Genentech’s Tecentriq OK’d for Muscle-Invasive Bladder Cancer

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FDA has approved Genentech’s Tecentriq (atezolizumab) and a subcutaneous formulation of the drug for the adjuvant treatment of certain patients with muscle-invasive bladder cancer who test positive for circulating tumor DNA after surgery. The approval covers adults with muscle-invasive bladder cancer who have undergone cystectomy and are found to have molecular residual disease using a concurrently authorized circulating tumor DNA (ctDNA) test —Natera’s Signatera CDx.

The PD-L1 blocking immunotherapy’s approval was based on data from the Phase 3 IMvigor011 study, which enrolled 250 patients with muscle-invasive bladder cancer whose blood tests showed ctDNA residual disease following bladder removal surgery.

Patients receiving atezolizumab experienced a statistically significant improvement in disease-free survival compared with placebo, FDA said. Median disease-free survival was 9.9 months in the treatment arm versus 4.8 months for placebo.

The study also demonstrated an overall survival benefit. Median overall survival was 32.8 months for patients receiving atezolizumab compared with 21.1 months in the placebo group.

FDA said the drug labeling includes warnings for immune-mediated adverse reactions, infusion-related reactions, transplant complications and embryo-fetal toxicity.

The approved intravenous dosing options include administration every two, three or four weeks for up to one year unless disease recurrence or unacceptable toxicity occurs. The subcutaneous Tecentriq Hybreza formulation may be administered every three weeks for up to one year.

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