FDA Approves VELCADE® (bortezomib) Retreatment in Patients with Multiple
CAMBRIDGE, Mass. -- August 8, 2014
Millennium: The Takeda Oncology Company with its parent company, Takeda
Pharmaceutical Company Limited (TSE:4502), today announced that the U.S. Food
and Drug Administration (FDA) has approved VELCADE® (bortezomib) for the
retreatment of adult patients with multiple myeloma (MM) who had previously
responded to VELCADE therapy and relapsed at least six months following
completion of prior VELCADE treatment. The labeling update includes dosing
guidelines as well as safety and efficacy findings for the use of VELCADE as a
single agent or VELCADE in combination with dexamethasone in patients
previously treated with VELCADE. VELCADE retreatment may be started at the
last tolerated dose.
The approved retreatment sNDA consisted of a Phase 2 study and other
supportive data. The Phase 2 international RETRIEVE trial showed a 38.5
percent overall response rate (ORR) in multiple myeloma patients who had been
previously treated with a VELCADE-based regimen (median of two prior lines of
therapy) and had previously achieved a partial response or better. The safety
profile seen with VELCADE retreatment was consistent with the known safety
profile of intravenous VELCADE in relapsed multiple myeloma; no cumulative
toxicities were observed upon retreatment. The most common adverse drug
reaction was thrombocytopenia, which occurred in 52 percent of the patients.
“For the past 11 years, VELCADE has played an important role as the only
therapy proven to extend overall survival for patients with newly diagnosed
and relapsed multiple myeloma,” said Michael Vasconcelles, MD, Global Head,
Oncology Therapeutic Area Unit, Takeda. “With these newly approved dosing
guidelines, physicians will be able to provide their patients, who have
previously received VELCADE, with an effective treatment extending VELCADE use
across the continuum of care of multiple myeloma.”
RETRIEVE was a single arm, open-label trial. The study enrolled 130 patients
ages 18 years and older who had previously responded to VELCADE-based therapy
and relapsed at least six months after prior treatment with VELCADE. The study
met its primary endpoint of best confirmed response to retreatment as assessed
by European Group for Blood and Marrow Transplantation (EBMT) criteria.
*Patients had received a median of two prior therapies (range of 1-7).
*Dexamethasone was administered in combination with VELCADE in 94 patients.
*Of the 130 patients, one patient achieved complete response and 49
achieved partial response (50/130; ORR 38.5 percent).
*In the 50 responding patients, the median duration of response was 6.5
months (range of 0.6 to 19.3 months).
*The incidence of grade ≥3 thrombocytopenia was 24 percent. Peripheral
neuropathy occurred in 28 percent of patients, with the incidence of grade
≥3 peripheral neuropathy reported at 6 percent. The incidence of serious
adverse reactions was 12.3 percent; the most commonly reported serious
adverse reactions were thrombocytopenia (3.8 percent), diarrhea (2.3
percent), herpes zoster and pneumonia (1.5 percent each). Adverse
reactions leading to discontinuation occurred in 13 percent of patients.
VELCADE: Important Safety Information
VELCADE® (bortezomib) is approved for the treatment of patients with multiple
myeloma. VELCADE is also approved for the treatment of patients with mantle
cell lymphoma who have already received at least one prior treatment.
Patients should not receive VELCADE if they are allergic to bortezomib, boron
or mannitol. VELCADE should not be administered intrathecally. Women should
avoid becoming pregnant or breastfeeding while taking VELCADE. Patients with
diabetes may require close monitoring and adjustment of their medication.
VELCADE can cause serious side effects, including:
*Peripheral neuropathy. Nerve problems, which can be severe including
muscle weakness, tingling, burning, pain, or loss of feeling in the hands
*Low blood pressure. A drop in blood pressure resulting in dizziness,
light headedness or fainting.
*Heart problems. Heart rhythm problems and heart failure including
worsening of existing conditions. Symptoms may include chest pressure or
pain, palpitations, swelling of the ankles or feet, or shortness of
*Lung problems, some of which have been fatal. Symptoms include cough,
shortness of breath, wheezing or difficulty breathing.
*Liver problems. Liver failure including a yellow discoloration of the
eyes and skin.
*Posterior reversible encephalopathy syndrome (PRES). A rare, reversible
condition involving the brain. Symptoms may include seizures, high blood
pressure, headaches, tiredness, confusion, blindness, or other vision
*Gastrointestinal problems. Nausea, vomiting, diarrhea and constipation.
*Thrombocytopenia and neutropenia. Lowering the levels of blood cells,
which could result in a higher risk for infections or bleeding.
*Tumor lysis syndrome (TLS). TLS is a syndrome that causes a chemical
imbalance in the blood that could lead to heart and/or kidney problems.
Common side effects seen in patients receiving VELCADE include: fever,
decreased appetite, fatigue, rash.
These are not all of the possible side effects with VELCADE. Please see the
full Prescribing Information for VELCADE for a complete list available at
VELCADE® (bortezomib) is co-developed by Millennium/Takeda and Janssen
Pharmaceutical Companies. Millennium is responsible for commercialization of
VELCADE in the U.S.; Janssen Pharmaceutical Companies are responsible for
commercialization in Europe and the rest of the world. Takeda Pharmaceutical
Company Limited and Janssen Pharmaceutical K.K. co-promote VELCADE in Japan.
VELCADE is approved in more than 90 countries and has been used to treat more
than 550,000 patients worldwide.
About Millennium: The Takeda Oncology Company
Millennium: The Takeda Oncology Company, a leading biopharmaceutical company
based in Cambridge, Mass., markets a first-in-class proteasome inhibitor and
has a robust pipeline of oncology product candidates. Additional information
about Millennium is available through its website,www.millennium.com.
Located in Osaka, Japan, Takeda is a research-based global company with its
main focus on pharmaceuticals. As the largest pharmaceutical company in Japan
and one of the global leaders of the industry, Takeda is committed to strive
towards better health for patients worldwide through leading innovation in
medicine. Additional information about Takeda is available through its
Editors’ Note: This press release is also available under the Media section of
the Company’s website at: www.millennium.com/InTheNews.aspx.
Millennium: The Takeda Oncology Company
Elizabeth Pingpank, +1-860-463-0469
Press spacebar to pause and continue. Press esc to stop.