Celcuity Files sNDA for Revtorpyk Expanded Use

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Celcuity has submitted a supplemental NDA for Revtorpyk (gedatolisib) for treating patients with hormone receptor positive, human epidermal growth factor receptor 2 negative (HER2-), locally advanced or metastatic breast cancer (ABC) with a PIK3CA mutation, following progression on or after treatment with at least one line of endocrine therapy. Last month, the drug was approved for use in combination with fulvestrant, with or without palbociclib, for adults with hormone receptor (HR)-positive, HER2-negative locally ABC without a PIK3CA mutation detected following progression on or after treatment with at least one line of endocrine therapy in the metastatic setting.

“This submission allows us to potentially make Revtorpyk available to all patients with HR+/HER2- locally advanced or metastatic breast cancer, regardless of PIK3CA mutation status,” the company says in a statement.

The submission is based on data from the PIK3CA mutant cohort of the Phase 3 VIKTORIA-1 clinical trial. In the trial, the drug plus fulvestrant and palbociclib (Revtorpyk-triplet) reduced the risk of disease progression or death by 50% versus alpelisib plus fulvestrant. Median progression-free survival (PFS) was 11.1 months with the Revtorpyk-triplet versus 5.6 months with alpelisib plus fulvestrant. Additionally, Revtorpyk plus fulvestrant reduced the risk of disease progression or death by 49% versus alpelisib plus fulvestrant, and median PFS was 11.3 months with Revtorpyk plus fulvestrant versus 5.6 months with alpelisib plus fulvestrant.

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