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    Home > Active Ingredient News > Antitumor Therapy > FDA Approval Annual Inventory (Part II) | Lung Cancer and Melanoma

    FDA Approval Annual Inventory (Part II) | Lung Cancer and Melanoma

    • Last Update: 2023-02-01
    • Source: Internet
    • Author: User
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    On January 25, the U.
    S.
    Food and Drug Administration (FDA) approved tebentafusp-tebn for adult patients
    with HLA-A*02:01 positive unresectable or metastatic uveal melanoma.


    On March 4, nivolumab in combination with platinum-containing double-agent chemotherapy was approved by the FDA as neoadjuvant therapy
    for resectable adult patients with non-small cell lung cancer (NSCLC).


    On March 18, nivolumab + relatlimab-rmbw combination (Opdualag) was approved for unresectable or metastatic melanoma
    .


    On July 14, the FDA approved crizotinib for the treatment of adults or children ≥ 1 years of age with unresectable, relapsed, or refractory ALK-positive inflammatory myofibroblastoma (IMT
    ).


    On August 10, capmatinib was approved for use in adult patients
    with MET exon 14 skipping mutation metastatic NSCLC.


    On August 11, trastuzumab deruxtecan (DS-8201) received accelerated FDA approval for adult patients
    with HER2 mutation unresectable or metastatic NSCLC who had previously received systemic therapy.


    On September 21, the FDA accelerated approval of the selpercatinib extended indication for patients with locally advanced or metastatic solid tumors positive for RET gene fusion
    .


    On November 8, the FDA approved cemiplimab-RWLC in combination with platinum-based chemotherapy for adults without EGFR, ALK or ROS1 mutations with advanced NSCLC
    .


    On November 10, the FDA approved tremelimumab in combination with duvalumab and platinum-based chemotherapy for adults without EGFR or ALK driver gene transfer NSCLC
    .


    On December 9, the FDA approved atezolizumab for adults with unresectable or metastatic acinar soft tissue sarcoma (ASPS) and children 2 years of age and older
    .


    On December 12, the FDA accelerated approval of adagrasib for patients
    with locally advanced or metastatic NSCLC with KRAS G12C mutations who have received at least one prior systemic therapy.



    January 25

    On January 25, 2022, the FDA approved tebentafusp-tebn, a bispecific fusion protein, for adult patients
    with HLA-A*02:01 positive unresectable or metastatic uveal melanoma.
    The approval was based on the IMCgp100-202 (NCT03070392) study, a randomized, open-label, multicenter trial
    of 378 patients with metastatic uveal melanoma.

    Enrolled patients were randomized (2:1) to the tebentafusp drug group (252 patients) or to the investigator's selected drug (pembrolizumab, ipilimumab, or dacarbazine) control (126 patients
    ).
    Tebentafusp intravenously: 20 mg on the first day, 30 mg on the 8th day, and 68 mg
    weekly thereafter.
    The first three doses were inpatient and subsequent outpatients
    .
    The control group was treated
    with a standard dose and schedule.
    Treatment is discontinued
    when disease progression or unacceptable toxicity occurs.
    The primary endpoint was overall survival (OS).


    The results showed that the efficacy of the tebentafusp group was significantly improved
    compared with the control group.
    The median OS was 21.
    7 months in the Tebentafusp group and 16.
    0 months in the control group; the median PFS in the two groups was 3.
    3 months and 2.
    9 months
    , respectively.
    Objective responses occurred in 9% and 5% of patients in the Tebentafusp and control groups, respectively, and disease control rates (complete response, partial response, or 12 weeks of stable disease) in both groups, respectively, were 46% and 27%.

    The most common adverse events in the Tebentafusp group were cytokine release syndrome (89%), rash (83%), fever (76%), and pruritus (69%)
    .
    The incidence of treatment-related adverse events in the Tebentafusp group and the control group was 44% and 17%,
    respectively.

    January 3

    The FDA approved nivolumab in combination with platinum-containing dual-agent chemotherapy for neoadjuvant therapy
    in adults with resectable NSCLC.

    The approval is based on the CheckMate-816 study: a randomized, open-label clinical trial evaluating the efficacy
    of nivolumab in combination with chemotherapy in patients with resectable, histologically confirmed stage IB (≥ 4 cm), phase II, or IIIA NSCLC (AJCC/UICC staging criteria), measurable lesions (RECIST v1.
    1).

    Results showed that median disease-free survival (EFS) was 31.
    6 months (95% CI, 30.
    2-not achieved) in the nivolumab plus chemotherapy group compared with 20.
    8 months (95% CI, 14.
    0-26.
    7)
    in the chemotherapy alone group.
    The risk ratio was 0.
    63 (97.
    38% CI, 0.
    43-0.
    91; p=0.
    0052).

    The pCR rate was 24% (95% CI, 18.
    0 to 31.
    0) in the nivolumab combination chemotherapy group and 2.
    2% (95% CI, 0.
    6 to 5.
    6)
    in the chemotherapy alone group.
    For details, please click: FDA Alert| List of FDA approvals in the field of oncology in early March

    March 18, 2022

    The FDA approved nivolumab + relatlimab-RMBW combination for adults and adolescents ≥ 12 years of age, unresectable or metastatic melanoma
    .

    The approval is based on data from a randomized (1:1) double-blind phase II/III study RELATIVITY-047 (NCT03470922) that evaluated
    the efficacy and safety of a combination of nivolumab + relatlimab-rmbw in 714 patients with previously untreated metastatic or unresectable stage III/IV melanoma.

    The results showed that PFS in the combination group showed a statistically significant improvement compared with nivolumab (HR 0.
    75; 95% CI, 0.
    62~0.
    92; P=0.
    0055).

    The median progression-free survival (PFS) was 10.
    1 months (95% CI, 6.
    4~15.
    7) in the combination formulation group and 4.
    6 months (95% CI, 3.
    4~5.
    6)
    in the nivolumab group.
    Analysis of the secondary endpoint OS did not show statistical significance (HR 0.
    80; 95% CI, 0.
    64~1.
    01), median OS (95% CI, 34.
    2~NR) in the combination group, and median OS of 34.
    1 months (95% CI, 25.
    2~NR) in the nivolumab group.

    For details, please click: FDA Alert| List of FDA approvals in the field of oncology in mid-March

    March 2022, 7

    Crizotinib is approved by the FDA for the treatment of patients with unresectable, relapsed, or refractory ALK-positive inflammatory myofibroblastoma (IMT) who are adults or children
    ≥ 1 year of age.


    The approval is based on two multicenter, single-arm, open-label clinical trials, ADVL0912 in 14 pediatric patients and A8081013 in 7 adult patients
    .
    The inclusion criteria for the study were patients with unresectable, relapsed, or refractory ALK-positive IMT, with the primary endpoint of objective response rate (ORR).

    The results showed that for 14 pediatric patients, the patient ORR was 86%; For 7 adult patients, the patient ORR was 71.
    4%.

    For details, please click: Summer Inventory | List of FDA drug and protocol approvals in the field of solid tumors from June to August

    January 8

    The FDA approved capmatinib for the treatment of adult patients
    with MET exon 14 skipping mutation metastatic NSCLC.


    Capmatinib received accelerated approval for the same indication on May 6, 2020, based on the multicenter, non-randomized, open-label, multi-cohort GEOMETRY mono-1 trial, which is routinely approved based on data from an additional 63 patients in the study and an additional 22 months of follow-up
    .

    The study included 160 patients with MET exon 14 skipping mutation metastatic NSCLC who received capmatinib 400 mg orally, and bid until disease progression or intolerable
    toxicity.
    The primary endpoints were ORR and duration of response (DOR)
    assessed by BICR.
    For 60 previously untreated patients, the ORR was 68% and the median DOR was 16.
    6 months
    .
    For 100 previously treated patients, the ORR was 44% and the median DOR was 9.
    7 months
    .

    March 2022, 8

    Trastuzumab deruxtecan (DS-8201) received accelerated FDA approval for adult patients with HER2 mutation unresectable or metastatic NSCLC who have previously received systemic therapy
    .


    This accelerated approval is based on the DESTINY-Lung02 study, a multicenter, multicohort, randomized, blinded, dose-optimized trial
    .
    Patients with unresectable or metastatic HER2-mutant non-squamous NSCLC who progressed
    after prior systemic therapy were included.
    Patients are treated with T-Dxd 5.
    4 mg/kg, q3w until disease progression or toxicity is intolerable
    .
    The primary endpoints were ORR and DOR
    assessed by BICR according to RECEST v1.
    1 criteria.
    The results showed that the patient had an ORR of 58% and a median DOR of 8.
    7 months
    .

    January 9

    FDA accelerates approval of the selpercatinib extended indication for the treatment
    of patients with locally advanced or metastatic solid tumors with positive RET gene fusion.
    These patients have progressed during or after previous systemic therapy, or there are no other satisfactory alternatives
    .

    The approval was based on data from the Phase 1/2 LIBRETTO-001 trial (NCT03157128), a multicenter, open-label, multi-cohort trial that enrolled 41 patients with RET fusion-positive solid tumors (except non-small cell lung cancer and thyroid cancer).

    Results showed that selpercatinib had an overall ORR of 44% (95% CI, 28%-60%) in all populations, with 4.
    9% achieving a complete response (CR) and 39% achieving a partial response (PR).

    The median DOR for Selpercatinib was 24.
    5 months (95% CI, 9.
    2-NE), with remission lasting at least 6 months
    in 67% of patients.
    For more information, click here: FDA Alert| Selpercatinib Accelerates Approval for RET Gene Fusion-Positive Locally Advanced or Metastatic Solid Tumors

    January 11

    FDA approval of cemiplimab-RWLC in combination with platinum-based chemotherapy for the treatment of advanced adult NSCLC patients without EGFR, ALK, or ROS1 mutations is based on the 16113 (NCT03409614) study
    .
    Study 16113 was a multicenter, randomized, double-blind, controlled trial of 466 patients with advanced NSCLC who had not been treated systemically and could be enrolled regardless of PD-L1 expression status
    .


    The results showed that the median OS was 21.
    9 months in the cemiplimab-rwlc combination chemotherapy group and 13.
    0 months in the placebo combination chemotherapy group, and the risk of death was reduced by 29% in the cemiplimab-RWLC combination chemotherapy group (HR=0.
    71; 95% CI, 0.
    53-0.
    93; bilateral p=0.
    0140).

    。 The median PFS in the Cemiplimab-RWLC plus chemotherapy group and the placebo plus chemotherapy group were 8.
    2 months and 5.
    0 months, respectively (HR = 0.
    56; 95% CI, 0.
    44-0.
    70; p<0.
    0001).

    The ORRs in both groups were 43% (95% CI, 38-49) and 23% (95% CI, 16-30), respectively, and the median DOR was 15.
    6 and 7.
    3 months
    , respectively.
    FDA Alert | A summary of FDA oncology approvals in November

    January 11

    FDA approval of tremelimumab in combination with duvalumab and platinum-based chemotherapy in adult NSCLC patients without EGFR or ALK driver gene transfer is based on a comparison
    of 675 patients in treatment group 1 and treatment group 3 in the POSEIDON (NCT03164616) study.
    The results showed that the median OS of treatment group 1 and treatment group 3 was 14 months and 11.
    7 months, respectively, and tremelimumab combined with duvalumab and platinum-based chemotherapy showed a statistically significant improvement in OS (HR=0.
    77;
    95% CI, 0.
    65-0.
    92;
    bilateral p=0.
    00304).

    The median PFS in treatment group 1 and treatment group 3 were 6.
    2 months and 4.
    8 months, respectively (HR=0.
    72
    ; 95% CI, 0.
    60-0.
    86;
    bilateral p=0.
    00031), ORRs were 39% and 24%, and median DORS were 9.
    5 months and 5.
    1 months
    , respectively.

    January 12

    FDA approved atezolizumab for use in adults and children 2 years of age and older with unresectable or metastatic
    ASPS.
    The approval is based on the ML39345 study: an open-label, single-arm study evaluating the efficacy
    of atezolizumab in patients with ASPS.
    Forty-nine adults and children with
    unresectable or metastatic ASPS were included.
    Eligible patients had histologically or cytology-confirmed inoperable ASPS and an Eastern Cooperative Oncology Group (ECOG) performance status score of ≤2
    .
    Studies excluded patients with primary central nervous system (CNS) malignancy or symptomatic CNS metastases, clinically diagnosed liver disease, or a history of idiopathic pulmonary fibrosis, pneumonia, organising pneumonia, or active pneumonia on
    radiographs.
    1200 mg atezolizumab administered intravenously to adult patients; Atezolizumab 15 mg/kg, maximum 1200 mg, intravenously every 21 days until disease progression or unacceptable toxicity
    .


    The primary endpoints are ORR and DOR
    confirmed by an Independent Review Committee (IRC) in accordance with RECIST v1.
    1.
    The results showed an ORR of 24% (95% CI: 13,39).

    Of the 12 patients who achieved an objective response, 67% had a remission lasting 6 months or more, and 42% had a remission of 12 months or more
    .

    January 12

    FDA accelerates the approval of adagrasib for locally advanced or metastatic NSCLC with KRAS G12C
    mutations (confirmed by FDA-approved assays) that have received at least one prior systemic therapy.
    The FDA also approved the QIAGEN therascreen KRAS RGQ PCR kit (tissue sample) and the Agilent Resolution ctDx FIRST Assay (plasma sample) as companion diagnostic methods
    using Krazati.
    If no KRAS G12C mutation is detected in plasma samples, tumor tissue testing
    should be performed.
    The recommended dose of Adagrasib (tablets) is 600 mg orally twice daily until disease progression or unacceptable toxicity
    .
    For more information, please click: FDA Alert | List of approved drugs and recommended doses for solid tumors in early December

    Editor: Yuna

    Typesetting: Yuna

    Execution: Uni

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