Sinclair Pharma plc Announces US Registration of (TM) , for Seborrheic Dermatitis and Canadian registration of oncology support products Xclair and SST

2 November 2006, Godalming. Sinclair Pharma plc (SPH.L), the specialty pharmaceutical company, today announced that Sebclair (TM), its product for seborrheic dermatitis, has been cleared for marketing by the US Food and Drug Administration (FDA). Sebclair (TM) will be sold on prescription in the US. SD is a common and visible condition characterized by flaky, red skin. It is most common in men and may be present in 5% of the adult population [i]. It usually affects areas of the skin with high oil production, such as the nose, eyebrows, ears and chest. Sebclair (TM) is the first topical non-steroidal product cleared for marketing in the US through 510k registration, that can also specifically claim reduction of erythema (redness) as a symptom of seborrheic dermatitis (SD). This is significant because the appearance of SD can make patients self-conscious and distressed and leads to them seeking treatment, when the reduction of redness and flaking is an important goal. SD is often treated with topical corticosteroids, however there are reservations about the use of steroids on the face. As SD is particularly common on the face, there is a specific need for a product that is steroid-free. Earlier this year, Sinclair announced the results of a US and European, randomized, double-blind study that compared Sebclair (TM) with an emollient cream. In this study, after 28 days, 68% of patients receiving Sebclair (TM) were 'clear' or 'almost clear' of SD of the face, compared to 11% of patients using the emollient cream. Professor Stefano Veraldi of the Institute of Dermatological Sciences, Milan, Italy, the lead investigator of that trial commented: "Our study showed that Sebclair (TM) is effective in reducing the appearance and symptoms of seborrheic dermatitis. The condition is very visible and often affects the self esteem of patients and we welcome a steroid-free treatment for seborrheic dermatitis Sinclair's marketing partner for Sebclair (TM) in the US is Chester Valley Pharmaceuticals (CVP). CVP is already achieving growing sales for Atopiclair (TM), Sinclair's atopic dermatitis product. Atopiclair (TM), like Sebclair, is classified by the FDA as a medical device, cleared for marketing by 510(k). In Europe, Sebclair (TM) is approved as a Class 2a medical device and has already been launched in Italy by Sinclair's own sales team. The seborrheic dermatitis market is worth an estimated US$272 million in the US and a further US$150.9 million combining the UK, French, German and Japanese markets [ii]. Bob Moccia, CEO of CVP, said: "With this registration, we now look forward to launching Sebclair (TM) to the US dermatology community. Sebclair (TM) meets a clear market need, and based on the compelling results of the pivotal clinical study we anticipate that it will be welcomed by physicians and their patients." Dr Michael Flynn, CEO of Sinclair Pharma, commented: "The registration of Sebclair (TM) in the US is a very important step towards establishing a steroid free product range to effectively treat skin conditions which are at present often treated with corticosteroids. The proven effectiveness and registration of Sebclair (TM) provides an alternative, and importantly steroid-free, first line treatment in the US for this distressing condition. As with our products Atopiclair (TM) and Decapinol (TM) we are very pleased to have achieved another first in class registration in the US . Sebclair (TM) is already sold by our own sales force in Italy and we expect further sales boosts as it is launched in other EU countries and the US during the next 12 months." Sinclair also announces that both Xclair (TM), its product for radiation dermatitis, and SST (TM), its product for xerostomia (dry mouth), have received regulatory approval in Canada. Enquiries: +---------------------------------------------------+ | Financial Dynamics | Tel: | +44 20 7831 3113 | |-------------------------+------+------------------| | Ben Atwell/John Gilbert | | | |-------------------------+------+------------------| | Sinclair Pharma plc | Tel: | +44 1483 410 600 | |-------------------------+------+------------------| | Zoe McDougall | Tel: | +44 7973 792 520 | | John Barrington-Carver | | +44 7831 655 630 | |-------------------------+------+------------------| | Sinclair US | Tel | +1 972 478 4380 | | Mike Killeen | | | +---------------------------------------------------+ Notes to editors: Seborrheic dermatitis Seborrheic dermatitis is a common skin condition that affects areas of the body with a particularly high concentration of sebaceous glands. This may include the eyebrows, bridge of the nose, naso-labial folds, ears and chest. It manifests as erythema (reddening), which progresses to flakiness and at its most severe, crusting of the skin. Seborrheic dermatitis of the scalp is also particularly common, and in its mildest form may be referred to as dandruff; Sebclair (TM) cream addresses the skin; a shampoo is in development to address the scalp sector of the market. There may be a combination of causes of seborrheic dermatitis. An overproduction of sebum from the sebaceous glands is likely. In addition, the presence of topical organisms such as the Malassezia and Pityrosporum yeasts may exacerbate the condition. Seborrheic dermatitis also often appears as cradle cap in infants of around six months. It usually clears by 18 months but can be a persistent problem during this time. After infancy, the condition is most common in middle age or older people. It may also be associated with a poor diet and obesity, HIV and neurological conditions such as Parkinson's disease. At present there are various approaches to the management of seborrheic dermatitis but there is no 'gold-standard' product. Many of the treatments focus on the potential presence of fungi or other organisms on the surface of the skin, and topical corticosteroids are also frequently employed [iii]. Although topical corticosteroids are commonly used, they are also disliked, as these drugs may cause atrophy of the skin and are usually restricted to short treatment periods, particularly on facial skin [iv]. Emollients, lithium-based and salicylic acid-based creams are considered to improve the condition. Other seborrheic dermatitis treatments Seborrheic dermatitis is frequently treated with topical corticosteroids. However, this group of drugs may have unfavourable side effects, especially when used long-term or on sensitive areas of skin such as the face, hands, or on children. These effects vary from mild and reversible thinning, to irreversible telangiectasiae (fine blood vessels becoming visible at the surface of the skin) and striae distensae (marks similar in appearance to 'stretch marks'). Steroids' effectiveness may also become less effective with continued use, which may lead to the escalation to a more potent steroid [v]. There may also be a risk of growth suppression and adrenal suppression in children with the use of topical steroids [vi]. Sebclair (TM) does not contain corticosteroids. There are also other therapeutic agents that may be used in SD; these include topical antifungal agents, sulfur-sulfacetamide combinations, sulfacetamide, zinc pyrithione and selenium sulfide. Sinclair Pharma plc Sinclair Pharma plc is an international specialty pharmaceutical company. It has a growing sales and marketing operation that is already present in France, Italy, the UK, Spain and Portugal, and a complementary marketing partner network that spans 60 countries. Sinclair has proven expertise in acquiring or developing commercially attractive and undervalued products, registering these products and bringing them to market within a short time frame. The company focuses on niche therapeutic areas and its current portfolio includes products for dermatological conditions and oral health. Chester Valley Pharmaceuticals, Inc. Based in Malvern, Pennsylvania, Chester Valley Pharmaceuticals is a specialty dermatology company focused on acquiring, in-licensing, and developing branded prescription dermatological products for sale in the United States. [i] Pirkhammer D et al, Brit Journal Dermatology 2000, 143 (5), 964-968 [ii] Euromonitor report 2005 [iii] Tofte SJ, Hanifin JM. Current Management and therapy of atopic dermatitis. J Am Acad Dermatol 2001; 44 (Suppl): S13-16 [iv] Dreno B, Chosidow O, Revuz J et al. Lithium gluconate 8% vs. ketonazole 2% in the treatment of seborrheic dermatitis: a multicentre, randomized study. Br J Dermatol 2003; 148: 1230-1236 [v]Atherton DJ, BMJ. Topical Corticosteroids in atopic dermatitis. 2003;327:942-943 [vi] Siklar Z, Bostanci I, Atli O, Dallar Y. Pediatr Dermatol. 2004 Sep-Oct;21(5):561-3