FDA Priority Review for Merck’s Keytruda in Lung Cancer
FDA has accepted for priority review a Merck supplemental BLA for Keytruda (pembrolizumab), an anti-PD-1 therapy for first-line treatment of patients with advanced non-small cell lung cancer (NSCLC) whose tumors express PD-L1. The agency has set a user fee review target date of 12/24. Merck has also submitted a Marketing Authorization Application to the European Medicines Agency for the same indication.
The submissions were based on data from the pivotal phase 3 KEYNOTE-024 study, which showed that Keytruda monotherapy resulted in superior progression-free survival as well as overall survival compared with standard chemotherapy in patients with advanced NSCLC whose tumors expressed high levels of PD-L1, the company says. “Based on the results, the trial was stopped early to give patients still on chemotherapy the opportunity to receive Keytruda,” it says.
The humanized monoclonal antibody works by increasing the ability of the body’s immune system to help detect and fight tumor cells, Merck says. It blocks the interaction between PD-1 and its ligands, PD-L1 and PD-L2, and thereby activating T lymphocytes which may affect both tumor cells and healthy cells.