Headlines
- The European Commission has approved the Keytruda and Padcev combination for treating advanced urothelial carcinoma.
- The approval follows positive data from the phase III KEYNOTE-A39 study and earlier recommendations from European medical authorities.
- Keytruda and Padcev are now established as a new standard for first-line treatment in metastatic urothelial carcinoma.
Merck (NYSE:MRK) has received European Commission approval for the Keytruda and Padcev combination regimen, extending its use to the treatment of advanced urothelial carcinoma, a type of bladder cancer. This approval allows the combination of Keytruda, a renowned PD-L1 inhibitor, with Padcev, an antibody-drug conjugate from Astellas and Pfizer, for first-line treatment in adult patients with unresectable or metastatic urothelial carcinoma.
The decision was anticipated following a positive opinion from the Committee for Medicinal Products for Human Use of the European Medicines Agency in July. This opinion was based on encouraging overall survival and progression-free survival results from the phase III KEYNOTE-A39 study, also known as the EV-302 study, conducted in partnership with Pfizer (NYSE:PFE)and Astellas (OTC:ALPMF)
This approval marks the third bladder cancer indication for Keytruda in the European Union. Earlier in the year, the European Society for Medical Oncology and the European Association of Urology endorsed the Keytruda and Padcev combination as the preferred first-line treatment for advanced urothelial cancer. With this new approval, the combination is now recognized as a standard of care in treating first-line metastatic urothelial carcinoma.
In the United States, the Keytruda and Padcev combination received approval in December 2023 for treating locally advanced or metastatic urothelial cancer. It is also approved as a standalone therapy for specific cases of advanced urothelial carcinoma and high-risk, non-muscle invasive bladder cancer unresponsive to Bacillus Calmette-Guerin.
Merck, alongside Pfizer and Astellas, is actively assessing the Keytruda and Padcev combination in various stages of urothelial cancer. Following Pfizer's acquisition of Seagen in December 2023, which included Padcev and three other antibody-drug conjugates, the company has seen strong demand for Padcev, generating $735 million in revenue in the first half of 2024.
Other notable pharmaceutical companies include Roche and Eli Lilly, with Roche seeing improved earnings estimates for 2024 and 2025, reflecting a positive trend in its financial performance.