Cabozantinib

Cabozantinib (Cabometyx, Cometriq, Ipsen Pharma) has 7 EU-approved indications in 4 tumour types.
Approved indications of Cabozantinib
Biomarker requirementRegimenSettingConditions
Neuroendocrine tumours1
None
Monotherapy
2L
advanced
Progressed following at least one prior systemic therapy other than somatostatin analogues
Hepatocellular carcinoma1
None
Monotherapy
2L
Previously been treated with sorafenib
Renal cell carcinoma3
None
+ nivolumab
1L
advanced
None
None
Monotherapy
1L
advanced
Intermediate or poor risk
None
Monotherapy
2L
advanced
After prior vascular endothelial growth factor (VEGF)-targeted therapy
Thyroid cancer2
None
Monotherapy
2L
advanced
Differentiated thyroid cancer only; Progressed during or after prior systemic therapy; Refractory or not eligible to radioactive iodine (RAI)
None
Monotherapy
Any line
advanced
Medullary thyroid cancer only; Progressive disease
Full text of section 4.1 (therapeutic indications)
Cabometyx

Renal cell carcinoma (RCC) CABOMETYX is indicated as monotherapy for advanced renal cell carcinoma - as first-line treatment of adult patients with intermediate or poor risk (see section 5.1), - in adults following prior vascular endothelial growth factor (VEGF)-targeted therapy (see section 5.1). CABOMETYX, in combination with nivolumab, is indicated for the first-line treatment of advanced renal cell carcinoma in adults (see section 5.1). Hepatocellular carcinoma (HCC) CABOMETYX is indicated as monotherapy for the treatment of hepatocellular carcinoma (HCC) in adults who have previously been treated with sorafenib. Differentiated thyroid carcinoma (DTC) CABOMETYX is indicated as monotherapy for the treatment of adult patients with locally advanced or metastatic differentiated thyroid carcinoma (DTC), refractory or not eligible to radioactive iodine (RAI) who have progressed during or after prior systemic therapy. Neuroendocrine Tumours (NET) CABOMETYX is indicated for the treatment of adult patients with unresectable or metastatic, well differentiated extra-pancreatic (epNET) and pancreatic (pNET) neuroendocrine tumours who have progressed following at least one prior systemic therapy other than somatostatin analogues.

Cometriq

COMETRIQ is indicated for the treatment of adult patients with progressive, unresectable locally advanced or metastatic medullary thyroid carcinoma. For patients in whom rearranged during transfection (RET) mutation status is not known or is negative, a possible lower benefit should be taken into account before individual treatment decision (see important information in section 5.1).

Label history

27 changes to the Cabometyx label since 2018, 5 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Product

Changes