Seattle Genetics’ Tukysa OK’d for Breast Cancer
FDA has approved a Seattle Genetics NDA for Tukysa (tucatinib) for use in combination with chemotherapy (trastuzumab and capecitabine) for treating adult patients with advanced forms of HER2-positive breast cancer that can’t be removed with surgery, or has spread to other parts of the body, including the brain, and who have received one or more prior treatments. As part of Project Orbis, FDA collaborated with the Australian Therapeutic Goods Administration, Health Canada, Health Sciences Authority (Singapore) and Swissmedic (Switzerland) on the review. While FDA approved the drug first, the application is still under review at the other agencies. “Collaboration among international regulators may allow patients with cancer to receive earlier access to products in other countries where there may be significant delays in regulatory submissions, regardless of whether the product has received FDA approval,” the agency explains in a release.
Tukysa is a kinase inhibitor that blocks the kinase enzyme and helps prevent cancer cells from growing, FDA says. It was approved based on data from a clinical trial enrolling 612 patients who had HER2-positive advanced unresectable or metastatic breast cancer and had prior treatment with trastuzumab, pertuzumab and ado-trastuzumab emtansine. The primary endpoint was progression-free survival (PFS). FDA says the median PFS in patients who received Tukysa, trastuzumab, and capecitabine was 7.8 months compared to 5.6 months in those patients who received placebo, trastuzumab, and capecitabine. The median overall survival in patients who received Tukysa, trastuzumab, and capecitabine was 21.9 months compared to 17.4 months in patients who received placebo, trastuzumab, and capecitabine, it says.