UPDATE: FDA 'Unclear' If Avastin Data Backs Expanded Approval
March 27 2009 - 11:13AM
Dow Jones News
The Food and Drug Administration said it's "unclear" whether
positive responses seen in clinical trials involving Genentech
Inc.'s (DNA) Avastin are sufficient to support accelerated approval
of the drug to treat an aggressive type of brain cancer.
Genentech is seeking FDA approval to market Avastin, already
approved to treat advanced breast, lung and colorectal cancer, for
patients who suffer from an aggressive form of brain cancer in
which the survival rate is 9 months to 12 months.
A panel of outside medical experts will discuss Avastin at an
FDA sponsored meeting Tuesday. The panel will decide whether to
recommend approval to expand the drug to treat brain cancer. The
FDA generally follows the group's advice.
The FDA said it's "unclear weather the response rate and
duration of response seen" in Genentech's application are
sufficient, according to briefing documents posted on the agency's
Web site.
Glioblastoma multiforme, a form of brain cancer, accounts for
about 20% of all brain cancer. In 2008, for instance, there were
nearly 22,000 new cases of brain cancer and cancers of the nervous
system. There are few FDA-approved treatments for this type of
drug, and getting approval would boost Avastin's sales.
The drug has already been a top-seller for Genentech, bringing
in 2008 sales of $2.7 billion.
To get approval, Avastin must be safe for patients and show it
can shrink tumors. The FDA said it's also judging the drug on what
the chances are that someone taking the drug for six months will
end up disease free.
The FDA data showed 36% of patients taking Avastin had at least
a 6-month period in which their condition didn't worsen. One of the
main studies involved 85 patients who received Avastin, and 82 who
received Avastin and the chemotherapy agent irinotecan.
The FDA said only the Avastin-only data can be used to support
the drug's approval because the agency couldn't separate the
contribution of irinotecan from the results of the other trial.
-By Jared A. Favole, Dow Jones Newswires; 202.862.9207;
jared.favole@dowjones.com