Krazati’s Accelerated Approval for Colorectal Cancer Withdrawn

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FDA has acknowledged that Bristol Myers Squibb’s (BMS) accelerated approval of Krazati (adagrasib) in combination with cetuximab for adults with previously treated, KRAS G12C-mutated locally advanced or metastatic colorectal cancer has been voluntarily withdrawn by the company. The action was based on a ( xxx delete failed XX)confirmatory trial that failed to verify the clinical benefit behind its accelerated approval.

Recent results from the Phase 3 KRYSTAL-10 trial demonstrated antitumor activity, but it failed to achieve either of the trial’s dual primary endpoints. Median progression-free survival was 7.5 months with adagrasib plus cetuximab versus 8.1 months with chemotherapy, according to data presented at the ESMO Gastrointestinal Cancers Congress in July. Median overall survival was 21.6 months versus 21.7 months, respectively.

The withdrawal applies specifically to the colorectal-cancer indication. Krazati remains approved for certain patients with KRAS G12C-mutated non-small cell lung cancer.

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