J&J Combo Approved for Lung Cancer

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FDA has approved a Johnson & Johnson BLA for Rybrevant (amivantamab-vmjw) plus Lazcluze (lazertinib) for the first-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 L858R substitution mutations. The company says the combination is the only “multitargeted, chemotherapy-free combination regimen with demonstrated superiority versus Osimertinib [AstraZeneca’s Tagrrisso] approved for the first-line treatment of patients with EGFR-mutated NSCLC.”

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.

Approval was based on data from the Phase 3 MARIPOSA study, which showed that the combination reduced the risk of disease progression or death by 30% compared to osimertinib (median progression-free survival — 23.7 months versus 16.6 months) in the targeted patient population. The median duration of response was nine months longer with Rybrevant plus Lazcluze compared to osimertinib (25.8 months versus 16.7 months, respectively).

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