Genentech Withdraws Tecentriq for Urothelial Carcinoma
Genentech says it is withdrawing the U.S. accelerated-approved indication for Tecentriq (atezolizumab) in prior-platinum treated metastatic urothelial carcinoma (mUC, bladder cancer) after a required post-approval study failed to confirm its benefits in the patient population. Tecentriq’s indication withdrawal follows similar recent actions (see story) by Merck (Keytruda), AstraZeneca (Imfinzi) and Bristol Myer Squibb (Opdivo), and it’s part of FDA industry-wide review of accelerated approvals with confirmatory trials that have not met their primary endpoints.
Tecentriq was granted accelerated approval in 2016 for mUC based on data from the IMvigor210 study (Cohort 2). Continued approval was contingent upon data from IMvigor211, an FDA-required study, to confirm the drug’s effectiveness. “This study did not meet its primary endpoint of overall survival in the PD-L1-high patient population,” the company says. It adds that subsequent approved therapies for treating mUC have reduced Tecentriq’s standing to continue to qualify for accelerated approval.
Tecentriq is a monoclonal antibody designed to bind with a protein called PD-L1. It continues to be approved for treating certain patients with urothelial carcinoma, lung cancer, triple-negative breast cancer, hepatocellular carcinoma, and melanoma.