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Medivation and Astellas get PDUFA date for prostate cancer drug

World News | August 06, 2012
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Kevin Grogan

Medivation and Astellas get PDUFA date for prostate cancer drug

Medivation and Astellas Pharma have been given an action date by regulators in the USA for their eagerly-anticipated prostate cancer drug enzalutamide.

The US Food and Drug Administration has assigned a Prescription Drug User Fee Act action date of November 22 for enzalutamide (formerly MDV3100) as a therapy for men with castration-resistant prostate cancer previously treated with docetaxel-based chemotherapy. Last month, the agency granted a priority review for the androgen receptor signalling inhibitor.

Enzalutamide, which was filed in Europe in June, excited analysts following the publication of data from the Phase III AFFIRM study, which confirmed that the drug demonstrated a statistically significant improvement in overall survival with a median improvement over placebo of 4.8 months. If approved, it would compete with Johnson & Johnson’s Zytiga (abiraterone).

The companies linked up in October 2009 and the deal could be worth up to $765 million to Medivation. The latter has repeatedly been mentioned as a potential acquisition target of late, given that many observers believe enzalutamide is destined for blockbuster status.

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  1. Franklin P 06 Aug

    The problem with Enzalutamide is its second to market with Zytiga having been licensed for post docetaxel mCRPC since April 2011. By now Zytiga is well established for this indication with 83% of medical oncologists having already prescribed Zytiga.



    Enzalutamide is unlikely to be used once a patient is on Zytiga and responding, so its most likely use in this clinical setting post chemo will be to treat Zytiga resistant prostate cancer (ZRPC). But how well Enzalutamide will work in the Zytiga refractory setting remains to be seen. It may not work at all post Zytiga since it is an antiandrogen and the prostate cancer has become androgen independent.



    Maybe the best option is to treat post chemo patients intially with Enzalutamide and then to use Zytiga once they become resistant to Enzalutamide.

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