Takeda sNDA for Alunbrig Expanded Use

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FDA has granted Takeda Pharmaceutical Co. a priority review for a supplemental NDA that seeks to expand the use of Alunbrig (brigatinib) as a first-line treatment for patients with anaplastic lymphoma kinase-positive (ALK+) metastatic non-small cell lung cancer (NSCLC) as detected by an FDA-approved test. Alunbrig is a next-generation tyrosine kinase inhibitor that was designed to target and inhibit ALK genetic alterations. It was originally approved 4/2017 for ALK+ metastatic NSCLC patients who have progressed on or are intolerant to crizotinib.

 

The new submission is based on data from the Phase 3 ALTA-1L trial. According to the company, the trial met its primary endpoint with Alunbrig “demonstrating superiority in blinded independent review committee-assessed progression-free survival compared to crizotinib.” Secondary endpoints included objective response rate, intracranial ORR, intracranial PFS, overall survival, safety and tolerability, it says. Alunbrig’s safety profile was generally consistent with the existing U.S. prescribing information.

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