
NEW YORK – The US Food and Drug Administration on Friday granted accelerated approval to pembrolizumab (Merck's Keytruda) plus chemotherapy as a treatment for locally recurrent, unresectable, or metastatic triple-negative breast cancer patients with high PD-L1-expressing tumors.
Advanced TNBC patients must have a PD-L1 combined positive score of at least 10, as determined by an FDA-approved test, in order to receive the drug. On the same day, the agency also approved Agilent/Dako's PD-L1 IHC 22C3 pharmDx test as a companion diagnostic to identify those with PD-L1-high TNBC.
This is the first time the immunotherapy has been approved for treating breast cancer.
The agency approved this latest indication based on the Keynote-355 randomized study in which 847 chemotherapy-treated TNBC patients with recurrent, unresectable, or metastatic tumors received pembrolizumab and chemo or a placebo and chemo. In the subgroup of patients with a PD-L1 combined positive score of at least 10, median progression-free survival was 9.7 months in the pembrolizumab arm and 5.6 months in the placebo arm. The pembrolizumab-chemo combination improved PFS over just chemo in this subset of patients in the trial.
Some common adverse events in pembrolizumab-treated patients were fatigue, nausea, diarrhea, and constipation, and 20 percent or more patients in the trial also had lab abnormalities indicative of anemia, leukopenia, and neutropenia.
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November 14, 2020 at 04:15AM
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FDA Approves Merck's Keytruda, Agilent CDx in PD-L1-High Triple-Negative Breast Cancer - GenomeWeb
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