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PT-141's Sexual Stimulation of Female Rats Grabs the Headlines

July 1, 2004 – Male sexual dysfunction has received most of the headlines in the last few years, much of it generated by the battle between drugs, like Viagra, that promise to solve the problem of poor sexual performance. But the headlines this week were grabbed by PT-141, a new treatment that reportedly increased sexual activity in female rats.

 

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The study evaluated PT-141 in two rat models of female sexual behavior. PT-141 had a significant effect on the “solicitation behavior” of the female animals in both models.  Specifically, PT-141 increased the number of solicitations performed by the female in the presence of a male partner. In these animal models, solicitation is a sexual behavior used by females to arouse the male prior to copulation. The effect showed a dose response and did not affect the copulatory behavior of the females, according to the company. (see company report)

Palatin Technologies, Inc. (AMEX: PTN) announced yesterday the publication of a manuscript in The Proceedings of The National Academy of Sciences (PNAS) detailing the results of preclinical studies evaluating PT-141 effects on the sexual behavior of female rats.  The research that resulted in the manuscript titled “Selective Facilitation of Sexual Solicitation in the Female Rat by a Melanocortin Agonist” was conducted in collaboration with scientists at Concordia University in Montreal, Quebec Canada.  PT-141 is Palatin’s lead drug candidate under development for the treatment of both male and female sexual dysfunction (FSD).

James Pfaus, Ph.D. Associate Professor at Concordia University and the lead author of the manuscript stated, “I am particularly excited by the results reported here because they show a dramatic effect on solicitation or precopulatory sexual behaviors in animals.  This may indicate that PT-141 will have effects on desire in human females.  Our current thinking is that potential treatments for FSD need to affect desire if they are going to show broad efficacy in human females.”

Carl Spana, Ph.D., President and Chief Executive Officer of Palatin Technologies stated, “We are excited by the potential of PT-141 as a treatment for FSD.  The results of this preclinical research presented in the PNAS manuscript, in conjunction with our clinical studies in normal women, indicate that PT-141 is a promising drug development candidate.  Our next step is to evaluate PT-141 in women with FSD during a Phase 2 clinical trial that will be initiated in the next few weeks.”

About Female Sexual Dysfunction

Female Sexual Dysfunction (FSD) is a multifactorial condition that has anatomical, physiological, medical, psychological and social components. Studies estimate FSD is prevalent in approximately 50% of women over the age of 30 and that greater than 35 million women in the United States may be afflicted with some form of FSD.  FSD includes disorders associated with desire, arousal, orgasm and pain.

About PT-141

Palatin’s research suggests that PT-141 works through activation of melanocortin receptors in the central nervous system (CNS) rather than acting directly on the vascular system. Activation of melanocortin receptors by PT-141 results in the specific stimulation of vasodilatation in the male and female genitalia.  Based on PT-141’s CNS site of activity, animal studies and early clinical work may be effective in treating the desire as well as arousal components of FSD.  PT-141 is also in development as a treatment for Erectile Dysfunction (ED).   Clinical data from phase 2 studies indicates that PT-141 may be effective in treating a broad range of patients suffering from erectile dysfunction.  The nasal formulation of PT-141 being developed is as convenient as oral treatments, is more patient friendly than invasive treatments for ED, such as injections and trans-urethral pellets, and appears to result in a more rapid onset of action than is seen following the oral administration of treatments for ED.

About Palatin Technologies, Inc.

Palatin Technologies, Inc. (AMEX: PTN) is a development-stage biopharmaceutical company focused on discovering and developing melanocortin (MC)-based therapeutics.  The company is currently conducting clinical investigations with its lead drug PT-141, an MC receptor agonist, for the treatment of male and female sexual dysfunction. Palatin is also developing a product, NeutroSpec™, for infection imaging, based on a proprietary radiolabeled monoclonal antibody. Palatin’s patented drug discovery platform, MIDAS™, streamlines the drug design process with an efficient approach to identify lead compounds from protein targets for drugs.  For further information, visit the Palatin web site at www.palatin.com.

The research is reported in the Proceedings of Proceedings of the National Academy of Sciences.

The Progress and Goals of PT-141

Information from Palatin Technologies Website

The aging of the "baby boom" generation has brought sexual dysfunction into prominence as a medical concern. Men and women who suffer sexual dysfunction are a large and growing market not satisfied with current treatments. According to the Massachusetts Male Aging Study, more than 50% of men aged 40-70 report episodes of ED and more than 30 million men in the US suffer ongoing ED. The current market size in dollars is estimated to be from $1.5-3.0 billion, with several products already competing in the male ED market segment. The statistics for women are not well defined, yet sexual dysfunction is clearly a concern for a large number of women.

For nearly a decade, there have been mechanical methods for treating ED, such as vacuum constriction devices or surgically implanted penile prostheses. However, recent advances in understanding the molecular physiology of penile erection have led to development of pharmaceutical treatments for ED. The first generation of such products mainly focused on the vascular physiology (blood flow) of penile erection. For example, PDE-5 inhibitors and PGE1 prostaglandin hormones induce smooth muscle relaxation to cause penile blood vessels to fill. This initiates erection. These drugs cause similar effects elsewhere in the body as well. In contrast, PT-141 appears to work on the Central Nervous System (CNS), interacting more fundamentally with the underlying brain and nervous system aspects of sexual arousal and response, hence initiating penile erection through a more natural mechanism.

What is PT-141?

PT-141 is a new, nasally administered peptide in development for the treatment of sexual dysfunction. Palatin research suggests that PT-141 works through a mechanism involving the central nervous system (CNS) rather than directly on the vascular system. As a result, it may offer significant safety and efficacy benefits over currently available products. Palatin has completed a series of Phase I clinical studies in both males and females and a series of Phase II efficacy studies for erectile dysfunction (ED) in males. The company also plans to initiate a Phase II clinical study in female sexual dysfunction.

How does PT-141 work?

Approximately 30 minutes before intercourse, the patient will take a single nasal dose of PT-141. The rapid onset of PT-141 activity should be preferable to patients when compared to the 1+ hours that current oral ED therapies require. In addition, the nasal formulation of PT-141 is as convenient as oral treatments, and more patient friendly than invasive treatments for ED, such as injections and trans-urethral pellets.

PT-141 Clinical Development Status

Phase 2B "At-Home" Study - Males: Data presented at the 8th Annual Leadership Conference on Sexual, Cardiovascular and Metabolic Syndrome Related Therapies in Los Angeles on November 1, 2003 demonstrated both safety and efficacy of PT-141. Specifically, selected doses of PT-141 produced clinically and statistically significant improvement in erectile function across a wide range of erectile dysfunction (ED) patients with acceptable tolerability.  

Phase 2A Studies - Males: Data presented in May, 2003 at the American Urological Association meeting. Based on studies conducted in men with mild, moderate and severe ED, including patients with hypertension, hyderlipidemia, diabetes and depression, PT-141 produced a statistically significant improvement in erectile function with no clinically significant adverse effects.

Phase 1B Study - Females: PT-141 was administered to premenopausal women without sexual dysfunction and was shown to be safe and well tolerated. A secondary endpoint in this study was to assess PT-141's affect on vaginal blood flow. Results showed a significant difference in the increase in vaginal blood flow in subjects treated with PT-141 versus placebo.

Pre-clinical Studies: Study data indicate that PT-141 is a remarkably potent inducer of penile erection and that PT-141 activates neurons in the hypothalamus, the area of the brain responsible for sexual arousal. Preclinical toxicity and safety studies indicate that it is well tolerated with intranasal dosing. Additionally, researchers have noted no treatment-related effects on hemodynamic or cardiac functions.

PT-141 Clinical Development - Future Plans

Palatin plans on advancing the PT-141 male erectile dysfunction development program toward Phase 3 trials. Phase 3 trials are scheduled to begin in 2005.

Palatin also plans to conduct a Phase 2 study of PT-141 in female patients with sexual arousal disorder in 2004.

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