August 4, 2014 To those concerned R-Tech Ueno, Ltd. (JASDAQ・Code4573) The results of study on Unoprostone (development code UF-021) for retinitis pigmentosa announced at the 30th Annual Meeting of the Japan Society of Drug Delivery System This is to announce that Unoprostone(Note 1) (development code UF-021) that is being developed in our company for the treatment of retinitis pigmentosa(Note 2), have been given an oral presentation in the results of Collaborative Study with Tohoku University on a drug delivery system (press releases of July 12, 2012) at the 30th Annual Meeting of the Japan Society of Drug Delivery System in Kyoto from July 3th, 2014. The 30th Annual Meeting of the Japan Society of Drug Delivery System 2-F-02 (announced on July 31, 2014) 「Development of DDS for retina using photo-curable polymers, polyethyleneglycol dimethacrylates」 Nobuhiro Nagai, assistant Professor of Graduate School of Medicine, Tohoku University presented “Development of DDS for retina using photo-curable polymers, polyethyleneglycol dimethacrylates” and concluded that “ethylene oxide gas sterilization did not affect the release rate and unoprostone-content of unoprostone-DDS and the quality of the DDS did not alter after accelerated test, and the elution toxicity of the DDS was low from cell culture experiments.” Unoprostone (development code UF-021) ophthalmic solution for the treatment of retinitis pigmentosa under the Phase 3 clinical study (press releases of March 13, 2013) needs to be instilled at a constant frequency (2 drops into both eyes in the morning and evening). Patients who have difficulty performing the frequent instillations such as aged patients and/or patients with poor vision will be able to utilize Unoprostone ophthalmic solution with this new drug delivery device. (Note 1) About Unoprostone Prostones, a class of functional fatty acids which were first discovered in the 1980s by Dr. Ryuji Ueno, the founder of R-Tech Ueno, are compounds having effective localized physiological action as drugs, while being largely without the various systemic adverse reactions of prostaglandins themselves. Rescula® Eye Drops 0.12% (generic name: unoprostone isopropyl), which obtained market approval in 1994 for treatment of glaucoma and ocular hypertension, was the world’s first prostone drug. It opens ion channels (BK channel or Maxi-K channel) and not only lowers intraocular pressure, it is also reported to protect optic nerves (in vitro) and improve ocular blood flow in normal tension glaucoma. Since its release in 1994, it has been approved in 45 countries. In 2009 the concentration of preservative contained in Rescula® Eye Drops 0.12% was reduced by a change in the formulation, and in 2010 storage at room temperature instead of in a cold place became possible. Rescula® Eye Drops 0.12% is also marketed in South Korea and Taiwan. We are developing a therapeutic agent for treatment of retinitis pigmentosa with unoprostone as the main ingredient and are conducting a phase 3 clinical trial of the ophthalmic solution with unoprostone (development code: UF-021) as the main ingredient (press release of March 13, 2013), and a phase 2 clinical trial indicated that the number of patients whose retina sensitivity in the central retina deteriorated was reduced (press releases of June 3 and July 15, 2010). The development of retinitis pigmentosa treatment by unoprostone in Japan has support from government to be adopted in the Adaptable and Seamless Technology Program through Target-Driven R&D (A-STEP) as "Full-scale R&D Stage - Practical Application Type (Contract Development)”by the Japan Science and Technology Agency (JST) (press release of February 1, 2013), and we are further increasing our efforts for early approval of this drug. We licensed the overseas development and commercialization rights for unoprostone to Sucampo Pharmaceuticals, Inc. (Sucampo), for the United States and Canada in 2009, and then for the United States, Canada and the rest of the world excluding our own territories (Japan, South Korea, Taiwan and China) in 2011. While we retain the exclusive rights to manufacture and supply unoprostone products in our territory, we have an efficient partnership with Sucampo for overseas development of unoprostone. Unoprostone has been designated as an orphan drug for the treatment of retinitis pigmentosa not only by the FDA in the United States but also by the EMA in the Europe, and R-Tech Ueno’s development partner, Sucampo will decide on their path forward assuming our Phase 3 trial is successful (Note 2) About retinitis pigmentosa Retinitis pigmentosa is a hereditary disease and its prevalence rate is said to be about 1 in 5000 people in the world including– Japan. When this number is applied to the population of Japan, 126 million people, the number of patients with retinitis pigmentosa can be estimated as 30 ,000 people, which makes this disease an orphan disease. On the other hand, when projecting the number of patients with retinitis pigmentosa in the world from the world population, 6.94 billion people (World Health Statistics 2013 published by WHO), it can be estimated as 1.39 million people. When retinitis pigmentosa progresses, patients suffer progressive night blindness, where it becomes difficult to see in dim light, or visual field constriction and then deterioration of vision. In the end stage, they may suffer from severe visual loss or even blindness. It is designated as an intractable disease and appropriate therapeutic drugs or therapeutic methods have not been established at the moment. According to the report by the “Research Study Group Regarding Chorioretinal and Optic Atrophy”, a specified disease treatment research program of the Ministry of Health, Labour and Welfare (MHLW), retinitis pigmentosa is the 3rd cause for impaired vision and especially in patients aged 60 or under it is the leading cause for impaired vision. Accreditation of Retinitis Pigmentosa as a Specified Disease Some diseases are very difficult to treat, they chronically develop, leave after-effects and make it extremely difficult or impossible for the patient to return to society, require a high medical cost, cause a heavy burden both domestically and mentally such as financial problems and nursing care and furthermore, as they are rare diseases they need to be studied on a nationwide scale. MHLW designates such diseases as intractable diseases. Currently, 130 diseases are designated as intractable diseases. Retinitis pigmentosa is a research target of the clinical research study area of the Research for Overcoming Intractable Diseases, MHLW. Disease number 33. Additionally, among the 130 intractable diseases, 56 are accredited as “specified diseases” and receive public fund assistance for medical expenses. Retinitis pigmentosa is one of the “specified diseases” and is covered by public fund assistance for medical expenses. Diseases subsidized for medical expenses of designated intractable diseases: disease number 37. Reference: Japan Intractable Disease Information Center www.nanbyou.or.jp/sikkan/114_i.htm About R-Tech Ueno, Ltd. R-Tech Ueno is a bio venture company established in September 1989 for the purpose of R&D and marketing of drugs. Under the leadership of the CEO, also a medical doctor, the company is developing new drugs on the theme “Physician-Oriented New Drug Innovation”, targeting ophthalmologic and dermatologic diseases that previously had no effective therapeutic agent. We aim to become a “global pharmaceutical company specializing in specific fields (ophthalmology and dermatology) and developing and selling pharmaceutical products through the eyes of doctors.” We are promoting the development of new drugs for unmet medical needs for which the government provides recommendations and assistance such as orphan drugs and the drugs in the field of anti-aging (lifestyle drugs). END
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