Xgeva Rejection Shows What’s Needed For Non-Metastatic CRPC Approvals

As expected, FDA rejected the new indication for Amgen’s bone drug Xgeva in prevention of bone metastases. But the door is still open for other therapies for castration resistant prostate cancer to target earlier stages of disease.

FDA’s widely expected rejection of Amgen Inc.’s Xgeva (denosumab) for a new oncology indication highlights the need for clinically meaningful endpoints in trials designed to expand the use of castration-resistant prostate cancer therapies into earlier disease stages.

FDA issued a “complete response” letter for Amgen’s supplemental BLA for prevention of bone metastases in high-risk patients with castrate-resistant...

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