AstraZeneca's Truqap for Prostate Cancer Approved
FDA has approved AstraZeneca's AKT inhibitor Truqap (capivasertib) in combination with abiraterone and prednisone for adults with PTEN-deficient metastatic androgen pathway modulation-naïve or -sensitive prostate cancer, expanding the drug's reach into an earlier-stage prostate cancer setting and marking the first biomarker-directed approval for this patient population.
Alongside the drug approval, the agency cleared the Ventana PTEN (SP218) RxDx Assay from Roche's Ventana unit as a companion diagnostic to identify eligible patients.
The decision broadens Truqap's oncology footprint beyond breast cancer and provides AstraZeneca with a new precision medicine option in prostate cancer, where PTEN loss is among the most common genomic alterations and has been associated with aggressive disease and poorer outcomes, according to an FDA release.
FDA's approval was based on results from the Phase 3 CAPItello-281 study, which enrolled 1,012 patients with newly diagnosed PTEN-deficient metastatic androgen pathway modulation-naïve or -sensitive prostate cancer. Patients were randomized to receive either capivasertib plus abiraterone and prednisone or abiraterone and prednisone alone.
The study met its primary endpoint of radiographic progression-free survival, FDA says. Patients receiving the Truqap-based regimen achieved a median radiographic progression-free survival of 33.2 months compared with 25.7 months for patients receiving placebo plus abiraterone, representing a 19% reduction in the risk of disease progression or death.