Rybrevant/Lazcluze Cancer Study Positive: J&J

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Johnson & Johnson is announcing positive topline results from the Phase 3 MARIPOSA study showing that its Rybrevant (amivantamab-vmjw) plus Lazcluze (lazertinib) had a statistically significant and clinically meaningful improvement in overall survival versus standard-of-care osimertinib (AstraZeneca’s Taggrisso) as a first-line therapy for patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletions (ex19del) or L858R substitution mutations. It also says the chemotherapy-free combination regimen showed an improvement in median overall survival that exceeded one year.

“The combination of these two agents previously demonstrated an improvement in progression-free survival, but this does not always capture the impact on the entire treatment course,” a company release says. “Evaluation of overall survival can better demonstrate the benefit of a first-line treatment regimen.”

Regarding its safety profile, the combination regimen was generally consistent with the profiles of the individual treatments, according to the company. “Venous thromboembolic events were observed with the combination,” it says. “Subsequent studies showed that administering oral anticoagulant medicines prophylactically during the initial four months of the Rybrevant and Lazcluze regimen significantly reduced the risk of thrombosis.”

Last year, FDA granted full approval to previously accelerated-approval Rybrevant in combination with chemotherapy (carboplatin-pemetrexed) for the first-line treatment of patients with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations as detected by an FDA-approved test. The drug is also approved for use in NSCLC with other mutations.

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