Innovative Therapeutics in Oncology and Neuroscience
Adagrasib
Potentially Differentiated Therapy in NSCLC for Patients with KRAS G12C Mutations
Approved
(U.S.)
2L+ NSCLC: KRYSTAL-1 Study1
KRAZATI
KRAZATI
(adagrasib tablets)
MIRATI
200 mg
180 tablets
NOC 80739-812-18
Ra Only
KRAZATI
(adagrasib tablets)
MIRATI
THERAPEUTICE
200 mg
180 tablets
ORR (n=128): 43.0%
mPFS (n=128): 6.9 months (95% CI, 5.4-8.7)
mOS (n=132): 14.1 months (95% CI, 9.2-18.7)
Exploratory analyses suggested durable clinical
benefit in patients with treated, stable CNS
metastases at baseline (mOS of 14.7 months)
CNS metastases occur in 27%-42% of patients
with KRASG12C-mutated NSCLC at diagnosis
•
•
Current Status & Next steps
FDA accelerated approval in 2L+ NSCLC with
KRASG12C mutation in December 2022
Topline data readout for the ongoing
confirmatory KRYSTAL-12 Phase 3 study
expected in 1H 2024
Zai Lab is preparing for China NDA submission in
2024
33
1L NSCLC with TPS ≥ 50%
• Demonstrated early efficacy in
combination with pembrolizumab
•
• 63% ORR 2,3,4 (n=56)
•
Substantially exceeds standard of care
historical benchmark of 39%-45% 5,6
Combination is well tolerated with low
rates of clinically meaningful liver TRAES
Abbreviation: Central nervous system (CNS).
Sources: WCLC 2023; BMS presentation on the acquisition of Mirati on October 8, 2023.
Next step
Enrollment in Phase 3
adagrasib +/-
pembrolizumab study
.
1L NSCLC with TPS < 50%
Strategy to raise the standard
of care through combination
with chemotherapy and
pembrolizumab
Adagrasib chemo-pembro
combination Phase 2 study
underway (KRYSTAL-17)
Next step
Data for KRYSTAL-17
Phase 2 study expected
in 1H 2024
Notes: The trademarks and registered trademarks within are the property of their respective owners. (1) Two-year follow-up of data for 132 patients in Phase 1/1b dose escalation and expansion cohorts and Phase 2 Cohort A of KRYSTAL-1 (Data as of
1 January 2023; median follow-up: 26.9 months); (2) One confirmed response confirmed subsequent to data cut off; full analysis set includes 3 protocol violations (n=56); (3) Excluding 3 protocol violations, ORR was 66% (n=53); (4) Among clinical
activity evaluable (CAE) patients, defined as receiving at least one dose of adagrasib (400 mg BID) + pembrolizumab, having measurable disease at baseline, and having at least one post-baseline tumor assessment, the ÒRR was 71% (n=49); (5) ORR
of 39% from KEYNOTE-42 and ORR of 45% from KEYNOTE-24; (6) For illustrative purposes only: no head-to-head clinical trial has been conducted.
Clinical Data -
OncologyView entire presentation