European Union: EMA restricts use of Keytruda and Tecentriq in bladder cancer: Data show lower survival in some patients with low levels of cancer protein PD-L1 (English Only)
Early data from two clinical trials show reduced survival with Keytruda (pembrolizumab) and Tecentriq (atezolizumab) when used as first-line treatments for urothelial cancer (cancer of the bladder and urinary tract) in patients with low levels of a protein called PD-L1. The data indicate that Keytruda and Tecentriq may not work as well as chemotherapy medicines in this group of patients. 

As a result, the European Medicines Agency (EMA) has recommended restricting the use of these medicines as first line-treatments for urothelial cancer. 
Keytruda and Tecentriq should now only be used for first-line treatment of urothelial cancer in patients with high levels of PD-L1. There are no changes to how these medicines should be used in patients with urothelial cancer who have had chemotherapy or in patients with other cancers for which these medicines are approved. 

The two clinical trials are continuing but no new patients with low levels of PD-L1 will be given only Keytruda or Tecentriq. Patients in the trials who have any questions should speak to the doctor treating them. 

The review of data on Keytruda and Tecentriq was carried out by EMA’s Committee for Medicinal Products for Human Use (CHMP). The CHMP opinion will be forwarded to the European Commission, which will issue a final legally binding decision applicable in all EU Member States. 

Please refer to the following website in EMA for details: 

In Hong Kong, Keytruda Solution for Injection 100mg/4ml (HK- 64228) and Keytruda Powder for Injection 50mg (HK- 64229) are pharmaceutical products registered by Merck Sharp & Dohme (Asia) Ltd. while Tecentriq Concentrate for Solution for Infusion 1200mg/20ml (HK-65567) is a pharmaceutical product registered by Roche Hong Kong Limited. All three products are prescription-only medicines and are indicated for urothelial carcinoma. In view of the EMA announcement on the restriction, letters to inform local healthcare professionals will be issued to draw their attention, and the matter will be discussed by the Registration Committee of the Pharmacy and Poisons Board. 

Ends/ Saturday, Jun 2, 2018 
Issued at HKT 12:00 

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European Union: EMA restricts use of Keytruda and Tecentriq in bladder cancer: D... 上載於 2018-06-04轉載自衛生署藥物辦公室網頁