NDA Filed for Kura’s Ziftomenib for Rare Leukemia

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FDA has accepted for priority review a Kura Oncology NDA for ziftomenib, a potential new treatment for adult patients with relapsed or refractory acute myeloid leukemia (AML) harboring nucleophosmin 1 (NPM1) mutations. Ziftomenib is described as an investigational oral menin inhibitor, and it is the only therapy of its kind to have received Breakthrough Therapy Designation for this patient population, according to the company. The agency has set a user fee review action target date of 11/30.

The NDA submission is supported by positive results from the Phase 2 KOMET-001 clinical trial, which met its primary endpoint of complete remission or remission with partial hematologic recovery in patients with R/R NPM1-mutant AML, Kura says. Data showed that ziftomenib was well-tolerated, with low rates of myelosuppression and only 3% of patients discontinuing treatment due to drug-related effects.

Kura says AML is the most common acute leukemia in adults, while NPM1 mutations occur in about 30% of AML cases and initially respond to therapy. Unfortunately, relapsed patients face poor survival outcomes — particularly in later lines of treatment, it adds.

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