Keytruda sBLA for Biliary Tract Cancer

FDA has accepted for review a Merck supplemental BLA for Keytruda in combination with standard-of-care chemotherapy (gemcitabine and cisplatin) for treating patients with locally advanced unresectable or metastatic biliary tract cancer. The submission is based on data from the KEYNOTE-966 trial that showed Keytruda plus chemotherapy had a statistically significant improvement in overall survival compared to chemotherapy alone. The agency has set a user fee review action target date of 2/7/2024.

Merck says biliary tract cancer is a group of rare and highly aggressive cancers in the gallbladder and bile ducts. It is the second most common type of primary liver cancer after hepatocellular carcinoma, and it accounts for about 15% of all liver cancers. In the U.S., there are about 20,000 patients diagnosed with BTC each year, it says.

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