Blueprint Medicines GIST Drug Approved
FDA has approved a Blueprint Medicines NDA for Ayvakit (avapritinib) for treating adults with unresectable or metastatic gastrointestinal stromal tumors (GIST) that have a platelet-derived growth factor receptor alpha (PDGFRA) exon 18 mutation. Ayvakit is a kinase inhibitor, which blocks a type of enzyme called a kinase and helps keeps the cancer cells from growing, an FDA release says. “Clinical trials showed a high response rate with almost 85% of patients experiencing tumor shrinkage with this targeted drug,” it says.
Approval is based on data from a clinical trial involving 43 patients with GIST harboring a PDGFRA exon 18 mutation, including 38 patients with PDGFRA D842V mutation, the agency says. “For patients harboring a PDGFRA exon 18 mutation, the overall response rate was 84%, with 7% having a complete response and 77% having a partial response,” it says. “For the subgroup of patients with PDGFRA D842V mutations, the overall response rate was 89%, with 8% having a complete response and 82% having a partial response. While the median duration of response was not reached, 61% of the responding patients with exon 18 mutations had a response lasting six months or longer (31% of patients with an ongoing response were followed for less than six months).”