The record
Written from the 1 report below. Nothing here is unsourced.
- The US FDA has granted accelerated approval to AstraZeneca's breast cancer pill Etcamah (camizestrant) for adults with locally advanced or metastatic breast cancer carrying an ESR1 mutation, to be used with CDK4/6 inhibitors.
- The approval was based on the SERENA-6 Phase III trial, which showed the combination reduced the risk of disease progression or death by 56%.
- Notably, the FDA's oncology advisory committee had earlier this year voted against the drug, saying it lacked a meaningful benefit.
- Breast cancer is the most common cancer among US women, with over 300,000 new diagnoses and more than 42,000 deaths annually, and the drug is already approved in over 30 countries.
What to watch next
- Whether US uptake and prescribing follow, given patients must first test positive for the ESR1 mutation with an FDA-authorised test
- Any post-approval requirements or further data the FDA may require as part of the accelerated approval
- AstraZeneca's continued oncology pipeline growth amid its expansion into other markets such as weight-loss treatments
Who said what3
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AstraZeneca
1 quote · 1 outlet
“Approval [was] based on SERENA-6 Phase III trial results which showed combination reduced the risk of disease progression or death by 56% in patients with an emergent ESR1 tumor mutation,”
In the article
…with breast cancer who have a specific mutation that can develop during treatment with an endocrine therapy. Patients will need to have an FDA-authorised test showing they have this mutation before receiving Etcamah. " Approval [was] based on SERENA-6 Phase III trial results which showed combination reduced the risk of disease progression or death by 56% in patients with an emergent ESR1 tumor mutation, " AstraZeneca said. Dosage: ETCAMAH is a potent, next-generation oral selective estrogen receptor degrader (SERD) and complete ER antagonist, administered orally, once daily. The recommended dose of ETCAMAH in…
European Medicines Agency
1 quote · 1 outlet
“Etcamah is available as tablets to be taken by mouth once a day. Treatment should continue for as long as the patient benefits from it, or until they develop unacceptable side effects,”
In the article
…combination with a CDK4/6 inhibitor is 75 mg, AstraZeneca said. Etcamah can only be obtained with a prescription, and treatment should be started and supervised by a doctor experienced in the use of cancer medicines. “ Etcamah is available as tablets to be taken by mouth once a day. Treatment should continue for as long as the patient benefits from it, or until they develop unacceptable side effects, ” says the European Medicines Agency. High risk: The drug poses a high risk to pregnant women. "Based on findings in animals and the mechanism of action, ETCAMAH can cause fetal harm when administered to a pregnant…
Kevin Kalinsky
1 quote · 1 outlet
“The combination provides an important new option for the one in three patients with this form of advanced breast cancer whose tumors develop ESR1 mutations before clinical or radiographic disease progression.”
In the article
…women with breast cancer an additional way to treat the disease. Kevin Kalinsky, MD, MS, FASCO, Division Director of Medical Oncology, Winship Cancer Institute of Emory University and investigator for the trial, said: “ The combination provides an important new option for the one in three patients with this form of advanced breast cancer whose tumors develop ESR1 mutations before clinical or radiographic disease progression. " "Today’s approval will enable clinicians to promptly intervene and change therapeutic strategy at an earlier opportunity ahead of disease progression, rather than waiting until the cancer becomes harder to treat, and…
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Named United States · European Union · Japan · Canada · United Kingdom · Etcamah · American Society of Clinical Oncology · AstraZeneca · European Medicines Agency · Kevin Kalinsky · Pascal Soriot · US Food and Drug Administration
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