Puma Biotechnology Inc.'s Nerlynx (neratinib) came through the US FDA's Oncologic Drugs Advisory Committee with a guarded recommendation for approval as extended adjuvant treatment of HER2-positive breast cancer, but even if it is cleared the company faces significant challenges ahead.
Much of the May 24 panel discussion focused on a potential narrowing of the indication, the possibility that the circumstances under which the ExteNET trial was conducted will no longer mirror the standard of care, and concerns
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