Deciphera NDA for Gastrointestinal Tumors OK’d

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Three months ahead of schedule, FDA 5/15 approved a Deciphera Pharmaceuticals NDA for Qinlock (ripretinib) tablets as the first new drug specifically approved as a fourth-line treatment for advanced gastrointestinal stromal tumor. The drug is indicated for adult patients who have received prior treatment with three or more kinase inhibitor therapies, including imatinib.

 

FDA says it collaborated with the Australian Therapeutic Goods Administration and Health Canada to review the submission as part of Project Orbis. Approval was based on data from an international, multi-center, randomized trial in 129 patients with advanced GIST who had received prior treatment with other FDA-approved targeted therapies, imatinib, sunitinib and regorafenib. On average, the progression free survival rate in patients in the Qinlock group was 6.3 months, compared to one month for patients in the placebo group.

 

The most common side effects with Qinlock were alopecia, fatigue, nausea, abdominal pain, constipation, myalgia, diarrhea, decreased appetite, palmar-plantar erythrodysesthesia syndrome (a skin reaction in the palms and soles) and vomiting, FDA says. Qinlock can also cause serious side effects including skin cancer, hypertension (high blood pressure) and cardiac dysfunction manifested as ejection fraction decrease, it adds.

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