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                Monoclonal 
                  Antibody Bavituximab Well-Tolerated by HIV/HCV Coinfected People 
                   
                    | SUMMARY: 
                      An experimental monoclonal antibody that inhibits HCV replication 
                      was safe and well-tolerated in a clinical trial of HIV positive 
                      people coinfected with chronic hepatitis C, researchers 
                      reported at EASL 2011. |   Bavituximab 
                  is an investigational monoclonal antibody that targets phosphatidylserine 
                  (a phospholipid component) on the membrane of virus-infected 
                  cells. Preclinical studies have shown that this type of antibody 
                  can inhibit viral replication and enhance immune response. 
 Phosphatidylserine is expressed on cells infected with a variety 
                  of viruses -- including hepatitis 
                  C virus (HCV), HIV, 
                  influenza, and herpes viruses -- suggesting that targeted antibodies 
                  could be beneficial in a number of diseases.
 
 Prior studies found that single and twice-weekly intravenous 
                  infusions of bavituximab up to 6 mg/kg were well-tolerated and 
                  showed transient antiviral activity in people with chronic hepatitis 
                  C.
 
 As reported at the European Association for the Study of the 
                  Liver's International Liver Congress (EASL 
                  2011) this month in Berlin, researchers then evaluated the 
                  safety, tolerability, pharmacokinetics, and viral kinetics of 
                  up to 8 weekly infusions of bavituximab in HIV/HCV coinfected 
                  people.
 
 Below is an edited excerpt from a Peregrine 
                  Pharmaceuticals press release describing the study and its findings.
  
                
                  Peregrine 
                    Presents Phase Ib HCV/HIV Data on Single-Agent Bavituximab 
                    at EASL Bavituximab 
                    Safe and Well Tolerated, Ongoing Phase II Trial Evaluating 
                    Bavituximab With Ribavirin
 Tustin, CA, and Berlin, Germany -- April 4, 2011 -- Peregrine 
                    Pharmaceuticals, Inc. (NASDAQ: PPHM), a clinical-stage biopharmaceutical 
                    company developing first-in-class monoclonal antibodies for 
                    the treatment of cancer and viral infections, today announced 
                    data from its Phase Ib dose escalation safety study of bavituximab 
                    in patients coinfected with chronic hepatitis C virus (HCV) 
                    and HIV. In a poster presented at the 46th Annual Meeting 
                    of the European Association for the Study of the Liver (EASL), 
                    data show bavituximab administered as a single agent for 8 
                    weeks was generally safe and well tolerated at all four dose 
                    levels.
 "Bavituximab 
                  used as a single agent has demonstrated a consistent, acceptable 
                  safety profile in three Phase I HCV trials to date, and we have 
                  seen enhanced antiviral activity when using bavituximab in combination 
                  with the antiviral agent ribavirin in several preclinical viral 
                  disease models," said Joseph S. Shan, vice president of 
                  clinical and regulatory affairs at Peregrine Pharmaceuticals. 
                  "Our recently initiated randomized Phase II trial will 
                  assess early virology response of genotype 1 HCV patients after 
                  12 weeks of therapy combining bavituximab with ribavirin as 
                  a potential alternative to the current interferon-based regimen." 
                  
 Peregrine's Phase Ib safety study included 27 patients (85% 
                  genotype 1 HCV) coinfected with HCV and HIV. Coinfected patients 
                  typically have higher HCV viral loads and more rapid progression 
                  compared to patients infected with HCV alone. Patient cohorts 
                  received ascending dose levels of bavituximab weekly (0.3 mg/kg, 
                  1.0 mg/kg, 3 mg/kg and 6 mg/kg) for up to 8 weeks. Adverse events 
                  (AEs) were considered mild or moderate and were consistent with 
                  other bavituximab trials. Three serious adverse events were 
                  reported, two of which were drug-related (rash and hypersensitivity). 
                  Patients were not premedicated. No dose-limiting toxicities 
                  occurred and a maximum tolerated dose of bavituximab was not 
                  reached. Although not a primary endpoint of this safety study, 
                  HCV and HIV antiviral activity (> 0.5 log10 reduction) 
                  were observed in all treatment groups during bavituximab therapy.
 
 In an ongoing randomized Phase II HCV trial, Peregrine is evaluating 
                  the 12-week early virologic response (EVR) rate of previously 
                  untreated genotype-1 HCV patients treated with Peregrine's bavituximab 
                  (0.3 mg/kg or 3 mg/kg) in combination with the antiviral drug 
                  ribavirin (1000 mg) versus current standard of care, pegylated 
                  interferon alpha-2a (180 mcg) and ribavirin. For further information 
                  about this trial, which is being conducted outside of the U.S., 
                  please visit www.peregrinetrials.com or www.clinicaltrials.gov/ct2/show/NCT01273948?term=bavituximab&rank=3.
 
 A copy of the poster is available at Peregrine's website www.peregrineinc.com/pipeline/cot.html.
 
 About Bavituximab's Antiviral Approach
 
 Bavituximab is the first in a new class of patented antibody 
                  therapeutics that target and bind to phosphatidylserine (PS), 
                  a specific phospholipid component of cell membranes. Bavituximab 
                  helps reactivate and direct the body's immune system to destroy 
                  infected cells and virus particles that exhibit this specific 
                  phospholipid on their surface. Since their target is host-derived 
                  rather than pathogen-derived, PS-targeting antibodies have the 
                  potential for broad-spectrum antiviral activity and are also 
                  expected to be much less susceptible to the viral mutations 
                  that often lead to drug resistance.
 
 Researchers have found that PS is exposed on the outer membrane 
                  of cells infected with HCV, HIV, influenza, herpes viruses, 
                  hemorrhagic fever viruses, respiratory syncytial virus, measles 
                  as well as other viruses. A growing body of scientific publications, 
                  including Nature Medicine and The Journal of Experimental 
                  Medicine, has highlighted data on the role of PS and Peregrine's 
                  PS-targeting therapies in infectious diseases.
 
 About Peregrine Pharmaceuticals
 
 
  Peregrine 
                  Pharmaceuticals, Inc. is a biopharmaceutical company with a 
                  portfolio of innovative monoclonal antibodies in clinical trials 
                  for the treatment of cancer and serious viral infections. The 
                  company is pursuing multiple clinical programs in cancer and 
                  hepatitis C virus infection with its lead product candidate 
                  bavituximab and novel brain cancer agent Cotara. Peregrine also 
                  has in-house cGMP manufacturing capabilities through its wholly-owned 
                  subsidiary Avid Bioservices, Inc. (www.avidbio.com), 
                  which provides development and biomanufacturing services for 
                  both Peregrine and outside customers. Additional information 
                  about Peregrine can be found at www.peregrineinc.com. 
 Investigator affiliations: Infectious Diseases, Saint Michael's 
                  Medical Center, Newark, NJ; Center for Viral Hepatitis, John's 
                  Hopkins University, Baltimore, MD; Peregrine Pharmaceuticals, 
                  Inc., Tustin, CA.
 
                4/15/11 ReferenceJ Slim, MS Sulkowski, and JS Shan. Escalating repeat-dose study 
                  of bavituximab in patients co-infected with chronic hepatitis 
                  C virus (HCV) and human immunodeficiency virus. 46th Annual 
                  Meeting of the European Association for the Study of the Liver 
                  (EASL 2011). Berlin. March 30-April 3. Abstract 
                  1117.
 
 Other Source
 Peregrine Pharmaceuticals. Peregrine Presents Phase Ib HCV/HIV 
                  Data on Single-Agent Bavituximab at EASL. Press release. April 
                  4, 2011.
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