Elevar/Hengrui Resubmission Accepted for Liver Cancer Therapy

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FDA has accepted for review an Elevar Therapeutics and Hengrui Pharmaceuticals resubmission for rivoceranib plus camrelizumab as a first-line treatment for patients with unresectable or metastatic hepatocellular carcinoma. The agency has set a user fee review action date of 4/9/2027.

On 10/9, Elevar resubmitted the NDA for rivoceranib, while Hengrui Pharma resubmitted a BLA for camrelizumab. The agency will review the applications under an integrated review process for the two-drug combination regimen, according to the companies.

The companies’ resubmission marks the fourth attempt to win U.S. approval, and follows three previous complete response letters (CRLs) issued in 5/2024, 5/2025 and 7/2026. The most recent rejection cited GMP deficiencies at a manufacturing facility, rather than concerns about the treatment's clinical efficacy or safety, according to the companies.

Media reports indicate that FDA recently classified inspections of the relevant manufacturing facilities as Voluntary Action Indicated, and the companies believe they have addressed the manufacturing deficiencies identified in the latest CRL.

The application is supported by the global Phase 3 CARES-310 trial, in which the combination achieved a median overall survival of 23.8 months, compared with 15.2 months for sorafenib. The treatment reduced the risk of death by 36%, according to the companies.

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