RE:RE:TLD1433 vs KeytrudaGood points Eoganacht & CancerSlayer...
In the link provided in your post, page 9, paragraph 2&3.
For hign-risk NMIBC that are unresponsive to BCG(TLT Patients). There are no currently approved standard therapies for patients in this clinical condition.
As for Radical Cystectomy(removal of the bladder) the FDA agree it is generally considered the standard of care for patients with BCG-Unresponsive high-risk NMIBC (TLT Patients), the FDA additionally agree that Radical Cystectomy (removal of the bladder) is a procedure with
high rates of morbidity and mortality. The above could explain why TLT will apply for BTD(Breakthrough Designation), as TLT treatment is badly needed.
CancerSlayer wrote: Eoganacht wrote: On January 8, 2020, the
FDA approved KEYTRUDA for the treatment of patients with (BCG)-unresponsive, high-risk, NMIBC. It is instructive to compare the CR results achieved by Keytruda and the likely CR results of the first 25 TLD1433 patients at 450 days (15 months) TLD1433 clearly offers a higher durable complete response rate. TLD1433 also offers a much better safety profile with Theralase contending that none of the serious adverse effects suffered by the patients were the direct result of the treatment.
| Keytruda | TLD1433 |
CR at any time | 42% | 50% |
CR at 15 months | 13% | 32% |
CR at 18 months | 8% | NA |
See page 25: PEMBROLIZUMAB-P057V01MK3475 Advisory Committee Briefing Document
Thanks Eoganacht for that CR comparison....
Despite the pre-2018 urological workshops' recommendation for a 12 month CR benchmark of 30%, the FDA makes a strong point in that briefing document that those workshops were "not" advisory committee meetings....the FDA's recent approval of Keytruda, which had a 12 month CR rate of only 19%, clearly indicates (to our benefit) that the FDA has significantly relaxed the general stance on what defines a minimum CR threshold, which has a lot to do with the fact that this cancer indication has too few good treatment options.
Data is trending in the right direction, there are no significant safety concerns to date per TLT & the updated protocol is in place. As long as there continues to be strict adherence to the modified protocol across our trial sites, I'm seeing much more clear/smooth sailing ahead of us : )