Exelixis’ Cabometyx sNDA OK’d for Liver Cancer

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FDA has approved an Exelixis supplemental NDA for Cabometyx (cabozantinib) tablets for patients with hepatocellular carcinoma who have been previously treated with sorafenib. HCC is the most common form of liver cancer and the fastest-rising cause of cancer-related death in the U.S., according to the company. Previously, the therapy was approved for treating patients with advanced renal cell carcinoma.

 

Approval was based on results from the CELESTIAL phase 3 pivotal trial of Cabometyx for patients with advanced HCC who received prior sorafenib. The therapy “demonstrated a statistically significant and clinically meaningful improvement in overall survival (OS) versus placebo,” Exelixis says. In the trial, median OS was 10.2 months with cabozantinib versus 8.0 months with placebo. Additionally, median progression-free survival was 5.2 months with cabozantinib and 1.9 months with placebo, it says.

 

Exelixis says the most common Grade 3 or 4 adverse events in the cabozantinib group were palmar-plantar erythrodysesthesia, hypertension, increased aspartate aminotransferase, fatigue and diarrhea.

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