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Telix Completes TLX250-CDx (Zircaix®) BLA Submission for Kidney Cancer Imaging

Key Takeaway: Telix has completed the Biologics License Application (BLA) submission for TLX250-CDx, a radiodiagnostic agent for clear cell renal cell carcinoma (ccRCC). The submission is based on the successful Phase III ZIRCON study, which demonstrated high sensitivity and specificity for detecting ccRCC. Telix has also requested a Priority Review from the FDA, which could expedite the approval process. If approved, TLX250-CDx will be the first targeted imaging agent for kidney cancer available in the U.S.

Market Sentiment Analysis

POSITIVE FACTORS

  • Completion of BLA submission is a significant milestone for Telix.
  • TLX250-CDx shows high sensitivity and specificity for ccRCC.
  • Potential for expedited review under Breakthrough Therapy designation.
  • First targeted radiopharmaceutical imaging agent for kidney cancer in the U.S.

BiopharmaWatch Analysis

From our catalyst data and publicly available data · not financial advice
Best trade, last catalyst
+13%
120-day peak, hindsight
Typical move
7%
average across 7 past catalysts
Lead asset
131I-IPA
Phase 1 · Neoplastic Disease

Full Press Release Details

Melbourne (Australia) | 03 June 2024
Telix today announces that it has completed the submission of a Biologics License Application (BLA) to the United States (U.S.) Food and Drug Administration (FDA) for its investigational radiodiagnostic PET 1 agent, TLX250-CDx (Zircaix® 2 , 89 Zr-DFO-girentuximab), for the characterisation of renal masses as clear cell renal cell carcinoma (ccRCC).
The rolling BLA submission, initiated in December 2023 3 with timelines pre-agreed with the FDA, was based on Telix’s successful global Phase III ZIRCON 4 study in ccRCC. The clear cell variant of renal cancer is the most common and aggressive sub-type of kidney cancer. The ZIRCON study met all co-primary and secondary endpoints, demonstrating a sensitivity of 86%, specificity of 87% and a positive predictive value (PPV) of 93% for ccRCC, including in small, difficult to detect lesions 5 .
As part of the BLA submission process, Telix has requested a Priority Review under the eligibility criteria of the Breakthrough Therapy designation 6 . If granted, this would potentially support an expedited review time. If Zircaix® 2 is approved, TLX250-CDx will be the first targeted radiopharmaceutical imaging agent specifically for kidney cancer to be commercially available in the U.S. and further builds on Telix’s successful urology imaging franchise.
James Stonecypher, Chief Development Officer at Telix, stated, “Completing the BLA submission for TLX250-CDx represents a significant milestone for Telix as we bring our Breakthrough investigational kidney cancer imaging agent closer to market as a non-invasive diagnostic for patients. We believe TLX250-CDx is a natural follow-on product to Illuccix® as it is targeted at the same clinical stakeholders, the urologist and urologic oncologist, and leverages the proven commercial and distribution infrastructure developed through the launch of Illuccix®.”
TLX250-CDx International Expanded Access
As part of Telix’s commitment to access to medicine, the Company has opened an expanded access program (EAP) in the U.S. 7 , named patient programs (NPPs) in Europe, and a special access scheme (SAS) in Australia to allow continued access to TLX250-CDx outside of a clinical trial to patients for whom there are no comparable or satisfactory alternate options.
U.S. patients, or physicians who may have eligible patients in the U.S., can e-mail eap-americas@telixpharma.com or complete the form here for further information.
Physicians in Europe and Australia who may have eligible patients can email eap-emea@telixpharma.com and eap-apac@telixpharma.com , respectively, for further information about TLX250-CDx named patient access.
Telix’s Policy on Offering Compassionate Use to Investigational Medicines can be downloaded at the following link .
For more information about ongoing clinical trials of TLX250-CDx, please visit https://telixpharma.com/our-portfolio/clinical-trials/
Read the full ASX announcement here .
TLX250-CDx has not received a marketing authorisation in any jurisdiction.
• Positron emission tomography. ↩︎
• Brand name subject to final regulatory approval. ↩︎
• Telix ASX disclosure 19 December 2023. ↩︎
• Zirconium in Renal Cancer Oncology, ClinicalTrials.gov ID: NCT03849118 . ↩︎
• Telix ASX disclosures 7 November 2022. ↩︎
• Telix ASX disclosure 1 July 2020. ↩︎
• ClinicalTrials.gov ID: NCT06090331 . ↩︎

Frequently Asked Questions

What is TLX250-CDx?

TLX250-CDx is an investigational radiodiagnostic agent for imaging clear cell renal cell carcinoma.

What study supported the BLA submission?

The BLA submission was based on the successful Phase III ZIRCON study.

What are the key results from the ZIRCON study?

The ZIRCON study showed 86% sensitivity and 87% specificity for ccRCC detection.

What is the significance of the Priority Review request?

A Priority Review could expedite the FDA's review process for TLX250-CDx.

Is TLX250-CDx available for patients now?

Currently, TLX250-CDx has not received marketing authorization in any jurisdiction.

Last updated: Jun 2, 2024