WASHINGTON, March 14 (Xinhua) -- The U.S. Food and Drug Administration
(FDA) on Wednesday approved a new drug for patients with advanced, metastatic
breast cancer.
The newly approved drug Tykerb (lapatinib) is to be used in combination
with another cancer drug capectabine (Xeloda) for patients with advanced breast
cancer that is HER2 positive (tumors that exhibit HER2 protein).
The combined treatment is designed for women who have received prior
therapy with other cancer drugs, including anthracycline, taxane and trastuzumab
(Herceptin).
According to the American Cancer Society, about 180,000 new cases of breast
cancer are diagnosed each year, and approximately 8,000 to 10,000 women die from
metastatic HER2 positive breast cancer annually.
Tykerb, a new molecular entity (NME), is a kinase inhibitor that works on
multiple targets to deprive tumor cells of the signals needed to grow.
Unlike, for example, trastuzumab -- a monoclonal antibody, which is a large
protein molecule that targets the part of the HER2 protein on the outside of the
cell -- Tykerb is a small molecule that enters the cell and blocks the function
of this and other proteins.
Because of this difference in action mechanism, Tykerb works in some HER2
positive breast cancers that have been treated with trastuzumab and are no
longer benefiting from treatment.
"Today's approval is a step forward in making new treatments available for
patients who have progression of breast cancer after treatment with some of the
most effective breast cancer therapies available," said Steven Galson, MD,
M.P.H., Director of the FDA's Center for Drug Evaluation and Research. "New
targeted therapies such as Tykerb are helping expand options for patients."
The most commonly reported Tykerb-related side-effects include diarrhea,
nausea, vomiting, rash and hand-foot syndrome, which mayinclude numbness,
tingling, redness, swelling and discomfort in hands and feet.