ODAC Nixes Checkpoint Inhibitors in Gastric Cancers

The FDA Oncology Drugs Advisory Committee voted 2-10-1 against recommending the use of immune checkpoint inhibitors (ICIs) in first-line advanced gastric cancer with PD-L1 (programmed death ligand 1) protein expression less than 1. The committee discussed the question through data supporting the current approvals of Bristol Myers Squibb’s Opdivo (nivolumab) and Merck’s Keytruda (pembrolizumab) plus chemotherapy as well as the application of BeiGene’s Tevimbra (tislelizumab-jsgr) plus chemotherapy for the indication, reports Targeted Oncology.

An agency briefing document distributed before the meeting asked the committee to discuss whether the indication for using ICIs in combination with chemotherapy should require patient selection based on PD-L1 expression levels.

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