– Significantly Enhances Takeda’s Global Oncology Portfolio –
– Accretive to FY2018 Underlying Core Earnings –
– Reinforces Takeda’s Commitment to Developing Medicines for Patients Living with Cancer –
CAMBRIDGE, Mass. & OSAKA, Japan - Monday, January 9th 2017 [ME NewsWire]
Strategic Highlights
Highly strategic deal which transforms global oncology portfolio and
pipeline by expanding into solid tumors and reinforcing existing
strength in hematology
Accretive to Takeda’s Underlying Core Earnings by FY2018 and generates immediate and long-term revenue growth
Attractive value drivers include two very innovative precision
medicines, Iclusig® (ponatinib) and brigatinib, an exciting early stage
pipeline and cost synergies
Iclusig is a globally commercialized product with continued strong sales growth potential
Brigatinib approval in the U.S. is expected in the first half of
2017, with peak sales potential over $1 billion and the potential to be
the best-in-class ALK inhibitor
Takeda will leverage ARIAD’s research and development capabilities and platform
Takeda retains financial flexibility with no impact on dividend policy
(BUSINESS
WIRE)-- Takeda Pharmaceutical Company Limited (TSE:4502) (“Takeda”) and
ARIAD Pharmaceuticals, Inc. (NASDAQ:ARIA) (“ARIAD”) today announced
that they have entered into a definitive agreement under which Takeda
will acquire all of the outstanding shares in ARIAD for $24.00 per share
in cash, or an enterprise value of approximately $5.2 billion. The
transaction has been approved unanimously by the boards of directors of
both companies, and is expected to close by the end of February 2017,
subject to required regulatory approvals and other customary closing
conditions. Sarissa Capital, the holder of 6.6% of ARIAD’s common
shares, as well as each of the members of ARIAD’s Board of Directors
have agreed to tender their shares to Takeda pursuant to the offer.
“The
acquisition of ARIAD is a unique opportunity that will enable us to
positively impact the lives of more patients worldwide, advance our
strategic priorities and generate attractive returns for our
shareholders,” said Christophe Weber, president and chief executive
officer of Takeda. “This is a very exciting time for Takeda as we will
broaden our hematology portfolio and transform our global solid tumor
franchise through the addition of two innovative targeted therapies.
Opportunities to acquire such high-quality, complementary targeted
therapies do not come often, and we are very excited about the potential
for this transaction to benefit patients, our shareholders and other
stakeholders.”
Paris
Panayiotopoulos, president and chief executive officer of ARIAD, said,
“We are very pleased to combine with Takeda, which will allow us to not
only accelerate our mission to discover, develop and deliver precision
therapies to patients with rare cancers, but also deliver immediate and
meaningful value to our shareholders through a substantial cash premium.
This exciting transaction is a testament to the hard work and
dedication of ARIAD’s talented team of employees. We have tremendous
respect for Takeda, and I believe our shared commitment to innovation
and research-driven cultures will provide for a smooth transition.”
“This
transaction is a great outcome for shareholders of ARIAD and Takeda.
Both ARIAD and Takeda are passionate about helping cancer patients, and I
believe the talent and resources of Takeda coupled with ARIAD’s
pipeline and people will accelerate the development of cancer
treatments. I would like to extend my deepest gratitude to the
management team and everyone at ARIAD for their unrelenting dedication,”
said Alexander J. Denner, Ph.D., Chairman of the Board of ARIAD.
Highly
strategic deal which transforms global oncology portfolio and pipeline
by expanding into solid tumors and reinforcing existing strength in
hematology
The
acquisition of ARIAD brings two innovative targeted therapies that will
expand and enhance Takeda’s existing oncology portfolio. Brigatinib, an
investigational drug product, has the potential to add a
differentiated, global therapy in a genetically-defined subpopulation of
non-small cell lung cancer (NSCLC). The addition of Iclusig will
broaden Takeda’s strong hematology franchise to include chronic myeloid
leukemia (CML) and a subset of acute lymphoblastic leukemia (ALL).
Together, these two innovative targeted therapies will position Takeda
for sustainable long-term growth in oncology.
Takeda’s
track record of successful oncology product launches [ADCETRIS®
(Brentuximab Vedotin), NINLAROTM (ixazomib) and VELCADE® (bortezomib)]
means it has the experience and expertise required to deliver the
successful launch of brigatinib and to ensure that it achieves global
reach and share of voice thereafter.
Accretive to Takeda’s Underlying Core Earnings by FY2018 and generates immediate and long-term revenue growth
The
transaction is a compelling opportunity for Takeda shareholders. It
will provide immediate revenue, bring considerable long-term revenue
potential and deliver synergy savings.
ARIAD
provided calendar year 2016 revenue guidance for Iclusig of $170-180
million, and Takeda expects significant long-term revenue potential from
the two lead assets.
Takeda
projects the acquisition of ARIAD to be accretive to Underlying Core
Earnings by FY2018 and broadly neutral in FY2017. Strong revenue growth
and synergy savings will offset increased sales and marketing costs for
the brigatinib launch.
Attractive
value drivers include two very innovative medicines, Iclusig and
brigatinib, an exciting early stage pipeline and cost synergies
Iclusig,
a commercialized therapy with continued strong sales growth potential,
delivers immediate value. Brigatinib, an investigational drug product
with peak annual sales potential of over $1 billion, will generate
significant long-term value for Takeda. U.S. approval is expected in the
first half of 2017 with global filing thereafter. Beyond Iclusig and
brigatinib, ARIAD’s commitment and expertise in targeted kinase
inhibition linked to strong translational science generated further
pipeline opportunities which provide additional long-term upside
potential.
Takeda
will leverage ARIAD’s R&D capabilities and platform, and largely
absorb its R&D costs within Takeda's existing R&D budget.
G&A cost synergies will be fully captured by FY2018.
Takeda retains financial flexibility with no impact on dividend policy
The
transaction will be funded by up to $4.0 billion of new debt and the
remainder from existing cash. FY2017 Net Debt/EBITDA is estimated at
approximately 2.6x, which is expected to remain investment grade. The
transaction has no impact on Takeda’s dividend policy.
Transaction terms
The
acquisition is structured as an all cash tender offer by a subsidiary
of Takeda for all of the outstanding shares of ARIAD common stock,
followed by a merger in which remaining shares of ARIAD would be
converted into the right to receive the same $24.00 cash per share price
paid in the tender offer and ARIAD will become an indirect wholly owned
subsidiary of Takeda.
The
transaction is subject to the tender of a majority of the outstanding
shares of ARIAD common stock as well as other customary closing
conditions, including expiration of the applicable waiting period under
the Hart-Scott-Rodino Antitrust Improvements Act of 1976 and the
antitrust laws of applicable foreign jurisdictions. The transaction is
expected to close by the end of February 2017.
Takeda
Pharmaceuticals U.S.A, a wholly owned subsidiary of Takeda, has
established Kiku Merger Co., Inc. to effect the transaction.
(1)
|
Tender offeror
|
Kiku Merger Co., Inc.
|
(2)
|
Target company
|
ARIAD Pharmaceuticals, Inc.
|
(3)
|
Class of shares to be acquired
|
Common stock
|
(4)
|
Tender offer price
|
$24.00 per share
|
(5)
|
Acquisition amount
(Aggregate tender offer price)
|
Approximately $5.4 billion (estimate)
*
The amount is an estimated amount calculated by multiplying the number
of the target company's shares (fully diluted basis) by the tender offer
price per share. It does not include advisory fees.
|
(6)
|
Payment
|
Cash
* Funded by up to $4.0 billion of new debt and the remainder from existing cash.
|
(7)
|
Period of tender offer
|
From January, 2017 to February, 2017
**
The initial period of the tender offer will commence within 10 business
days following execution of the merger agreement with ARIAD [January 8,
2017 (U.S.)], and will close 20 business days after commencement. If
the situation arises whereby the conditions of the tender offer are not
satisfied, the period of the tender offer will be extended, but the
extension period will not exceed May 2017 (or August 2017 if antitrust
clearance not received).
|
(8)
|
Minimum number of shares to be purchased
|
Consummation
of the tender offer will occur once the majority of shares outstanding
of the company have been tendered and other customary closing conditions
have been satisfied.
|
(9)
|
Financial advisor to Takeda
|
Evercore Partners
|
(10)
|
Legal counsel to Takeda
|
Cleary Gottlieb Steen & Hamilton LLP
|
(11)
|
Financial advisor to ARIAD
|
J.P. Morgan Securities LLC, Goldman, Sachs & Co., Lazard
|
(12)
|
Legal counsel to ARIAD
|
Paul, Weiss, Rifkind, Wharton & Garrison LLP
|
Overview of ARIAD
(1)
|
Company name
|
ARIAD Pharmaceuticals, Inc.
| ||||
(2)
|
Headquarters
|
125 Binney Street, Cambridge, Massachusetts 02142, USA
| ||||
(3)
|
Representative
|
Paris Panayiotopoulos, President and Chief Executive Officer
| ||||
(4)
|
Business description
|
ARIAD
Pharmaceuticals, Inc., headquartered in Cambridge, Massachusetts is
focused on discovering, developing and commercializing precision
therapies for patients with rare cancers. ARIAD is working on new
medicines to advance the treatment of rare forms of chronic and acute
leukemia, lung cancer and other rare cancers. ARIAD utilizes
computational and structural approaches to design small-molecule drugs
that overcome resistance to existing cancer medicines.
| ||||
(5)
|
Capital
|
US$1,339 million (Additional paid-in capital as of December 31, 2015)
| ||||
(6)
|
Date of establishment
|
April, 1991
| ||||
(7)
|
Major shareholders
and percentage of
shares held*
|
Wellington Management Group LLP
|
8.8%
| |||
FMR LLC
|
7.8%
| |||||
Vanguard Group Inc.
|
6.8%
| |||||
Others
| ||||||
(8)
|
Relationships between Takeda
|
Capital relationship
|
Not applicable
| |||
Personnel relationship
|
Not applicable
| |||||
Transactional relationship
|
Not applicable
| |||||
(9)
|
Operating result and financial conditions for the last three years (consolidated)
| |||||
Accounting period
|
Fiscal year ended December 31, 2013
|
Fiscal year ended December 31, 2014
|
Fiscal year ended December 31, 2015
| |||
Net assets
(US$ in thousands)
|
185,517
|
80,801
|
(103,141)
| |||
Total assets
(US$ in thousands)
|
370,894
|
603,116
|
546,692
| |||
Net assets per share
(US$)
|
1.01
|
0.43
|
(0.55)
| |||
Revenue
(US$ in thousands)
|
45,561
|
105,412
|
118,804
| |||
Operating profit
(US$ in thousands)
|
(273,566)
|
(160,195)
|
(217,276)
| |||
Net loss
(US$ in thousands)
|
(274,158)
|
(162,602)
|
(231,156)
| |||
Net loss per share
(US$)
|
(1.49)
|
(0.87)
|
(1.23)
|
* As
reported in the 13F filings. Percentage of shares is calculated by
dividing the number of shareholdings (as of the end of September 2016)
by the number of total shares outstanding of the target company.
Change in ownership before and after acquisition
(1)
|
Number of shares already acquired
|
0 shares
Percentage of voting rights: 0%
|
(2)
|
Number of shares to be acquired
|
194,389,661 shares*
Percentage of voting rights: 100% (planned)
* Total shares outstanding
|
Schedule
(1)
|
Board meeting resolution
|
January 6, 2017
|
(2)
|
Signing date
|
January 8, 2017
|
(3)
|
Commencement date and settlement date of the tender offer
|
From January, 2017 to February, 2017
**The
initial period of the tender offer will commence within 10 business
days following execution of the merger agreement with ARIAD [January 8,
2017 (U.S.)], and will close 20 business days after commencement. If the
conditions of the tender offer are not satisfied, the period of the
tender offer will be extended, but the extension period will not exceed
May 2017 (or August 2017 if antitrust clearance not received).
|
(4)
|
Completion of acquisition
|
By the end of February, 2017 (planned)*
|
*
Fulfillment of the terms and conditions of the U.S. Antitrust Law and
the satisfaction of certain other customary conditions are required to
complete the acquisition.
Outlook
FY2016
At
this stage we expect minimal impact on Underlying Revenue and
Underlying Core Earnings. We do expect to incur transition and
integration expenses, however, these expenses are not material to the
current year result. We will incorporate the financial impact in our
FY2016 consolidated earnings forecast and announce at the third quarter
earnings conference in February 2017.
FY2017 and beyond
It
is expected that the acquisition of ARIAD will be accretive to Takeda’s
Underlying Core Earnings by FY2018 and broadly neutral in FY2017.
Strong revenue growth and synergy savings will offset increased sales
and marketing costs for the brigatinib launch. Takeda’s financial
guidance, including EPS, for FY2017 will be announced when Takeda
reports earnings for FY2016 in May 2017.
Conference Call Webcast Information
Takeda
will host a media/investors conference call at 7:30 p.m. EST January 9,
2017 (9:30 a.m. JST January 10, 2017) to discuss the transaction.
You can listen to the conference call at the following link:
http://www.Takeda.com/investor-information/results/
A replay of the conference call will be available within 24 hours.
In light of this announcement, ARIAD will not be presenting today at the 35th Annual J.P. Morgan Healthcare Conference.
About Takeda Pharmaceutical Company
Takeda
Pharmaceutical Company Limited is a global, research and
development-driven pharmaceutical company committed to bringing better
health and a brighter future to patients by translating science into
life-changing medicines. Takeda focuses its R&D efforts on oncology,
gastroenterology and central nervous system therapeutic areas plus
vaccines. Takeda conducts R&D both internally and with partners to
stay at the leading edge of innovation. New innovative products,
especially in oncology and gastroenterology, as well as our presence in
Emerging Markets, fuel the growth of Takeda. More than 30,000 Takeda
employees are committed to improving quality of life for patients,
working with our partners in health care in more than 70 countries.
Additional information about Takeda is available through its corporate
website, www.Takeda.com.
About Iclusig® (ponatinib) tablets
Iclusig
is a kinase inhibitor. The primary target for Iclusig is BCR-ABL, an
abnormal tyrosine kinase that is expressed in chronic myeloid leukemia
(CML) and Philadelphia-chromosome positive acute lymphoblastic leukemia
(Ph+ ALL). Iclusig was designed using ARIAD's computational and
structure-based drug-design platform specifically to inhibit the
activity of BCR-ABL. Iclusig targets not only native BCR-ABL but also
its isoforms that carry mutations that confer resistance to treatment,
including the T315I mutation, which has been associated with resistance
to other approved TKIs. Iclusig is approved in the U.S., EU, Australia,
Switzerland, Israel, Canada and Japan.
In the U.S., Iclusig is a kinase inhibitor indicated for the:
Treatment of adult patients with chronic phase, accelerated phase, or
blast phase chronic myeloid leukemia (CML) or Philadelphia chromosome
positive acute lymphoblastic leukemia (Ph+ ALL) for whom no other
tyrosine kinase inhibitor (TKI) therapy is indicated.
Treatment of adult patients with T315I-positive chronic myeloid
leukemia (chronic phase, accelerated phase, or blast phase) or
T315I-positive Ph+ ALL.
Limitations of use:
Limitations
of use: Iclusig is not indicated and is not recommended for the
treatment of patients with newly diagnosed chronic phase CML.
IMPORTANT SAFETY INFORMATION
Based on the Phase 2 48 mo. follow-up analysis (N=449), except where noted
IMPORTANT U.S. SAFETY INFORMATION, INCLUDING THE BOXED WARNING
WARNING: ARTERIAL OCCLUSION, VENOUS THROMBOEMBOLISM, HEART FAILURE, and HEPATOTOXICITY
See full prescribing information for complete boxed warning.
Arterial occlusion has occurred in at least 35% of Iclusig®
(ponatinib)-treated patients including fatal myocardial infarction,
stroke, stenosis of large arterial vessels of the brain, severe
peripheral vascular disease, and the need for urgent revascularization
procedures. Patients with and without cardiovascular risk factors,
including patients less than 50 years old, experienced these events.
Interrupt or stop Iclusig immediately for arterial occlusion. A
benefit-risk consideration should guide a decision to restart Iclusig.
Venous Thromboembolism has occurred in 6% of Iclusig-treated patients.
Monitor for evidence of thromboembolism. Consider dose modification or
discontinuation of Iclusig in patients who develop serious venous
thromboembolism.
Heart Failure, including fatalities occurred in 9% of Iclusig treated
patients. Monitor cardiac function. Interrupt or stop Iclusig for new or
worsening heart failure.
Hepatotoxicity, liver failure and death have occurred in
Iclusig-treated patients. Monitor hepatic function. Interrupt Iclusig if
hepatotoxicity is suspected.
Warnings and Precautions
Arterial
Occlusions: Arterial occlusions, including fatal myocardial infarction,
stroke, stenosis of large arterial vessels of the brain, severe
peripheral vascular disease have occurred in at least 35% of
Iclusig-treated patients from the phase 1 and phase 2 trials. In the
phase 2 trial, 33% (150/449) of Iclusig-treated patients experienced a
cardiac vascular (21%), peripheral vascular (12%), or cerebrovascular
(9%) arterial occlusive event; some patients experienced more than 1
type of event. Fatal and life-threatening events have occurred within 2
weeks of starting treatment, with doses as low as 15 mg per day. Iclusig
can also cause recurrent or multi-site vascular occlusion. Patients
have required revascularization procedures. The median time to onset of
the first cardiac vascular, cerebrovascular, and peripheral vascular
arterial occlusive events was 193, 526, and 478 days, respectively.
Patients with and without cardiovascular risk factors, some age 50 years
or younger, experienced these events. The most common risk factors
observed with these events were hypertension, hyperlipidemia, and
history of cardiac disease. Arterial occlusive events were more frequent
with increasing age and in patients with a history of ischemia,
hypertension, diabetes, or hyperlipidemia. In patients suspected of
developing arterial occlusive events, interrupt or stop Iclusig.
Venous
Thromboembolism: Venous thromboembolic events occurred in 6% (25/449)
of Iclusig-treated patients with an incidence rate of 5% (13/270
CP-CML), 4% (3/85 AP-CML), 10% (6/62 BP-CML) and 9% (3/32 Ph+ ALL).
Events included: deep venous thrombosis, pulmonary embolism, superficial
thrombophlebitis, and retinal vein thrombosis with vision loss.
Consider dose modification or discontinuation of Iclusig in patients who
develop serious venous thromboembolism.
Heart
Failure: Fatal or serious heart failure or left ventricular dysfunction
occurred in 6% of Iclusig-treated patients (29/449). Nine percent of
patients (39/449) experienced any grade of heart failure or left
ventricular dysfunction. The most frequently reported heart failure
events were congestive cardiac failure and decreased ejection fraction
(14 patients each; 3%). Monitor patients for signs or symptoms
consistent with heart failure and treat as clinically indicated,
including interruption of Iclusig. Consider discontinuation if serious
heart failure develops.
Hepatotoxicity:
Iclusig can cause hepatotoxicity, including liver failure and death.
Fulminant hepatic failure leading to death occurred in a patient within
one week of starting Iclusig. Two additional fatal cases of acute liver
failure also occurred. The fatal cases occurred in patients with BP-CML
or Ph+ ALL. Severe hepatotoxicity occurred in all disease cohorts, with
11% (50/449) experiencing grade 3 or 4 hepatotoxicity. The most common
forms of hepatotoxicity were elevations of AST or ALT (54% all grades,
8% grade 3 or 4, 5% not reversed at last follow-up), bilirubin, and
alkaline phosphatase. Hepatotoxic events were observed in 29% of
patients. The median time to onset of hepatotoxicity event was 3 months.
Monitor liver function tests at baseline, then at least monthly or as
clinically indicated. Interrupt, reduce or discontinue Iclusig as
clinically indicated.
Hypertension:
Treatment-emergent elevation of systolic or diastolic blood pressure
(BP) occurred in 68% (306/449) of Iclusig-treated patients. Fifty-three
patients (12%) experienced treatment-emergent symptomatic hypertension
as a serious adverse reaction, including hypertensive crisis. Patients
may require urgent clinical intervention for hypertension associated
with confusion, headache, chest pain, or shortness of breath. In
patients with baseline systolic BP<140 mm Hg and baseline diastolic
BP<90 mm Hg, 80% (229/285) experienced treatment-emergent
hypertension; 44% (124/285) developed Stage 1 hypertension, 37%
developed Stage 2 hypertension. In 132 patients with Stage 1
hypertension at baseline, 67% (88/132) developed Stage 2 hypertension.
Monitor and manage blood pressure elevations during Iclusig use and
treat hypertension to normalize blood pressure. Interrupt, dose reduce,
or stop Iclusig if hypertension is not medically controlled. In the
event of significant worsening, labile or treatment-resistant
hypertension, interrupt treatment and consider evaluating for renal
artery stenosis.
Pancreatitis:
Pancreatitis occurred in 7% (31/449, 6% serious or grade 3/4) of
Iclusig-treated patients. The incidence of treatment-emergent lipase
elevation was 42% (16% grade 3 or greater). Pancreatitis resulted in
discontinuation or treatment interruption in 6% of patients (26/449).
The median time to onset of pancreatitis was 14 days. Twenty-three of
the 31 cases of pancreatitis resolved within 2 weeks with dose
interruption or reduction. Check serum lipase every 2 weeks for the
first 2 months and then monthly thereafter or as clinically indicated.
Consider additional serum lipase monitoring in patients with a history
of pancreatitis or alcohol abuse. Dose interruption or reduction may be
required. In cases where lipase elevations are accompanied by abdominal
symptoms, interrupt treatment with Iclusig and evaluate patients for
pancreatitis. Do not consider restarting Iclusig until patients have
complete resolution of symptoms and lipase levels are less than 1.5 x
ULN.
Increased
Toxicity in Newly Diagnosed Chronic Phase CML: In a prospective
randomized clinical trial in the first-line treatment of newly diagnosed
patients with chronic phase (CP) CML, single agent Iclusig 45 mg
once-daily increased the risk of serious adverse reactions 2-fold
compared to single agent imatinib 400 mg once-daily. The median exposure
to treatment was less than 6 months. The trial was halted for safety in
October 2013. Arterial and venous thrombosis and occlusions occurred at
least twice as frequently in the Iclusig arm compared to the imatinib
arm. Compared to imatinib-treated patients, Iclusig-treated patients
exhibited a greater incidence of myelosuppression, pancreatitis,
hepatotoxicity, cardiac failure, hypertension, and skin and subcutaneous
tissue disorders. Iclusig is not indicated and is not recommended for
the treatment of patients with newly diagnosed CP-CML.
Neuropathy:
Peripheral and cranial neuropathy have occurred in Iclusig-treated
patients. Overall, 20% (90/449) of Iclusig-treated patients experienced a
peripheral neuropathy event of any grade (2%, grade 3/4). The most
common peripheral neuropathies reported were paresthesia (5%, 23/449),
neuropathy peripheral (4%, 19/449), hypoesthesia (3%, 15/449), dysgeusia
(2%, 10/449), muscular weakness (2% 10/449) and hyperesthesia (1%,
5/449). Cranial neuropathy developed in 2% (10/449) of Iclusig-treated
patients (<1%, 3/449 - grade 3/4). Of the patients who developed
neuropathy, 26% (23/90) developed neuropathy during the first month of
treatment. Monitor patients for symptoms of neuropathy, such as
hypoesthesia, hyperesthesia, paresthesia, discomfort, a burning
sensation, neuropathic pain or weakness. Consider interrupting Iclusig
and evaluate if neuropathy is suspected.
Ocular
Toxicity: Serious ocular toxicities leading to blindness or blurred
vision have occurred in Iclusig-treated patients. Retinal toxicities
including macular edema, retinal vein occlusion, and retinal hemorrhage
occurred in 2% of Iclusig-treated patients. Conjunctival irritation,
corneal erosion or abrasion, dry eye, conjunctivitis, conjunctival
hemorrhage, hyperaemia and edema or eye pain occurred in 14% of
patients. Visual blurring occurred in 6% of patients. Other ocular
toxicities include cataracts, periorbital edema, blepharitis, glaucoma,
eyelid edema, ocular hyperaemia, iritis, iridocyclitis, and ulcerative
keratitis. Conduct comprehensive eye exams at baseline and periodically
during treatment.
Hemorrhage:
Serious hemorrhage events including fatalities, occurred in 6% (28/449)
of patients treated with Iclusig. Hemorrhage occurred in 28% (124/449)
of patients. The incidence of serious bleeding events was higher in
patients with AP-CML, BP-CML, and Ph+ ALL. Gastrointestinal hemorrhage
and subdural hematoma were the most commonly reported serious bleeding
events occurring in 1% (4/449) each. Most hemorrhagic events, but not
all, occurred in patients with grade 4 thrombocytopenia. Interrupt
Iclusig for serious or severe hemorrhage and evaluate.
Fluid
Retention: Fluid retention events judged as serious occurred in 4%
(18/449) of patients treated with Iclusig. One instance of brain edema
was fatal. For fluid retention events occurring in >2% of the
patients (treatment-emergent), serious cases included: pleural effusion
(7/449, 2%), pericardial effusion (4/449, 1%), and edema peripheral
(2/449, <1%).
In
total, fluid retention occurred in 31% of the patients. The most common
fluid retention events were peripheral edema (17%), pleural effusion
(8%), pericardial effusion (4%) and peripheral swelling (3%).
Monitor
patients for fluid retention and manage patients as clinically
indicated. Interrupt, reduce, or discontinue Iclusig as clinically
indicated.
Cardiac
arrhythmias: Arrhythmias occurred in 19% (86/449) of Iclusig-treated
patients, of which 7% (33/449) were grade 3 or greater. Arrhythmia of
ventricular origin was reported in 3% (3/86) of all arrhythmias, with
one case being grade 3 or greater. Symptomatic bradyarrhythmias that led
to pacemaker implantation occurred in 1% (3/449) of Iclusig-treated
patients.
Atrial
fibrillation was the most common arrhythmia and occurred in 7% (31/449)
of patients, approximately half of which were grade 3 or 4. Other grade
3 or 4 arrhythmia events included syncope (9 patients; 2.0%),
tachycardia and bradycardia (2 patients each 0.4%), and
electrocardiogram QT prolonged, atrial flutter, supraventricular
tachycardia, ventricular tachycardia, atrial tachycardia,
atrioventricular block complete, cardio-respiratory arrest, loss of
consciousness, and sinus node dysfunction (1 patient each 0.2%). For 27
patients, the event led to hospitalization.
In
patients with signs and symptoms suggestive of slow heart rate
(fainting, dizziness) or rapid heart rate (chest pain, palpitations or
dizziness), interrupt Iclusig and evaluate.
Myelosuppression:
Myelosuppression was reported as an adverse reaction in 59% (266/449)
of Iclusig-treated patients and grade 3/4 myelosuppression occurred in
50% (226/449) of patients. The incidence of these events was greater in
patients with AP-CML, BP-CML, and Ph+ ALL than in patients with CP-CML.
Severe
myelosuppression (Grade 3 or 4) was observed early in treatment, with a
median onset time of 1 month (range <1-40 months). Obtain complete
blood counts every 2 weeks for the first 3 months and then monthly or as
clinically indicated, and adjust the dose as recommended.
Tumor
Lysis Syndrome: Two patients (<1%, one with AP-CML and one with
BP-CML) treated with Iclusig developed serious tumor lysis syndrome.
Hyperuricemia occurred in 7% (31/449) of patients. Due to the potential
for tumor lysis syndrome in patients with advanced disease, ensure
adequate hydration and treat high uric acid levels prior to initiating
therapy with Iclusig.
Reversible
Posterior Leukoencephalopathy Syndrome (RPLS): Postmarketing cases of
reversible posterior leukoencephalopathy syndrome (RPLS—also known as
Posterior Reversible Encephalopathy Syndrome (PRES)) have been reported
in Iclusig-treated patients. RPLS is a neurological disorder that can
present with signs and symptoms such as seizure, headache, decreased
alertness, altered mental functioning, vision loss, and other visual and
neurological disturbances. Hypertension is often present and diagnosis
is made with supportive findings on magnetic resonance imaging (MRI) of
the brain. If RPLS is diagnosed, interrupt Iclusig treatment and resume
treatment only once the event is resolved and if the benefit of
continued treatment outweighs the risk of RPLS.
Compromised
Wound Healing and Gastrointestinal Perforation: Since Iclusig may
compromise wound healing, interrupt Iclusig for at least 1 week prior to
major surgery. Serious gastrointestinal perforation (fistula) occurred
in one patient 38 days post-cholecystectomy.
Embryo-Fetal
Toxicity: Based on its mechanism of action and findings from animal
studies, Iclusig can cause fetal harm when administered to a pregnant
woman. In animal reproduction studies, oral administration of ponatinib
to pregnant rats during organogenesis caused adverse developmental
effects at exposures lower than human exposures at the recommended human
dose. Advise pregnant women of the potential risk to the fetus. Advise
females of reproductive potential to use effective contraception during
treatment with Iclusig and for 3 weeks after the last dose.
Most
Common Adverse Reactions: Overall, the most common non-hematologic
adverse reactions (≥20%) were abdominal pain, rash, constipation,
headache, dry skin, fatigue, hypertension, pyrexia, arthralgia, nausea,
diarrhea, lipase increased, vomiting, myalgia and pain in extremity.
Hematologic adverse reactions included thrombocytopenia, anemia,
neutropenia, lymphopenia, and leukopenia.
Please see the full U.S. Prescribing Information for Iclusig, including the Boxed Warning.
Iclusig is a registered trademark of ARIAD Pharmaceuticals, Inc.
Additional Information
The
tender offer described in this press release has not yet commenced.
This press release is provided for informational purposes only and does
not constitute an offer to purchase or the solicitation of an offer to
sell any securities. At the time the tender offer is commenced, Takeda
and its wholly owned subsidiary, Kiku Merger Co., Inc., intend to file
with the Securities and Exchange Commission (the “SEC”) a Tender Offer
Statement on Schedule TO containing an offer to purchase, a form of
letter of transmittal and other documents relating to the tender offer,
and ARIAD intends to file with the SEC a Solicitation/Recommendation
Statement on Schedule 14D 9 with respect to the tender offer. Takeda,
Kiku Merger Co., Inc. and ARIAD intend to mail these documents to the
ARIAD stockholders. Investors and shareholders should read those filings
carefully when they become available as they will contain important
information about the tender offer. Those documents may be obtained
without charge at the SEC’s website at www.sec.gov. The offer to
purchase and related materials may also be obtained (when available) for
free by contacting the information agent for the tender offer.
Cautionary Statement Regarding Forward-Looking Statements
This
press release contains forward-looking information related to Takeda,
ARIAD and the proposed acquisition of ARIAD by Takeda that involves
substantial risks and uncertainties that could cause actual results to
differ materially from those expressed or implied by such statements.
Forward-looking statements in this document include, among other things,
statements about the potential benefits of the proposed acquisition,
anticipated earnings accretion and growth rates, Takeda’s and ARIAD’s
plans, objectives, expectations and intentions, the financial condition,
results of operations and business of Takeda and ARIAD, ARIAD’s
products, ARIAD’s pipeline assets, and the anticipated timing of closing
of the acquisition. Risks and uncertainties include, among other
things, risks related to the satisfaction of the conditions to closing
the acquisition (including the failure to obtain necessary regulatory
approvals) in the anticipated timeframe or at all, including
uncertainties as to how many of ARIAD’s stockholders will tender their
shares in the tender offer and the possibility that the acquisition does
not close; risks related to the ability to realize the anticipated
benefits of the acquisition, including the possibility that the expected
benefits from the proposed acquisition will not be realized or will not
be realized within the expected time period; the risk that the
businesses will not be integrated successfully; disruption from the
transaction making it more difficult to maintain business and
operational relationships; negative effects of this announcement or the
consummation of the proposed acquisition on the market price of Takeda’s
common stock and on Takeda’s operating results; significant transaction
costs; unknown liabilities; the risk of litigation and/or regulatory
actions related to the proposed acquisition; other business effects,
including the effects of industry, market, economic, political or
regulatory conditions; future exchange and interest rates; changes in
tax and other laws, regulations, rates and policies; future business
combinations or disposals; the uncertainties inherent in research and
development, including the ability to sustain and increase the rate of
growth in revenues for ARIAD’s products despite increasing competitive,
reimbursement and economic challenges; whether and when any drug
applications may be filed in any jurisdictions for any indications or
any additional indications for ARIAD’s products or for ARIAD’s pipeline
assets; whether and when the FDA or any other applicable regulatory
authorities may approve any such applications, which will depend on its
assessment of the benefit-risk profile suggested by the totality of the
efficacy and safety information submitted; decisions by the FDA or other
regulatory authorities regarding labeling and other matters that could
affect the availability or commercial potential of ARIAD’s products and
ARIAD’s pipeline assets; and competitive developments.
Many
of these factors are beyond Takeda’s control. Unless otherwise required
by applicable law, Takeda disclaims any intention or obligation to
update forward-looking statements contained in this document as the
result of new information or future events or developments.
Contacts
Media and Investor Contacts
Takeda Investor Contact
Noriko Higuchi, +81 (0) 3-3278-2306
noriko.higuchi@Takeda.com
or
Takeda Media outside Japan
Shawn Goodman, 415-250-0766
shawn.goodman@Takeda.com
or
Japanese Media
Tsuyoshi Tada, +81 (0) 3-3278-2417
tsuyoshi.tada@Takeda.com
or
Kal Goldberg, Finsbury, 646-805-2005
kal.goldberg@finsbury.com
or
Chris Ryall, Finsbury, 646-805-2078
chris.ryall@finsbury.com
or
ARIAD Investor Contact
Manmeet Soni, 617-503-7298
manmeet.soni@ariad.com
or
ARIAD Media Contacts
Steve Frankel, Jed Repko, Leigh Parrish,
Joele Frank, Wilkinson Brimmer Katcher
212-355-4449
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