Imfinzi sBLA Gets Priority Review for Bladder Cancer

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FDA has accepted for priority review an AstraZeneca supplemental BLA for Imfinzi (durvalumab) in combination with enfortumab vedotin (EV) for treating patients with muscle-invasive bladder cancer (MIBC) who are ineligible for or have declined cisplatin-based chemotherapy. The agency set a user fee review action target date for upcoming fourth quarter.

The sBLA is based on results from the VOLGA Phase 3 trial, according to the company. “In a planned interim analysis, perioperative treatment with Imfinzi in combination with neoadjuvant EV demonstrated statistically significant and clinically meaningful improvements in event-free survival (EFS) and overall survival (OS) versus radical cystectomy (surgery to remove the bladder) with or without approved adjuvant treatment,” it says.

Durvalumab is a programmed death ligand-1, or PD-L1, blocking antibody already approved for several cancer indications, including lung and liver cancers. The prescribing information for Imfinzi includes warnings about immune-mediated adverse reactions, infusion-related reactions, complications following allogeneic hematopoietic stem cell transplantation and embryo-fetal toxicity.

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Guide on Biosimilar Postapproval Manufacturing Changes

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