Oct 19 (Reuters) - Gilead Sciences' ( GILD ) Trodelvy
lowered the risk of disease progression in an aggressive type of
breast cancer by 38% when used as an initial treatment,
according to trial results presented on Sunday.
The trial compared Trodelvy to a standard treatment of
chemotherapy in 558 previously untreated patients with advanced
triple-negative breast cancer, or TNBC, whose tumors don't
express the PD-L1 protein - targeted by immune system checkpoint
inhibitors such as Keytruda.
The drug received its first U.S. approval in 2020 for the
treatment of advanced TNBC in patients who had received at least
two prior therapies.
TNBC is an aggressive type of invasive breast cancer that
tends to grow and spread faster, has fewer treatment options and
tends to have a worse prognosis. It accounts for about 10% to
15% of all breast cancers.
Antibody-drug conjugates such as Trodelvy are designed to
deliver an anti-cancer drug more precisely to malignant cells,
causing less damage to healthy cells than chemotherapy.
During the trial, patients on Gilead's drug went for a
median period of 9.7 months without their cancer progressing, a
measure known as progression-free survival, compared to 6.9
months for those on chemotherapy.
The trial's initial results were shared in May. The latest
findings were shared at the European Society for Medical
Oncology meeting in Berlin.
"The ability of sacituzumab govitecan (Trodelvy) to
significantly delay death and progression could represent the
first major treatment advance for this patient population in the
20 years since TNBC was defined," said Javier Cortes, head of
the International Breast Cancer Center in Spain and principal
investigator of the trial.
Gilead noted that overall survival data from the trial was
not yet mature and said it will continue monitoring patient
outcomes through ongoing follow-up and further analysis.
In May, Gilead said Trodelvy in combination with Merck's ( MRK )
blockbuster immunotherapy Keytruda lowered the risk of
TNBC by 35% when used as an initial treatment.