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罗氏MPDL3280A(PD-L1抗体)的肺癌(NSCLC)适应症获FDA突破性疗法认定

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9388 23 阿Q 发表于 2015-2-4 15:02:30 |

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本帖最后由 阿Q 于 2015-2-4 15:17 编辑

U.S. FDA grants Breakthrough Therapy Designation for Roche's investigational cancer immunotherapy MPDL3280A (anti-PDL1) in non-small cell lung cancer
Media Release
Basel, 2 February 2015
U.S. FDA grants Breakthrough Therapy Designation for Roche's investigational cancer immunotherapy MPDL3280A (anti-PDL1) in non-small cell lung cancer
Second FDA Breakthrough Therapy Designation for MPDL3280A following bladder cancer in 2014
Roche (SIX: RO, ROG; OTCQX: RHHBY) announced today that it has received a second Breakthrough Therapy Designation from the United States Food and Drug Administration (FDA) for its investigational cancer immunotherapy MPDL3280A (anti-PDL1). The designation was granted for the treatment of people with PD-L1-positive (Programmed Death-Ligand 1) non-small cell lung cancer (NSCLC) whose disease has progressed during or after platinum-based chemotherapy (and appropriate targeted therapy for those with an EGFR mutation-positive or ALK-positive tumour).
“Lung cancer is the leading cause of cancer death globally, and we are pleased the FDA has granted breakthrough designation for MPDL3280A in non-small cell lung cancer,’’ said Sandra Horning, MD, Roche’s Chief Medical Officer and Head of Global Product Development. “We are committed to personalised healthcare, developing medicines like MPDL3280A with companion tests that may help us identify those who may be appropriate candidates for our medicines. ”
This breakthrough therapy designation is based on early results of MPDL3280A in people whose NSCLC was characterised as PD-L1-positive by an investigational test being developed by Roche. All studies of MPDL3280A are prospectively evaluating PD-L1 expression. Some studies will evaluate the medicine regardless of a tumor’s PD-L1 status; other studies are evaluating the medicine only in people whose tumors are characterized as PD-L1 positive.
Breakthrough Therapy Designation is designed to expedite the development and review of medicines intended to treat serious diseases and to help ensure patients have access to them through FDA approval as soon as possible. The FDA granted the first Breakthrough Therapy Designation for MPDL3280A in metastatic bladder cancer in 2014. Ongoing pivotal studies of MPDL3280A include lung and bladder cancer, and we plan to initiate Phase III studies in additional tumor types this year.
About MPDL3280A (anti-PDL1)
MPDL3280A (also known as anti-PDL1 and RG7446) is an investigational monoclonal antibody designed to interfere with a protein called PD-L1. MPDL3280A is designed to target PD-L1 expressed on tumour cells and tumour-infiltrating immune cells, preventing it from binding to PD-1 and B7.1 on the surface of T cells. By inhibiting PD-L1, MPDL3280A may enable the activation of T cells, restoring their ability to effectively detect and attack tumour cells.
About non-small cell lung cancer
Lung cancer is the leading cause of cancer death globally. Each year, 1.59 million people die as a result of the disease, which means more than 4,350 deaths worldwide every day. Lung cancer can be broadly divided into two major types, non-small cell lung cancer (NSCLC) and small cell lung cancer. NSCLC is the most prevalent type, accounting for around 85% of all cases.
About Roche in lung cancer
Lung cancer is a major area of focus and investment for Roche, and we are committed to developing new approaches, medicines and tests that can help people with this deadly disease. Our goal is to provide an effective treatment option for every person diagnosed with lung cancer. We currently have three approved medicines to treat certain kinds of lung cancer and more than 10 medicines being developed to target the most common genetic drivers of lung cancer or to boost the immune system to combat the disease.
About Roche in Cancer Immunotherapy
For more than 30 years, Roche has been developing medicines with the goal to redefine treatment in oncology. Today, we’re investing more than ever in our effort to bring innovative treatment options that help a person’s own immune system fight cancer. Our personalised cancer immunotherapy research and development programme comprises more than 20 investigational candidates, seven of which are in clinical trials. All studies include the evaluation of biomarkers to determine which people may be appropriate candidates for our medicines.
About Roche
Headquartered in Basel, Switzerland, Roche is a leader in research-focused healthcare with combined strengths in pharmaceuticals and diagnostics. Roche is the world’s largest biotech company, with truly differentiated medicines in oncology, immunology, infectious diseases, ophthalmology and neuroscience. Roche is also the world leader in in vitro diagnostics and tissue-based cancer diagnostics, and a frontrunner in diabetes management. Roche’s personalised healthcare strategy aims at providing medicines and diagnostics that enable tangible improvements in the health, quality of life and survival of patients. Founded in 1896, Roche has been making important contributions to global health for more than a century. Twenty-four medicines developed by Roche are included in the World Health Organization Model Lists of Essential Medicines, among them life-saving antibiotics, antimalarials and chemotherapy.
In 2014, the Roche Group employed 88,500 people worldwide, invested 8.9 billion Swiss francs in R&D and posted sales of 47.5 billion Swiss francs. Genentech, in the United States, is a wholly owned member of the Roche Group. Roche is the majority shareholder in Chugai Pharmaceutical, Japan. For more information, please visit roche.com.

Source:http://www.roche.com/media/store/releases/med-cor-2015-02-02.htm

24条精彩回复,最后回复于 2015-5-6 23:24

阿Q  大学二年级 发表于 2015-2-4 15:11:45 | 显示全部楼层 来自: 美国
MPDL3280A每三周给药一次。
三期是在含铂失败的病人中,对比多西他赛,OS为主要终点,1100人。
预计2017年6月完成试验。

NCT02008227

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heinz666  禁止发言 发表于 2015-2-4 15:13:07 | 显示全部楼层 来自: 重庆
提示: 作者被禁止或删除 内容自动屏蔽

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阿Q  大学二年级 发表于 2015-2-4 15:54:41 | 显示全部楼层 来自: 上海南汇区
本帖最后由 阿Q 于 2015-2-4 15:55 编辑

Phase I presented at the 2013 ECC:
在肺癌(鳞&腺)中获得显著和持久响应。
样本量:85例,55%之前接受过三线以上治疗;81%为吸烟者/戒烟者,19%为从不吸烟者。
ORR为23%,17%稳定时间超过24周;PFS为24周(44%鳞、46%腺)
不良事件:基本为轻度
PD-L1表达(IHC):与ORR正相关,PD负相关。
与吸烟关系:吸烟者/戒烟的ORR为26%(n=43),从不吸烟10%(n=10)

NCT01375842

http://www.onclive.com/web-exclu ... -MPDL3280A-in-NSCLC
苏芳  小学六年级 发表于 2015-2-4 17:27:03 | 显示全部楼层 来自: 河北沧州
又有新药了,希望能早一点获益
heinz666  禁止发言 发表于 2015-2-4 18:43:53 | 显示全部楼层 来自: 重庆
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阿Q  大学二年级 发表于 2015-2-4 20:34:23 | 显示全部楼层 来自: 上海
本帖最后由 阿Q 于 2015-2-4 21:09 编辑
heinz666 发表于 2015-2-4 18:43
这个药13年就有消息了,现在还是这个阶段...


突破性疗法认定这周刚批,依据的应该是二期临床数据。目前尚未公开,但由此看来肯定不错,到时我会贴上来。
wx_YPRChcrP  小学六年级 发表于 2015-2-4 23:08:36 | 显示全部楼层 来自: 甘肃
请问国内有类似临床吗?那里能了解详细准确的消息
给一个晴天  小学六年级 发表于 2015-2-5 21:37:29 | 显示全部楼层 来自: 河北石家庄
百花齐放,没有一种可靠的啊
YICO妈妈的妈妈  初中二年级 发表于 2015-2-6 10:26:46 | 显示全部楼层 来自: 安徽合肥
希望对肺腺有很好的效果,到时候砸锅卖铁也得治

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