FDA
approves Avastin for platinum-resistant, recurrent ovarian cancer
Roche has announced that
the U.S. Food and Drug Administration (FDA) has approved Avastin (bevacizumab)
for the treatment of patients with platinum-resistant recurrent epithelial
ovarian, fallopian tube, or primary peritoneal cancer in combination with
pacltiaxel, pegylated liposomal doxorubicin, or topotecan.
The drug is indicated for
patients who have received no more than 2 prior chemotherapy regimens. The
recommended dose of this indication is bevacizumab 10mg/kg every 2 weeks in
combination with one of the above intravenous chemotherapy regimens, or
bevacizumab 15mg/kg every 3 weeks in combination with topotecan.
The approval by the FDA is
based upon the randomized, open-label, multicenter, phase 3 AURELIA trial,
which investigated bevacizumab plus chemotherapy versus chemotherapy alone in
361 patients with platinum-resistant recurrent epithelial ovarian, fallopian
tube, or primary peritoneal cancer that recurred within 6 months from the most
recent treatment with platinum-based therapy.
Patients had a median age
of 61 years. Median progression-free survival was 6.8 months and 3.4 months for
chemotherapy plus bevacizumab and chemotherapy alone, respectively (P <
0.0001). Overall survival was 16.6 months and 13.3 months for chemotherapy plus
bevacizumab and chemotherapy alone. This FDA approval is the sixth indication
for Avastin.
Cancer drug Avastin is
already enjoying wide acceptance in Europe after it was approved for use
earlier in the year. The same could happen in the United States soon as the
Food and Drug Administration recently approved the use of Avastin as a treatment
option alongside chemotherapy in battling platinum-resistant, recurrent ovarian
cancer. Roche announced the approval Monday, based on results from a Phase III
AURELIA study showing that using Avastin in combination with chemotherapy cut
risks of worsening or death by up to 62 percent in women who have
platinum-resistant, recurrent ovarian cancer compared to those who underwent
chemotherapy alone.
"Avastin plus
chemotherapy is the first new treatment option for women with this
difficult-to-treat type of ovarian cancer in more than 15 years," said
Roche Global Product Development Head and chief medical officer, Sandra
Horning, M.D.
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