Regeneron sBLA for Libtayo in Lung Cancer
FDA has accepted for review a Regeneron Pharmaceuticals supplemental BLA for PD-1 inhibitor Libtayo (cemiplimab-rwlc) in combination with chemotherapy as a first-line treatment in advanced non-small cell lung cancer (NSCLC). The user fee review action target date is 9/19. Libtayo was approved last year as a first-line monotherapy treatment for adult patients with advanced NSCLC whose tumors have high PD-L1 expression.
The submission is based on data from a 466-patient randomized, multicenter Phase 3 trial that assessed Libtayo in combination with a physician’s choice of platinum-doublet chemotherapy (Libtayo combination), compared to platinum-doublet chemotherapy alone. The trial was stopped early after the Libtayo combination demonstrated a significant overall survival improvement compared to chemotherapy alone, according to Regeneron.
On the safety side, the company says patients in the Libtayo combination (n=312) and chemotherapy alone (n=154) groups saw treatment discontinuations due to adverse events in 5% and 3% of patients, respectively. Immune-mediated adverse events occurred in 19% of patients in the Libtayo combination group.