An­oth­er one bites the dust: Bris­tol My­ers Squibb pulls 'dan­gling' ac­cel­er­at­ed ap­proval for Op­di­vo in liv­er can­cer

Bris­tol My­ers Squibb has agreed to pull a sec­ond-line liv­er can­cer in­di­ca­tion for its block­buster Op­di­vo as a monother­a­py, be­com­ing the sec­ond PD-(L)1 in­di­ca­tion to bite the dust af­ter the FDA’s on­col­o­gy ad­comm re­viewed six “dan­gling” ac­cel­er­at­ed ap­provals in April.

The out­side ex­perts vot­ed against two of the six in­di­ca­tions dis­cussed at the meet­ing, in­clud­ing Op­di­vo as a monother­a­py for he­pa­to­cel­lu­lar car­ci­no­ma (HCC) pa­tients who have pre­vi­ous­ly been treat­ed with so­rafenib, and Mer­ck’s Keytru­da as a third-line treat­ment for stom­ach can­cer. The ad­comm vot­ed 5 to 4 not to main­tain Op­di­vo’s in­di­ca­tion, af­ter it failed to show clin­i­cal ben­e­fit in a con­fir­ma­to­ry tri­al.

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