Monday, May 13, 2013

Food Allows 'Breakthrough' Designation to Merck Skin-Cancer Drug - Fox Company

An experimental Merck & Co. (MRK) skin-cancer medicine has been chosen as a therapy" by the U.S. Food and Drug Administration, which could ease the treatment's road to market. The medicine, lambrolizumab, showed promise within an early-stage clinical trial of individuals with advanced cancer, a serious form of skin cancer, according to results released in November that formed the cornerstone of Merck's request breakthrough status. A mid-stage test is underway to test further the drug's effectiveness and safety; it has maybe not yet been approved for marketing. Merck hopes the FDA's new breakthrough name may speed the drug's path to market, though the organization could not assess simply how much time may be shaved off the drug's development. "It opens up opportunities and lines of communication with the company for innovative approaches to transfer development forward as rapidly as possible," said Gary Gilliland, senior vice president and oncology franchise mind in Merck's research team. One potential section of discussion with the FDA is to see whether there are approaches to estimate beforehand which patients might respond well to the medicine, Dr. Gilliland said. Merck's medicine may be the latest exemplory instance of the discovery standing the FDA has been assigning to certain possible new treatments for severe or life-threatening conditions like cancer, under a U.S. FDA endorsement law passed a year ago. The organization has pledged to just take certain steps to speed the development of those drugs, including giving more extensive guidance to businesses about how precisely to check them in people. The breakthrough status, which builds upon a preexisting FDA "fast-track" system, also can induce closer involvement by senior FDA officials. The FDA said it's received 45 requests for breakthrough designations, and has granted 11 and denied 18 of these. Some requests remain pending. None of the development drugs has been approved to date. Other fresh drugs getting development status include the following: Johnson & Johnson's (JNJ) and Pharmacyclics Inc.'s (PCYC) ibrutinib for a kind of lymphoma and other cancers; Pfizer Inc.'s (PFE) palbociclib for breast cancer; and Vertex Pharmaceuticals Inc.'s (VRTX) mix of the drugs VX-809 and ivacaftor for cystic fibrosis. Ivacaftor already is on the market as a stand-alone medicine under the brand Kalydeco. Preliminary clinical evidence must be provided by drug makers indicating the item is an advance over available therapies, to have the status. "The notion behind 'discovery' is that, with improved interaction, FDA will work with new drug developers to help design productive ways to study the safety and efficiency of these drug," FDA spokeswoman Sandy Walsh said. "This early support will help ensure that the outcomes of clinical trials provide the evidence that FDA should have to ascertain whether a is safe and efficient for approval." Analysts and investors happen to be seeing the designations absolutely, while it is too early to state how fast the FDA program will provide medical innovations. "It must certanly be taken as a powerful signal that the FDA can do everything to facilitate approval of the drugs," ISI Group analyst Mark Schoenebaum said. Pfizer shares increased 2.8% on April 10 once the firm said the FDA had designated breast-cancer drug palbociclib as a discovery therapy. J.P. Morgan specialist Chris Schott said the name signaled "an accelerated route to approval" for the Pfizer medicine, spurring him to raise his sales forecast and progress his estimate of product-launch timing by 12 months to 2015. The Merck drug is definitely an antibody built to help your body's disease fighting capability go after cancer cells. Lambrolizumab, also known as MK-3475, specifically targets the "programmed death" 1 receptor, or PD-1, which cancer cells may use to escape destruction by the disease fighting capability. Bristol-Myers Squibb Co. (BMY) also is developing an anti-PD-1 drug, nivolumab, that's in Phase 3 testing. In November, Merck said about half of patients in a 1 study for whom results were available at that tumor shrinkage was experienced by time after treatment with lambrolizumab and about 10% had no detectable cancer after treatment as assessed by imaging techniques. Some people experienced adverse events including diarrhoea, rash and fatigue. Some adverse events were considered to be linked to the drug's mechanism of action of unleashing your body's defense mechanisms. Merck also is studying the drug as a possible treatment for non-small cell lung cancer. Leerink Swann estimates annual U.S. sales of the Merck drug for use in cancer will peak at $450 million by 2023. Create to Peter Loftus at peter.loftus@dowjones.com Contribute to WSJ: http://online.wsj.com?mod=djnwires Copyright A 2013 Dow Jones Newswires

Via: Q & A With Don Cheadle

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