Pfizer NDA Approved for Prostate Cancer

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FDA has approved a Pfizer NDA for Talzenna (talazoparib) with Astellas’ Xtandi (enzalutamide) for treating homologous recombination repair (HRR) gene-mutated metastatic castration-resistant prostate cancer (mCRPC).

Approval was based on data from the TALAPRO-2 (NCT03395197) 399-patient study whose major efficacy outcome measure was radiographic progression-free survival (rPFS). “A statistically significant improvement in rPFS for talazoparib with enzalutamide compared to placebo with enzalutamide was observed in the HRR gene-mutated population…” FDA says. 

The most common adverse reactions (greater than 10%) included decreased hemoglobin, decreased neutrophils, decreased lymphocytes, fatigue, decreased platelets, decreased calcium, nausea, decreased appetite, decreased sodium, decreased phosphate, fractures, decreased magnesium, dizziness, increased bilirubin, decreased potassium, and dysgeusia. “Among all patients with mCRPC treated with talazoparib with enzalutamide on TALAPRO-2 (n=511), 39% required a blood transfusion, including 22% who required multiple transfusions, and two patients were diagnosed with myelodysplastic syndrome/acute myeloid leukemia (MDS/AML),” it says.

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