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FDA Designates Antegren Biologics License Application for Priority

Review as a Treatment for Multiple Sclerosis

28 Jun 2004

Biogen Idec and Elan Corporation, plc announced today that the

Biologics License Application (BLA) for ANTEGREN® (natalizumab) has

been designated for Priority Review and Accelerated Approval by the

U.S. Food and Drug Administration (FDA) for the treatment of multiple

sclerosis (MS). The next step in the process is action by the FDA on

formal acceptance of the application, which occurs within 60 days of

submission.

The FDA grants Priority Review status to products that are considered

to be potentially significant therapeutic advancements over existing

therapies that address an unmet medical need. Based on the FDA's

designation of Priority Review for natalizumab in MS, the companies

anticipate action by the Agency approximately six months from the

submission date, rather than 10 months for a standard review. On May

25, 2004, the companies announced they had previously submitted the

BLA for the approval of natalizumab for MS.

" We are pleased that the FDA has designated natalizumab for Priority

Review, " said Burt Adelman, MD, executive vice president, Development,

Biogen Idec. " We look forward to continuing to work with the FDA

throughout the review process to provide this potential new

therapeutic to patients with MS. "

" The Priority Review designation underscores the significant unmet

medical need in the area of MS, " said Lars Ekman, MD, executive vice

president and president, Research & Development, Elan. " We believe

natalizumab will offer a new approach to treating MS and will bring

hope to patients living with this disease. "

The BLA for natalizumab is being evaluated by the FDA under

Accelerated Approval guidelines. This review will be based on one-year

data from two ongoing Phase III trials. The companies are committed to

completing these two-year trials. In order to protect the integrity of

the trials, the companies are not disclosing the one-year data at this

time.

MS is a chronic disease of the central nervous system that affects

approximately 400,000 people in North America and approximately one

million people worldwide. It is a disease that affects more women than

men, with onset typically between 20 and 40 years of age. Symptoms of

MS may include vision problems, loss of balance, numbness, difficulty

walking and paralysis.

About the MS Clinical Trials for ANTEGREN

The AFFIRM (natalizumab safety and efficacy in relapsing-remitting MS)

trial is a two-year, randomized, multi-center, placebo-controlled,

double-blind study of approximately 900 patients, evaluating the

ability of natalizumab to slow the progression of disability in MS and

reduce the rate of clinical relapses. The SENTINEL (safety and

efficacy of natalizumab in combination with AVONEX® (Interferon

beta-1a)) trial is a two-year, randomized, multi-center,

placebo-controlled, double-blind study of approximately 1,200 patients

with relapsing-remitting MS, evaluating the effect of the combination

of natalizumab and AVONEX compared to treatment with AVONEX alone in

slowing the progression of disability and reducing the rate of

clinical relapses. Both study protocols provided for a one-year

analysis of the data. The primary endpoints for both Phase III

two-year trials in MS are based on the Expanded Disability Status

Scale (EDSS) and relapse rate. The pre-specified primary endpoint of

the one-year analysis was relapse rate.

About ANTEGREN (natalizumab)

Natalizumab, a humanized monoclonal antibody, is the first alpha-4

antagonist in the new selective adhesion molecule (SAM) inhibitor

class. The drug is designed to inhibit the migration of immune cells

into tissues where they may cause or maintain inflammation. To date,

approximately 2,800 patients have received natalizumab in clinical

trials, and the safety profile continues to support further

development. In placebo-controlled trials to date, in both Crohn's

disease (CD) and MS, the most commonly reported adverse events in

either group were headache, fatigue and nasopharyngitis.

Biogen Idec and Elan are collaborating equally on the development of

natalizumab in MS, CD, and rheumatoid arthritis (RA).

About Biogen Idec

Biogen Idec (NASDAQ: BIIB) creates new standards of care in oncology

and immunology. As a global leader in the development, manufacturing,

and commercialization of novel therapies, Biogen Idec transforms

scientific discoveries into advances in human healthcare. For product

labeling, press releases and additional information about the company,

please visit http://www.biogenidec.com

..

About Elan

Elan Corporation, plc (NYSE: ELN) is a neuroscience-based

biotechnology company that is focused on discovering, developing,

manufacturing and marketing advanced therapies in neurology,

autoimmune diseases, and severe pain. Elan shares trade on the New

York, London and Dublin Stock Exchanges. For additional information

about the company, please visit http://www.elan.com.

Safe Harbor/Forward Looking Statements

This press release contains forward-looking statements regarding the

approval of ANTEGREN (natalizumab) and the potential of natalizumab as

a treatment for MS. These statements are based on the companies'

current beliefs and expectation. Drug development involves a high

degree of risk. Factors which could cause actual results to differ

materially from the companies' current expectations include: the risk

that unexpected concerns may arise from additional data or analysis,

that regulatory authorities may require additional information,

further studies, or may fail to approve the drug, or that the

companies may encounter other unexpected hurdles. For more detailed

information on the risks and uncertainties associated with the

companies' drug development and other activities, see the periodic

reports of Biogen Idec Inc. and Elan Corporation, plc filed with the

Securities and Exchange Commission. The companies assume no obligation

to update any forward-looking statements, whether as a result of new

information, future events or otherwise.

CONTACT: Biogen Idec

Media

Amy Brockelman, 617 914 6524

or

Elan

Media

Anita Kawatra, 212-407-5755/800-252-3526

or

Biogen Idec

Investor

Woo, 617-679-2812

or

Elan

Investor

Emer Reynolds, 353 1 709 4000/800-252-3526

--

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