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Takeda Launches FRUZAQLA® (fruquintinib) in Japan for the Treatment of Unresectable Advanced or Recurrent Colorectal Cancer

2024年11月22日
Takeda today announced the launch of FRUZAQLA® Capsules 1mg/5mg (generic name: fruquintinib), a selective oral inhibitor for vascular endothelial growth factor receptor (VEGFR) -1, -2 and -3, for the treatment of advanced or recurrent colorectal cancer that is neither curable nor resectable, and that has progressed after chemotherapy. FRUZAQLA is the first novel oral targeted therapy in Japan for metastatic colorectal cancer (mCRC) regardless of biomarker status in over a decade.

In Japan, colorectal cancer is the most common cancer in men and women combined, with an estimated 161,000 new cases and 54,000 deaths in 2023.1.2 While early-stage colorectal cancer can be surgically resected, resulting in a favorable prognosis, mCRC continues to have a poor prognosis, with a 5-year survival rate of 17%.2 In the mCRC field, treatment options are limited, leading to a high unmet need, and new treatment options are eagerly awaited.3-7

Based primarily on the results of the FRESCO-2 trial, a global Phase III trial carried out in previously treated mCRC patients in the U.S., Europe, Japan and Australia, Takeda filed an application for manufacturing and marketing approval of FRUZAQLA to the Ministry of Health, Labour and Welfare on September 29, 2023, and received approval on September 24, 2024.

“For more than a decade, Takeda has been contributing to advance the treatment of mCRC in Japan. With FRUZAQLA, we are able to further support patients living with this debilitating disease,” said Satoshi Uchida, Head of the Japan Oncology Business Unit at Takeda. “We are committed to bringing this treatment to patients and families who urgently need new therapeutic options for mCRC.”

About FRUZAQLA (fruquintinib)

FRUZAQLA is a selective oral inhibitor of all three VEGF receptors (-1, -2 and -3). VEGFR inhibitors play a pivotal role in blocking tumor angiogenesis. FRUZAQLA was designed to have enhanced selectivity that limits off-target kinase activity, allowing for drug exposure achieving sustained target inhibition and flexibility for potential use as part of combination therapy.

Takeda has the exclusive worldwide license to further develop, commercialize, and manufacture fruquintinib outside of mainland China, Hong Kong and Macau. FRUZAQLA was approved by the U.S. Food and Drug Administration (FDA) in November 2023, by the European Commission (EC) in June 2024 and by Japan’s Ministry of Health, Labour and Welfare in September 2024. Fruquintinib is developed and marketed in China by HUTCHMED. Fruquintinib was approved for marketing by the China National Medical Products Administration (NMPA) in September 2018 and commercially launched in China in November 2018 under the brand name ELUNATE®.

An Overview of FRUZAQLA® in Japan

Brand name FRUZAQLA® Capsules 1mg/5mg
Generic name fruquintinib
Indications Unresectable advanced or recurrent colorectal cancer that has progressed after cancer chemotherapy
Dosage and administration The recommended adult dosage is 5 mg of fruquintinib administered orally once daily for 3 consecutive weeks, followed by a one-week rest period to comprise a complete cycle of 4 weeks. This 4-week cycle is to be repeated. The dosage may be reduced according to the patient's condition.
Drug price 1mg: 5,139.40 yen / 5mg: 23,866.90 yen


About the Phase 3 FRESCO-2 Trial

The FRESCO-2 study is a multi-regional clinical trial conducted in the U.S., Europe, Japan and Australia investigating FRUZAQLA plus BSC vs placebo plus BSC in patients with previously treated mCRC (NCT04322539). The study met all of its primary and key secondary endpoints, demonstrating that treatment with FRUZAQLA resulted in statistically significant and clinically meaningful improvement in overall survival and progression-free survival. The safety profile of FRUZAQLA in FRESCO-2 was consistent with previously reported fruquintinib monotherapy studies. Results from the study were presented at ESMO in September 2022 and subsequently published in The Lancet in June 2023.8.9

Takeda’s Commitment to Colorectal Cancer in Japan

CRC is the most prevalent type of cancer in Japan, with an estimated 161,000 new cases and 54,000 deaths in 2023, according to the National Cancer Center’s statistics.2 While early-stage CRC can be surgically resected, mCRC remains an area of high unmet need with patients awaiting new treatment options, given its poor prognosis and limited treatment options.3-7 For over a decade, we have contributed to the treatment of patients with late-stage CRC who have limited treatment options and to the advancement of personalized treatment through the provision of innovative medicines and the generation of relevant evidence. Moving forward, we will continue our work to treat patients with CRC and address their unmet needs.

About Takeda

Takeda is focused on creating better health for people and a brighter future for the world. We aim to discover and deliver life-transforming treatments in our core therapeutic and business areas, including gastrointestinal and inflammation, rare diseases, plasma-derived therapies, oncology, neuroscience and vaccines. Together with our partners, we aim to improve the patient experience and advance a new frontier of treatment options through our dynamic and diverse pipeline. As a leading values-based, R&D-driven biopharmaceutical company headquartered in Japan, we are guided by our commitment to patients, our people and the planet. Our employees in approximately 80 countries and regions are driven by our purpose and are grounded in the values that have defined us for more than two centuries. For more information, visit www.takeda.com.

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References
  1. Cancer Statistics. Cancer Information Service, National Cancer Center, Japan (National Cancer Registry, Ministry of Health, Labour and Welfare)
  2. Foundation for Promotion of Cancer Research. Cancer Statistics In Japan. Tokyo, Foundation for Promotion of Cancer Research; 2024.
  3. Bando H, et al. Therapeutic landscape and future direction of metastatic colorectal cancer. Nat Rev Gastroenterol Hepatol 2023; 20(5)306-322. doi:10.1038/s41575-022-00736-1.
  4. D'Haene N, et al. Clinical application of targeted next-generation sequencing for colorectal cancer patients: a multicentric Belgian experience. Oncotarget. 2018;9(29):20761-20768. Published 2018 Apr 17. doi:10.18632/oncotarget.25099.
  5. Venderbosch, et al. Mismatch repair status and braf mutation status in metastatic colorectal cancer patients: A pooled analysis of the Cairo, Cairo2, coin, and Focus Studies. Clinical Cancer Res.,2014; 20(20):5322–5330. doi:10.1158/1078-0432.ccr-14-0332.
  6. Koopman, M., et al. Deficient mismatch repair system in patients with sporadic advanced colorectal cancer. Br J Cancer. 209;100(2), 266–273. doi:10.1038/sj.bjc.6604867.
  7. Ahcene Djaballah S, et al. HER2 in Colorectal Cancer: The Long and Winding Road From Negative Predictive Factor to Positive Actionable Target.Am Soc Clin Oncol Educ Book. 2022;42:1-14. doi:10.1200/EDBK_351354.
  8. Dasari NA, et al. LBA25 – FRESCO-2: A global phase 3 multiregional clinical trial (MRCT) evaluating the efficacy and safety of fruquintinib in patients with refractory metastatic colorectal cancer. Ann Oncol. 2022 Sep;33(suppl_7): S808-S869. Doi:10.1016/annonc/annonc1089.
  9. Dasari NA, et al. Fruquintinib versus placebo in patients with refractory metastatic colorectal cancer (FRESCO-2): an international, multicentre, randomised, double-blind, phase 3 study. Lancet. 2023;402(10395):41-53. doi:10.1016/S0140-6736(23)00772-9.