MesotheliomaHelp.org Reacts to FDA's Approval
of Keytruda Cancer Drug
MesotheliomaHelp.org is calling attention today to the U.S. Food and
Drug Administration's accelerated approval of Keytruda (pembrolizumab; MK-3475)
for the treatment of patients with advanced or surgically untreatable melanoma
who are no longer responding to other medications.
MesotheliomaHelp.org has been closely monitoring the drug's approval
process after reporting in May that Mavis Nye had become the first mesothelioma
patient accepted into a U.K. clinical trial of pembrolizumab. The trial was
being run at The Royal Marsden cancer center in the U.K., according to
MesotheliomaHelp.org, which provides information for mesothelioma patients and
their caregivers.
"Someone has given me hope," Nye told MesotheliomaHelp.org in
May, reacting to her acceptance into the Phase I trial, which was being run
with no placebo (and thus would allow patients to receive the full benefits of
the drug).
Nye is one of the fewer than five percent of mesothelioma patients who
have survived five years or longer after being diagnosed with the disease,
MesotheliomaHelp.org reports.
On September 4, the FDA announced that it had taken action on Keytruda
under its accelerated approval program, or approval that "provides earlier
patient access to promising new drugs while the company conducts confirmatory clinical
trials." The drug is developed by Merck & Co.
The FDA describes Keytruda as a drug that blocks, or inhibits, PD-1, a
protein that prevents the body's immune system from attacking melanoma cells.
Keytruda is the first programmed death receptor-1 (PD-1) therapy approved in
the U.S.
According to the FDA, Keytruda's approval was based on data from an
ongoing clinical trial. Twenty-four percent of trial participants who received
Keytruda had their tumors shrink for at least 1.4 to 8.5 months. Fourteen
percent had progression of disease 2.8 to 8.2 months after initial response,
the FDA reports.
The FDA states that it gave Keytruda "breakthrough therapy"
designation based on preliminary clinical evidence indicating that the drug
"may offer substantial improvement over available therapies."
Additionally, the FDA gave the drug "priority review" (meaning
the drug had the potential to be a "significant improvement in safety or
effectiveness in the treatment of a serious condition") and designated it
as an "orphan drug" (meaning the drug is intended to treat a rare
disease).
The FDA states that Keytruda is intended for use with the ipilimumab
immunotherapy (and for use with ipilimumab and a BRAF inhibitor for melanoma
patients with the BRAF V600 gene mutation).
As the oncology news and information website OncLive reports, numerous
clinical trials are currently taking place involving pembrolizumab for
treatment of a variety of cancer types, while more than 30 studies are
examining the drug.
The FDA has not approved Keytruda for the treatment of mesothelioma.
About MesotheliomaHelp.org
MesotheliomaHelp.org is "America's Mesothelioma Resource." It
is one of the web's primary resources for information on malignant mesothelioma
and other asbestos-related diseases. The website's team of writers, supporters
and sponsors are dedicated to bringing the latest, most comprehensive
mesothelioma information to patients, families and caregivers. The site's goal
is to provide information that empowers families to participate in making the
decisions about their care and to offer some measure of hope and support.
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