Casualty Of Change? Innovent/Lilly’s Chinese PD-1 Inhibitor Sintilimab Falls Hard At US FDA Panel

Advisory committee says additional trials needed to demonstrate applicability of ORIENT-11 results to US population; in opting to seek approval only with Chinese data, Innovent said it relied on 2019 comments by FDA’s Richard Pazdur, but the oncology center head said therapeutic and societal changes have caused an evolution in the agency’s thinking.

Step backwards
Single-country submissions are 'a step backward' in efforts to promote clinical trial diversity and multi-regional trials, FDA's top oncology official says. • Source: Alamy

Innovent Biologics, Inc./Eli Lilly and Company’s PD-1 inhibitor sintilimab fell hard at its US Food and Drug Administration advisory committee review for a host of reasons, not the least of which were the design, conduct and location of its Phase III trial.

But perhaps the biggest reason for sintilimab’s downfall was change – change in the lung cancer therapeutic landscape, change in...

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