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LILLY (ELI) & COMPANY - Lilly and Acrux Receive FDA Approval for Axiron

Eli Lilly and Company

LILLY (ELI) & COMPANY - Lilly and Acrux Receive FDA Approval for Axiron


Date: November 23, 2010        For Release: IMMEDIATELY        Refer to: Lilly - Teresa Shewman, (317) 433-1888 (office), (317) 292-8940    (mobile), shewmante@lilly.com        Eli Lilly Australia - Fiona Bailey, +61 293 254 315, baileyfi@lilly.com        Acrux - Dr. Richard Treagus, +61 417 520 509, richard.treagus@acrux.com.au            Lilly and Acrux Receive FDA Approval for Axiron® (testosterone) topical                                     solution CIII         Axiron is the first approved testosterone replacement therapy applied to the                                       underarm        INDIANAPOLIS, IN and MELBOURNE, AUSTRALIA --- Eli Lilly and Company (NYSE:LLY)    and Acrux (ASX: ACR) announced that the U.S. Food and Drug Administration (FDA)    has approved Axiron® (testosterone) topical solution CIII for replacement    therapy in men for certain conditions associated with a deficiency or absence    of testosterone. Safety and efficacy of Axiron in males younger than 18 years    of age have not been established.        Axiron is the first testosterone topical solution approved for application via    an armpit (underarm) applicator. Other forms of testosterone replacement    therapy include: oral tablets, buccal tablets, subcutaneous pellets,    transdermal patches, injections and topical gels applied by the hands.        Although the total number of men with testosterone deficiency is unknown, it    has been estimated that up to 13 million men over 45 years of age in the U.S.    may have symptoms associated with low testosterone. Clinical trial data    indicated that Axiron can restore blood concentration of testosterone within    the normal range in most men.        "Lilly is proud to expand our focus in men's health," said David Ricks,    president, Lilly USA. "The addition of Axiron to our product portfolio    reinforces Lilly's commitment to provide innovative treatment options for    patients."        "The FDA approval is a major milestone for Axiron and for Acrux," said Dr.    Richard Treagus, chief executive officer, Acrux. "After years of research, we    are excited to partner with Lilly to provide this novel application method for    men with low testosterone."        About Testosterone Deficiency        Testosterone deficiency is a clinical condition in which the testicles,    hypothalamus or pituitary gland is affected by disease or damage that results    in inhibiting hormone secretion and testosterone production. Testosterone    deficiency also may be known as hypogonadism or low testosterone. Signs/    symptoms associated with male hypogonadism include erectile dysfunction and    decreased sexual desire, fatigue and loss of energy, mood depression,    regression of secondary sexual characteristics and osteoporosis.2        About the Axiron Phase III Study        The data submission package for Axiron included findings from a Phase III    multi-center, open label, 120-day clinical study which demonstrated that 84    percent of men who completed the study achieved average serum testosterone    concentration within the normal range of 300-1050 ng/dL. Additionally, after    120 days of treatment, 75 percent of responding patients finished the study on    the recommended starting dose of 60 mg.2        The most common adverse reactions (incidence>4%) in this Phase III study were    skin application site reactions, increased red blood cell count, headache,    diarrhea, vomiting and an increase in blood level of Prostate Specific Antigen    (a test used to screen for prostate cancer).2        About Axiron (testosterone) topical solution        Axiron is approved for replacement therapy in men for certain conditions    associated with a deficiency or absence of endogenous testosterone, including    primary hypogonadism (congenital or acquired) and hypogonadotropic hypogonadism    (congenital or acquired). Safety and efficacy of Axiron in males younger than    18 years of age have not been established. Axiron contains testosterone, a    Schedule III controlled substance as defined by the Anabolic Steroid Control    Act of 2004 and can be a target for people who abuse prescription medicines.    Patients should keep Axiron in a safe place to protect it. Never give it to    anyone else, even if they have the same symptoms you have. Selling or giving    away this medicine may harm others and is against the law.        Axiron is a topical, alcohol-based testosterone solution applied to the    underarm once daily using a metered dose applicator. The recommended starting    dose is 60 mg applied once daily, preferably at the same time each morning.    Patients who use antiperspirant or deodorant should apply it before using    Axiron to avoid contamination of the deodorant.2        Important Safety Information for Axiron        WARNING: SECONDARY EXPOSURE TO TESTOSTERONE        • Virilization has been reported in children who were secondarily exposed to    topical testosterone products        • Children should avoid contact with unwashed or unclothed application sites in    men using Axiron        • Healthcare providers should advise patients to strictly adhere to recommended    instructions for use        Axiron can transfer from your body to others. This can happen if other people    come into contact with the area where Axiron was applied. Signs of puberty that    are not expected (for example, pubic hair) have happened in young children who    were accidentally exposed to testosterone through skin-to-skin contact with men    using topical testosterone products like Axiron. Women and children should    avoid contact with the unwashed or unclothed area where Axiron has been    applied. If a woman or child makes contact with the application area, the    contact area on the woman or child should be washed well with soap and water    right away.        To lower the risk of transfer of Axiron from your body to others, you should    follow these important instructions. Apply Axiron using the applicator only to    your armpits, wash your hands right away with soap and water after applying    Axiron. After the solution has dried, cover the application area with clothing.    Keep the area covered until you have washed the application area well or have    showered. If you expect another person to have direct skin-to-skin contact with    your armpits, first wash the application area well with soap and water.        Stop using Axiron and call your healthcare provider right away if you see any    signs and symptoms in a child or a woman that may have occurred through    accidental exposure to Axiron. Signs and symptoms in children may include an    enlarged penis or clitoris; early development of pubic hair; increased    erections or sex drive; aggressive behavior. Signs and symptoms in women may    include changes in body hair and a large increase in acne.        Who should not use Axiron        Do not use Axiron if you have or might have prostate cancer, have breast    cancer, are pregnant or may become pregnant or are breast-feeding. Axiron may    harm your unborn or breast-feeding baby. Women who are pregnant or who may    become pregnant should avoid contact with the area of skin where Axiron has    been applied.        What men should tell their healthcare provider before using Axiron        Before you use Axiron, tell your healthcare provider about all your medical    conditions, especially if you have breast cancer, have or might have prostate    cancer, urinary problems due to an enlarged prostate, heart problems, kidney or    liver problems or problems breathing while you sleep (sleep apnea).        Tell your healthcare provider about all the medicines you take, including    prescription and non-prescription medicines, vitamins and herbal supplements.    Using Axiron with other medicines can affect each other. Especially, tell your    healthcare provider if you take insulin, medicines that decrease blood clotting    or corticosteroids.        What are the possible side effects of Axiron        Axiron can cause serious side effects. If you already have enlargement of your    prostate gland, your signs and symptoms can get worse while using Axiron. There    is a possible increased risk of prostate cancer. Your healthcare provider    should check for prostate cancer or any other prostate problems before you    start and while you use Axiron. In large doses Axiron may lower your sperm    count. You may experience swelling of your ankles, feet or body, enlarged or    painful breasts, problems breathing while you sleep (sleep apnea) or blood    clots in the legs (which could include pain, swelling or redness). Stop using    Axiron and call your healthcare provider right away if you have any of the    serious side effects listed above.        The most common adverse reactions were skin redness or irritation where Axiron    is applied, increased red blood cell count, headache, diarrhea, vomiting and    increase in blood level of Prostate Specific Antigen (a test used to screen for    prostate cancer). Other side effects include more erections than are normal for    you or erections that last a long time.        Axiron is flammable until dry. Let Axiron dry before smoking or going near an    open flame.        For additional safety information, please see the medication guide at http://    pi.lilly.com/us/axiron-medguide.pdf or full Prescribing Information, including    Boxed Warning, at http://pi.lilly.com/us/axiron-pi.pdf.        About the Acrux and Eli Lilly and Company Partnership        Upon FDA approval, Lilly received exclusive worldwide rights to commercialize    Axiron. In exchange for these rights, Acrux receives an upfront payment of $50    million plus $3 million on the transfer of manufacturing assets. Acrux is    further eligible for $87 million upon the issuance of marketing authorization    by the FDA and up to $195 million in potential commercialization milestones, as    well as royalty payments on future global sales if Axiron is successfully    commercialized. (All financial terms are denominated in U.S. dollars).        About Acrux        Acrux is an Australian drug delivery company, developing and commercializing a    range of patented pharmaceutical products for global markets, using its    innovative technology to administer drugs through the skin. Additional    information about Acrux is available at www.acrux.com.au.        About Eli Lilly and Company        Lilly, a leading innovation-driven corporation, is developing a growing    portfolio of pharmaceutical products by applying the latest research from its    own worldwide laboratories and from collaborations with eminent scientific    organizations. Headquartered in Indianapolis, Ind., Lilly provides answers -    through medicines and information - for some of the world's most urgent medical    needs. Additional information about Lilly is available at www.lilly.com.        This press release contains forward-looking statements about the potential of    Axiron for replacement therapy in men for certain conditions associated with a    deficiency or absence of testosterone, and reflects Lilly's current beliefs.    Safety and efficacy of Axiron in males younger than 18 years of age have not    been established. However, as with any pharmaceutical product, there are    substantial risks and uncertainties in the process of development and    commercialization. There is no guarantee that the product will prove to be    commercially successful. For further discussion of these and other risks and    uncertainties, see Lilly's Form 10-K dated February 2010 and Form 10-Q dated    October 2010 filed with the U.S. Securities and Exchange Commission. Lilly    undertakes no duty to update forward-looking statements.        P-LLY                                              ###                Acrux Eli Lilly and Company        103-113 Stanley Street Lilly Corporate Center        West Melbourne, Victoria 3003 Indianapolis, Indiana 46285        Australia U.S.A.        www.acrux.com.au www.lilly.com                                                                     - 6 -        Mulligan, T., Frick, M., Zuraw, Q., Stemhagen, A. and McWhirter, C. Prevalence    of Hypogonadism in Males Aged at Least 45 Years; The HIM Study. International    Journal of Clinical Practice. Available at http://www.ncbi.nlm.nih.gov/pmc/    articles/PMC1569444/. Last accessed on November 14, 2010.        Axiron Prescribing Information. Last accessed on November 23, 2010.        Winters, S. Current Status of Testosterone Replacement in Men. Archives of    Family Medicine. 1999;8:257-263. Available at http://archfami.ama-assn.org/cgi/    content/full/8/3/257. Last accessed on November 14, 2010.                    END

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