Sales projections for denosumab/Prolia/Xgeva are all over the map. Some analysts expect peak annual sales in all indications to amount to a mere $2B, while others foresee peak sales of $12B or more. The latter figure would likely make denosumab the largest-selling drug of all time.
The sBLA was submitted on 6/27/11, so this is a standard 10-month review.
Xgeva is already approved for preventing skeletal-related events in patients who already have bone mets (#msg-56882220).
The newly sought indication corresponds to the fourth row in the table in #msg-57938233.
An sBLA for preventing bone mets in metastatic breast cancer will be submitted much later, pending data from the phase-3 trial (see fifth row in #msg-57938233).
NICE’s original decision endorsing Xgeva was made in Mar 2012. Note: this is the CRPC treatment of bone mets indication for which Xgeva is already approved in most countries—not the prevention of bone mets indication in which Xgeva received a CRL in Apr 2012 (#msg-74907445).