Blueprint Medicines sNDA for Ayvakit

FDA has accepted for review a Blueprint Medicines supplemental NDA for Ayvakit (avapritinib) for treating adults with indolent systemic mastocytosis (SM). The agency set a user fee review action date of 5/22. Ayvakit is a kinase inhibitor currently approved for treating adults with advanced SM, including aggressive SM, SM with an associated hematological neoplasm, and mast cell leukemia.

The submission is based on results from the global PIONEER trial that evaluated the drug’s ability to potently and selectively inhibit D816V mutant KIT, the primary underlying cause of SM, according to the company.

SM is a rare disease driven by the KIT D816V mutation in about 95% of cases, the company says. “Uncontrolled proliferation and activation of mast cells result in chronic, severe and often unpredictable symptoms across multiple organ systems,” it says.

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