IDEAYA Plans Phase 3 Study in Lung Cancer After FDA Meeting
IDEAYA Biosciences says it had a successful FDA Type C meeting to determine the Phase 3 registrational trial design for IDE849, a delta-like ligand 3 (DLL3)-targeting Topo-I-payload antibody drug conjugate (ADC) and its use in extensive stage small cell lung cancer (ES-SCLC). IDEAYA is planning to begin the study by year-end.
"Based on the FDA Type C meeting, we are targeting to initiate a randomized Phase 3 registrational study for IDE849 monotherapy in extensive stage small cell lung cancer to enable a potential accelerated approval and full approval in one seamless study design," the company says in a release.
The company says about 400 ES-SCLC patients with prior tarlatamab treatment will be enrolled in the study. “The study will be randomized 1:1 between the treatment and an investigator's choice control arm that will include topotecan and ambrucin,” it says. The primary endpoint for accelerated approval will be overall response rate (ORR) that will be evaluated by blinded independent central review (BICR), and the primary endpoint for full approval will be median overall survival. Secondary endpoints will include median duration of response by BICR, progression free survival, safety, among others.
IDEAYA notes it also has an ongoing multi-site global Phase 1 clinical trial for IDE849 in DLL3 upregulated solid tumor indications, including SCLC, and neuroendocrine carcinomas.