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US FDA accepts and grants priority review status to Menarini Group’s Elacestrant for patients with ER+/HER2 MBC

hopenowandtomorrow profile image

Hello Fellow MBC’ers:

Breaking News!

Oral SERD, Elacestrant - On Expedited FDA Approval by 2/17/23!!!

This is a replacement for the Faslodex shots. The clinical trials have shown it to be more effective and certainly less painful.

The press release is below.

pharmabiz.com/NewsDetails.a...

August 12, 2022, 14:00 Hrs  [IST]The Menarini Group (Menarini), a privately held Italian pharmaceutical and diagnostics company, and Stemline Therapeutics (Stemline), a wholly-owned subsidiary of Menarini Group, announced that the US Food and Drug Administration (FDA) has accepted the company’s New Drug Application (NDA) for elacestrant, an investigational selective estrogen receptor degrader (SERD), for patients with ER+/HER2- advanced or metastatic breast cancer. The FDA has granted the application Priority Review and assigned a PDUFA date of February 17, 2023.The FDA grants Priority Review designation to medicines that it considers have the potential to provide significant improvements over current SOC in the safety and effectiveness of the treatment, diagnosis, or prevention of serious conditions. The FDA granted Fast Track designation for elacestrant in 2018.“The FDA’s acceptance of our NDA with Priority Review marks an important regulatory milestone for our company,” commented Elcin Barker Ergun, chief executive officer of the Menarini Group. “We look forward to working with the FDA during its review of this submission, which addresses a new potential therapeutic option for a major unmet need in the management of patients with advanced or metastatic breast cancer after resistance builds in the earlier lines of the treatment.”The NDA submission was supported by results of the phase 3 data from the EMERALD study. EMERALD met both of its pre-specified primary endpoints of progression-free survival (PFS) in the overall population and in patients with the ESR1 mutation (mESR1) compared to SOC endocrine monotherapy; the trial’s comparator arms were investigators’ choice of either fulvestrant or an aromatase inhibitor. The PFS rate at 12 months with elacestrant was 22.32% vs. 9.42% with SOC in the overall population, and 26.76% vs. 8.19% in the ESR1 mutation population. The clinical trial data showed that elacestrant reduced the risk of disease progression or death by 30% in all patients and by 45% in patients with ESR1 mutation. The data also showed a manageable safety profile.Elacestrant is an investigational compound and is not approved by any regulatory authorities. The Marketing Authorization Application (MAA) has also been submitted to European Medicines Agency (EMA) in July 2022. The Menarini Group obtained global licensing rights for elacestrant in July 2020 from Radius Health, Inc who conducted and successfully completed the EMERALD study. Based on the positive phase 3 data, Stemline, with the support of Radius, submitted a New Drug Application (NDA) in June 2022 to the FDA. The Menarini Group is now fully responsible for global registration, commercialization and further development activities for elacestrant. Stemline, headquartered in New York City, will commercialize elacestrant if approved by the FDA. Stemline is focused on bringing transformational oncology treatments to cancer patients, and currently commercializes a novel targeted treatment for patients with blastic plasmacytoid dendritic cell neoplasm in both the United States and Europe.Elacestrant is an investigational selective estrogen receptor degrader (SERD), which is being evaluated for potential use as a once-daily oral treatment in patients with ER+/ HER2- advanced or metastatic breast cancer. In 2018, elacestrant received Fast Track designation from the FDA. Preclinical studies completed prior to EMERALD indicate that the compound has the potential for use as a single agent or in combination with other therapies for the treatment of breast cancer. The EMERALD phase 3 trial is a randomized, open label, active-controlled study evaluating elacestrant as second- or third-line monotherapy in ER+/HER2- advanced/metastatic breast cancer patients. The study enrolled 477 patients who had received prior treatment with one or two lines of endocrine therapy, including a CDK 4/6 inhibitor. Patients in the study were randomized to receive either elacestrant or the investigator’s choice of an approved hormonal agent. The primary endpoint of the study was progression-free survival (PFS) in the overall patient population and in patients with estrogen receptor 1 gene (ESR1) mutations. Secondary endpoints included evaluation of overall survival (OS), objective response rate (ORR), and duration of response (DOR).The Menarini Group is a leading international pharmaceutical and diagnostics company, with a turnover of $4 billion and over 17,000 employees. Menarini is focused on therapeutic areas with high unmet needs with products for cardiology, oncology, pneumology, gastroenterology, infectious diseases, diabetology, inflammation, and analgesia. Radius is a global biopharmaceutical company focused on addressing unmet medical needs in the areas of bone health, neuro- orphan diseases, and oncology. 

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hopenowandtomorrow
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13 Replies
AutumnLove profile image
AutumnLove

This is great news!😊❤🙏🏼

MyMiracle13 profile image
MyMiracle13

Thank you for this wonderful news🙏

Jorgit profile image
Jorgit

Thank you for the news. Is it known whether it is a tablet, capsule...? Is it a daily posology? And how about the strenght...are there different ones or just one? Thanks again

hopenowandtomorrow profile image
hopenowandtomorrow in reply to Jorgit

Hi Jorgit: It’s a daily pill. I don’t know anything else. Others on this community were in the clinical trial. Perhaps they can answer your questions.

❤️🙏❤️

Jorgit profile image
Jorgit in reply to hopenowandtomorrow

Yes, that makes sense...first hand info from those in the clinical trial would be great...Thanks again hopenowandtomorrow!

love2golfwell profile image
love2golfwell

That is awesome news!

mariootsi profile image
mariootsi

Yay

diamags profile image
diamags

Thank you for posting this. It's so important to know there are new treatments around the corner.

Fiercefighter13 profile image
Fiercefighter13

Wonderful news!! Thank you for sharing!

13plus profile image
13plus

This is great news and another promising alternative!

Hopeful4Cure profile image
Hopeful4Cure

Great! Thanks for finding that update too. Have you heard aything about ErSo?

hopenowandtomorrow profile image
hopenowandtomorrow in reply to Hopeful4Cure

You’re welcome. I don’t have anything to update on ErSo.

🙏❤️🙏

AuntC profile image
AuntC

Great news! If there are ladies on this site that were in the clinical trials, I hope they share their results with us.

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