Breakthrough Status for Gynecologic Cancer Therapy

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FDA has granted Merck and Daiichi Sankyo a breakthrough therapy designation for raludotatug deruxtecan (R-DXd), an investigational drug for treating patients with certain forms of platinum-resistant ovarian, primary peritoneal, or fallopian tube cancers. The designation covers patients whose tumors express CDH6 and who have previously been treated with the drug bevacizumab, a Merck release says.

The companies describe raludotatug deruxtecan as a potential first-in-class antibody-drug conjugate designed to target CDH6, a protein overexpressed in a majority of ovarian cancers. The FDA decision was supported by early results from a Phase 1 trial as well as the ongoing REJOICE-Ovarian01 phase 2/3 study, they say.

Ovarian cancer remains one of the deadliest gynecologic malignancies, with more than 324,000 women diagnosed globally each year, according to Merck. For patients whose disease becomes resistant to platinum-based chemotherapy, prognosis is especially poor, and treatment options are limited, it says, adding that about two-thirds of ovarian cancer tumors express CDH6.

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