UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549

 


 

FORM 8-K

 


 

Current Report Pursuant

to Section 13 or 15(d) of the

Securities Exchange Act of 1934

 

Date of Report (Date of earliest event Reported): May 20, 2008

 


 

THERAVANCE, INC.

(Exact Name of Registrant as Specified in its Charter)

 

Delaware

(State or Other Jurisdiction of
Incorporation)

 

000-30319

(Commission File Number)

 

94-3265960

(I.R.S. Employer Identification Number)

 

901 Gateway Boulevard
South San Francisco, California 94080
(650) 808-6000

(Addresses, including zip code, and telephone numbers, including area code, of principal executive offices)

 


 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions (see General Instruction A.2. below):

 

o            Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

o            Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

o            Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

o            Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 



 

Item 7.01 Regulation FD Disclosure.

 

The information in this Current Report (including Exhibits 99.1and 99.2) is being furnished and shall not be deemed “filed” for the purposes of Section 18 of the Securities Exchange Act of 1934, as amended, or otherwise subject to the liabilities of that Section. The information in this Current Report (including Exhibits 99.1 and 99.2) shall not be incorporated by reference into any registration statement or other document pursuant to the Securities Act of 1933, as amended, except as shall be expressly set forth by specific reference in such filing.

 

Today at Digestive Disease Week in San Diego, California, posters presenting information from Theravance’s Phase 2 dose-ranging clinical trial of TD-5108 in patients with chronic idiopathic constipation will be available for viewing. The abstracts contained in the two posters are attached hereto as Exhibits 99.1 and 99.2 and are incorporated herein by reference.

 

2



 

Item 9.01 Financial Statements and Exhibits.

 

(d)

Exhibits

 

 

 

 

 

 

 

Exhibit

 

Description

 

 

 

 

 

Exhibit 99.1

 

Abstract regarding response rates in Phase 2 clinical study of TD-5108

 

 

 

 

 

Exhibit 99.2

 

Abstract regarding secondary endpoints in Phase 2 clinical study of TD-5108

 

3



 

SIGNATURE

 

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

 

THERAVANCE, INC.

 

 

Date: May 20, 2008

By:

/s/ Rick E Winningham

 

 

 

 

 

Rick E Winningham

 

 

Chief Executive Officer

 

4



 

EXHIBIT INDEX

 

Exhibit No.

 

Exhibit

99.1

 

Abstract regarding response rates in Phase 2 clinical study of TD-5108

99.2

 

Abstract regarding secondary endpoints in Phase 2 clinical study of TD-5108

 

5


Exhibit 99.1

 

TD-5108, a Selective 5-HT4 Agonist, Is Consistently Better Than Placebo Regardless of Response Definition in Patients with Chronic Constipation

 

Michael R Goldberg(1), Yu-Ping Li(1), Kenneth Pitzer(1), John F Johanson(2), Allen W Mangel(3), Michael M Kitt(1)
1. Clinical Pharmacology, Theravance, Inc., South San Francisco, CA, USA, 2. University of Illinois College of Medicine, Rockford, IL, USA, 3. RTI-Health Solutions, Research Triangle, NC, USA

 

TD-5108 is a highly selective, full agonist at the human 5-HT4 receptor. Multiple response definitions were pre-specified in a Phase 2 dose-ranging clinical trial of TD-5108 in patients (pts) with chronic idiopathic constipation (CIC). TD-5108 was consistently better than placebo in response rates across response definitions.

 

Methods: This double-blind, randomized, PBO-controlled, parallel-group, multicenter trial enrolled 401 adult pts (age 18-64 years) at 48 U.S. sites. Eligible pts (<3 spontaneous bowel movements [SBM]/week [wk] during a 2-wk baseline) were randomized to receive TD-5108 15, 30, or 50 mg, or PBO once daily for 4 wks. Bowel function and clinical symptoms were recorded using a< /font> daily interactive voice response system and a range of response definitions were applied to the comparison with placebo.

 

Results: Treatment groups were balanced for baseline characteristics. The average (avg) numbers of SBM and complete SBM (CSBM) at baseline were 1.2 and 0.25/wk, respectively. Analyses of the response definitions are summarized below (n=number of patients treated for at least 7 days). Response rates using each definition were significantly greater than placebo for all  TD-5108 doses. The lowest PBO response rates (< 10%) were seen with definitions that incorporated CSBM frequency > 3/wk; these response definitions were also associated with the greatest differences between TD-5108 and PBO—5-fold or greater.

 

Conclusion: In this study in pts with CIC treated for 4 wks, the percent response to TD-5108 was greater than that to placebo regardless of response definition. The most robust differentiation of responses to TD-5108 vs PBO was achieved with< font size="1" style="font-size:8.0pt;"> response definitions incorporating > 3CSBM/wk.

 

 

 

PBO
(n=98)

 

15 mg
(n=95)

 

30 mg
(n=91)

 

50 mg
(n=84)

 

Max Fold Difference from
PBO

 

 

 

 

 

 

 

 

 

 

 

 

 

% with > 1 SBM/wk increase in Wk 4

 

45%

 

82%
p<0.001

 

63%
p=0.028

 

76%
p<0.001

 

1.82

 

 

 

 

 

 

 

 

 

 

 

 

 

% with an avg of >3 SBM/wk and an avg increase of > 1 SBM/wk

 

43%

 

75%
p<0.001

 

66%
p<0.002

 

64%
p<0.004

 

1.74

 

 

 

 

 

 

 

 

 

 

 

 

 

% with >3 SBM/wk in Wk 4

 

41%

 

78%
p<0.001

 

60%
p=0.015

 

72%
p<0.001

 

1.90

 

 

 

 

 

 

 

 

 

 

 

 

 

% with > 1 CSBM/wk increase in Wk 4

 

29%

 

59%
p<0.001

 

45%
p=0.033

 

54%
p=0.002

 

2.03

 

 

 

 

 

 

 

 

 

 

 

 

 

% with > 1 SBM/wk increase for all 4 wks

 

25%

 

69%
p<0.001

 

49%
p=0.002

 

71%
p<0.001

 

2.84

 

 

 

 

 

 

 

 

 

 

 

 

 

% with >3 SBM/wk for all 4 wks

 

22%

 

60%
p<0.001

 

42%
p=0.007

 

61%
p<0.001

 

2.77

 

 

 

 

 

 

 

 

 

 

 

 

 

% with > 1 CSBM/wk increase for all 4 wks

 

13%

 

42%
p<0.001

 

30%
p=0.010

 

39%
p<0.001

 

3.23

 

 

 

 

 

 

 

 

 

 

 

 

 

% with >3 CSBM/wk in Wk 4

 

9%

 

48%
p<0.001

 

27%
p=0.004

 

37%
p<0.001

 

5.33

 

 

 

 

 

 

 

 

 

 

 

 

 

% with an avg of >3 CSBM/wk and an avg increase of > 1 CSBM/wk

 

7%

 

44%
p<<0.001

 

30%
p<0.001

 

35%
p<0.001

 

6.29

 

 

 

 

 

 

 

 

 

 

 

 

 

% with >3 CSBM/wk for all 4 wks

 

5%

 

27%
p<0.001

 

19%
p=0.006

 

21%
p=0.002

 

5.40

 

 


Exhibit 99.2

 

In Patients with Chronic Constipation, TD-5108, a Selective 5-HT4 Agonist with High Intrinsic Activity, Relieves Straining and Bloating, Normalizes Stool Consistency and Reduces Laxative Use

Michael R Goldberg(1), Yu-Ping Li(1), Allen W Mangel(3), John F Johanson(2), Kenneth Pitzer(1), Michael M Kitt(1)
1. Clinical Pharmacology, Theravance, Inc., South San Francisco, CA, USA, 2. University of Illinois College of Medicine, Rockford, IL, USA, 3. RTI Health Solutions, Research Triangle, NC, USA

 

TD-5108 is a potent, highly selective, full agonist at the human 5-HT4 receptor. A Phase 2 dose-ranging clinical trial was conducted to investigate the efficacy and safety of TD-5108 in patients (pts) with chronic idiopathic constipation (CIC). Increases in bowel movement frequency in comparison to placebo (PBO) associated with TD-5108 administration have previously been reported#. We report here effects of TD-5108 on other manifestations of CIC, including stool consistency, straining, bloating and use of rescue laxative.

 

Methods: This double-blind, randomized, PBO-controlled, parallel-group, multicenter trial enrolled 401 adult pts (age 18-64 years) at 48 U.S. sites. Eligible pts (<3 spontaneous bowel movements [SBM]/week [wk] during a 2-wk baseline period) were randomized to receive TD-5108 15, 30, or 50 mg, or PBO once daily for 4 wks. Rescue laxative (bisacodyl) could be used every 96 hours if necessary. Bowel function and clinical symptoms were recorded daily via IVRS. Use of rescue laxative, stool consistency, bloating (yes or no) and straining (3-point scale (0=none, 1=acceptable, 2=too much)) were assessed in addition to stool frequency. In the analyses below, n=number of patients in each group treated for at least 7 days.

 

Results: Treatment groups were balanced for baseline characteristics including stool frequency. During the 2 week baseline period, ~20% had normal stool consistency (Bristol score 3-5), ~80% reported straining, 85-95%% reported bloating and laxatives were used by about 65% of patients. Stool consistency, CIC symptoms and laxative use during treatment compared to PBO are summarized below. The results show that, at all doses tested, there were significant increases in the proportion of patients with normal stool consistency, decreases in straining and bloating, and reduced rescue laxative use.

 

Conclusion: In this study of pts with CIC treated for 4 wks, treatment with TD-5108 was associated with statistically and clinically significant relief of straining and bloating, normalized stool consistency, and reduced use of rescue laxative. #Am. College Gastroenterology, Oct, 2007

 

 

 

PBO
(n=98)

 

15 mg
(n=95)

 

30 mg
(n= 91)

 

50 mg
(n= 84)

 

 

 

 

 

 

 

 

 

 

 

% with average Bristol score of 3-5 in Wk 4

 

27%

 

51%
P=0.0022

 

45%
P=0.0188

 

57%
P=0.0003

 

 

 

 

 

 

 

 

 

 

 

% with average straining score of <1 (no straining) in Wk 4

 

33%

 

65%
P<0.0001

 

54%
P=0.0045

 

68%
P=0.0002

 

 

 

 

 

 

 

 

 

 

 

% with bloating in Wk 4

 

92%

 

73%
P=0.0014

 

80%
P=0.0288

 

63%
P<0.0001

 

 

 

 

 

 

 

 

 

 

 

% with no laxative use over 4–week treatment period

 

36%

 

53%
P<0.0179

 

57%
P=0.0031

 

51%
P=0.0354

 

 

 

 

 

 

 

 

 

 

 

Median hrs to first rescue laxative during 4-wk treatment period (95% CI)

 

292
(200, 394)

 

NA##
(373, NA)
P=0.026

 

NA
(469, NA)
P<0.0044

 

631
(269, NA)
P<0.0880

 

 


##NA—could not be calculated