Panel Backs Keytruda and Tecentriq in Bladder Cancer

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FDA’s Oncologic Drugs Advisory Committee 4/28 voted to recommend continued accelerated approvals separately for Merck’s Keytruda and Genentech’s Tecentriq in bladder cancer patients until further confirmatory data are presented.


Until recently, the standard-of-care treatment for patients with advanced or metastatic bladder cancer who can tolerate cisplatin has been cisplatin-containing combination chemotherapy. However, about 40-60% of first-line urothelial carcinoma patients are considered ineligible to receive cisplatin-based chemotherapy and treatment options for this population are limited. Until 2017 when both Keytruda and Tecentriq received accelerated approval, there were no approved drugs for the cisplatin-ineligible bladder cacner population.


Recent confirmatory studies on both therapies failed to demonstrate effectiveness, and FDA decided to get its expert oncology panel to weigh in. FDA did not provide the timing on when it will decide whether to continue the accelerated approvals while additional confirmatory data are submitted.

 

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