FDA Approves Cabazitaxel for Metastatic Hormone-Refractory Prostate Cancer
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FDA Approves Cabazitaxel for Metastatic Hormone-Refractory Prostate Cancer

NEW YORK -- June 17, 2010 -- The US Food and Drug Administration (FDA) has approved cabazitaxel (Jevtana) injection in combination with prednisone for the treatment of patients with metastatic hormone-refractory prostate cancer (mHRPC) previously treated with a docetaxel-containing treatment regimen.

The approval is based on results from the phase 3 Treatment of Hormone-Refractory Metastatic Prostate Cancer Previously Treated With a Taxotere-Containing Regimen (TROPIC) study involving 755 patients with mHRPC previously treated with a docetaxel-containing treatment regimen.

There was a significant 30% reduction in risk of death from mHRPC among patients taking cabazitaxel with prednisone compared with an active chemotherapy regimen consisting of a standard dose of mitoxantrone and prednisone (P < .0001).

Investigator-assessed tumour response rates using Response Evaluation Criteria in Solid Tumors (RECIST) criteria were 14.4% and 4.4% for cabazitaxel-treated and mitoxantrone-treated patients, respectively (P = .0005).

No complete responses were observed on either arm.

The most common (>= 10%) adverse reactions (grade 1-4) were neutropenia, anaemia,
leukopenia, thrombocytopenia, diarrhoea, fatigue, nausea, vomiting, constipation, asthenia, abdominal pain, hematuria, back pain, anorexia, peripheral neuropathy, pyrexia, dyspnoea, dysguesia, cough, arthralgia, and alopecia.

The most common (>=5%) grade 3/4 adverse reactions in patients who received cabazitaxel were neutropenia, leukopenia, anaemia, febrile neutropenia, diarrhoea, fatigue, and asthenia.

The most common adverse reactions leading to treatment discontinuation in the cabazitaxel group were neutropenia and renal failure. Treatment discontinuations due to adverse drug reactions occurred in 18% of patients who received cabazitaxel and in 8% of patients who received mitoxantrone.

Deaths due to causes other than disease progression within 30 days of last study drug dose were reported in 18 cabazitaxel-treated patients (5%) and in 3 mitoxantrone-treated patients (<1%). The most common fatal adverse reactions in the cabazitaxel arm were infections (n = 5) and renal failure (n = 4). One death was due to diarrhoea-induced dehydration and electrolyte imbalance.

SOURCE: sanofi-aventis

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