FDA Approves Padcev for Urothelial Cancer

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FDA has given accelerated approval to Astellas Pharma’s Padcev (enfortumab vedotin-ejfv), a Nectin-4 directed antibody and microtubule inhibitor conjugate, for treating adults with locally advanced or metastatic urothelial cancer who have previously received a programmed death receptor-1 or programmed death ligand-1 inhibitor and platinum-containing chemotherapy. An agency statement says that Padcev represents a new type of therapy for patients with advanced urothelial cancer whose disease progressed on chemotherapy and immunotherapy.

Padcev was approved, the statement says, on the results of a clinical trial of 125 patients in which the overall response rate, reflecting the percentage of patients who had a certain amount of tumor shrinkage, was 44%, with 12% having a complete response and 32% having a partial response. The median duration of response was 7.6 months.

The most common side effects for patients taking Padcev were fatigue, peripheral neuropathy, decreased appetite, rash, alopecia, nausea, altered taste, diarrhea, dry eye, pruritis, and dry skin.

The drug was granted accelerated approval and priority review and was approved about three months before the goal date.

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