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Consider treatment with ophthalmic topical steroids, if indicated after an ophthalmic exam. Enfortumab vedotin is an antibody-drug conjugate (ADC) that is directed against Nectin-4, a protein located on the surface of cells and highly expressed in bladder cancer. Following a request from the EC and taking into account the latest information, the CHMP re-adopted its positive opinion.1If approved by the EC, enfortumab vedotin will be the first antibody-drug conjugate authorized in the European Union for people living with advanced urothelial cancer. urinary tract infection, Permanently discontinue PADCEV in patients who develop Grade 3 PN. Monitor patients for ocular disorders. [6], The U.S. Food and Drug Administration (FDA) granted the application for enfortumab vedotin accelerated approval, priority review designation, and breakthrough therapy designation. Available at: https://www.cancer.net/cancer-types/bladder-cancer/introduction. Permanentlydiscontinue PADCEV in all patients with Grade 3 or 4 pneumonitis. About Enfortumab Vedotin and the Astellas and Seagen Collaboration. decreased white blood cell, red blood cell, and platelet counts, Fatal adverse reactions occurred in 8% of patients,including acute kidney injury (2.2%), metabolic acidosis, sepsis, multiorgan dysfunction, pneumonia andpneumonitis (1.1% each). Please read our Terms of Use for more information on our use of cookies. blurred vision, or any vision changes. increased sugar (glucose) in the blood. Monitor patients for symptoms of newor worsening peripheral neuropathy and consider dose interruption or dose reduction of PADCEV whenPN occurs. In the study, median overall survival with PADCEV was 13 months versus 9 months with chemotherapy. The positive opinion from the CHMP will now be reviewed by the EC. Serious adverse reactions occurred in 47% of patients treated with PADCEV; the most common (2%)were urinary tract infection, acute kidney injury (7% each) and pneumonia (5%). Accessed February 25, 2022.2European Medicines Agency. "Neoadjuvant cisplatin-based chemotherapy, which is intended to shrink tumors prior to surgery, prolongs survival in patients with MIBC. When Bodiul was diagnosed with advanced bladder cancer, he vowed to keep looking for options. Data at meeting illustrate company's progress in addressing unmet needs in a broad range of hard-to-treat solid tumors and hematologic malignancies . Astellas Pharma Inc. is a pharmaceutical company conducting business in more than 70 countries around the world. [3] [6] It is a nectin-4 -directed antibody and microtubule inhibitor conjugate. After previous rounds of treatment, his new oncologist recommended PADCEV. with PADCEV if you have severe side effects. have received 1 or more prior therapy. Tell your healthcare provider right away if you have may happen days after your infusion. Individual results may vary. 081-1188-PM 03/23 Findings from a new study led by Yale Cancer Center researchers show enfortumab vedotin is effective in patients with muscle-invasive bladder cancer (MIBC) not eligible for cisplatin chemotherapy. Astellas and the flying star logo are registered trademarks of Astellas Pharma Inc. PADCEV Support SolutionsSM, a component of Astellas Pharma Support SolutionsSM, is a service mark jointly owned by Agensys, Inc., and Seagen Inc. Northbrook, Ill.: Astellas Pharma US, Inc.5Challita-Eid P, Satpayev D, Yang P, et al. Actual results or developments may differ materially from those projected or implied in these forward-looking statements. About Enfortumab Vedotin Enfortumab vedotin is an antibody-drug conjugate (ADC) that is directed against Nectin-4, . Call your doctor for medical advice about side effects. Skin reactions occurred in 55% of the 680 patients treated with PADCEV in clinical trials. Healthcare professionals should report all serious adverse events suspected to be associated with the use of any medicine and device to FDAsMedWatch Reporting System or by calling 1-800-FDA-1088. Tell your healthcare provider about all the medicines you take, What is the most important information I should know about PADCEV?. Enfortumab vedotin (EV) is an antibody-drug conjugate and a promising agent for metastatic urothelial carcinoma (mUC). You are now leaving the Seagen site. It is not known if PADCEV passes into your breast milk. increased sugar (glucose) in the blood. Astellas Pharma Inc. is a pharmaceutical company conducting business in more than 70 countries around the world . Erythema, swelling, increased temperature, and pain worsened until 2-7 days after extravasation andresolved within 1-4 weeks of peak. About the EV-103 Trial The EV-103 trial (NCT03288545)isan ongoing, multi-cohort, open-label, multicenter phase 1b/2 trial ofenfortumabvedotin alone or in combination with pembrolizumab and/or chemotherapy in first- or second-line settings in patients with locally advanced or metastatic urothelial cancer (la/mUC) and in patients with muscle-invasive bladder cancer. About Astellas Astellas Pharma Inc. is a pharmaceutical company conducting business in more than 70 countries around the world. However, up to half of these patients with MIBC are ineligible for cisplatin treatment and typically must undergo surgery without that treatment," said Ahsan Arozullah, M.D., M.P.H., Vice President, Medical Sciences-Oncology, Astellas. Adverse reactions leading to discontinuation occurred in 17% of patients; the most common (2%) were PN (5%) and rash (4%). If PADCEV leaks from the injection site or the vein into the nearby skin and tissues, it could cause an About Seagen Seagen Inc. is a global biotechnology company that discovers, develops and commercializes transformative cancer medicines to make a meaningful difference in people's lives. Dry eye symptoms occurred in 34% of patients, and blurred vision occurred in 13% of patients, during treatment with PADCEV. Clinically relevant adverse reactions (<15%) include vomiting (13%), AST increased (12%), lipase increased (11%), ALT increased (10%), pneumonitis (4%) and infusion site extravasation (1%). [6][9] The overall response rate, reflecting the percentage of patients who had a certain amount of tumor shrinkage, was 44%, with 12% having a complete response and 32% having a partial response. Such factors include, but are not limited to: (i) changes in general economic conditions and in laws and regulations, relating to pharmaceutical markets, (ii) currency exchange rate fluctuations, (iii) delays in new product launches, (iv) the inability of Astellas to market existing and new products effectively, (v) the inability of Astellas to continue to effectively research and develop products accepted by customers in highly competitive markets, and (vi) infringements of Astellas' intellectual property rights by third parties. [10], On 16 December 2021, and on 24 February 2022, the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Padcev, intended for the treatment of adults with urothelial cancer. In clinical trials, 3.1% of the 680 patients treated with PADCEV had pneumonitis of any grade and 0.7% had Grade 3-4. Please see Advise female patients of reproductive potential to use effective contraception during PADCEV treatment and for 2 months after the last dose. Among patients experiencing a skin reaction leading to dose interruption who then restarted PADCEV (n=59), 24% of patients restarting at the same dose and 16% of patients restarting at a reduced dose experienced recurrent severe skin reactions. Closely monitor patients for signs of toxicity when PADCEV is given concomitantly with dual P-gp and strong CYP3A4 inhibitors. Our communications team will respond to verified media requests within 24-48 hours as appropriate. See High blood sugar (hyperglycemia), The website you are about to visit is not owned or controlled by Astellas. FDA granted accelerated approval in December 2019 to enfortumab vedotin-ejfv for patients with locally advanced or metastatic urothelial cancer who have received a PD-1 or PD-L1 inhibitor and a platinum-containing chemotherapy in the neoadjuvant/adjuvant, locally advanced or metastatic setting. dry eye. 2023 Astellas Pharma US, Inc. and Seagen Inc. All rights reserved. PADCEV is indicated for the treatment of adult patients with locally advanced or metastatic urothelial cancer (mUC) who: Skin reactionsSevere cutaneous adverse reactions, including fatal cases of SJS or TEN, occurred inpatients treated with PADCEV. Seagen disclaims any intention or obligation to update or revise any forward looking statements, whether as a result of new information, future events or otherwise, except as required by law. The site uses cookies to provide you with a more responsive and personalized service and to analyze site traffic. ASCO GU 2022 Study. This website contains information about products that may not be available in all countries, or may be available under different trademarks, for different indications, or in different dosages. if you develop any of these signs of a new or worsening skin reaction: Males with a female sexual partner who is able to become pregnant: Rash, aspartate aminotransferase (AST) increased, glucose increased, creatinine increased, fatigue, PN, lymphocytes decreased, alopecia, decreased appetite, hemoglobin decreased, diarrhea, sodium decreased, nausea, pruritus, phosphate decreased, dysgeusia, alanine aminotransferase (ALT) increased, anemia, albumin decreased, neutrophils decreased, urate increased, lipase increased, platelets decreased, weight decreased and dry skin. These statements are based on management's current assumptions and beliefs in light of the information currently available to it and involve known and unknown risks and uncertainties. numbness or tingling in your hands or feet or muscle weakness. Such factors include, but are not limited to: (i) changes in general economic conditions and in laws and regulations, relating to pharmaceutical markets, (ii) currency exchange rate fluctuations, (iii) delays in new product launches, (iv) the inability of Astellas to market existing and new products effectively, (v) the inability of Astellas to continue to effectively research and develop products accepted by customers in highly competitive markets, and (vi) infringements of Astellas' intellectual property rights by third parties. In clinical trials, the median time to onset of severe skin reactions was 0.6 months (range: 0.1 to 6.4). A boxed warning for serious skin reactions, including Stevens-Johnson syndrome and Toxic Epidermal Necrolysis, and a warning for pneumonitis were added to the USPI. Enfortumab vedotin in cisplatin-ineligible patients with locally advanced or metastatic urothelial . In clinical trials, 14% of the 680 patients treated with PADCEVdeveloped hyperglycemia; 7% of patients developed Grade 3-4 hyperglycemia. treatment and for at least 4 months after the last dose of PADCEV. are ineligible for cisplatin-containing chemotherapy and have previously received one or more prior lines of therapy. See Eye problems. High blood sugar (hyperglycemia). During the EC's decision-making process, further safety information was brought to the attention of the CHMP. PADCEV (enfortumab vedotin-ejfv) for Advanced Bladder Cancer About Clinical Study Patient & Caregiver Resources Patient Support Real Patient How PADCEV may help Not actual patients. Furthermore, we are also looking beyond our foundational Rx focus to create Rx+ healthcare solutions that combine our expertise and knowledge with cutting-edge technology in different fields of external partners. TOKYO and BOTHELL, Wash., Feb. 28, 2022 /PRNewswire/ --Astellas Pharma Inc. (TSE:4503, President and CEO: Kenji Yasukawa, Ph.D., "Astellas") and Seagen Inc. (Nasdaq:SGEN) today announced that the Committee for Medicinal Products for Human Use (CHMP) of the European Medicines Agency (EMA) has confirmed its previously adopted positive opinion, recommending approval of PADCEV (enfortumab vedotin)as monotherapy for the treatment of adult patients with locally advanced or metastatic urothelial cancer who have previously received platinum-containing chemotherapy and a PD-1/L1 inhibitor. Northbrook, IL: Astellas, Inc. December 2019. PADCEV will not work for everyone. For this review, FDA collaborated with Health Canada and Australias Therapeutic Goods Administration. 6,7 Nonclinical data . We are promoting the Focus Area Approach that is designed to identify opportunities for the continuous creation of new drugs to address diseases with high unmet medical needs by focusing on Biology and Modality. Consider artificial tears for prophylaxis of dry eyes and ophthalmologic evaluation if ocular symptoms occur or do not resolve. 11,12 Nonclinical data suggest the anticancer activity of enfortumab vedotin is due to its binding to Nectin-4 expressing cells followed by the internalization and release of . Skin reactions led to discontinuation of PADCEV in 2.6% of patients. Keytruda is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Rahway, NJ, USA. The incidence of Grade3-4 hyperglycemia increased consistently in patients with higher body mass index and in patients withhigher baseline A1C. blistering or peeling of the skin, In some cases, these severe Closely monitor blood glucoselevels in patients with, or at risk for, diabetes mellitus or hyperglycemia. Inclinical trials, 3.1% of the 680 patients treated with PADCEV had pneumonitis of any grade and 0.7% hadGrade 3-4. PADCEV is a prescription medicine used to treat adults with bladder cancer and cancers of the [3] [6] Enfortumab refers to the monoclonal antibody part, and vedotin refers to the payload drug (MMAE) and the linker. Data from this late-breaking abstract will be included in an oral presentation (Abstract 435) at the 2022 ASCO Genitourinary Cancers Symposium (ASCO GU) on February 18. Severe high blood sugar, The patients featured in these videos are receiving or have received PADCEV. Adverse reactions leading to dose reduction occurred in34% of patients; the most common (2%) were PN (10%), rash (8%), decreased appetite and fatigue (3%each). Written by Cerner Multum. [3][6] Enfortumab refers to the monoclonal antibody part, and vedotin refers to the payload drug (MMAE) and the linker. See See What is the most important information I should know about PADCEV?, The primary end point was safety. The primary efficacy endpoint was overall survival (OS) with key secondary efficacy endpoints of progression-free survival (PFS), and overall response rate (ORR) assessed by investigator using RECIST 1.1. Grade 3-4 skin reactions occurred in 13% of patients, including maculo-papular rash, rash erythematous, rash or drug eruption, symmetrical drug-related intertriginous and flexural exanthema (SDRIFE), dermatitis bullous, dermatitis exfoliative, and palmar-plantar erythrodysesthesia. rash or itching that continues to get worse, Accessed February 25, 2022.4 Cancer Today. As an industry leader in antibody-drug conjugate (ADC) technology, we pioneered the science of harnessing . Indication & Important Safety Information. Hyperglycemia and diabetic ketoacidosis (DKA), including fatal events, occurred in patients with and without pre-existing diabetes mellitus, treated with PADCEV. About Seagen Seagen Inc. is a global biotechnology company that discovers, develops and commercializes transformative cancer medicines to make a meaningful difference in people's lives. #ASCO23 written coverage by @zklaassen_md @GACancerCenter > https://bit.ly/3CaXxv7 @ASCO . i,ii Nonclinical data suggest the anticancer activity of enfortumab vedotin is due to its binding to Nectin-4 expressing cells followed by the internalization . Its safety and efficacy have not yet been established. For more information, please see the full Prescribing Information including BOXED WARNING for PADCEV here. Lung problems. The median time to onset of hyperglycemia was 0.6 months (range: 0.1 to 20.3). "Results from EV-103 Cohort H showed that, when patients received enfortumab vedotin prior to surgery, more than one-third displayed no evidence of cancer when their bladder was removed and examined microscopically for residual tumors," said Daniel Petrylak, M.D., Yale School of Medicine Professor of Medicine (Medical Oncology) and of Urology; Co-Leader, Cancer Signaling Networks, Yale Cancer Center; and principal investigator for EV-103 Cohort H."After treatment with enfortumab vedotin, all patients proceeded to surgery. Monitor patients for symptoms of new or worsening peripheral neuropathy and consider dose interruption or dose reduction of PADCEV when PN occurs. Indication & Important Safety Information. PADCEV is indicated for the treatment of adult patients with locally advanced or metastatic urothelial cancer (mUC) who: Skin reactionsSevere cutaneous adverse reactions, including fatal cases of SJS or TEN, occurred in patients treated with PADCEV. Our communications team will respond to verified media requests within 24-48 hours as appropriate. PADCEV Support SolutionsSM can help provide you or your loved one with information about financial assistance programs. Seagen is headquartered in the Seattle, Washington area, and has locations in California, Canada, Switzerland and the European Union. The .gov means its official.Federal government websites often end in .gov or .mil. The primary efficacy endpoint was confirmed ORR, assessed by blinded independent central review, and the key secondary efficacy endpoint was response duration. We are promoting the Focus Area Approach that is designed to identify opportunities for the . have a history of high blood sugar or diabetes. Closelymonitorpatients for signs of toxicity when PADCEV is given concomitantly with dual P-gpand strong CYP3A4 inhibitors. are ineligible for cisplatin-containing chemotherapy and have previously received one or more prior lines of therapy. This review used theReal-Time Oncology Review(RTOR) pilot program, which streamlined data submission prior to the filing of the entire clinical application, andthe Assessment Aid, a voluntary submission from the applicant to facilitate the FDAs assessment. Enfortumab vedotin, sold under the brand name Padcev, is an antibody-drug conjugate [5] used for the treatment of urothelial cancer. of your medical conditions, including if you: On July 9, 2021, the Food and Drug Administration approved enfortumab vedotin-ejfv (Padcev, Astellas Pharma US, Inc.), a Nectin-4-directed antibody and microtubule inhibitor conjugate, for adult patients with locally advanced or metastatic urothelial cancer who. Any information on the products contained herein is not intended to provide medical advice nor should be used as a substitute for the advice provided by your physician or other healthcare provider. We are promoting the Focus Area Approach that is designed to identify . Infusion site extravasationSkin and soft tissue reactions secondary to extravasation have been observed after administration of PADCEV. Closely monitor patients for skin reactions. Fatal adverse reactionsoccurred in 3% of patients, including multiorgan dysfunction (1.0%), hepatic dysfunction, septic shock,hyperglycemia, pneumonitis and pelvic abscess (0.3% each). Sorry, you need to enable JavaScript to visit this website. Withhold PADCEV for patients whodevelop persistent or recurrent Grade 2 pneumonitis and consider dose reduction. Withhold PADCEV for patients who develop persistent or recurrent Grade 2 pneumonitis and consider dose reduction. The ORR was 40.6% (95% CI: 34.9, 46.5) versus 17.9% (95% CI: 13.7, 22.8), respectively (p<0.0001). least 2 months after the last dose of PADCEV. Keytruda is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Rahway, NJ, USA. If you are not a reporter and need assistance, please visit our contact us page that includes information for patients, healthcare providers and researchers. the Medication Guide that comes with pembrolizumab for important information about pembrolizumab. Adverse reactions leading to dose interruption occurred in 60% of patients; the most common (3%) were PN (19%), rash (9%), fatigue (8%), diarrhea (5%), AST increased and hyperglycemia (3% each). Enfortumab vedotin is an investigational agent in this setting. This website contains information about products that may not be available in all countries, or may be available under different trademarks, for different indications, or in different dosages. Padcev is for patients whose cancer is advanced or has spread and who have already had platinum- based chemotherapy and an immunotherapy. Of the 680 patients, 1.6% of patients experienced skin andsoft tissue reactions, including 0.3% who experienced Grade 3-4 reactions. The confirmed ORR was 51% (95% CI: 39.8, 61.3), including 22% with complete responses, and the median response duration was 13.8 months (95% CI: 6.4, not estimable). [4] have previously received a programmed death receptor-1 (PD-1) or programmed death-ligand 1 (PD-L1) inhibitor and platinum-containing chemotherapy, or. About the Astellas and Seagen CollaborationAstellas and Seagen are co-developing enfortumab vedotin under a 50:50 worldwide development and commercialization collaboration. Do you want to continue to the external site and leave Seagen.com? Enfortumab vedotin Generic name: enfortumab vedotin [ en-FORT-ue-mab-ve-DOE-tin ] Brand name: Padcev Dosage form: intravenous powder for injection (ejfv 20 mg; ejfv 30 mg) Drug class: Miscellaneous antineoplastics Medically reviewed by Drugs.com on Oct 11, 2021. to confirm the clinical benefit. Hyperglycemia led to discontinuation of PADCEV in 0.6% of patients. Permanently discontinue PADCEV in patients who develop Grade 3 PN. for more information about side effects. In clinical trials, 14% of the 680 patients treated with PADCEV developed hyperglycemia; 7% of patients developed Grade 3-4 hyperglycemia. This website is intended for U.S. residents only. You should use an effective method of birth control during your Project Orbis provides a framework for concurrent submission and review of oncology drugs among international partners. target lesions (skin reactions that look like rings), Patients were randomized (1:1) to receive either enfortumab vedotin-ejfv (EV) 1.25 mg/kg on days 1, 8 and 15 of a 28-day cycle or investigators choice of single-agent chemotherapy (docetaxel, paclitaxel, or vinflunine). If your healthcare provider prescribes PADCEV in combination with pembrolizumab for you, also read infusion site reaction. Information about pharmaceutical products (including products currently in development), which is included in this press release is not intended to constitute an advertisement or medical advice. EV-301 Study: 296 patients previously treated with a PD-1/L1 inhibitor and platinum-based chemotherapy. Serious adverse reactions occurred in 47% of patients treated with PADCEV; the most common (2%) were urinary tract infection, acute kidney injury (7% each) and pneumonia (5%). with pembrolizumab. Sorry, you need to enable JavaScript to visit this website. FDA Grants Accelerated Approval for PADCEV (enfortumab vedotin-ejfv) with KEYTRUDA (pembrolizumab) for First-Line Treatment of Locally Advanced or Metastatic Urothelial Cancer Business Wire. Summary: This study is being done to see how well two drugs (enfortumab vedotin and pembrolizumab) work together to treat patients with urothelial cancer. Northbrook, Ill.: Astellas Pharma US, Inc.6Challita-Eid P, Satpayev D, Yang P, et al. By using this site, you accept our use of cookies as described in our privacy policy. [7], The U.S. Food and Drug Administration (FDA) considers it to be a first-in-class medication. Evite el contacto con personas que tengan infecciones que puedan ser contagiosas (por ejemplo, varicela, COVID-19, sarampin, gripe). Neuropathy led to treatment discontinuation in 5% of patients. Resources for Information | Approved Drugs, Recalls, Market Withdrawals and Safety Alerts, Resources for Information | Approved Drugs, Oncology (Cancer) / Hematologic Malignancies Approval Notifications, Verified Clinical Benefit | Cancer Accelerated Approvals, Approved Drug Products with Therapeutic Equivalence Evaluations (Orange Book) Short Description, FDA grants regular approval to enfortumab vedotin-ejfv for locally advanced or metastatic urothelial cancer, View full prescribing information for Padcev, Guidance for Industry: Expedited Programs for Serious Conditions-Drugs and Biologics, NCI: Coronavirus: What People With Cancer Should Know, have previously received a programmed death receptor-1 (PD-1) or programmed death-ligand (PD-L1) inhibitor and platinum-containing chemotherapy, or. swelling of the arms, hands, legs and feet, - Enfortumab vedotin is the first medicine approved in the EU for patients who received a prior platinum-containing chemotherapy and a PD-1/L1 inhibitor - Astellas Pharma Inc. (TSE:4503, President and CEO: Kenji Yasukawa, Ph.D., "Astellas") and Seagen Inc. (Nasdaq:SGEN) today announced that the European Commission (EC) has approved PADCEV (enfortumab vedotin) as monotherapy for the . If you are not a reporter and need assistance, please visit our contact us page that includes information for patients, healthcare providers and researchers. Most severe skin reactions occurred during the first cycle If extravasation occurs, stop the infusion and monitor for adverse reactions. Adverse reactions leading to dose reduction occurred in 49% of patients; the most common (3%) were PN (19%), rash (11%) and fatigue (7%). Nerve problems may happen more often when PADCEV is given in combination Comprehensive Molecular Characterization of Muscle-Invasive Bladder Cancer. Northbrook, IL: Astellas, Inc. December 2019. If your female partner is pregnant, PADCEV can harm the unborn baby. Outside of the Americas, Astellas holds responsibility for commercialization activities and regulatory filings. About Enfortumab Vedotin Enfortumab vedotin is an antibody-drug conjugate (ADC) that is directed against Nectin-4, a protein located on the surface of cells and highly expressed in bladder cancer.4 Nonclinical data suggest the anticancer activity of enfortumab vedotin is due to its binding to Nectin-4 expressing cells followed by the internalization and release of the anti-tumor agent monomethyl auristatin E (MMAE) into the cell, which result in the cell not reproducing (cell cycle arrest) and in programmed cell death (apoptosis).5, PADCEV (enfortumab vedotin-ejfv) U.S.

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