Mirati Gets Accelerated OK for Lung Cancer Drug
FDA has granted accelerated approval to Mirati Therapeutics on its NDA for Krazati (adagrasib), a RAS GTPase family inhibitor for treating adult patients with KRAS G12C-mutated locally advanced or metastatic non-small cell lung cancer. This is determined by simultaneously approved companion diagnostics — Qiagen’s therascreen KRAS RGQ PCR kit (tissue) and Agilent’s Resolution ctDx FIRST Assay (plasma).
Krazati’s approval was based on data from KRYSTAL-1, a multicenter, single-arm, open-label clinical trial in 112 patients whose disease has progressed on or after platinum-based chemotherapy and an immune checkpoint inhibitor, given either concurrently or sequentially, according to an FDA release. Data showed that the confirmed objective response rate was 43% and median duration of response DOR was 8.5 months.
FDA says that the most common adverse reactions seen in more than 20% of patients were diarrhea, nausea, fatigue, vomiting, musculoskeletal pain, hepatotoxicity, renal impairment, dyspnea, edema, decreased appetite, cough, pneumonia, dizziness, constipation, abdominal pain, and QTc interval prolongation.