Takeda Gets Expanded OK for Alunbrig

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FDA has approved a Takeda Pharmaceutical Company NDA for Alunbrig (brigatinib) for adult patients with anaplastic lymphoma kinase-positive (ALK+) metastatic non-small cell lung cancer (NSCLC) as detected by an FDA-approved test. This approval expands Alunbrig’s current indication to include the first-line setting. The potent and selective next-generation tyrosine kinase inhibitor is designed to target ALK molecular alterations.

 

Approval is based on results from the Phase 3 ALTA 1L trial, which is evaluating the safety and efficacy of Alunbrig compared to crizotinib in adult patients with ALK+ locally advanced or metastatic NSCLC who have not received prior treatment with an ALK inhibitor, the company says. “Results from the ALTA 1L trial add brigatinib to the very short list of first-line treatment options for ALK+ lung cancer patients that have proven to be superior to crizotinib,” it says. “Compared to crizotinib, brigatinib demonstrated superior efficacy, especially among those with brain metastases at baseline, and a low pill burden, at one pill a day, which is an important factor when we could be controlling disease for years,” it says.

 

In the ALTA 1L trial, serious adverse reactions occurred in 33% of patients receiving the therapy. The most common serious adverse reactions other than disease progression were pneumonia (4.4%), pneumonitis (3.7%), pyrexia (2.9%), dyspnea (2.2%), pulmonary embolism (2.2%), and asthenia (2.2%).

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