Eisai Co., Ltd. โ Kisplyx EMA EPAR public assessment report (EMEA/H/C/004224, 2016)
Eisai Co., Ltd. ยท 2016 ยท EMA EPAR public assessment report ยท company profile โ
Report summary
The EMA assessed Kisplyx (lenvatinib) for advanced renal cell carcinoma (RCC) in combination with everolimus, following one prior VEGF-targeted therapy. Eisai Europe Ltd. received accelerated assessment due to unmet medical need. The report details the manufacturing, quality control, and stability of lenvatinib mesilate and Kisplyx capsules. Preclinical studies demonstrated lenvatinib's kinase inhibition, anti-angiogenic effects, and significant tumor growth inhibition in xenograft models, both alone and with everolimus. Pharmacokinetic profiles, metabolism, and safety pharmacology were evaluated in animals, showing dose-dependent toxicities and teratogenicity. Lenvatinib is a substrate for P-gp and BCRP and inhibits other transporters. Drug interaction studies with various compounds, including everolimus, were conducted, supporting the rationale for their synergistic combination in RCC. Environmental risk was deemed low.
Key findings โ cited to the page
| Kidney cancer percentage of all cancers worldwide | 3 % | Global ยท p.9 |
| Clear cell RCC percentage of sporadic RCC in adults | 70% โ85% | ยท p.9 |
| Proposed daily dose of everolimus | 5 mg | Kisplyx ยท p.12 |
| Lenvima approval date for differentiated thyroid cancer | 28 May 2015 | Lenvima ยท EU ยท p.9 |
| 5-year prevalence of RCC in EU-28 (plus Iceland and Norway) | 229,465 cases | EU-28, Iceland, Norway ยท p.9 |
| Marketing authorization application submission date | 11 January 2016 | Kisplyx ยท Europe ยท p.7 |
| Approved indication for Kisplyx | Kisplyx is indicated in combination with everolimus for the treatment of adult patients with advanced renal cell carcinoma (RCC) following one vascular endothelial growth factor (VEGF)-targeted prior therapy | Kisplyx ยท p.12 |
| Eligibility to centralised procedure agreed date | 21 May 2015 | Kisplyx ยท Europe ยท p.7 |
| Proposed daily dose of lenvatinib | 18 mg | Kisplyx ยท p.12 |
| CHMP positive opinion date | 21 July 2016 | Kisplyx ยท Europe ยท p.8 |
| Acceptability of accelerated review agreed date | 19 November 2015 | Kisplyx ยท Europe ยท p.7 |
| Papillary RCC percentage of non clear RCC | 7% โ15% | ยท p.9 |
Source: Eisai Co., Ltd. โ ยท License: EMA - reuse permitted with acknowledgement. Summary and findings are extracted from the published document; every figure cites its page. Informational only โ not investment advice. Explore the Oncology library โ