A June 19 labeling change for two PD-1/L1 inhibitors in bladder cancer shows how FDA is matching the regulatory flexibility that has nurtured rapid growth in immuno-oncology approvals with strong (yet still flexible) surveillance oversight after marketing.
Labels for Roche's Tecentriq (atezolizumab) and Merck & Co. Inc.'s Keytruda (pembrolizumab) now limit the first-line indications for metastatic urothelial cancer to patients who express the PD-L1 biomarker