Oncology: Tissue-Agnostic Indications Advance Under US FDA's Breakthrough Umbrella

Merck's Keytruda may not be only oncologic with indication for cancer patients defined by molecular signature, not tissue of origin, for long: Ignyta's entrectinib and Loxo Oncology's larotrectinib are positioned for breakthrough-designated tissue-agnostic NDA submissions in NTRK fusion-positive cancers in 2018.

The US FDA's breakthrough therapy program is helping tissue-agnostic cancer therapy sponsors design clinical trials and navigate a regulatory apparatus designed for the dominant tissue histology-based paradigm for oncology.

Tissue-agnostic therapy, where indications are based on a tumor's molecular signature instead of by anatomical site of origin, has been...

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