FDA Decision on ImmunityBio's Anktiva tomorrow?The deadline for
FDA review of
Anktiva (N-803) is tomorrow -
April 23. If
Anktiva becomes the newest
FDA approved treatment for BCG-unresponsive NMIBC in the next few days it's good to keep in mind that
Ruvidar PDT offers equivalent, (probably better), efficacy after only
2 treatments as opposed to Ankita's
18 treatments and also that the Anktiva treatment relies on
BCG which we all know is in short supply
As a reminder, here are the CR results of Anktiva vs. Ruvidar PDT:
Endpoint | N-803 CIS Cohort | Optimized Ruvidar PDT |
Complete Response at any time | 71% | 64% |
Duration of Response | | |
Duration = 3 months | 55% | 62% |
Duration = 6 months | 56% | 60% |
Duration = 12 months | 45% | 40% |
Duration = 15 months | ? | 39% |
Duration = 18 months | 33% | ? |
At 18 months Ruvidar should have a higher durable CR rate than N-803 as Ruvidar efficacy is unlikely to drop much between 15 and 18 months.
Treatment with Anktiva (N-803) is dependent on BCG (which is in short supply), and to attain these results, patients must endure 18 treatments. Once the treatments stop it remains to be seen how long the CR will endure. The CR rate drops12% between 12 and 18 months. Not coincidentally, the last treatment is at the end of 13 months. Here is the treatment description. "All patients treated in the study will receive via a urinary catheter in the bladder, BCG plus N-803 weekly for 6 consecutive weeks (induction). Patients without disease progression at Months 3, 6, 9 and 12 are eligible for continued BCG + N-803 treatment (maintenance). The study duration is 24 months." Here is a list of the treatments: Induction Treatments
Study Day 1 (start of Week 1)
Study Day 8 (start of Week 2)
Study Day 15 (start of Week 3)
Study Day 22 (start of Week 4)
Study Day 29 (start of Week 5)
Study Day 36 (start of Week 6)
Maintenance Treatments
Month 4 (~Week 13-14*):
Month 4 (~Week 14-15):
Month 4 (~Week 15-16):
Month 7 (~Week 28)
Month 7 (~Week 29)
Month 7 (~Week 30)
Month 10 (~Week 41)
Month 10 (~Week 42)
Month 10 (~Week 43)
Month 13 (~Week 53)
Month 13 (~Week 54)
Month 13 (~Week 55).