Weekly Digest - November 2024

Weekly Digest - November 2024

27 Nov 2024: Sacituzumab Tirumotecan Earns Approval in China for Pretreated Advanced TNBC

  • Sacituzumab tirumotecan has been approved by China’s National Medical Products Administration (NMPA) to treat adult patients with unresectable locally advanced or metastatic triple-negative breast cancer (TNBC) who have previously received at least two systemic therapies, including one in the metastatic setting
  • It is the first TROP2-directed ADC approved in China, marking a milestone as the first fully approved ADC developed domestically by Kelun-Biotech
  • The Phase 3 OptiTROP-Breast01 trial demonstrated significant clinical efficacy, with patients treated with sacituzumab tirumotecan achieving a mPFS of 5.7 months compared to just 2.3 months for those receiving chemotherapy
  • The interim overall survival (OS) analysis revealed a statistically significant improvement in the Sacituzumab tirumotecan arm, with a hazard ratio (HR) of 0.53; 95% CI, 0.36 to 0.78; P =0.0005, the median OS was not reached (95% CI, 11.2 to NE) with SKB264 and 9.4 months (95% CI, 8.5 to 11.7) with chemotherapy. Additionally, the Sacituzumab tirumotecan arm demonstrated a higher overall response rate (45.4% vs. 12.0%)
  • The safety analysis indicated that 100% of patients in the sacituzumab tirumotecan arm experienced treatment-related adverse effects (TRAE), though the rate of severe TRAEs (grade 3 or higher) was comparable between both treatment arms (57.7% for sacituzumab tirumotecan vs. 56.8% for chemotherapy)

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