SpringWorks Filing Mirdametinib NDA in 2024

Share

SpringWorks Therapeutics says it will file an NDA in the first half of 2024 for mirdametinib, an investigational MEK inhibitor, indicated for use in pediatric and adult patients with neurofibromatosis Type 1-associated plexiform neurofibromas. The company says its move follows just-announced “positive topline results” from the pivotal Phase 2b ReNeu trial.

The ReNeu trial enrolled 114 pediatric and adult patients across 50 sites in the U.S, and the primary endpoint was a confirmed objective response rate, which was defined as greater than or equal to a 20% reduction in target tumor volume as measured by MRI and assessed by a blinded independent review, according to the company. The recent data showed that 52% (29/56) of pediatric patients and 41% (24/58) of adult patients had objective responses within the 24-cycle, 28-day treatment period. “An additional pediatric patient and two additional adult patients achieved confirmed objective responses after Cycle 24 in the long-term follow-up phase of the trial, where patients continue to receive mirdametinib treatment. Median best percent change from baseline in target tumor volume was -42% and -41% in the pediatric and adult cohort, respectively.”

During the study, the most frequently reported adverse events were rash, diarrhea, and vomiting in the pediatric cohort and rash, diarrhea, and nausea in the adult cohort, SpringWorks says. “Twenty-five percent of pediatric patients and 16% of adult patients experienced a Grade 3 or higher treatment-related AE,” it says. “Additional data are expected to be presented at an upcoming medical conference in the first half of 2024 and to be submitted for publication in a peer-reviewed journal.”

Read more