NDA Filed for Zipalertinib in Lung Cancer

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Cullinan Therapeutics says its partner, Taiho Oncology, has filed an NDA for zipalertinib in combination with platinum-based chemotherapy for treating patients with previously untreated, locally advanced or metastatic non-small cell lung cancer (NSCLC) harboring epidermal growth factor receptor (EGFR) exon 20 insertion (ex20ins) mutations. he submission was made under the agency’s Real-Time Oncology Review program, which allows sponsors to submit clinical data in advance of a complete application to facilitate earlier review of efficacy and safety results.

The NDA is based on data from the Phase 3 REZILIENT3 trial, which met its primary endpoint at an interim analysis, “demonstrating a statistically significant and clinically meaningful improvement in median progression-free survival (PFS) for zipalertinib plus chemotherapy versus chemotherapy alone,” the company says.

Zipalertinib is described as an orally available small molecule designed to target activating mutations in EGFR. The molecule was selected because of its ability to inhibit EGFR variants with exon 20 insertion mutations, according to the company.

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