U.S. New Drug Application Granted FDA Priority Review
Submissions Based on Data from EMBRACA, the Largest Phase 3 Trial
Performed to Date of a PARP Inhibitor in BRCA-mutated MBC
NEW YORK--(BUSINESS WIRE)--
Pfizer Inc. (NYSE:PFE) announced today that the U.S. Food and Drug
Administration accepted for filing and granted Priority Review
designation to the company’s New Drug Application for talazoparib. The
submission is based on results from the EMBRACA trial, which evaluated
talazoparib versus chemotherapy in patients with germline (inherited)
BRCA-mutated (gBRCAm), HER2-negative locally advanced or metastatic
breast cancer (MBC). Talazoparib is an investigational, once-daily, oral
poly ADP ribose polymerase (PARP) inhibitor. The European Medicines
Agency has also accepted the Marketing Authorization Application for
talazoparib in this patient population.
“Women with a hereditary BRCA mutation are typically diagnosed with
breast cancer at a younger age than the overall breast cancer population
and have limited treatment options when they develop advanced disease,”
said Mace Rothenberg, M.D., chief development officer, Oncology, Pfizer
Global Product Development. “Today’s filing acceptances are just the
latest example of the success of Pfizer’s precision medicine approach to
drug development, in this case targeting the faulty DNA damage repair
process associated with BRCA mutations. We are now one step closer to
offering a potential alternative to chemotherapy for these patients.”
The FDA grants Priority Review designation to medicines that may offer
significant advances in treatment or may provide a treatment where no
adequate therapy exists. The Prescription Drug User Fee Act (PDUFA) goal
date for a decision by the FDA is in December 2018.
The pivotal, randomized EMBRACA trial evaluated once-daily talazoparib
compared to physician’s choice chemotherapy (capecitibine, eribulin,
gemcitabine or vinorelbine) in 431 patients with an inherited BRCA1/2
mutation and locally advanced or metastatic triple negative (TNBC) or
hormone receptor-positive (HR+)/HER2- breast cancer. The study met its
primary endpoint, demonstrating superior progression-free survival (PFS)
with talazoparib versus chemotherapy. The PFS benefit was consistent
across prespecified subgroups, including those who had a history of
brain metastases, patients previously treated with chemotherapy, TNBC
patients and those with HR+ disease. Grade ≥3 adverse reactions with
talazoparib that occurred with a frequency of at least 10% were anemia
(35%), neutropenia (17%) and thrombocytopenia (17%). The primary results
were presented at the 2017 San Antonio Breast Cancer Symposium. For more
information on the EMBRACA trial, go to www.clinicaltrials.gov.
About Talazoparib
Talazoparib is an investigational anti-cancer medicine called a PARP
(poly ADP ribose polymerase) inhibitor. Preclinical studies suggest that
talazoparib is highly potent and has a dual mechanism of action, with
the potential to induce tumor cell death by blocking PARP enzyme
activity and trapping PARP on the sites of DNA damage. Talazoparib is
currently being evaluated in advanced gBRCAm breast cancer and early
triple negative breast cancer as well as DNA damage repair
(DDR)-deficient prostate cancer and in combination with immunotherapy in
various solid tumor types. Talazoparib has not been approved by any
regulatory authorities for the treatment of any disease.
About Germline (Inherited) BRCA-Mutated Breast Cancer
BRCA1 and BRCA2 are human genes that produce proteins involved in DNA
repair. When either of these genes is altered or mutated, DNA repair may
not progress correctly. This can lead to the development of certain
types of cancer such as breast cancer.1,2,3 BRCA mutations
can be hereditary (germline) or occur spontaneously (somatic).1
Together, BRCA1 and BRCA2 mutations account for about 25 to 30 percent
of hereditary breast cancers and about 5 to 10 percent of all breast
cancers.4,5 It is estimated that about 72 percent of people
who inherit a BRCA1 mutation and about 69 percent who inherit a BRCA2
mutation will develop breast cancer by age 80.1 Epidemiologic
studies indicate that individuals with gBRCAm breast cancer are
diagnosed at a median age of 40-45, which is approximately 20 years
younger than the overall breast cancer population.6
BRCA-mutated breast cancer is considered metastatic if it has spread
beyond the breast to other parts of the body, including the bones,
liver, lung or brain. There is currently no cure for metastatic breast
cancer, the most advanced stage (stage IV) of the disease. The goal of
treatment is to delay or slow disease progression while maintaining
quality of life.7
About Pfizer Oncology
Pfizer Oncology is committed to pursuing innovative treatments that have
a meaningful impact on people living with cancer. Our growing pipeline
of biologics, small molecules and immunotherapies is focused on
identifying and translating the best scientific breakthroughs into
clinical application for patients across a diverse array of solid tumors
and hematologic cancers. Today, we have 10 approved oncology medicines
and 14 assets currently in clinical development. By maximizing our
internal scientific resources and collaborating with other companies,
government and academic institutions, as well as patients and non-profit
and professional organizations, we are bringing together the brightest
and most enterprising minds to take on the toughest cancers. Together we
can accelerate breakthrough treatments to patients around the world and
work to redefine life with cancer.
Pfizer Inc.: Working together for a healthier world®
At Pfizer, we apply science and our global resources to bring therapies
to people that extend and significantly improve their lives. We strive
to set the standard for quality, safety and value in the discovery,
development and manufacture of health care products. Our global
portfolio includes medicines and vaccines as well as many of the world's
best-known consumer health care products. Every day, Pfizer colleagues
work across developed and emerging markets to advance wellness,
prevention, treatments and cures that challenge the most feared diseases
of our time. Consistent with our responsibility as one of the world's
premier innovative biopharmaceutical companies, we collaborate with
health care providers, governments and local communities to support and
expand access to reliable, affordable health care around the world. For
more than 150 years, we have worked to make a difference for all who
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addition, to learn more, please visit us on www.pfizer.com
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DISCLOSURE NOTICE: The information contained in this release is as of
June 7, 2018. Pfizer assumes no obligation to update forward-looking
statements contained in this release as the result of new information or
future events or developments.
This release contains forward-looking information about a product
candidate, talazoparib, and Pfizer’s oncology portfolio, including their
potential benefits, that involves substantial risks and uncertainties
that could cause actual results to differ materially from those
expressed or implied by such statements. Risks and uncertainties
include, among other things, the uncertainties inherent in research and
development, including the ability to meet anticipated clinical trial
commencement and completion dates and regulatory submission dates, as
well as the possibility of unfavorable clinical trial results, including
unfavorable new clinical data and additional analyses of existing
clinical data; the risk that clinical trial data are subject to
differing interpretations, and, even when we view data as sufficient to
support the safety and/or effectiveness of a product candidate,
regulatory authorities may not share our views and may require
additional data or may deny approval altogether; whether regulatory
authorities will be satisfied with the design of and results from our
clinical studies; whether and when new drug applications may be filed in
any other jurisdictions for talazoparib or any other oncology products;
whether and when the applications for talazoparib pending with the FDA
and the European Medicines Agency or any such other applications that
may be pending or filed may be approved by regulatory authorities, which
will depend on the assessment by such regulatory authorities of the
benefit-risk profile suggested by the totality of the efficacy and
safety information submitted, and, if approved, whether talazoparib or
any such other oncology products will be commercially successful;
decisions by regulatory authorities regarding labeling and other matters
that could affect the availability or commercial potential of
talazoparib or other oncology products; and competitive developments.
A further description of risks and uncertainties can be found in
Pfizer’s Annual Report on Form 10-K for the fiscal year ended December
31, 2017 and in its subsequent reports on Form 10-Q, including in the
sections thereof captioned “Risk Factors” and “Forward-Looking
Information and Factors That May Affect Future Results”, as well as in
its subsequent reports on Form 8-K, all of which are filed with the U.S.
Securities and Exchange Commission and available at
www.sec.gov
and
www.pfizer.com
.
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1 National Cancer Institute. BRCA mutations: Cancer
risk and genetic testing. https://www.cancer.gov/about-cancer/causes-prevention/genetics/brca-fact-sheet.
Accessed April 30, 2018.
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2 Evers B, Schut E, van der Burg E, et al. A high
throughput pharmaceutical screen identifies compounds with
specific toxicity against BRCA2-deficient tumors. Clin Cancer
Res. 2010 Jan 1; 16(1): 99–108.
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3 Livraghi L, Garber J. PARP inhibitors in the
management of breast cancer: Current data and future prospects. BMC
Medicine. 2015;13:188.
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4 Kleibl Z, Kristensen VN. Women at high risk of breast
cancer: molecular characteristics, clinical presentation and
management. The Breast. 2016;28:136-144.
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5 Arpino G, Pensabene M, Condello C, et al. Tumor
characteristics and prognosis in familial breast cancer. BMC
Cancer. 2016;16(1):924.
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6 Kim R, Peterson A, Isherwood A. et al. Incidence of
germline BRCA1- and BRCA2-mutated breast cancer in the United
States. San Antonio Breast Cancer Symposium. 2016.
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7 Smith I. Goals of treatment for patients with
metastatic breast cancer. Semin Oncol. 2006 Feb; 33(1 Suppl
2): S2-5.
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Pfizer Media:
Jessica Smith, (212) 733-6213
Jessica.M.Smith@pfizer.com
or
Pfizer
Investor:
Ryan Crowe, (212) 733-8160
Ryan.Crowe@pfizer.com
Source: Pfizer Inc.