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Swissmedic Grants Temporary Authorization to Lytgobi for FGFR2-Rearranged Cholangiocarcinoma

• Swissmedic has granted temporary authorization to Lytgobi (futibatinib) for treating locally advanced or metastatic cholangiocarcinoma with FGFR2 rearrangement. • Lytgobi is indicated for patients who have progressed after at least one prior line of therapy, addressing a critical unmet need in this aggressive cancer. • The authorization is based on the EMA's assessment and approval, with Swissmedic conducting a limited scientific review under Article 13 of the TPA. • The temporary authorization is contingent upon the submission of additional clinical trial data, with potential for full authorization pending positive benefit-risk assessment.

Lytgobi (futibatinib) has received temporary authorization from Swissmedic for the treatment of adults with locally advanced or metastatic bile duct cancer (cholangiocarcinoma) harboring fibroblast growth factor receptor 2 (FGFR2) rearrangements, following progression after at least one prior therapy. This approval marks a significant step forward in addressing the needs of patients with this aggressive and rare cancer.

Mechanism of Action

Futibatinib, the active substance in Lytgobi, functions by selectively blocking FGFR2, thereby inhibiting the growth of cancer cells that rely on this pathway. The drug is specifically intended for patients whose tumors exhibit an abnormal form of FGFR2 on their surface.

Regulatory Context

Given the life-threatening nature and rarity of locally advanced or metastatic cholangiocarcinoma, Lytgobi has been designated as an orphan drug. Swissmedic's authorization is under Article 13 of the Therapeutic Products Act (TPA), indicating that the drug is already authorized in at least one other country with comparable medicinal product control. In this instance, Swissmedic considered the assessment and approval decision made by the European Medicines Agency (EMA).

Conditions for Temporary Authorization

The temporary authorization is conditional, pending the submission of additional clinical trial data requested by Swissmedic. Upon successful review and a positive benefit-risk assessment, the temporary authorization may be converted to a full authorization without special conditions.

Further Information

At the time of the summary report's publication, detailed information for healthcare professionals and patients was not yet available. This information will be accessible on www.swissmedicinfo.ch once the medicine is available in Switzerland. Healthcare professionals are encouraged to address any further questions regarding Lytgobi.
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Reference News

[1]
Summary report on authorisation – Lytgobi® - Swissmedic
swissmedic.ch · Dec 20, 2024

Lytgobi® (futibatinib) received temporary authorization in Switzerland on 8 October 2024 for treating adults with advanc...

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