Takeda Gains ‘Breakthrough’ for Pevonedistat

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FDA has granted Takeda Pharmaceutical a breakthrough therapy designation for its investigational drug pevonedistat for treating patients with higher-risk myelodysplastic syndromes. The company says the candidate therapy, a first-in-class NEDD8-activating enzyme (NAE) inhibitor, could be the first novel therapy for the indication in more than a decade, expanding treatment options that have so far been limited to hypomethylating agent monotherapy alone. Even with current treatment options, outcomes for people living with HR-MDS remain poor.

 

The designation is based on the final analysis of the Pevonedistat-2001 Phase 2 study, which evaluated pevonedistat plus azacitidine versus azacitidine alone in patients with rare leukemias, including HR-MDS, the company says. “The FDA considered a number of endpoints, including overall survival, event-free survival, complete remission and transfusion independence, as well as the adverse event profile,” it says. In pre-clinical studies, the inhibition of NAE by pevonedistat blocked the modification of select proteins, which resulted in disruption of cell cycle progression and cell survival, leading to cancer cell death.” Additionally, pevonedistat in combination with azacitidine demonstrated “promising” clinical activity in a Phase 2 study of patients with higher-risk myelodysplastic syndromes, higher-risk chronic myelomonocytic leukemia and acute myeloid leukemia, Takeda adds.

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