FDA OKs Datroway for Triple-Negative Breast Cancer

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FDA has approved Daiichi Sankyo’s Datroway (datopotamab deruxtecan-dlnk) for adults with unresectable or metastatic triple-negative breast cancer (TNBC) who are not candidates for PD-1/PD-L1 inhibitor therapy, expanding treatment options for patients with one of the most aggressive forms of breast cancer. The drug was previously approved for patients who have not previously received chemotherapy or other systemic anti-cancer therapy for unresectable or metastatic disease.

The FDA action is based on results from the Phase 3 TROPION-Breast02 trial, which enrolled 644 patients with unresectable or metastatic TNBC. Patients were randomized to receive either datopotamab deruxtecan-dlnk or physician’s choice of chemotherapy, including paclitaxel, nab-paclitaxel, capecitabine, eribulin or carboplatin, an FDA release says.

Patients treated with datopotamab deruxtecan-dlnk achieved a median progression-free survival of 10.8 months, compared with 5.6 months for patients receiving chemotherapy. The treatment also demonstrated an overall survival benefit, with median overall survival of 23.7 months versus 18.7 months in the chemotherapy arm, FDA says. The confirmed overall response rate was 64% in the datopotamab deruxtecan-dlnk group, compared with 30% among patients treated with chemotherapy.

The prescribing information includes Boxed Warnings and Precautions for interstitial lung disease and pneumonitis, as well as warnings for ocular adverse reactions, stomatitis or oral mucositis, and embryo-fetal toxicity.

Datopotamab deruxtecan-dlnk is administered intravenously at a recommended dose of 6 mg/kg every three weeks until disease progression or unacceptable toxicity.

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