Oncologists Discuss Accelerated FDA Approvals and Surrogate Endpoints After Zepzelca Withdrawal
Rami Manochakian, Razelle Kurzrock, Veli Bakalov and Drew Moghanaki

Oncologists Discuss Accelerated FDA Approvals and Surrogate Endpoints After Zepzelca Withdrawal

Rami Manochakian, Thoracic Medical Oncologist at Mayo Clinic Florida, shared on X:

“Hot off the press. Jazz Pharmaceuticals plans to ask U.S. FDA to withdraw:

Lurbinectedin (Zepzelca) approval in 2nd line Tx of Small Cell Lung Cancer (SCLC). This is based on Negative Lagoon phase 3 trial that showed NO OS benefit.”

Several oncologists shared this news on their X accounts.

Veli Bakalov, Hematologist and Oncologist at MD Anderson Cancer Center Copper։

“Here is a figure from all FDA approved drugs based on surrogate endpoints for ~20 years by Josh Elbaz, Alyson Haslam, and Vinay Prasad.

  • 28% of surrogate approvals failed to show OS benefit
  • 33% of surrogate approvals have yet to be tested for OS benefit

Only 7% were withdrawn from the market. Based on Jazz’s decision should other drugs be withdrawn?”

Oncologists Discuss Accelerated FDA Approvals and Surrogate Endpoints After Zepzelca Withdrawal

Razelle Kurzrock, Founding Director of the Michels Rare Cancers Research Laboratories:

“So does doing actual surgery just achieve plastic surgery on scans. And where are the RCT of surgery versus no surgery on early stage disease. ”

Drew Moghanaki, Nancy Stark Endowed Chair in Thoracic Radiation Oncology Research at David Geffen School of Medicine at UCLA:

“As a medical oncologist once taught me, treatments that improve response rates or PFS might achieve no more than ‘plastic surgery on the scans‘.”

You can also read:

LAGOON Trial: 3 Critical Results From Zepzelca in Second-Line SCLCOncologists Discuss Accelerated FDA Approvals and Surrogate Endpoints After Zepzelca Withdrawal