Regorafenib

Regorafenib (Stivarga, Bayer Pharma AG) has 3 EU-approved indications in 3 tumour types.
Approved indications of Regorafenib
Biomarker requirementRegimenSettingConditions
Gastrointestinal stromal tumour1
None
Monotherapy
3L+
advanced
Progressed on or are intolerant to prior treatment with imatinib and sunitinib
Colorectal cancer1
None
Monotherapy
Any line
metastatic
Previously treated with, or are not considered candidates for, available therapies (including fluoropyrimidine-based chemotherapy, an anti-VEGF therapy and an anti-EGFR therapy)
Hepatocellular carcinoma1
None
Monotherapy
2L
Previously treated with sorafenib
Full text of section 4.1 (therapeutic indications)

Stivarga is indicated as monotherapy for the treatment of adult patients with - metastatic colorectal cancer (CRC) who have been previously treated with, or are not considered candidates for, available therapies. These include fluoropyrimidine-based chemotherapy, an anti-VEGF therapy and an anti-EGFR therapy (see section 5.1) - unresectable or metastatic gastrointestinal stromal tumours (GIST) who progressed on or are intolerant to prior treatment with imatinib and sunitinib - hepatocellular carcinoma (HCC) who have been previously treated with sorafenib.

Label history

28 changes to the Stivarga label since 2014, 2 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Changes