Accelerated Approval Given to Astellas’ Padcev

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FDA has approved an Astellas Pharma BLA for Padcev (enfortumab vedotin-ejfv) for use with Merck’s Keytruda (pembrolizumab) for patients with locally advanced or metastatic urothelial carcinoma who are not eligible for cisplatin-containing chemotherapy. Approval was based on data from the EV-103/KEYNOTE-869 study. The confirmed objective response rate was 68%, including 12% with complete responses, an FDA release says, adding that the median duration or response was 22 months.

The most common adverse reactions, it says, included “increased glucose, increased aspartate aminotransferase, rash, decreased hemoglobin, increased creatinine, peripheral neuropathy, decreased lymphocytes, fatigue, increased alanine aminotransferase, decreased sodium, increased lipase, decreased albumin, alopecia, decreased phosphate, decreased weight, diarrhea, pruritus, decreased appetite, nausea, dysgeusia, decreased potassium, decreased neutrophils, urinary tract infection, constipation, potassium increased, calcium increased, peripheral edema, dry eye, dizziness, arthralgia, and dry skin.”

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