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Trastuzumab deruxtecan (T-DXd; DS-8201) in patients with advanced gastric or gastroesophageal junction (GEJ) adenocarcinoma, where HER2 levels are low: Findings from the exploratory cohorts of the phase II, multicenter, open-label DESTINY-Gastric01 study

CHRYSALIS study results at ESMO 2020

Abstract No : Abstract 1258O

Indication : Non-small cell lung cancer

Intervention : Amivantamab + lazertinib

Company : CHRYSALIS study

Technology : EGFR-MET bispecific antibody + TKI

 

Results:

As of 17 March 2020, 71 patients received the combination: median age was 61 y (36–79), median prior lines was 1 (0–9). In Part 1, the RP2CD was the maximally assessed doses of 1050 mg (1400 mg, ≥80 kg) amivantamab + 240 mg lazertinib. Interim safety profile includes rash (78%), infusion related reaction (61%), paronychia (42%), stomatitis (31%), pruritus (24%), and diarrhea (14%). Majority of treatment-related AEs were grade 1–2, with grade ≥3 reported in 7%. As of 30 April 2020, in 23 Part 1 patients with measurable disease, the overall response rate (ORR) was 43.5% (95% CI, 23.2–65.5) with 10 partial responses (PRs), and 9 patients with stable disease (SD); median treatment duration was 8.2 months (0.5–10.7), with 13 patients still ongoing. In the post-osimertinib expansion Cohort E, early antitumor activity is being observed in 14/20 response-evaluable patients with 1 complete response, 7 PRs (2 pending confirmation), and 6 SD with tumor shrinkage.

 

Conclusion:

Amivantamab can be combined safely with lazertinib at their respective full monotherapy doses. Encouraging preliminary activity was observed in osimertinib-relapsed disease

Note: The therapeutics segment is experiencing significant NSCLC clinical trial activity, which is further expected to drive Non-Small Cell Lung Caner market growth in the coming years.

Executive Summary

Amivantamab can be combined safely with lazertinib at their respective full monotherapy doses. Encouraging preliminary activity was observed in osimertinib-relapsed disease as Amivantamab with lazertinib has shown encouraging efficacy signals in advanced EGFRm NSCLC.

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