Byondis BLA on Breast Cancer Therapy Rejected
FDA has issued Byondis a complete response letter on its BLA for SYD985 ([Vic-] trastuzumab duocarmazine) for use in patients with HER2-positive unresectable locally advanced or metastatic breast cancer (MBC). The letter requests additional information that “requires time and resources that extend beyond the current evaluation period,” the company says.
The BLA was submitted 7/2022 and is based on data from the pivotal Phase 3 TULIP multi-center, open-label, randomized clinical trial comparing SYD985 to physician’s choice (PC) treatment in patients with pre-treated HER2-positive unresectable locally advanced or metastatic breast cancer, according to the company. The study met its primary endpoint of progression-free survival, showing a statistically significant improvement of 2.1 months over PC. It also “demonstrated supportive overall survival results,” Byondis says.
The company describes SYD985 as an investigational next generation anti-HER2 antibody-drug conjugate that was granted fast track designation in 2018 based on promising Phase1I data involving heavily pretreated last-line HER2-positive MBC patients. “SYD985 combines a HER2-targeting antibody with a novel and potent cytotoxic drug in a way that limits damage to healthy tissue,” it says.