Cell Therapeutics Provides Reimbursement Update for the UK for Aggressive non-Hodgkin Lymphoma Treatment, PIXUVRI® (pixantrone

  Cell Therapeutics Provides Reimbursement Update for the UK for Aggressive
            non-Hodgkin Lymphoma Treatment, PIXUVRI® (pixantrone)

PR Newswire

SEATTLE, July 8, 2013

SEATTLE, July 8, 2013 /PRNewswire/ --Cell Therapeutics, Inc. (CTI) (NASDAQ
and MTA: CTIC) today announced that the National Institute for Health and Care
Excellence (NICE), a non-departmental public body of the Department of Health
in the United Kingdom, has notified CTI and issued a statement on their
website stating that CTI's patient access scheme has been approved by the
Department of Health and the appeal stage of this appraisal topic is
suspended. The draft final appraisal document (FAD) and evaluation report
have been removed from the NICE website, since it is no longer relevant. 

NICE has agreed that the Appraisal Committee will consider the new evidence on
the cost effectiveness of PIXUVRI at its meeting on 11 September 2013.

"We are very pleased to receive this positive notice and look forward to
collaborating with NICE during the final stage of the process in order to
bring this new approved therapy to patients in the UK with aggressive
non-Hodgkin lymphoma in the 3^rd line salvage setting," said James A. Bianco,
M.D., President and CEO of CTI.

In May 2012, the European Commission (EC) granted conditional marketing
authorization in the European Union (E.U.) for PIXUVRI as a monotherapy for
adult patients with multiply relapsed or refractory aggressive B-cell NHL
based on the results of the EXTEND, or PIX301, pivotal randomized Phase 3
clinical trial. PIXUVRI was made available to patients in eight countries in
the European Union in the fourth quarter of 2012, and some patients in other
countries have already started to receive the treatment. Prior to the
approval of PIXUVRI in the E.U., there were no approved agents or standard of
care in this disease. The PIX301 trial was designed utilizing agents in the
comparator arm that have anti-tumor activity in relapsed disease and are
typically employed as palliative therapy for these patients.

About PIXUVRI (pixantrone)
PIXUVRI is a novel aza-anthracenedione with unique structural and
physiochemical properties. Unlike related compounds,PIXUVRI forms stable DNA
adducts and in preclinical models has superior anti-lymphoma activity compared
to related compounds. PIXUVRI was structurally designed so that it cannot
bind iron and perpetuate oxygen radical production or form a long-lived
hydroxyl metabolite -- both of which are the putative mechanisms for
anthracycline induced acute and chronic cardiotoxicity. These novel
pharmacologic properties allow PIXUVRI to be administered to patients with
near maximal lifetime exposure to anthracyclines without unacceptable rates of

InMay 2012, the European Commission (EC) granted conditional marketing
authorization for PIXUVRI as a monotherapy for the treatment of adult patients
with multiply relapsed or refractory aggressiveNHL. The benefit of PIXUVRI
treatment has not been established in patients when used as fifth line or
greater chemotherapy in patients who are refractory to last therapy. The
Summary of Product Characteristics (SmPC) has the full prescribing
information, including the safety and efficacy profile of PIXUVRI in the
approved indication. TheSmPCis available atwww.pixuvri.eu.

CTI is currently accruing patients into a Phase 3 trial comparing PIXUVRI and
rituximab with gemcitabine and rituximab in the setting of aggressive B-cell
NHL. PIXUVRI does not have marketing approval inthe United States.

About Non-Hodgkin Lymphoma
Non-Hodgkin lymphoma is the sixth most common cancer in the UK; in 2010,
12,180 people were diagnosed with the disease.^1 NHL is caused by the abnormal
proliferation of lymphocytes, cells that are key to the functioning of the
immune system. It usually originates in lymph nodes and spreads through the
lymphatic system. NHL can be broadly classified into two main
forms—aggressive and indolent NHL. Aggressive NHL is a rapidly growing form
of the disease that moves into advanced stages much faster than indolent NHL,
which progresses more slowly.

There are many subtypes of NHL, but aggressive B-cell NHL is the most common
and accounts for about 50 percent of NHL cases.^2 After initial therapy for
aggressive NHL with anthracycline-based combination therapy, one-third of
patients typically develop progressive disease.^3 Approximately half of these
patients are likely to be eligible for intensive second-line treatment and
stem cell transplantation, although 50 percent are expected not to respond.^3
For those patients who fail to respond or relapse following second-line
treatment, treatment options are limited, and usually palliative only.^3

About Conditional Marketing Authorization
Similar to accelerated approval regulations intheUnited States, conditional
marketing authorizations are granted in the E.U. to medicinal products with a
positive benefit/risk assessmentthat address unmet medical needs and whose
availability would result in a significant public health benefit. A
conditional marketing authorization is renewable annually. Under the
provisions of the conditional marketing authorization for PIXUVRI, CTI will be
required to complete a post-marketing study aimed at confirming the clinical
benefit previously observed.

The European Medicines Agency's (the EMA)Committee for Medicinal Products for
Human Usehas accepted PIX306, CTI's ongoing randomized controlled Phase 3
clinical trial, which compares PIXUVRI-rituximab to gemcitabine-rituximab in
patients who have relapsed after one to three prior regimens for aggressive
B‑cellNHLand who are not eligible for autologous stem cell transplant. As a
condition of approval, CTI has agreed to have available the PIX306 clinical
trial results byJune 2015.

About Cell Therapeutics, Inc.
CTI (NASDAQ and MTA: CTIC) is a biopharmaceutical company committed to the
development and commercialization of an integrated portfolio of oncology
products aimed at making cancer more treatable. CTI is headquartered in
Seattle, WA. For additional information and to sign up for email alerts and
get RSS feeds, please visit www.CellTherapeutics.com.

Forward-Looking Statements
This press release includes forward-looking statements that are made pursuant
to the Safe Harbor provisions of the Private Securities Litigation Reform Act
of 1995, including, but not limited to, statements regarding the Company's
intentions and expectations regarding NICE's processes, pricing arrangements,
the availability of PIXUVRI to patients in the UK and the development of
PIXUVRI and the Company in general. Such statements involve a number of risks
and uncertainties, the outcome of which could materially and/or adversely
affect actual future results and the market price of CTI's securities.
Specifically, the risks and uncertainties that could affect these matters
include risks associated with preclinical and clinical developments in the
biopharmaceutical industry in general and with PIXUVRI in particular
including, without limitation, that NICE may not determine that PIXUVRI
provides an additional benefit; the appraisal Committee may not determine that
PIXUVRI is cost effective; that the NICE decision may have an impact on the
reimbursement of PIXUVRI in the United Kingdom and other countries in the
E.U.; that CTI may not obtain reimbursement in certain markets in the European
Union as planned; that CTI may not be able to complete the PIX306 clinical
trial of PIXUVRI-rituximab compared to gemcitabine-rituximab in patients who
have relapsed after 1 to 3 prior regimens for aggressive B-cellNHL and who
are not eligible for autologous stem cell transplant byJune 2015or at all as
required by the EMA or have the results of such clinical trial available
byJune 2015or at all; that CTI may not be able complete a post-marketing
study aimed at confirming the clinical benefit observed in the PIX301 trial;
that results in future studies of PIXUVRI may differ from the results of past
studies; that the conditional marketing authorization for PIXUVRI may not be
renewed; that CTI cannot predict or guarantee the pace or geography of
enrollment of its clinical trials or the total number of patients enrolled;
that CTI's average net operating burn rate may increase; that CTI may not be
able to continue to raise capital as needed to fund its operations in general,
and other risks, including, without limitation, competitive factors,
technological developments, costs of developing, producing, and selling
PIXUVRI, and the risk factors listed or described from time to time in CTI's
filings with theSecurities and Exchange Commissionincluding, without
limitation, CTI's most recent filings on Forms 10-K, 10-Q and 8-K. Except as
may be required by law, CTI does not intend to update or alter its
forward-looking statements whether as a result of new information, future
events, or otherwise.

PIXUVRI is a registered trademark of Cell Therapeutics, Inc.


1. Cancer Research UK
April 2013.
2. Harris NL, et al. Ann Oncol. 1999;10(12):1419-32
3. Friedberg ASH Education Book 2011;1:498-505

Monique Greer
+1 206-272-4343

Ed Bell
+1 206.282.7100

In Europe
CTI Life Sciences Limited, Milan Branch
Laura Villa
E: lvilla@cti-lifesciences.com
T: +39 02 89659706


SOURCE Cell Therapeutics, Inc.

Website: http://www.celltherapeutics.com
Website: http://www.pixuvri.eu
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