First Project Orbis Action with Australia, Canada
FDA says it has taken its first regulatory actions under Project Orbis, which provides a framework for concurrent submission and review of oncology drugs among its international partners. Under the project, FDA, the Australian Therapeutic Goods Administration and Health Canada collaboratively reviewed applications for two oncology drugs, allowing for simultaneous decisions in all three countries.
An agency statement says that with a framework for concurrent submission and review of oncology drugs, Project Orbis “facilitates a collaborative review to identify any regulatory divergence across review teams.”
As part of Project Orbis, FDA says it granted accelerated approval for Eisai and Merck’s Lenvima (lenvatinib) in combination with Keytruda (pembrolizumab) for treating patients with advanced endometrial carcinoma that is not microsatellite instability-high or mismatch repair deficient, and who have disease progression following prior system therapy but are not candidates for curative surgery or radiation. Lenvima was initially approved by FDA in 2015 and Keytruda was initially approved in 2014. Approval of the indication for Lenvima in combination with Keytruda was based on results of a clinical trial involving 94 patients.