FDA Approves Exelixis’ Cabometyx for Kidney Cancer
FDA has approved an Exelixis NDA for Cabometyx (cabozantinib) tablets for treating patients with advanced renal cell carcinoma (RCC) who have received prior anti-angiogenic therapy. RCC is the most common form of kidney cancer in adults.
Approval was based on data from the Phase 3 METEOR trial, which met its primary endpoint of improving progression-free survival. “Compared with everolimus, a standard of care therapy for second-line RCC, Cabometyx was associated with a 42% reduction in the rate of disease progression or death,” the company says. Median progression-free survival for cabozantinib was 7.4 months versus 3.8 months for everolimus, and Cabometyx also significantly improved the objective response rate compared with everolimus.
The most common adverse reactions in Cabometyx-treated patients include diarrhea, fatigue, nausea, decreased appetite, hand-foot syndrome, high blood pressure, vomiting, weight loss, and constipation. “The rate of treatment discontinuation due to adverse reactions was low (10% in each arm) and consistent with that previously reported for everolimus,” Exelixis says.