EAST HANOVER, NJNovartis has submitted a supplemental new drug
application (sNDA) to the FDA seeking approval for Gleevec (imatinib mesylate)
for the treatment of patients with unresectable and/or metastatic malignant
gastrointestinal stromal tumors (GISTs). Last May, Gleevec received FDA
approval for the treatment of patients with chronic myeloid leukemia in the
blast crisis, accelerated phase, or in chronic phase after failure of
interferon-alfa.
The submission is supported by data from a phase II, open-label study of 147
patients with unresectable or metastatic malignant GIST randomized to receive
400 mg or 600 mg of Gleevec daily for up to 24 months. The overall response
rate is 40%, the company said, based on confirmed partial responses at the time
of the data cut-off for the submission. An additional 32% of patients achieved
a clinically significant reduction in tumor size. Only 12% progressed.