore® Test in a Large Community-Based Referral Cohort

OPKO Health (Ireland)

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May 15, 2015 9:06am EDT

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MIAMI--(BUSINESS WIRE)--

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

study entitled “ A Four-kallikrein Panel Predicts High-grade Cancer on

Biopsy: Independent Validation in a Community Cohort ” in the journal European

Urology . 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 in a population of men referred for

prostate biopsy based on Total PSA level and a Free PSA to Total PSA

ratio.

The study evaluated the accuracy of the four kallikrein biomarkers in

the 4Kscore along with age, DRE and an algorithm (4K algorithm) to

predict risk of aggressive prostate cancer in a large community-based

setting at Skåne University Hospital, Malmö, Sweden. Like the 4Kscore US

Validation study, the Malmö study was conducted on men being referred

for prostate biopsy, but in this study, the criteria for referral

explicitly included high-risk men with an elevated PSA (greater than or

equal to 3 ng/mL) and a low percentage of Free PSA to Total PSA (less

than or equal to 20%). These inclusion criteria selected for men with a

higher risk for having aggressive prostate cancer than the cohort

studied in the 4Kscore US Validation Study. Of the 749 men recruited for

the trial, a total of 156 men (21%) were found to have aggressive

prostate cancer defined as Gleason score greater than or equal to 7. The

results demonstrated that the 4K algorithm discriminated men with

aggressive prostate cancer from men who did not have aggressive disease

with an area under the curve (AUC) of 0.78. The study also reported that

even in this high risk patient population, a substantial number of

biopsies (25%) could have been avoided. A decision curve analysis also

demonstrated a significant net benefit for the use of the 4K algorithm

in this cohort compared to performing biopsy on all men, the current

standard of care.

“The Malmö study is the 12 th peer-reviewed paper that

demonstrated the accuracy of the 4K algorithm to accurately discriminate

the presence of aggressive prostate cancer, even in a high risk

population,” said David Okrongly, President of OPKO Diagnostics. “The

results confirm that in a community-based clinical setting, the 4Kscore

algorithm improves clinical decision-making for higher risk men with

both elevated PSA and low Free PSA to Total PSA ratios, and can safely

reduce at least 25% of unnecessary prostate biopsies.”

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 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, the power of

the 4Kscore to provide valuable information to accurately identify

aggressive prostate cancer, including in higher risk populations, and

guide clinical decision making, whether it will accurately predict

high-grade cancers, whether it will reduce unnecessary biopsies by at

least 25%, 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.

OPKO Health, Inc.

David Okrongly, 305-575-4133

Source: OPKO Health, Inc.

Released May 15, 2015

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