FDA grants fast track designation for enobosarm in AR+ ER+ HER2- metastatic breast cancer

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FDA granted Fast Track designation to the phase III registration program for enobosarm, a selective androgen receptor targeting agonist, for the treatment of androgen receptor positive, estrogen receptor positive, human epidermal growth factor receptor 2 negative (AR+ER+HER2-) metastatic breast cancer patients who have shown previous disease progression on a nonsteroidal AI, Faslodex (fulvestrant), and CDK 4/6 inhibitor therapy, and who have AR% nuclei staining ≥40% in breast cancer tissue (third-line metastatic setting).

Enobosarm is sponsored by Veru Inc. 

Enobosarm is in clinical development for three indications: 

  • A phase III ARTEST clinical study, which is enrolling, evaluating enobosarm for the treatment of third-line metastatic AR+ER+HER2- breast cancer patients whose disease has progressed after treatment with a nonsteroidal aromatase inhibitor, Faslodex, and a CDK4/6 inhibitor with an androgen receptor nuclei staining of ≥40%.
  • Planned phase III ENABLAR-2 clinical study evaluating enobosarm + Verzenio (abemaciclib) combination therapy as treatment of second-line metastatic AR+ER+HER2- breast cancer patients whose breast cancer has progressed after treatment with Ibrance (palbociclib) and either a nonsteroidal aromatase inhibitor or Faslodex combination with an androgen receptor nuclei staining of ≥40%. 
  • A planned phase II clinical study of Veru’s enobosarm + sabizabulin combination therapy in metastatic triple negative breast cancer after two systemic chemotherapies.
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Positive high-level results from the Tropion-Breast02 phase III trial showed Datroway (datopotamab deruxtecan-dlnk) demonstrated a statistically significant and clinically meaningful improvement for the dual primary endpoints of overall survival and progression-free survival compared to investigator’s choice of chemotherapy as first-line treatment for patients with locally recurrent inoperable or metastatic triple-negative breast cancer for whom immunotherapy was not an option.
From left to right: Geoffrey Shapiro, Leif Ellisen and Nancy Lin. Sitting below them is Kornelia Polyak.The Dana-Farber/Harvard Cancer Center,  a cancer research consortium comprised of five of Boston’s academic medical centers, including Dana-Farber Cancer Institute and Massachusetts General Hospital, has been awarded an NCI grant to continue its Specialized Program of Research Excellence in Breast Cancer.

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