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PRACTICE & POLICY 

Roche Appeals FDA Decision on Avastin

By the CancerNetwork Editors | January 19, 2011

GENENTECH HANDOUT

Last year, based on the results of four clinical studies of Avastin in women with HER-2 negative metastatic breast cancer, the FDA stated that it believes that the drug does not prolong overall survival in breast cancer patients or provide sufficient benefit in slowing disease progression to counterbalance the risk it poses from side effects.

(MORE: Dr. Gunter von Minckwitz on How Bevacizumab Plus Chemotherapy Increases Complete Response in Patients With Early Stage HER2-Negative Breast Cancer)

Genentech has a legal right to a hearing to allow "full and fair discussion of the issues in a public forum.” At this hearing, the company will present data and analyses in an effort to demonstrate why Avastin should remain on the market.

Roche has had several setbacks in trying to extend the use of this very lucrative compound: Avastin earned the company nearly six billion last year in its currently-approved indications.Genentech believes that women afflicted with metastatic breast cancer should be allowed Avastin as an FDA-approved choice and that accelerated approval of the drug in combination with paclitaxel(Drug information on paclitaxel) should be maintained. The European Medicines Agency has already confirmed that the benefits of Avastin in combination with paclitaxel outweigh the risks and considers this a viable treatment option in women with metastatic breast cancer.

Genentech has said that it will conduct a second trial of Avastin plus paclitaxel in patients with HER2-negative metastatic breast cancer. The trial, the original version of which was used as the basis for the agency's accelerated approval of Avastin, would include a biomarker component designed to identify people who are more likely to experience the greatest benefit from Avastin.
 

 

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by Antoine Sayegh | February 16, 2011 5:03 PM EST

with health care costs soaring, we need to start evaluating benefit versus COST issues

the role of Bev in the management of metastatic breast cancer neds to be critically evaluated

not that we do not have any other active drugs

Bevacizumab (Avastin) for Breast Cancer

Avastin/Paclitaxel Gets Accelerated Approval for Advanced Breast Ca

Avastin Breast Rx Trial Enrollment Halted Due to Cardiotoxicity Cases

FDA Panel Says No More Avastin in Breast Cancer

Breast Cancer Specialists Brace for FDA Word on Avastin

FDA and Avastin: Crossroads in an Era of Targeted Therapies

Bevacizumab Turns in Lackluster Results for Pathologic Complete Response in Neoadjuvant Setting

Roche Appeals FDA Decision on Avastin

Avastin in Combination With Chemo Associated With Increased Fatality

FDA Revokes Avastin Approval for Breast Cancer Indication

SABCS: Bevacizumab Improves PFS in HER2-Positive Breast Cancer in AVEREL Study

Dr. Gunter von Minckwitz on How Bevacizumab Plus Chemotherapy Increases Complete Response in Patients With Early Stage HER2-Negative Breast Cancer






 
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