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May 2013

BI's cancer drug afatinib gets US fast-track review

World News | January 16, 2013
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Selina McKee

BI's cancer drug afatinib gets US fast-track review

US regulators have decided to carry out a speedy review of Boehringer Ingelheim's afatinib, the firm's first oncology drug to be filed in the country.

The move means that the US Food and Drug Administration will make a decision on whether to approve afatinib - which also holds Orphan Drug status - for a small subset of lung cancer patients by the third quarter of this year.

Specifically, the company is seeking permission to market the drug for the treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with an epidermal growth factor receptor (EGFR) mutation.

The filing is based on data from the LUX-Lung clinical trial program, including LUX-Lung 3, in which afatinib showed "unprecedented efficacy versus chemotherapy", the company previously noted.

The study pitted afatinib against the best-in-class chemotherapy (pemetrexed and cisplatin) for nonsquamous NSCLC in patients with stage IIIb or IV adenocarcinoma of the lung and an EGFR mutation. 

Progression-free survival benefit

Patients taking BI's drug as a first-line treatment surveyed for 11.1 months without their tumour progressing compared to 6.9 months for those taking the chemotherapy regimen, clearly demonstrating its potential benefit.

Data from the programme also underpinned the drug's filing in Europe in September last year.

"Based on the acceptance of the afatinib application, along with our developing oncology pipeline, we are moving forward with our plans to establish a world-class oncology commercial organisation," commented Kevin Lokay, vice president and business unit head, Oncology, Boehringer Ingelheim Pharmaceuticals.


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  1. Rick Mcintire 05 Feb

    My started this pill back in Oct. 2012. The first two months the pill worked great. She was on a 40 mg pill to start with. It worked great for the first two months and her tumor reduced over 50%. The doctor decided to increase the dosage to 50 mg and to do this for 2 more months. We went in yesterday 02/04/2013 and had another CT scan and MRI. This time the doctor informed us the pill had stopped working and the tumor where worse now then they where before she started. It is very disappointing that they stopped working for her. Now they are telling us she must start chemo to try and control the cancer.

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