FDA Grants Priority Review to J&J’s Akeega sNDA

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FDA has accepted for priority review a Johnson & Johnson supplemental NDA for Akeega (niraparib and abiraterone acetate dual-action tablet) plus prednisone for treating BRCA-mutated metastatic castration-sensitive prostate cancer. If approved, the company says the regimen would become the first PARP-based precision medicine combination for this patient population, addressing a major unmet need among men with BRCA-mutated prostate cancer — a group known to experience faster disease progression and poorer outcomes than those without the mutation.

The submission is supported by data from the Phase 3 AMPLITUDE trial, which showed that Akeega plus prednisone reduced the risk of radiographic progression or death by 48% compared with abiraterone plus prednisone alone, according to J&J. The combination also prolonged time to symptomatic progression by 56% and showed a favorable trend toward overall survival improvement, with a 25% reduction in the risk of death, it adds

Akeega was approved in 2023 for BRCA-mutated metastatic castration-resistant prostate cancer.

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