FDA OKs Rybrevant for Expanded Indication

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FDA has approved a Johnson & Johnson supplemental BLA for Rybrevant (amivantamab-vmjw) in combination with standard-of-care chemotherapy (carboplatin and pemetrexed) for treating adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletions or L858R substitution mutations, whose disease has progressed after receiving an EGFR tyrosine kinase inhibitor (TKI).

Approval was based on data from the Phase 3 MARIPOSA-2 (NCT04988295) study evaluating the efficacy and safety of Rybrevant in combination with chemotherapy for treating the target population on or after Osimertinib (AstraZeneca’s Tagrrisso). “Results showed Rybrevant plus chemotherapy reduced the risk of disease progression or death (progression-free survival [PFS]) by 52% vs. chemotherapy alone, the study’s primary endpoint,” the company says. “The median PFS for patients receiving Rybrevant plus chemotherapy was 6.3 months, compared to 4.2 months for chemotherapy alone.”

Rybrevant is described as an EGFR- and mesenchymal epithelial transition-directed bispecific antibody that stimulates the immune system, and Lazcluze is characterized as a highly selective, brain-penetrant, third-generation oral EGFR tyrosine kinase inhibitor.

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