Genentech BLA for Perjeta, Herceptin & Chemo Combo

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FDA has accepted for review a Genentech BLA for a fixed-dose combination of Perjeta (pertuzumab) and Herceptin (trastuzumab) with hyaluronidase, administered by subcutaneous injection in combination with intravenous (IV) chemotherapy, for treating eligible patients with HER2-positive breast cancer. The submission is based on data from the Phase 3 FeDeriCa study, which demonstrated “non-inferior levels of Perjeta in the blood (pharmacokinetics) and comparable efficacy and safety to standard IV infusions of Perjeta plus Herceptin and chemotherapy,” the company says.

 

Subcutaneous administration of the combination therapy takes about eight minutes for the initial loading dose and about five minutes for each subsequent maintenance dose, the company says. This is compared to about 150 minutes for infusion of a loading dose of Perjeta and Herceptin using standard IV formulations, and between 60-150 minutes for subsequent maintenance infusions of the two medicines, it says.

 

Genentech notes that the safety profile of the fixed dose in combination with chemotherapy was comparable to that of IV administration of Perjeta plus Herceptin and chemotherapy, and no new safety signals were identified, including no meaningful difference in cardiac toxicity. The most common adverse events in both arms were alopecia, nausea, diarrhea and anemia.

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