Roche Drops Tecentriq Breast Cancer Indication

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Roche has decided to withdraw the accelerated approval for Tecentriq (atezolizumab) in combination with chemotherapy (Abraxane, albumin-bound paclitaxel; nab-paclitaxel) for treating adults with unresectable locally advanced or metastatic triple-negative breast cancer (mTNBC) whose tumors express PD-L1. The decision, which only affects the mTNBC indication in the U.S., was encouraged by FDA based on its assessment of the current mTNBC treatment landscape, the company says.
 

Tecentriq was given accelerated approval for the mTNBC indication 3/2019. A confirmatory study did not meet its primary endpoint of progression-free survival for first-line treatment of mTNBC. In April, an FDA advisory committee reviewed the data and voted 7 to 2, recommending the continued accelerated approval (see earlier story). “However, due to the recent changes in the treatment landscape, the FDA no longer considers it appropriate to maintain the accelerated approval,” Roche says. Earlier this year, FDA granted Gilead Sciences full approval for Trodelvy (sacituzumab govitecan-hziy) for adult patients with unresectable locally advanced or metastatic triple-negative breast cancer.

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