FDA Priority Review for Merck’s Keytruda in Lymphoma

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FDA has accepted for priority review a Merck supplemental BLA for Keytruda (pembrolizumab), an anti-PD-1 therapy for treating patients with refractory classical Hodgkin lymphoma (cHL) or for patients who have relapsed after three or more prior lines of therapy. The user fee review target action date is 3/15/2017. The sBLA will be reviewed under the agency’s Accelerated Approval program. In April, Keytruda was granted a Breakthrough Therapy Designation for the indication.

The submission seeks approval at a fixed dose of 200 mg administered intravenously every three weeks and is based on data from the KEYNOTE-087 and KEYNOTE-013 trials, which studied patients with refractory cHL or who had relapsed after three or more prior lines of therapy, according to the company. This is the first application for regulatory approval for the therapy in a hematologic malignancy. Merck says it is conducting broad immuno-oncology research assessing the role of monotherapy and combination regimens with Keytruda. “The program includes nearly 40 ongoing studies – several of which are registration-enabling trials – across more than 20 hematologic subtypes, including leukemia, lymphomas and myeloma,” it says.

Keytruda is a humanized monoclonal antibody that works by increasing the ability of the body’s immune system to help detect and fight tumor cells, Merck says. It is currently approved for treating melanoma, lung cancer, and head and neck cancer.

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