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Fast Track milestone for avelumab builds upon recent Orphan Drug
designation in this aggressive skin cancer
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Fast Track designation highlights the serious, unmet medical need
that exists for patients with this disease
Merck KGaA, Darmstadt, Germany, and Pfizer today announced that the US
Food and Drug Administration (FDA) has granted avelumab*, an
investigational fully human anti-PD-L1 IgG1 monoclonal antibody, Fast
Track designation for the treatment of metastatic Merkel cell carcinoma
(MCC), a rare and aggressive type of skin cancer.1,2 This
announcement builds on the recent FDA Orphan Drug designation that was
granted for avelumab on September 21, 2015 for the treatment of MCC. The
Fast Track designation is designed to facilitate the development, and
expedite the review, of drugs to treat serious conditions and address an
unmet medical need.
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“We are pleased that the FDA continues to acknowledge the current high
unmet needs for patients with metastatic Merkel cell carcinoma through
these recent regulatory designations for avelumab,” said Dr. Luciano
Rossetti, Global Head of Research & Development of the biopharmaceutical
business of Merck KGaA, Darmstadt, Germany. “We look forward to working
closely with the FDA on an expedited review process for avelumab, and we
hope to be able to provide a potential new treatment option for patients
with this difficult-to-treat cancer in the future.”
“We look forward to working with our partners at Merck KGaA, Darmstadt,
Germany, on the development of avelumab in patients with relapsed and
refractory Merkel cell carcinoma,” said Dr. Mace Rothenberg, Senior Vice
President of Clinical Development and Medical Affairs and Chief Medical
Officer for Pfizer Oncology. “Fast Track designation will enable us to
coordinate these efforts more closely with the FDA.”
The designation relates to the clinical development program for avelumab
in metastatic MCC, which includes the Phase II study, JAVELIN Merkel
200, to assess the safety and efficacy of avelumab in patients with
metastatic MCC who have progressed after at least one prior chemotherapy
regimen. In this study, the primary endpoint is objective response rate,
and secondary endpoints include duration of response, progression-free
survival, overall survival and safety. The study, which exceeded its
expected enrollment of 84 patients with 88 patients enrolled, is being
conducted in sites across Asia Pacific, Australia, Europe and North
America.
The clinical development program for avelumab now includes more than
1,000 patients who have been treated across more than 15 tumor types,
including breast cancer, gastric/gastroesophageal cancer, head and neck
cancer, MCC, mesothelioma, melanoma, non-small cell lung cancer, ovarian
cancer, renal cell carcinoma and urothelial (e.g. bladder) cancer.
About the FDA Designations
FDA’s granting of the Fast Track and Orphan Drug designations for
metastatic MCC does not alter the standard regulatory requirement to
establish the safety and effectiveness of a drug through adequate and
well-controlled studies to support approval.
Fast Track is designed to facilitate the development, and expedite the
review, of drugs to treat serious conditions and address an unmet
medical need. Once a drug receives Fast Track designation, early
and frequent communication between the FDA and a drug company is
encouraged throughout the entire drug development and review process.
The frequency of communication can help resolve questions and issues
quickly, often leading to earlier drug approval and patient access to
important new therapies. Fast Track designated products are eligible for
accelerated approval and priority review, if relevant criteria are met,
and rolling FDA review of marketing applications.
FDA Orphan Drug designation is granted to drugs intended to treat rare
diseases or disorders that affect fewer than 200,000 people in the US,
or those that affect more than 200,000 people, but are unlikely to
recover the costs of developing and marketing the drug.
*Avelumab is the proposed International Nonproprietary Name for the
anti-PD–L1 monoclonal antibody (MSB0010718C). Avelumab is under clinical
investigation and has not been proven to be safe and effective. There is
no guarantee that avelumab will be approved in the sought-after
indication by any health authority worldwide.
References
1. Hughes MP et al. Merkel cell carcinoma: epidemiology, target, and
therapy. Curr Dermatol Rep 2014;3:46–53.
2. Kaae J et al. Merkel
cell carcinoma: incidence, mortality, and risk of other cancers. J Natl
Cancer Inst 2010;102(11):793–801.
Avelumab is currently under clinical investigation and has not been
approved for use in the US, EU, Canada, or elsewhere. All
investigational products have not yet been proven to be either safe or
effective and any claims of safety and effectiveness can be made only
after regulatory review of the data and approval of the labeled claims.
About Merkel Cell Carcinoma (MCC)
MCC is a rare and aggressive disease in which cancer cells form in the
top layer of the skin, close to nerve endings. MCC, which is also known
as neuroendocrine carcinoma of the skin or trabecular cancer, often
starts in those areas of skin that are most often exposed to the sun,
including the head and neck, arms, legs, and trunk. Risk factors for MCC
include sun exposure and having a weak immune system (i.e., solid organ
transplant recipients, people with HIV/AIDS and people with other
cancers, such as chronic lymphocytic leukemia, are at higher risk).
Caucasian males over age 50 are at increased risk. MCC tends to
metastasize at an early stage, spreading initially to nearby lymph
nodes, and then potentially to more distant areas in the body, including
other lymph nodes or areas of skin, lungs, brain, bones or other organs.
Current treatment options for MCC include surgery, radiation and
chemotherapy. Treatment for metastatic or Stage IV MCC is generally
palliative.
About Avelumab
Avelumab (also known as MSB0010718C) is an investigational fully human
anti-PD-L1 IgG1 monoclonal antibody. By inhibiting PD-L1 interactions,
avelumab is thought to potentially enable the activation of T cells and
the adaptive immune system. By retaining a native Fc-region, avelumab is
thought to engage the innate immune system and induce antibody-dependent
cell-mediated cytotoxicity (ADCC). In November 2014, Merck KGaA,
Darmstadt, Germany, and Pfizer announced a strategic alliance to
co-develop and co-commercialize avelumab.
Alliance between Merck KGaA, Darmstadt, Germany, and Pfizer Inc, New
York, US
Immuno-oncology is a top priority for Merck KGaA, Darmstadt, Germany,
and Pfizer Inc. The global strategic alliance between Merck KGaA,
Darmstadt, Germany, and Pfizer Inc, New York, US, enables the companies
to benefit from each other’s strengths and capabilities and further
explore the therapeutic potential of avelumab, an investigational
anti-PD-L1 antibody initially discovered and developed by Merck KGaA,
Darmstadt, Germany. The immuno-oncology alliance will jointly develop
and commercialize avelumab and advance Pfizer’s PD-1 antibody. The
companies will collaborate on up to 20 high-priority immuno-oncology
clinical development programs, including combination trials, many of
which are expected to commence in 2015.
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 healthcare products. Our global portfolio
includes medicines and vaccines, as well as many of the world's
best-known consumer healthcare 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, Pfizer has worked to make a difference for all who
rely on us. To learn more, please visit us at www.pfizer.com.
Merck KGaA, Darmstadt, Germany
Merck KGaA of Darmstadt, Germany, is a leading company for innovative
and top-quality high-tech products in healthcare, life science and
performance materials. The company has six businesses –
Biopharmaceuticals, Consumer Health, Allergopharma, Biosimilars, Life
Science and Performance Materials – and generated sales of € 11.3
billion in 2014. Around 39,000 employees work in 66 countries to improve
the quality of life for patients, to foster the success of customers and
to help meet global challenges. Merck KGaA, Darmstadt, Germany, is the
world’s oldest pharmaceutical and chemical company – since 1668, the
company has stood for innovation, business success and responsible
entrepreneurship. Holding an approximately 70% interest, the founding
family remains the majority owner of the company to this day. Merck
KGaA, Darmstadt, Germany holds the global rights to the Merck name and
brand. The only exceptions are Canada and the United States, where the
company operates as EMD Serono, EMD Millipore and EMD Performance
Materials.
All Merck KGaA, Darmstadt, Germany, press releases are distributed by
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Pfizer Disclosure Notice
The information contained in this release is as of October 7, 2015.
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 avelumab
(MSB0010718C), including a potential indication for MCC, Pfizer’s and
Merck KGaA, Darmstadt, Germany’s immuno-oncology alliance involving
anti-PD-L1 and anti-PD-1 therapies and clinical development plans,
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 study
commencement and completion dates as well as the possibility of
unfavorable study results; risks associated with interim data, including
the risk that the final results of the Phase I study for avelumab and/or
additional clinical trials may be different from (including less
favorable than) the interim data results and may not support further
clinical development; 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 and when drug
applications may be filed in any jurisdictions for any potential
indications for avelumab, combination therapies or other product
candidates; whether and when any such applications 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; decisions by
regulatory authorities regarding labeling and other matters that could
affect the availability or commercial potential of avelumab, combination
therapies or other product candidates; 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, 2014, 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 SEC
and available at www.sec.gov
and www.pfizer.com.
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