Panel Delivers Mixed Vote on Lilly’s Cyramza
FDA’s Oncologic Drugs Advisory Committee has delivered a mixed vote (six to five) to support approval of Eli Lilly’s supplemental BLA for Cyramza (ramucirumab) and its use in combination with Roche’s erlotinib for patients with untreated metastatic EGFR-positive non-small cell lung cancer. The panel based its vote on data from the Phase 3 RELAY study.
In the study, Cyramza, a VEGF receptor 2 antagonist, in combination with erlotinib, a globally approved EGFR-targeting tyrosine kinase inhibitor, showed a statistically significant and clinically meaningful improvement in progression-free survival compared to erlotinib alone, according to Lilly briefing materials. Median progression-free survival on the CYRAMZA-plus-erlotinib arm was 19.4 months compared to 12.4 months on the placebo-plus-erlotinib arm, it said.
On the safety side, the most common seious adverse events occurring at a higher rate on the Cyramza-plus-erlotinib arm compared to the placebo-plus-erlotinib arm were hypertension, dermatitis acneiform (an acne-like rash), and diarrhea.