Daily Newsletter

11 September 2023

Daily Newsletter

11 September 2023

Amgen reports data from NSCLC combo therapy trial

Preliminary rapid and durable responses were observed in patients, followed for a median duration of three months.

September 11 2023

Amgen has reported data from a Phase Ib study of the CodeBreaK 101 clinical trial evaluating LUMAKRAS (sotorasib) along with carboplatin and pemetrexed to treat adults with KRAS G12C-mutated advanced non-small cell lung cancer (NSCLC).

Confirmed objective response rate (ORR) of 65% was observed in patients treated in the first-line setting (n=20), with a 100% disease control rate (DCR).

In the second-line setting (n=13), the ORR in assessable patients was found to be 54%, with a DCR of 85%.

ORR of 62% was demonstrated in the first-line setting while it was 50% in the second-line setting in patients with protein ligand-1 (PD-L1) expression less than 1%.

Preliminary rapid and durable responses were also observed in patients followed for a median duration of three months while progression-free survival and overall survival were immature.

Subprotocol F of the study will also assess the efficacy of the combined therapy with or without pembrolizumab maintenance, with docetaxel, or with carboplatin and paclitaxel in patients with KRAS G12C-mutated NSCLC.

In this study, tolerability, pharmacokinetics and safety will also be evaluated.

Amgen research and development executive vice-president David Reese said: “We are delighted to see the positive data from the global CodeBreaK 101 trial further validate our approach to move LUMAKRAS earlier within the treatment paradigm through novel therapeutic combinations.

“Notably, these results follow and further expand upon the Phase II investigator-led data demonstrating favourable efficacy and safety of LUMAKRAS plus carboplatin and pemetrexed in the first-line treatment of patients with KRAS G12C-mutated NSCLC.”

Based on the trial results, the company also commenced a Phase III trial of LUMAKRAS along with carboplatin and pemetrexed in first-line KRAS G12C-mutant and negative for programmed cell death PD-L1 advanced NSCLC.

Enrollment for this study is anticipated before the end of this year.

Significant opportunities and risks for disease-modifying therapies (DMTs) entering the PD market

As PD therapy currently centers on symptomatic treatment, the need for DMTs is one of the greatest unmet needs. Several companies within the late-stage PD pipeline are developing drugs that target PD via novel MOAs. KOLs remain hopeful that these companies will uncover a class of drugs that works effectively to slow or modify the disease course. Targeting α-synuclein and other neurotoxic proteins is a key strategy in the late-stage pipeline for DMTs.

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