拜耳TRK抑制剂Vitrakvi获得欧盟批准治疗NTRK基因融合的肿瘤患者

2019-09-26 不详 MedSci原创

拜耳的Vitrakvi(larotrectinib)获得欧盟批准用于治疗具有神经营养性酪氨酸受体激酶(NTRK)遗传变异的肿瘤。欧盟委员会已在欧盟授予Vitrakvi 有条件销售许可,用于治疗具有NTRK基因融合的实体瘤的成年和小儿患者,这种肿瘤发生在约1%的实体瘤中,包括唾液肿瘤,分泌型乳腺癌和婴儿纤维肉瘤。

拜耳的Vitrakvi(larotrectinib)获得欧盟批准用于治疗具有神经营养性酪氨酸受体激酶(NTRK)遗传变异的肿瘤。欧盟委员会已在欧盟授予Vitrakvi 有条件销售许可,用于治疗具有NTRK基因融合的实体瘤的成年和小儿患者,这种肿瘤发生在约1%的实体瘤中,包括唾液肿瘤,分泌型乳腺癌和婴儿纤维肉瘤。

Vitrakvi是一种首创的口服、高度选择性TRK抑制剂,专门用于治疗携带NTRK基因融合的肿瘤,可缩小肿瘤、减缓或阻止肿瘤生长。该药物此次批准仅可适用于局部晚期、转移性或手术可能导致死亡且因此没有其他可行治疗选择的癌症患者。拜耳去年11月在美国获得Vitrakvi治疗NTRK融合瘤的批准,并已在加拿大和巴西获得批准。

欧盟的批准对拜耳来说是个好消息,因为它面临着来自罗氏Rozlytrek(entrectinib)日益激烈的竞争。Rozlytrek于8月份获得了FDA的批准,尽管拜耳(Bayer)与罗氏(Roche)相比拥有领先优势,但由于罗氏(Roche)的价格竞争,它的进展可能会偏离轨道。一个月供应Rozlytrek的定价略高于17000美元,而Vitrakvi则接近33000美元。两种药物已被证明对少数具有特定NTRK生物标志物的患者有效。

现在Vitrakvi已获得欧盟批准,拜耳肯定会开始与NICE进行谈判,NICE已开始对其药物进行评估。拜耳很可能不得不对Vitrakvi的价格做出一些让步,特别是如果它想继续超越罗氏的优势。NHS估计,每年约有850名患者可以从中受益。

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[GetPortalCommentsPageByObjectIdResponse(id=1989320, encodeId=d6c9198932086, content=<a href='/topic/show?id=fb8a1e83492' target=_blank style='color:#2F92EE;'>#TRK抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17834, encryptionId=fb8a1e83492, topicName=TRK抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbcc223, createdName=cooco, createdTime=Thu Jan 02 05:12:00 CST 2020, time=2020-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1657226, encodeId=d0f9165e22666, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=757b24868428, createdName=bsmagic9140, createdTime=Tue Jul 21 16:12:00 CST 2020, time=2020-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668424, encodeId=e1fa1668424fe, content=<a href='/topic/show?id=fcde4188421' target=_blank style='color:#2F92EE;'>#基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41884, encryptionId=fcde4188421, topicName=基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b07026292028, createdName=lvygwyt2790, createdTime=Fri Sep 04 07:12:00 CST 2020, time=2020-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852133, encodeId=ceac1852133c9, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Wed Jul 01 16:12:00 CST 2020, time=2020-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1318493, encodeId=57f813184934e, content=<a href='/topic/show?id=9a535625968' target=_blank style='color:#2F92EE;'>#拜耳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56259, encryptionId=9a535625968, topicName=拜耳)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=11b4465, createdName=ying_wu, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424299, encodeId=86e11424299d5, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525522, encodeId=63541525522eb, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581434, encodeId=96a715814347d, content=<a href='/topic/show?id=86f2184e797' target=_blank style='color:#2F92EE;'>#Vitrakvi#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18477, encryptionId=86f2184e797, topicName=Vitrakvi)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590013, encodeId=bd71159001323, content=<a href='/topic/show?id=2d1c63118e9' target=_blank style='color:#2F92EE;'>#欧盟批准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63118, encryptionId=2d1c63118e9, topicName=欧盟批准)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0d617780998, createdName=chenwq14, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618661, encodeId=06d9161866155, content=<a href='/topic/show?id=b7f213129f5' target=_blank style='color:#2F92EE;'>#NTRK基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13129, encryptionId=b7f213129f5, topicName=NTRK基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=366d19925131, createdName=12498dabm83暂无昵称, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=)]
    2020-07-01 jklm09
  5. [GetPortalCommentsPageByObjectIdResponse(id=1989320, encodeId=d6c9198932086, content=<a href='/topic/show?id=fb8a1e83492' target=_blank style='color:#2F92EE;'>#TRK抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17834, encryptionId=fb8a1e83492, topicName=TRK抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbcc223, createdName=cooco, createdTime=Thu Jan 02 05:12:00 CST 2020, time=2020-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1657226, encodeId=d0f9165e22666, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, 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objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525522, encodeId=63541525522eb, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581434, encodeId=96a715814347d, content=<a href='/topic/show?id=86f2184e797' target=_blank style='color:#2F92EE;'>#Vitrakvi#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18477, encryptionId=86f2184e797, topicName=Vitrakvi)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590013, encodeId=bd71159001323, content=<a href='/topic/show?id=2d1c63118e9' target=_blank style='color:#2F92EE;'>#欧盟批准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63118, encryptionId=2d1c63118e9, topicName=欧盟批准)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0d617780998, createdName=chenwq14, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618661, encodeId=06d9161866155, content=<a href='/topic/show?id=b7f213129f5' target=_blank style='color:#2F92EE;'>#NTRK基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13129, encryptionId=b7f213129f5, topicName=NTRK基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=366d19925131, createdName=12498dabm83暂无昵称, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=)]
    2019-09-28 ying_wu
  6. 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objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525522, encodeId=63541525522eb, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581434, 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  7. [GetPortalCommentsPageByObjectIdResponse(id=1989320, encodeId=d6c9198932086, content=<a href='/topic/show?id=fb8a1e83492' target=_blank style='color:#2F92EE;'>#TRK抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17834, encryptionId=fb8a1e83492, topicName=TRK抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cbcc223, createdName=cooco, createdTime=Thu Jan 02 05:12:00 CST 2020, time=2020-01-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1657226, encodeId=d0f9165e22666, content=<a href='/topic/show?id=3ca31e71903' target=_blank style='color:#2F92EE;'>#TRA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17719, encryptionId=3ca31e71903, topicName=TRA)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=757b24868428, createdName=bsmagic9140, createdTime=Tue Jul 21 16:12:00 CST 2020, time=2020-07-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1668424, encodeId=e1fa1668424fe, content=<a href='/topic/show?id=fcde4188421' target=_blank style='color:#2F92EE;'>#基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=41884, encryptionId=fcde4188421, topicName=基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b07026292028, createdName=lvygwyt2790, createdTime=Fri Sep 04 07:12:00 CST 2020, time=2020-09-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1852133, encodeId=ceac1852133c9, content=<a href='/topic/show?id=f0a254918f0' target=_blank style='color:#2F92EE;'>#抑制剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=54918, encryptionId=f0a254918f0, topicName=抑制剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=44a360, createdName=jklm09, createdTime=Wed Jul 01 16:12:00 CST 2020, time=2020-07-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1318493, encodeId=57f813184934e, content=<a href='/topic/show?id=9a535625968' target=_blank style='color:#2F92EE;'>#拜耳#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=28, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=56259, encryptionId=9a535625968, topicName=拜耳)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=11b4465, createdName=ying_wu, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1424299, encodeId=86e11424299d5, content=<a href='/topic/show?id=94c182929d0' target=_blank style='color:#2F92EE;'>#肿瘤患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=82929, encryptionId=94c182929d0, topicName=肿瘤患者)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=60943920553, createdName=lanyan20020087, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1525522, encodeId=63541525522eb, content=<a href='/topic/show?id=08548885835' target=_blank style='color:#2F92EE;'>#融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=88858, encryptionId=08548885835, topicName=融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=08a911636812, createdName=licz0427, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1581434, encodeId=96a715814347d, content=<a href='/topic/show?id=86f2184e797' target=_blank style='color:#2F92EE;'>#Vitrakvi#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=18477, encryptionId=86f2184e797, topicName=Vitrakvi)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1590013, encodeId=bd71159001323, content=<a href='/topic/show?id=2d1c63118e9' target=_blank style='color:#2F92EE;'>#欧盟批准#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63118, encryptionId=2d1c63118e9, topicName=欧盟批准)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0d617780998, createdName=chenwq14, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618661, encodeId=06d9161866155, content=<a href='/topic/show?id=b7f213129f5' target=_blank style='color:#2F92EE;'>#NTRK基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13129, encryptionId=b7f213129f5, topicName=NTRK基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=366d19925131, createdName=12498dabm83暂无昵称, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=)]
    2019-09-28 licz0427
  8. 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attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0d617780998, createdName=chenwq14, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1618661, encodeId=06d9161866155, content=<a href='/topic/show?id=b7f213129f5' target=_blank style='color:#2F92EE;'>#NTRK基因融合#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13129, encryptionId=b7f213129f5, topicName=NTRK基因融合)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=366d19925131, createdName=12498dabm83暂无昵称, createdTime=Sat Sep 28 07:12:00 CST 2019, time=2019-09-28, status=1, ipAttribution=)]
    2019-09-28 zhouqu_8
  9. 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  10. 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