FDA accepts Cabometyx sNDA for Pancreatic Tumors
FDA has accepted for review an Exelixis supplemental NDA for Cabometyx (cabozantinib) and its use for treating adults with previously treated, locally advanced/unresectable or metastatic, well- or moderately differentiated pancreatic and extra-pancreatic neuroendocrine tumors. The agency assigned a standard review with a user fee review action target date of 4/3/2025.
The sNDA is based on data from the Phase 3 CABINET pivotal trial evaluating cabozantinib compared with placebo in two cohorts of patients with previously treated NET: advanced pNET and advanced epNET, according to the company. “As previously announced, CABINET was stopped early for compelling activity; all patients were unblinded and those on placebo were given the option to cross over to active treatment with cabozantinib,” it says, adding that the move was due to a “dramatic improvement in progression-free survival” seen during an interim analysis.
Cabometyx is currently approved as monotherapy for treating patients with advanced renal cell carcinoma (RCC) and in combination with nivolumab as a first-line treatment for patients with advanced RCC. It is also approved for treating patients with hepatocellular carcinoma who have been previously treated with sorafenib; and for adult and pediatric patients 12 years of age and older with locally advanced or metastatic differentiated thyroid cancer.