Efficacy in PROpel study was driven by the small percentage of patients with tumor BRCA mutations, agency says, raising concerns that olaparib may amount to a ‘toxic placebo’ in those without the mutation; Oncology Drugs Advisory Committee will consider whether new indication in metastatic castration-resistant prostate cancer should be restricted by mutation status.
ODAC will consider whether AstraZeneca's proposed indication in first-line mCRPC should be narrowed to patients with tumor BRCA mutations. • Source: Shutterstock
Breadth of indication will be on the line when the US FDA’s Oncologic Drugs Advisory Committee weighs a new first-line prostate cancer claim for AstraZeneca PLC’s PARP-inhibitor Lynparza (olaparib).
In a briefing document released ahead of the 28 April meeting, the agency suggests an expanded indication for patients...
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A real-world evidence study also does not meet the regulatory standard for an adequate and well-controlled clinical investigation, the agency said. The FDA should allow the accelerated approval drug to remain available like other treatments that failed their confirmatory trials, Intercept said.
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Proposal to have panelists rate the strength of efficacy and safety evidence on a numeric scale also draws support in written comments on ways to optimize the advisory committee process.
A real-world evidence study also does not meet the regulatory standard for an adequate and well-controlled clinical investigation, the agency said. The FDA should allow the accelerated approval drug to remain available like other treatments that failed their confirmatory trials, Intercept said.
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