Merck Files 2 sBLAs for Keytruda in Breast Cancer

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FDA has accepted from Merck two supplemental BLAs for Keytruda (pembrolizumab). One submission seeks accelerated approval for Keytruda in combination with chemotherapy for treating patients with locally recurrent unresectable or metastatic triple-negative breast cancer (TNBC) whose tumors express PD-L1. The user fee review action target date is 11/28. The other submission was granted a standard review for Keytruda for treating patients with high-risk early-stage TNBC, in combination with chemotherapy as neoadjuvant treatment, and then as a single agent as adjuvant treatment after surgery. The user fee review action target date for this submission is 3/29.

 

The applications are based on data from the KEYNOTE-355 and KEYNOTE-522 trials, respectively. In KEYNOTE-355, Keytruda plus chemotherapy demonstrated a statistically significant and clinically meaningful improvement in progression-free survival  compared with chemotherapy alone in patients whose tumors expressed PD-L1 at certain levels, Merck says. In KEYNOTE-522, neoadjuvant Keytruda plus chemotherapy resulted in a statistically significant increase in pathologic complete response in patients with early-stage TNBC, regardless of PD-L1 expression, it says.

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