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Re: antihama post# 2546

Saturday, 03/09/2019 11:12:46 AM

Saturday, March 09, 2019 11:12:46 AM

Post# of 3283

Haven't looked...but I would think Erbitux is generic.

Just wanted to follow-up a little regarding Erbitux (cetuximab). It's all guesswork and speculation what combo trials will be be started w pozi but cetuximab does use a different MoA and exhibited some signs of activity against the EGFR exon20in mutation. So it kind of fits the bill but MDACC along w Spectrum have that pre-clinical data w multiple combo's. Just having some fun here in guessing.

January 25, 2018
Cetuximab Biosimilars are on the Horizon
Cetuximab (Erbitux), an anti-epidermal growth factor receptor (anti-EGFR) monoclonal antibody used to treat metastatic colorectal cancer, metastatic non–small cell lung cancer, and head and neck cancer, was approved by the FDA in 2004, and US patents for the drug expired in 2016 (EU patents expired in 2014). In 2015, Bristol-Myers Squibb transferred North American marketing rights of biosimilar cetuximab to collaborator Eli Lilly. However, despite reported 2016 sales of $1.7 billion, the originator cetuximab has no approved biosimilar challengers in the US or European market.

Multiple drug makers, however, are in the process of developing biosimilar candidates to challenge the brand-name Erbitux’s sales:
Amgen: the drug maker reported at the 36th Annual J.P. Morgan Healthcare Conference that it is in phase 1 development of a cetuximab biosimilar.
BioXPress: this Swiss developer reports that cetuximab is a “future program.”
Celltrion: the Republic-of-Korea-based Celltrion is developing CT-P15 as a cetuximab biosimilar.
MabTech-Sorrento: in 2016, MabTech-Sorrento announced that it had successfully completed phase 3 clinical trials for STI-001, a “biosimilar-biobetter” cetuximab.
As developers work toward biosimilars of this drug, the reference product sponsor is well on its way to expanding indications for the innovator product; in 2012, the FDA granted approval to cetuximab for use in combination with folinic acid, fluorouracil, and irinotecan (FOLFIRI chemotherapy) for first-line treatment of patients with K-ras mutation-negative (wild-type) EGFR-expressing metastatic colorectal cancer.

Additionally, currently ongoing is a phase 2 trial to investigate the combined usage of afatinib (Gilotrif) in patients with an EGFR-mutated lung cancer. Afatinib is an irreversible EGFR tyrosine kinase Inhibitor (TKI) that binds to its receptor permanently. Unlike other EGFRs, afatinib inhibits the kinase activity of all human epidermal growth factor receptors. The goal of the study is to determine whether the combination of the 2 drugs will either delay or decrease the appearance of treatment resistance. https://www.centerforbiosimilars.com/news/cetuximab-biosimilars-are-on-the-horizon

As far as pozi is concerned, it makes no difference if a biosimilar of cetuximab is available. However, I would think it would be in BMSs interest to participate in a study w pozi. I think the incentive is they would get a patent extension on Erbitux, at least in that setting but am not really sure. All musings here. Who knows what they'll select to do a combo w posi.