FDA record · Cancer

Veppanu (vepdegestrant)

What FDA's own documents say about Veppanu: what it is approved for, the trials FDA reviewed, the results it reported and the risks on the label.

Sponsor
Rigel Pharms
Application
NDA 219835
First approved
May 1, 2026
Status
Approved
Read from
11 FDA documents, 566 pages

What it is approved for

“VEPPANU is a heterobifunctional protein degrader indicated for the treatment of adults with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative, estrogen receptor-1 (ESR1)-mutated advanced or metastatic breast cancer, as detected by an FDA-authorized test, with disease progression following at least one line of endocrine therapy.”

Prescribing information, original approval · PDF p. 1 · fda.gov ↗

Trials FDA reviewed

TrialClinicalTrials.govPhaseMentionsDocuments
VERITAC-2C4891001NCT0565462331288 of 11
CPhm-103not given51 of 11
ARV-471ARV-471-mBC-101NCT040729521/211 of 11

Mentions: how many sentences across the FDA documents name the trial. NCT ids are read from the documents or, where they give none, matched on ClinicalTrials.gov by the trial's name or protocol code.

Results FDA reported

Sentences from FDA's reviews that give an endpoint's p-value, effect or confidence interval, those reporting a treatment effect first.

PFS

“There was a statistically significant and clinically meaningful improvement in PFS by BICR in the vepdegestrant arm when compared with the fulvestrant arm in participants with ESR1 mutations (stratified HR = 0.57 [95% CI: 0.418, 0.770], 1-sided p-value = 0.0001).”

Multi-disciplinary Review · PDF p. 97 · fda.gov ↗

95%p-value = 0.0001

PFS

“PFS was not met in the "All Participants" population (HR 0.83 [95% CI: 0.676, 1.016, 1-sided p=0.0358]).”

Administrative Correspondence · PDF p. 6 · fda.gov ↗

95%p=0.0358

Safety

Adverse events the documents discuss most

Dosing on the label

“Recommended Dosage: 200 mg orally once daily with food.”

Prescribing information, original approval · PDF p. 1 · fda.gov ↗

FDA documents read

DocumentDatePagesCopysha256
Approval letter219835Orig1s000ltr.pdfMay 4, 202650ee8d0e2f0de
Administrative Correspondence219835Orig1s000AdminCorres.pdfMay 27, 202652e1ebe560c202
Approval Letter219835Orig1s000Approv.pdfMay 27, 202610213f11e5df19
Chemistry Review219835Orig1s000ChemR.pdfMay 27, 202666233751ad5559
Prescribing Information (Label)219835Orig1s000Lbl.pdfMay 27, 202622f75713b2a8e9
Multi-disciplinary Review219835Orig1s000MultidisciplineR.pdfMay 27, 2026298f4f75ab78ced
Proprietary Name Review219835Orig1s000NameR.pdfMay 27, 2026196cee7d50226f
Officer/Employee List219835Orig1s000OEList.pdfMay 27, 2026260fb4807b0dc
Other Reviews219835Orig1s000OtherR.pdfMay 27, 202660b89c2a6b1c2a
Risk Assessment / REMS Review219835Orig1s000RiskR.pdfMay 27, 2026143a7d210d4819
Prescribing information, original approval219835Orig1s000lbl.pdfJune 1, 202618882bd50afd16

Checked against FDA's copies on September 30, 2026. The sha256 is the fingerprint of the file that was read: download it from fda.gov and compare. Quotes come from the text of each file as read; pages FDA stored as images were read by OCR and are marked.

Generated automatically (auto): the trials, names and dates are drafted from the documents by rules, with no language model; see the method.

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