FDA Rejects Spectrum's Lung Cancer Drug
FDA has issued Spectrum Pharmaceuticals a complete response letter rejecting the company’s poziotinib and its use in treating patients with previously treated locally advanced or metastatic non-small cell lung cancer that harbors HER2 exon 20 insertion mutations. The letter requested additional data including a randomized controlled study before FDA could consider granting an accelerated approval, according to the company.
The decision comes as no surprise and follows a 9-4 vote by FDA’s Oncologic Drugs Advisory Committee 9/22 against recommending accelerated approval. Panel members agreed with FDA concerns expressed in a briefing document (see story) citing the drug’s low overall response rate, poorly tolerated safety profile at the currently proposed dosage, and inadequate dosage optimization throughout the development program. FDA reviewers said that if the drug is granted accelerated approval, it would be the least effective targeted therapy for lung cancer approved to date.
Going forward, Spectrum says it has made a strategic decision to immediately de-prioritize the poziotinib program. “We are committed to exploring potential strategic alternatives for poziotinib, including partnerships and business development opportunities, and will determine the best path forward in support of patients,” it adds. It also says that its research and development workforce is being reduced by about 75% to conserve cash flow.