Recruitment under way in confirmatory FrovaŽ efficacy study for prophylaxis of menstrually related migraine

23 November 2004

Vernalis plc (LSE:VER, Nasdaq: VNLS) is pleased to announce that recruitment has started in the confirmatory Phase III study to complete the required data package for filing a supplemental New Drug Application (sNDA) for FrovaŽ (frovatriptan) for the prophylaxis or prevention of menstrually-related migraine (MRM). If this efficacy study and the ongoing safety study are successful, a regulatory submission in the US can be expected in the first-half of 2006. Regulatory approval would permit FrovaŽ to be marketed as a short-term prophylaxis for MRM in the US. FrovaŽ is marketed in the US by our partner, Endo Pharmaceuticals Inc.

The first patients were recruited into this study in late October 2004. This is a placebo-controlled parallel group study investigating the same dose regimens that were found to be effective in the initial study, published in Neurology in July 2004. Around 600 patients whose menstrually-related migraines are not adequately treated using acute therapies will be enrolled, and treated for three consecutive months.

In April 2004, a 12-month safety study was fully recruited when a total of 562 participants had been enrolled. The purpose of this study is to provide safety information on a minimum of 300 women following six cycles of treatment and 100 women following 12 cycles of treatment. In excess of 300 women have now received six cycles of treatment. If the trial continues as expected for the remaining six months, the complete dataset will be available from this study in the second half of 2005.

In April 2003, positive trial data were first presented from a study of over 500 menstrual migraine sufferers in the US, demonstrating that short-term prophylaxis with frovatriptan was effective in preventing migraine headaches triggered by menstruation. The data demonstrated a highly statistically significant improvement in the numbers of patients who were headache-free during their peri-menstrual periods for both once and twice daily dose regimens of frovatriptan compared to placebo (p ‹ 0.0001). These data were published in full by a leading journal (Neurology 2004; 63: 261-269).

Continuing Marketing Progress in Europe
Frovatriptan has recently been launched in Spain by our European partner, the Menarini Group. Frovatriptan has now been approved for the acute treatment of migraine in 16 European countries and is on the market in Germany, Italy, UK, Austria and the Netherlands, with further launches in other countries expected in 2005. In Germany, where frovatriptan was launched in November 2002, it has now increased its market share to 9.5% by prescription.

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About FrovaŽ
FrovaŽ was approved by the FDA on November 8, 2001 for the acute treatment of migraine attacks with or without aura (subjective symptoms at the onset of a migraine headache) in adults. FrovaŽ is generally well tolerated, with a side-effect profile that is typical of the triptan class of drugs. The most common side effects are dizziness, fatigue, paresthesia (tingling), flushing, headache, dry mouth, hot or cold sensation, and chest pain. The FDA-approved dosing for FrovaŽ is one 2.5 mg tablet up to three times within a 24-hour period. FrovaŽ has not been approved by the FDA for any indications other than for the treatment of acute migraine headaches, and its safety and efficacy in other indications have not been established.

Enquiries:

Vernalis plc
Simon Sturge, Chief Executive Officer
Tony Weir, Chief Financial Officer
John Hutchison, Development Director
+44 (0)118 977 3133

Brunswick Group (for analyst, financial media enquiries)
Jon Coles
Wendel Carson
+44 (0)20 7404 5959