NEW YORK–(BUSINESS WIRE)–Pfizer Inc. appear today that the U.S. Food and Biologic Administration (FDA) has accustomed INLYTA® (axitinib), a kinase inhibitor, for the analysis of patients with avant-garde renal corpuscle blight (RCC) afterwards abortion of one above-mentioned systemic therapy. The approval is based on abstracts from the Appearance 3 AXIS trial, which accustomed that INLYTA decidedly continued progression chargeless adaptation (PFS) [HR=0.67, 0.54-0.81, P<0.0001] with a average PFS of 6.7 months (95% CI: 6.3, 8.6) compared with 4.7 months (95% CI: 4.6, 5.6) for those brash with sorafenib, a accepted accepted of affliction for this accommodating population, apery a 43 percent advance in average PFS compared to sorafenib.
Cancers of the branch and renal belly are amid the 10 best frequently diagnosed cancers in the United States1. Approximately 13,000 individuals die of avant-garde RCC in the U.S. anniversary year2. Approximately 60,000 new cases of this bump are diagnosed in the U.S. annually1, about 20 percent of which accept avant-garde ache at the time of diagnosis.1 Amid 40 and 65 percent of patients who advance afterward first-line analysis go on to accept a second-line treatment.3,4,5
“Even with the appearance of targeted therapies, the charge charcoal for added options for patients with avant-garde RCC whose ache has progressed afterward first-line medications,” said Dr. Mace Rothenberg, arch carnality admiral of Analytic Development and Medical Affairs, Pfizer Oncology Business Unit. “INLYTA is the aboriginal targeted analysis to be accustomed in the U.S. for patients with avant-garde RCC afterwards abortion of one above-mentioned systemic analysis based on abstracts demonstrating above progression-free adaptation back compared to accession FDA-approved, targeted agent.”
“Pfizer has a able charge to advancing therapies for patients with avant-garde RCC,” said Garry Nicholson, admiral and accepted manager, Pfizer Oncology Business Unit. “INLYTA is an important accession to our portfolio of analysis options for these patients, which additionally includes Sutent (sunitinib) and Torisel (temsirolimus).”
INLYTA, a kinase inhibitor, is an articulate analysis that was brash to selectively arrest vascular endothelial advance agency (VEGF) receptors 1, 2 and 3,which are receptors that can admission bump growth, vascular angiogenesis and progression of blight (the advance of tumors).6,7
“Through belief this biologic we accept abstruse that a VEGFR-targeted analysis can be able afterward above-mentioned analysis options, including accession VEGFR-targeted agent. This is important in allowance physicians accept area these medications fit in the analysis armamentarium,” said Dr. Brian I. Rini, Taussig Blight Institute at Cleveland Clinic, who served as arch investigator of this Pfizer-sponsored abstraction and is a paid adviser to Pfizer Oncology.
“The FDA approval of this new analysis represents a cogent account for the abounding patients who are alive with this blazon of branch blight and who are in charge of added analysis options,” said William Bro, arch controlling administrator of the Branch Blight Association.
Axitinib is additionally actuality brash in a randomized analytic balloon in patients with treatment-naïve as able-bodied as ahead brash avant-garde RCC, and in a randomized Appearance 2 analytic balloon for the analysis of hepatocellular blight (HCC).8,9,10,11 Additionally, beneath a collaborative development acceding amid Pfizer and SFJ Pharma Ltd. II, SFJ will conduct a Phase 3 analytic balloon in Asia belief axitinib for accessory analysis of patients at aerial accident of alternate RCC afterward nephrectomy. Healthcare professionals who are absorbed in acquirements added about Pfizer Oncology analytic trials that are accessible for acceptance can appointment www.PfizerOncology.com/clinicaltrials. Patients with questions should acquaintance their alleviative physician.
For added advice and abounding prescribing advice amuse appointment www.InlytaHCP.com.
About Pfizer’s Accommodating Abetment Programs
Pfizer acerb believes patients should accept admission to medications they need, and has accustomed agreement abutment casework and accommodating abetment programs for them.
Pfizer is committed to allowance acceptable patients assigned INLYTA accretion admission to the medication, and offers the Pfizer Aboriginal Resource® Affairs to facilitate this process. The affairs can affix acceptable insured patients to specialty pharmacies for agreement abutment casework and to access their medicines. For uninsured and underinsured patients, the affairs can accommodate acceptable patients with chargeless medicine. We accept additionally developed a co-pay abetment affairs for acceptable privately-insured patients. Patients can alarm 1-877-744-5675 or appointment www.INLYTAHCP.com to apprentice more.
INLYTA (axitinib) Indication and Important Safety Advice
INLYTA is adumbrated for the analysis of avant-garde renal corpuscle blight (RCC) afterwards abortion of one above-mentioned systemic therapy.
Hypertension including hypertensive crisis has been observed. Claret burden should be able-bodied controlled above-mentioned to initiating INLYTA. Adviser for hypertension and amusement as needed. For assiduous hypertension, admitting use of antihypertensive medications, abate the dose.
Arterial and venous thrombotic contest accept been empiric and can be fatal. Use with attention in patients who are at added accident or who accept a history of these events.
Hemorrhagic events, including baleful events, accept been reported. INLYTA has not been brash in patients with affirmation of basic academician alteration or contempo alive gastrointestinal bleeding and should not be acclimated in those patients.
Gastrointestinal breach and fistula, including death, accept occurred. Use with attention in patients at accident for gastrointestinal breach or fistula. Adviser for affection of gastrointestinal breach or fistula periodically throughout treatment.
Hypothyroidism astute thyroid hormone backup has been reported. Adviser thyroid action afore admission of, and periodically throughout, treatment.
Stop INLYTA at atomic 24 hours above-mentioned to appointed surgery.
Reversible Posterior Leukoencephalopathy Affection (RPLS) has been observed. If signs or affection occur, assuredly abandon treatment.
Adviser for proteinuria afore admission of, and periodically throughout, treatment. For abstinent to astringent proteinuria, abate the dosage or briefly arrest treatment.
Alarmist agitator acclivity has been empiric during analysis with INLYTA. Adviser ALT, AST, and bilirubin afore admission of, and periodically throughout, treatment.
For patients with abstinent hepatic impairment, the starting dosage should be decreased. INLYTA has not been brash in patients with astringent hepatic impairment.
Women of address abeyant should be brash of abeyant hazard to the fetus and to abstain acceptable abundant while accepting INLYTA.
Abstain able CYP3A4/5 inhibitors. If unavoidable, abate the dose. Abstain able CYP3A4/5 inducers and, if possible, abstain abstinent CYP3A4/5 inducers.
The best accepted (≥20%) adverse contest (AEs) occurring in patients accepting INLYTA (all grades) were diarrhea, hypertension, fatigue, decreased appetite, nausea, dysphonia, hand-foot syndrome, weight decreased, ing, asthenia and constipation.
The best accepted (≥10%) brand 3/4 AEs occurring in patients accepting INLYTA were hypertension, diarrhea and fatigue.
The best accepted (≥20%) lab abnormalities occurring in patients accepting INLYTA (all grades) included added creatinine, decreased bicarbonate, hypocalcemia, decreased hemoglobin, decreased lymphocytes (absolute), added ALP, hyperglycemia, added lipase, added amylase, added ALT and added AST.
About SUTENT(®) (sunitinib malate)
SUTENT is an articulate multi-kinase inhibitor that works by blocking assorted atomic targets active in the growth, admeasurement and advance of cancer. Two important SUTENT targets, vascular endothelial advance agency receptor (VEGFR) and platelet-derived advance agency receptor (PDGFR) are bidding by abounding types of solid tumors and are anticipation to comedy a astute role in angiogenesis, the action by which tumors access claret vessels, oxygen and nutrients bare for growth. SUTENT additionally inhibits added targets important to bump growth, including KIT, FLT3 and RET.
Important SUTENT(®) (sunitinib malate) Safety Advice
Hepatotoxicity has been empiric in analytic trials and postmarketing experience. This hepatotoxicity may be severe, and deaths accept been reported. It is recommended to adviser alarmist action tests afore admission of treatment, during anniversary aeon of treatment, and as clinically indicated. SUTENT should be disconnected for Brand 3 or 4 drug-related hepatic adverse contest and discontinued if there is no resolution. SUTENT should not be restarted if patients afterwards acquaintance astringent changes in alarmist action tests or accept added signs and affection of alarmist failure.
Women of adolescent address age who are (or become) abundant during analysis should be a of the abeyant for fetal abuse while on SUTENT.
Decreases in larboard ventricular casting atom (LVEF) to beneath the lower absolute of accustomed (LLN) accept been observed. Patients with accessory cardiac altitude should be anxiously monitored for analytic signs and affection of congestive affection failure. Patients should be monitored for hypertension and brash as bare with accepted antihypertensive therapy. Complete claret counts (CBCs) with platelet calculation and serum chemistries should be performed at the alpha of anniversary analysis aeon for patients accepting analysis with SUTENT.
The best accepted adverse reactions in gastrointestinal stromal bump (GIST), RCC and pancreatic neuroendocrine bump (NET) analytic trials were diarrhea, fatigue, asthenia, nausea, mucositis/stomatitis, anorexia, ing, neutropenia, hypertension, dyspepsia, belly pain, constipation, rash, hand-foot syndrome, bark discoloration, beard blush changes, adapted aftertaste and bleeding.
For added advice on SUTENT, including abounding prescribing advice for SUTENT (sunitinib malate), amuse appointment www.pfizer.com.
About Torisel® (temsirolimus)
Torisel is the alone intravenous beastly ambition of rapamycin (mTOR) inhibitor accustomed for the analysis of avant-garde renal corpuscle blight (RCC).
Based on preclinical studies, Torisel inhibits the action of mTOR, an intracellular protein active in assorted growth-related cellular functions including proliferation, advance and survival. The inhibition of mTOR additionally reduces levels of assertive advance factors, such as vascular endothelial advance agency (VEGF), which are overexpressed in solid tumors like branch blight and are anticipation to comedy a astute role in angiogenesis, the action by which tumors access claret vessels, nutrients and oxygen bare for growth.
Important Torisel® (temsirolimus) Safety Advice
TORISEL is contraindicated in patients with bilirubin >1.5 x ULN and should be acclimated with attention back alleviative patients with balmy hepatic crime (bilirubin >1 – 1.5 x ULN or AST > ULN but bilirubin ≤ ULN). If TORISEL charge be accustomed to patients with balmy hepatic impairment, abate the dosage of TORISEL to 15 mg/week. In a appearance 1 study, the all-embracing abundance of ≥ brand 3 adverse reactions and deaths, including deaths due to accelerating disease, was greater in patients with baseline bilirubin > 1.5 x ULN.
Hypersensitivity/infusion reactions, including flushing, pain, dyspnea, hypotension, apnea, accident of consciousness, hypersensitivity and anaphylaxis, may action actual aboriginal in the aboriginal beverage or with consecutive infusions. Pretreat with an H1 antihistamine. TORISEL beverage should be disconnected in patients with beverage reactions and adapted analysis given.
Serum glucose, serum cholesterol, and triglycerides should be activated afore and during TORISEL treatment. TORISEL is acceptable to aftereffect in hyperglycemia and hyperlipemia. This may aftereffect in the charge for an access in the dosage of, or admission of, insulin and/or articulate hypoglycemic abettor analysis and/or lipid-lowering agents, respectively.
TORISEL may aftereffect in immunosuppression. Patients should be anxiously empiric for the accident of infections, including adept infections.
Cases of interstitial lung disease, some consistent in death, accept occurred. Some patients were asymptomatic or had basal symptoms. Patients should abide baseline radiography above-mentioned to TORISEL analysis and periodically thereafter, alike in the absence of analytic respiratory symptoms. Follow patients carefully and, if clinically cogent respiratory affection develop, accede denial TORISEL until accretion of affection and radiographic advance of pneumonitis findings. Some patients appropriate TORISEL cessation and/or analysis with corticosteroids and/or antibiotics.
Cases of baleful bowel breach occurred with TORISEL. These patients presented with fever, belly pain, metaic acidosis, blood-soaked stools, diarrhea, and/or astute abdomen.
Cases of rapidly accelerating and sometimes baleful astute renal abortion not acutely accompanying to ache progression occurred in patients who accustomed TORISEL.
Due to aberrant anguish healing, use TORISEL with attention in the perioperative period.
Patients with axial afraid arrangement tumors (primary CNS bump or metastases) and/or accepting anticoagulation analysis may be at an added accident of developing intracerebral bleeding (including baleful outcomes) while accepting TORISEL.
Alive vaccinations and aing acquaintance with those who accustomed alive vaccines should be avoided.
TORISEL may account fetal harm. Patients and their ally should be brash to abstain abundance throughout analysis and for 3 months afterwards TORISEL analysis has stopped.
Elderly patients may be added acceptable to acquaintance assertive adverse reactions including diarrhea, edema and pneumonia.
The best accepted (incidence ≥30%) adverse reactions empiric with TORISEL are: adventurous (47%), asthenia (51%), mucositis (41%), abhorrence (37%), edema (35%), and anorexia (32%). The best accepted class abnormalities (incidence ≥30%) are anemia (94%), hyperglycemia (89%), hyperlipemia (87%), hypertriglyceridemia (83%), animated acrid phosphatase (68%), animated serum creatinine (57%), lymphopenia (53%), hypophosphatemia (49%), thrombocytopenia (40%), animated AST (38%), and leukopenia (32%).
Best accepted grades 3/4 adverse contest and class abnormalities included asthenia (11%), dyspnea (9%), claret decreased (20%), lymphocytes decreased (16%), glucose added (16%), phosphorus decreased (18%), and triglycerides added (44%).
Pleural effusion, hemodynamically cogent pericardial effusions astute intervention, convulsions, rhabdomyolysis, Stevens-Johnson Syndrome, circuitous bounded affliction affection and extravasations accept been appear during postmarketing use.
Able inducers of CYP3A4/5 (eg, dexamethasone, rifampin) and able inhibitors of CYP3A4 (eg, ketoconazole, atazanavir) may abatement and access concentrations of the above metaite of TORISEL, respectively. If alternatives cannot be used, dosage modifications of TORISEL are recommended.
Abstain St. John’s Wort which may abatement TORISEL claret concentrations, and grapefruit abstract which may access claret concentrations of the above metaite of TORISEL.
The aggregate of TORISEL and sunitinib resulted in dose-limiting toxicity (Grade 3/4 erythematous maculopapular rash, and gout/cellulitis astute hospitalization).
For added advice on TORISEL, including abounding prescribing advice for TORISEL (temsirolimus), amuse appointment www.pfizer.com.
About Pfizer Oncology
Pfizer Oncology is committed to the discovery, analysis and development of avant-garde analysis options to advance the angle for blight patients worldwide.
As a baton in the analysis of avant-garde RCC, Pfizer Oncology is committed to alms assorted treatments and investigating new agents in altered populations and stages of disease.
For added advice amuse appointment www.Pfizer.com.
DISCLOSURE NOTICE: The advice independent in this absolution is as of January 27, 2012. The Company assumes no obligation to amend advanced statements independent in this absolution as a aftereffect of new advice or approaching contest or developments.
This absolution contains advanced advice about assertive abeyant added break for axitinib, including their abeyant benefits, that involves abundant risks and uncertainties. Such risks and uncertainties include, amid added things, the uncertainties inherent in analysis and development; decisions by authoritative authorities apropos whether and back to accept any biologic applications that may be filed for such added indications, as able-bodied as their decisions apropos labeling and added affairs that could affect their availability or bartering potential; and aggressive developments.
A added description of risks and uncertainties can be begin in Pfizer’s Annual Report on Form 10-K for the budgetary year concluded December 31, 2010 and in its letters on Form 10-Q and Form 8-K.
1 Lynch, C. F., West, M. M., Davila, J. A., & Platz, C. E. (n.d.). SEER Adaptation Monograph: Chapter 24 Cancers of the Branch and Renal Pelvis. National Blight Institute. Available at: http://seer.cancer.gov/publications/survival/surv_kidney.pdf. Accessed Jan. 3, 2012.
2 American Blight Society. Detailed Guide: Branch Cancer. (Adult) – Renal Corpuscle Carcinoma. Available at: http://www.cancer.org/acs/groups/cid/documents/webcontent/003107-pdf.pdf. Acessed May 4, 2011.
3 D. Y. Heng et al. Ann. Onc., November 5, 2011; (2011) mdr533v1.
4 Pfizer abstracts on file.
5 Pfizer abstracts on file.
6 INLYTA [Package Insert]. New York, NY: Pfizer, Inc. 2012.
7 Hicklin DJ, Ellis LM. Role of VEGF in Bump Advance and Angiogenesis. JCO. 2007;23:1011-1027.
8 ClinicalTrials.gov. Axitinib (Ag 013736) As Second Line Analysis for Metastatic Renal Corpuscle Cancer. Available at: http://www.clinicaltrials.gov/ct2/show/NCT00678392?term=axitinib&rank=1. Accessed July 12, 2011.
9 ClinicalTrials.gov. Axitinib (AG-013736) For the Analysis of Metastatic Renal Corpuscle Cancer. Available at: http://clinicaltrials.gov/ct2/show/NCT00920816?term=a4061051&rank=1. Accessed October 13, 2011.
10 ClinicalTrials.gov. Axitinib (AG-013736) With Or Without Dosage Titration (Increase) In Patients With Branch Cancer. Available at: http://www.clinicaltrials.gov/ct2/show/NCT00835978. Accessed July 12, 2011.
11 Analytic Trials.gov. Axitinib For The Analysis of Avant-garde Hepatocellular Carcinoma. Available at: http://clinicaltrials.gov/ct2/show/NCT01210495?term=axitinib&rank=21. Accessed July 12, 2011.
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