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CCR Perspectives in Drug Approval

FDA Approval Summary: Lenvatinib for Progressive, Radio-iodine–Refractory Differentiated Thyroid Cancer

Abhilasha Nair, Steven J. Lemery, Jun Yang, Anshu Marathe, Liang Zhao, Hong Zhao, Xiaoping Jiang, Kun He, Gaetan Ladouceur, Amit K. Mitra, Liang Zhou, Emily Fox, Stephanie Aungst, Whitney Helms, Patricia Keegan and Richard Pazdur
Abhilasha Nair
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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  • For correspondence: Abhilasha.Nair@fda.hhs.gov
Steven J. Lemery
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Jun Yang
2Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Anshu Marathe
2Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Liang Zhao
2Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Hong Zhao
2Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Xiaoping Jiang
3Office of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Kun He
3Office of Biostatistics, Office of Translational Sciences, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Gaetan Ladouceur
4Office of Pharmaceutical Quality, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Amit K. Mitra
4Office of Pharmaceutical Quality, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Liang Zhou
4Office of Pharmaceutical Quality, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Emily Fox
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Stephanie Aungst
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Whitney Helms
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Patricia Keegan
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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Richard Pazdur
1Office of Hematology and Oncology Products, Office of New Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.
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DOI: 10.1158/1078-0432.CCR-15-1377 Published December 2015
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    Figure 1.

    Kaplan–Meier plot of PFS (independent radiology review).

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  • Table 1.

    Primary efficacy results

    LenvatinibPlacebo
    N = 261N = 131
    PFS (IRR)
     Median PFS in months (95% CI)18.3 (15.1–NR)3.6 (2.2–3.7)
     HR (95% CI)a0.21 (0.16–0.28)
     P valueb<0.001
    ORRc
     ORR (95% CI)65% (59–71)2% (0–4)
     P valuec<0.001
    OS
     Median OS in months (95% CI)NR (22.1–NR)NR (20.3–NR)
     HR (95% CI)a0.73 (0.50–1.07)
     P valuec0.10

    Abbreviations: IRR, independent radiology review; NR, not reached.

    • ↵aCox proportional hazard model stratified by region (Europe vs. North America vs. other), age group (≤65 years vs. >65 years), and previous VEGF/VEGFR-targeted therapy (0 vs. 1).

    • ↵bCochran–Mantel–Haenszel χ2 test.

    • ↵cLog-rank test stratified by region (Europe vs. North America vs. other), age group (≤65 years vs. >65 years), and previous VEGF/VEGFR-targeted therapy (0 vs. 1).

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Clinical Cancer Research: 21 (23)
December 2015
Volume 21, Issue 23
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FDA Approval Summary: Lenvatinib for Progressive, Radio-iodine–Refractory Differentiated Thyroid Cancer
Abhilasha Nair, Steven J. Lemery, Jun Yang, Anshu Marathe, Liang Zhao, Hong Zhao, Xiaoping Jiang, Kun He, Gaetan Ladouceur, Amit K. Mitra, Liang Zhou, Emily Fox, Stephanie Aungst, Whitney Helms, Patricia Keegan and Richard Pazdur
Clin Cancer Res December 1 2015 (21) (23) 5205-5208; DOI: 10.1158/1078-0432.CCR-15-1377

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FDA Approval Summary: Lenvatinib for Progressive, Radio-iodine–Refractory Differentiated Thyroid Cancer
Abhilasha Nair, Steven J. Lemery, Jun Yang, Anshu Marathe, Liang Zhao, Hong Zhao, Xiaoping Jiang, Kun He, Gaetan Ladouceur, Amit K. Mitra, Liang Zhou, Emily Fox, Stephanie Aungst, Whitney Helms, Patricia Keegan and Richard Pazdur
Clin Cancer Res December 1 2015 (21) (23) 5205-5208; DOI: 10.1158/1078-0432.CCR-15-1377
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