Pfizer Inc. : Pfizer To Present New Data in Lung And Kidney Cancers at The European Society For Medical Oncology 2012 Congress
09/17/2012| 07:05am US/Eastern

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First Phase 3 Data Presentation on XALKORI® (crizotinib) versus
Standard Chemotherapy in Previously Treated Patients with ALK-Positive
Advanced Non-Small Cell Lung Cancer
Data on Kidney Cancer Portfolio Broaden Clinical Understanding of
the Continuum of Care for Renal Cell Carcinoma Patients
Pfizer Oncology today announced that important data from its lung cancer
and renal cell carcinoma (RCC) portfolios will be presented at the
upcoming European Society for Medical Oncology (ESMO) Congress in
Vienna, Austria, September 28 - October 2, 2012.
"We believe that the clinical trial results to be shared at ESMO 2012
substantially enhance our knowledge of both marketed and investigational
therapies from our lung and kidney cancer portfolios," said Mace
Rothenberg, MD, senior vice president of clinical development and
medical affairs for Pfizer's Oncology Business Unit. "We are especially
pleased to be able to share, for the first time, detailed results of
PROFILE 1007, a randomized trial comparing XALKORI to standard
chemotherapy in patients with recurrent, ALK-positive non-small cell
lung cancer (NSCLC). These results, which will be presented at the
Presidential Symposium, reinforce the value of Pfizer's precision
medicine approach to drug development, and demonstrate the benefit that
targeted, efficient and science-driven cancer drug development can have
on patient outcomes."
Treating Lung Cancer Through a Targeted Approach
Data highlights relating to Pfizer's lung cancer portfolio include:
-
Phase 3 randomized study of crizotinib versus pemetrexed or docetaxel
chemotherapy in advanced, ALK-positive NSCLC (PROFILE 1007)
(Presidential Symposium, Abstract #LBA1, September 30, 16:00-18:00)1
-
Updated results of a global Phase 2 study with crizotinib in advanced
ALK-positive NSCLC (Poster Discussion, Abstract #1230PD, September 30,
12:45-14:15)2
-
Clinical activity of crizotinib in patients with advanced NSCLC
harboring ROS1 gene rearrangement (Poster Discussion, Abstract
#1191PD, September 30, 12:45-14:15)3
Updated data will be presented on dacomitinib, an investigational,
irreversible pan-HER tyrosine kinase inhibitor (TKI), for first-line
treatment of EGFR-mutant, HER2-mutant or amplified lung cancers (Oral
Presentation, Abstract #1228O, September 30, 9:00-11:00).4
Additionally, data from a Phase 1 trial of dacomitinib in combination
with XALKORI (crizotinib) in previously treated advanced NSCLC will be
presented (Poster Presentation, Abstract #1290P, September 29,
13:00-14:00).5
Pfizer Oncology Leadership in Renal Cell Carcinoma
Pfizer Oncology is committed to contributing to the science of advanced
RCC and continues to support a number of studies evaluating established
and novel compounds for the disease. Pfizer will present data from new
and ongoing analyses of its RCC clinical trial program at ESMO 2012,
broadening clinical understanding of INLYTA® (axitinib),
SUTENT® (sunitinib malate) and TORISEL®
(temsirolimus) across the spectrum of renal cancer.
INLYTA is an oral kinase inhibitor designed to inhibit tyrosine kinases
including vascular endothelial growth factor (VEGF) receptors 1, 2 and
3. Data presentations for INLYTA include:
-
Clinic and home blood pressure measurements are reliable for guiding
therapy in patients with metastatic RCC receiving axitinib as
first-line therapy (Poster Presentation, Abstract #811P, September 29,
13:00-14:00)6
-
Axitinib vs sorafenib for advanced RCC: Phase 3 overall survival
results and analysis of prognostic factors (Poster Discussion,
Abstract #793PD, October 1, 13:00-14:00)7
As part of the continued evaluation of SUTENT, data to be presented at
the meeting include:
-
Comparative assessment of sunitinib-associated adverse events (AEs) as
potential biomarkers of efficacy in metastatic mRCC (Oral
Presentation, Abstract #785O, October 1, 14:00-15:00)8
-
Sunitinib dosing schedule and data collection timepoints: impact on
quality of life outcomes in metastatic RCC (Poster Presentation,
Abstract #815P, September 29, 13:00-14:00)9
Late breaking data will be presented in oral sessions from two
randomized Phase 3 studies evaluating TORISEL in patients with advanced
RCC at different stages of disease, including results from the INTORSECT
trial in previously treated patients compared with sorafenib. (Proffered
Papers Session, Abstract #LBA22_PR, October 1, 14:00-15:50).10
Pfizer will also present results from the INTORACT trial evaluating
TORISEL in combination with bevacizumab in treatment-naïve patients
(Proffered Papers Session, Abstract #LBA21_PR, October 1, 14:00-15:50).11
Pfizer previously announced that the INTORSECT and INTORACT trials did
not meet their primary endpoints in May 2012 and August 2012,
respectively.
About XALKORI® (crizotinib)
XALKORI received an accelerated approval by the U.S. Food and Drug
Administration (FDA) for the treatment of locally advanced or metastatic
non-small cell lung cancer (NSCLC) that is anaplastic lymphoma kinase
(ALK)-positive as detected by an FDA-approved test. This indication is
based on response rate. There are no data available demonstrating
improvement in patient-reported outcomes or survival with XALKORI.
XALKORI also has received approval in a number of other countries
including Canada, South Korea, Japan and Switzerland.
In June 2012, the Committee for Medicinal Products for Human Use (CHMP)
of the European Medicines Agency (EMA) issued a positive opinion
recommending that XALKORI be granted conditional approval in the
European Union (EU) for the treatment of adults with previously treated
ALK-positive advanced NSCLC. Additional applications are under
regulatory review in several countries worldwide.
Important XALKORI® (crizotinib) Safety
Information12
Drug-induced hepatotoxicity with fatal outcome has occurred.
Transaminase elevations generally occurred within the first 2 months of
treatment. Monitor with liver function tests including alanine
aminotransferase (ALT) and total bilirubin once a month and as
clinically indicated, with more frequent repeat testing for increased
liver transaminases, alkaline phosphatase, or total bilirubin in
patients who develop transaminase elevations. Temporarily suspend, dose
reduce, or permanently discontinue XALKORI as indicated.
XALKORI has been associated with severe, life-threatening, or fatal
treatment-related pneumonitis in clinical trials with a frequency of 4
in 255 (1.6%) patients. All of these cases occurred within 2 months
after the initiation of treatment. Monitor patients for pulmonary
symptoms indicative of pneumonitis. Exclude other causes and permanently
discontinue XALKORI in patients with treatment-related pneumonitis. QTc
prolongation has been observed. Avoid use of XALKORI in patients with
congenital long QT syndrome. Consider periodic monitoring with
electrocardiograms (ECGs) and electrolytes in patients with congestive
heart failure, bradyarrhythmias, electrolyte abnormalities, or who are
taking medications that are known to prolong the QT interval.
Permanently discontinue XALKORI for grade 4 QTc prolongation. XALKORI
should be withheld for grade 3 QTc prolongation until recovery to ?
grade 1. Permanently discontinue XALKORI if grade 3 QTc prolongation
recurs.
Detection of ALK-positive NSCLC using an FDA-approved test, indicated
for this use, is necessary for selection of patients for treatment with
XALKORI in the United States.
XALKORI can cause fetal harm when administered to a pregnant woman based
on its mechanism of action. Women of childbearing potential should be
advised to avoid becoming pregnant while receiving XALKORI. If the
patient or their partner becomes pregnant while taking this drug,
apprise the patient of the potential hazard to the fetus.
Among the 397 patients for whom information on deaths and serious
adverse reactions is available, deaths within 28 days of the last dose
of study drug occurred in 45 patients. Ten (2.5%) patients died within
28 days of their first dose of study drug. Causes of death included
disease progression (32 patients), respiratory events (9), and other (4).
Safety of XALKORI was evaluated in 255 patients with locally advanced or
metastatic ALK-positive NSCLC in 2 single-arm clinical trials (Studies A
and B). The most common adverse reactions (?25%) across both studies
were vision disorder, nausea, diarrhea, vomiting, edema, and
constipation. Grade 3-4 adverse reactions in ?4% of patients in both
studies included ALT increased and neutropenia.
Vision disorders including visual impairment, photopsia, vision blurred,
vitreous floaters, photophobia, and diplopia were reported in 159 (62%)
patients in clinical trials. Consider ophthalmological evaluation,
particularly if patients experience photopsia or experience new or
increased vitreous floaters. Severe or worsening vitreous floaters
and/or photopsia could also be signs of a retinal hole or pending
retinal detachment. Advise patients to exercise caution when driving or
operating machinery due to the risk of developing a vision disorder.
About INLYTA® (axitinib)
In January 2012, INLYTA® was approved by the U.S. Food
and Drug Administration (FDA) for the treatment of advanced renal cell
carcinoma after failure of one prior systemic therapy. INLYTA was
approved by the European Commission on September 3, 2012, for the
treatment of adult patients with advanced RCC after failure of prior
treatment with sunitinib or a cytokine. INLYTA has also been approved in
a number of other countries and regions, including Switzerland, Japan,
Canada, Australia, and South Korea.
INLYTA, a kinase inhibitor, is an oral therapy that was designed to
selectively inhibit vascular endothelial growth factor (VEGF) receptors
1, 2 and 3, which are proteins that can influence tumor growth, vascular
angiogenesis and progression of cancer (tumor spread).
Important INLYTA® (axitinib) Safety
Information13
Serious adverse reactions reported in patients receiving INLYTA were
arterial embolic and thrombotic events, venous embolic and thrombotic
events, haemorrhage (including gastrointestinal haemorrhage, cerebral
haemorrhage and haemoptysis), gastrointestinal perforation and fistula
formation, hypertensive crisis, and posterior reversible encephalopathy
syndrome.
The most common (? 20%) adverse reactions observed following treatment
with INLYTA were diarrhoea, hypertension, fatigue, dysphonia, nausea,
decreased appetite, and palmar-plantar erythrodysaesthesia (hand-foot)
syndrome.
About SUTENT® (sunitinib malate)
SUTENT® is approved for gastrointestinal stromal
tumors (GIST) after disease progression on or intolerance to
imatinibmesylate, for advanced RCC, and for progressive,
well-differentiated pancreatic neuroendocrine tumors (NET) in patients
with unresectable locally advanced or metastatic disease.
SUTENT is an oral multi-kinase inhibitor that works by blocking multiple
molecular targets implicated in the growth, proliferation and spread of
cancer.8b Two important SUTENT targets, vascular endothelial
growth factor receptor (VEGFR) and platelet-derived growth factor
receptor (PDGFR) are expressed by many types of solid tumors and are
thought to play a crucial role in angiogenesis, the process by which
tumors acquire blood vessels, oxygen and nutrients needed for growth.
SUTENT also inhibits other targets important to tumor growth, including
KIT, FLT3 and RET.
Important SUTENT® (sunitinib malate) Safety
Information14
Serious adverse reactions associated with sunitinib are renal failure,
heart failure, pulmonary embolism, intestinal perforation, and
haemorrhages (e.g. respiratory, gastrointestinal, tumour haemorrhages).
The most common (?20%) adverse events (AEs) in patients receiving SUTENT
were decreased appetite, taste disturbance, hypertension, fatigue,
gastrointestinal disorders, skin discoloration, and hand-foot syndrome.
Fatal events, other than those listed, included multi-system organ
failure, disseminated intravascular coagulation, peritoneal hemorrhage,
rhabdomyolysis, cerebrovascular accident, dehydration, adrenal
insufficiency, renal failure, respiratory failure, pleural effusion,
pneumothorax, shock, and sudden death.
About TORISEL® (temsirolimus)
TORISEL® is the only intravenous mammalian target of
rapamycin (mTOR) inhibitor approved for the treatment of advanced renal
cell carcinoma (RCC).
TORISEL inhibits the activity of mTOR, an intracellular protein
implicated in multiple growth-related cellular functions including
proliferation, growth and survival. The inhibition of mTOR also reduces
levels of certain growth factors, such as vascular endothelial growth
factor (VEGF), which are overexpressed in solid tumors like kidney
cancer and are thought to play a crucial role in angiogenesis, the
process by which tumors acquire blood vessels, nutrients and oxygen
needed for growth.
Important TORISEL® (temsirolimus) Safety
Information15
Serious reactions observed with TORISEL are hypersensitivity/infusion
reactions (including some life-threatening and rare fatal reactions),
hyperglycaemia/glucose intolerance, infections, interstitial lung
disease (pneumonitis), hyperlipaemia, intracerebral bleeding, renal
failure, bowel perforation, and wound healing complication.
The most common (?30%) adverse reactions (all grades) observed with
TORISEL include anaemia, nausea, rash (including rash, pruritic rash,
maculopapular rash, pustular rash), anorexia, oedema (including facial
oedema and peripheral oedema), and asthenia.
Cataracts have been observed in some patients who received the
combination of temsirolimus and interferon ?.
For more information on XALKORI (crizotinib), INLYTA (axitinib), SUTENT
(sunitinib malate) and TORISEL (temsirolimus), including full
prescribing information, please visit www.pfizer.com.
About Pfizer Oncology
Pfizer Oncology is committed to the discovery, investigation and
development of innovative treatment options to improve the outlook for
cancer patients worldwide. Our strong pipeline of biologics and small
molecules, one of the most robust in the industry, is studied with
precise focus on identifying and translating the best scientific
breakthroughs into clinical application for patients across a wide range
of cancers. By working collaboratively with academic institutions,
individual researchers, cooperative research groups, governments, and
licensing partners, Pfizer Oncology strives to cure or control cancer
with breakthrough medicines, to deliver the right drug for each patient
at the right time. For more information please visit www.Pfizer.com.
DISCLOSURE NOTICE:
The information contained in this release is as of September 17,
2012. Pfizer assumes no obligation to update forward-looking statements
contained in this release as the result of new information or future
events or developments.
This release contains forward-looking information about various
potential indications for dacomitinib, Xalkori (crizotinib) and INLYTA
(axitinib), including their potential benefits, that involves
substantial risks and uncertainties. Such risks and uncertainties
include, among other things, (i) the uncertainties inherent in research
and development; (ii) decisions by the FDA, the European Commission and
regulatory authorities in other jurisdictions regarding whether and when
to approve drug applications that have been or may be filed for any such
indications as well as their decisions regarding labeling and other
matters that could affect the availability or commercial potential of
any such indications; and (iii) competitive developments.
A further description of risks and uncertainties can be found in
Pfizer's Annual Report on Form 10-K for the fiscal year ended December
31, 2011 and in its reports on Form 10-Q and Form 8-K.
1 ESMO 2012 Accepted Late Breaking Abstract #LBA1. Phase 3
randomized study of crizotinib versus pemetrexed or docetaxel
chemotherapy in advanced, ALK-positive NSCLC (PROFILE 1007). Sunday,
September 30: 16:00 CEST. A. Shaw - Presenter. 37th Congress
of the European Society for Medical Oncology. Vienna, Austria. September
28 - October 2, 2012.
2 ESMO Accepted Abstract #1230. Updated Results of a Global
Phase II Study with Crizotinib in Advanced ALK-positive Non-Small Cell
Lung Cancer (NSCLC).Poster Discussion. Sunday, September 30: 13:00 CEST.
D.W. Kim - Presenter. 37th Congress of the European Society
for Medical Oncology. Vienna, Austria. September 28 - October 2, 2012.
3 ESMO Accepted Abstract #1191. Clinical Activity of
Crizotinib in Patients with Advanced Non-Small Cell Lung Cancer (NSCLC)
Harboring ROS1 Gene Rearrangement. Poster Discussion. Sunday, September
30: 13:15 CEST. S.-H. I. Ou - Presenter. 37th Congress of the European
Society for Medical Oncology. Vienna, Austria. September 28 - October 2,
2012.
4 ESMO Accepted Abstract #1228. Dacomitinib (PF-00299804), an
Irreversible Pan-HER Tyrosine Kinase Inhibitor (TKI), for First-Line
Treatment of EGFR-Mutant or HER2-Mutant or Amplified Lung Cancers.
Proffered Paper. Sunday, September 30: 10:30 CEST. M. Kris - Presenter.
37th Congress of the European Society for Medical Oncology.
Vienna, Austria. September 28 - October 2, 2012.
5 ESMO Accepted Abstract #1290. Phase I Trial of Irreversible
Pan-ERBB Inhibitor Dacomitinib (dac) in Combination with ALK/MET
Inhibitor Crizotinib (criz) in Previously Treated Advanced Non-Small
Cell Lung Cancer (NSCLC). Poster Presentation. Saturday, September 29:
13:00 - 14:00. X.-C. Zhang - Presenter. 37th Congress of the
European Society for Medical Oncology. Vienna, Austria. September 28 -
October 2, 2012.
6 ESMO Accepted Abstract #811. Clinic and Home Blood Pressure
Measurements are Reliable for Guiding Therapy in Patients with
Metastatic Renal Cell Carcinoma Receiving Axitinib as First-Line
Therapy. Poster Presentation. Saturday, September 29: 13:00 - 14:00. V.
Grünwald - Presenter. 37th Congress of the European Society
for Medical Oncology. Vienna, Austria. September 28 - October 2, 2012.
7 ESMO Accepted Abstract #793. Axitinib vs Sorafenib for
Advanced Renal Cell Carcinoma: Phase III Overall Survival Results and
Analysis of Prognostic Factors. Poster Discussion. Monday, October 1:
13:00 CEST. R. Motzer - Presenter. 37th Congress of the
European Society for Medical Oncology. Vienna, Austria. September 28 -
October 2, 2012.
8 ESMO Accepted Abstract #785. Comparative Assessment of
Sunitinib-Associated Adverse Events (AEs) as Potential Biomarkers of
Efficacy in Metastatic Renal Cell Carcinoma (mRCC). Proffered Paper.
Monday, October 1: 15:15 CEST. F. Donskov - Presenter. 37th
Congress of the European Society for Medical Oncology. Vienna, Austria.
September 28 - October 2, 2012.
9 ESMO Accepted Abstract #815. Sunitinib (SU) Dosing Schedule
and Data Collection Timepoints: Impact on Quality of Life (QoL) Outcomes
in Metastatic Renal Cell Carcinoma (mRCC). Poster Presentation.
Saturday, September 29: 13:00-14:00 CEST. A. Bushmakin - Presenter. 37th
Congress of the European Society for Medical Oncology. Vienna, Austria.
September 28 - October 2, 2012.
10 ESMO 2012 Accepted Late Breaking Abstract #LBA22_PR.
Randomized Phase 3 trial of temsirolimus versus sorafenib as second-line
therapy in metastatic RCC (mRCC): Results From the INTORSECT Trial.
Monday, October 1: 14:00 - 15:50 CEST. Proffered Papers Session. T.
Hutson - Presenter. 37th Congress of the European Society for
Medical Oncology. Vienna, Austria. September 28 - October 2, 2012.
11 ESMO 2012 Accepted Late Breaking Abstract #LBA21_PR.
Randomized Phase 3b trial of temsirolimus and bevacizumab versus
Interferon and bevacizumab in metastatic RCC: Results from INTORACT.
Monday, October 1: 14:00 - 15:50 CEST. Proffered Papers Session. B. Rini
- Presenter. 37th Congress of the European Society for
Medical Oncology. Vienna, Austria. September 28 - October 2, 2012.
12 XALKORI (crizotinib) Prescribing Information. Pfizer Inc,
New York, NY. Available at:http://www.accessdata.fda.gov/drugsatfda_docs/label/2012/202570s003lbl.pdf.
13 Summary of Product Characteristics for INLYTA®.
Sandwich, Kent: UK; 2012. Available at: http://www.emea.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/002406/WC500132188.pdf
14 Summary of Product Characteristics for SUTENT®.
Sandwich, Kent: UK; 2012. Available at: http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Product_Information/human/000687/WC500057737.pdf
15 Summary of Product Characteristics for TORISEL®.
Sandwich, Kent: UK; 2011. Available at: http://www.medicines.org.uk/emc/medicine/21260.

Pfizer
Media:
Jenifer Antonacci, 610-427-0369
or
Matti
Ojanen, (+44) 7557 202394
or
Investors:
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212-733-0717
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