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New Indication Alert: Pfizer’s/Astella’s Padcev® (enfortumab vedotin) Approved in Canada and China for Advanced Bladder Cancer

Aug 22, 2024

On 22 August 2024, Pfizer Canada announced that Padcev® (enfortumab vedotin) in combination with MSD’s Keytruda® (pembrolizumab) has been approved by Health Canada for treatment of unresectable locally advanced or metastatic urothelial cancer (la/mUC) with no prior systemic therapy for mUC.  The sponsor of Padcev® in Canada is Seagen Inc, which was acquired by Pfizer in December 2023.

This comes just days after the announcement by Astellas on 20 August 2024, that Padcev® was approved by China’s National Medical Products Administration (NMPA) for la/mUC after prior treatment with platinum-containing chemotherapy and programmed death receptor-1 (PD-1) or programmed death-ligand 1 (PD-L1) inhibitors.

Enfortumab vedotin, an antibody drug conjugate, is being co-developed by Astellas and Pfizer under a global development and commercialisation collaboration.  Astellas and Pfizer co-promote Padcev® in the US. Pfizer holds commercialisation and regulatory responsibility in the Americas outside the US, while Astellas holds those responsibilities in ex-Americas jurisdictions.

Padcev® in combination with Keytruda® was approved in the US for la/mUC in December 2023.  EMA’s CHMP adopted a positive opinion for the Padcev®/Keytruda® combination for first-line treatment of unresectable or metastatic urothelial carcinoma in July 2024.