FDA OKs Eisai NDA for Lenvima Use in Kidney Cancer
FDA has approved an Eisai NDA for Lenvima (lenvatinib) capsules for combination use with everolimus for treating advanced renal cell carcinoma following one prior anti-angiogenic therapy. Lenvatinib was first approved in 2015 for treating locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer.
The expanded approval was based on a randomized, multicenter study in patients with advanced or metastatic renal cell carcinoma who previously received anti-angiogenic therapy. The major efficacy outcome measure was investigator-assessed progression-free survival, which was 14.6 months for the lenvatinib plus everolimus arm versus 5.5 months for patients on the everolimus arm, according to an agency news release.
Additionally, FDA says lenvatinib plus everolimus demonstrated numerically superior progression-free survival, an objective response rate, and overall survival, compared to lenvatinib monotherapy. The most common adverse reactions (greater than 30%) with lenvatinib in combination with everolimus were diarrhea, fatigue, arthralgia/myalgia, decreased appetite, vomiting, nausea, stomatitis/oral inflammation, hypertension, peripheral edema, cough, abdominal pain, dyspnea, rash, decreased weight, bleeding events, and proteinuria, it says.