ASCO: French Pharma's Drug Slows Tumors in Brain Cancer Patients
Pictured: A doctor looks at a CT scan/iStock, gorodenkoff
Good news emerged Sunday from the American Society for Clinical Oncology’s annual meeting for glioma patients with a certain genetic alteration as Servier Pharmaceuticals reported vorasidenib significantly improved progression-free survival.
In the pivotal Phase III trial, vorasidenib, an oral dual inhibitor of mutant IDH1/2 enzymes, elicited an “unprecedented improvement” in progression-free survival with a 61% decrease in tumor growth, according to Servier. Patients in the vorasidenib arm had a median of 27.7 months before their tumors progressed compared to 11.1 months for those on placebo.
The study enrolled 331 patients between 16 and 71 years of age with grade 2 gliomas possessing IDH mutations. All participants had previously undergone surgery to remove their tumors, but either the cancer had returned or surgery did not succeed in removing the entire tumor.
This particular type of glioma afflicts approximately 4,000 people in the U.S., Glenn Lesser, a neuro-oncologist and professor at the Wake Forest University School of Medicine, told STAT News. Lesser, who was not involved in the study, called the results “clinically very significant and important.”
The trial also met its secondary endpoint of time to next intervention. Patients in the placebo group required another intervention at 17.8 months, while patients on vorasidenib had not yet required intervention at the time of the analysis, Katherine Peters, a neuro-oncologist at Duke Cancer Center and study investigator, told Targeted Oncology.
“This can be a durable therapy that can slow progression and slow the chance of your patients having to go to those more aggressive therapies, which are more surgery, radiation, and chemotherapy,” Peters said on Sunday. “This a development that we haven’t seen in over 20 years.”
The investigational therapy is not without side effects, as Servier reported that alanine aminotransferase, a liver enzyme, increased in 9.6% of patients receiving vorasidenib. Servier called the outcome—classified as a grade 3 toxicity—reversible, saying that most incidents were manageable and resolved with the appropriate medical attention.
Susan Pandya, Servier's vice president of clinical development and head of cancer metabolism global development oncology & immuno-oncology, told BioSpace the company is confident in the efficacy and safety profile achieved in the INDIGO trial.
Results of the study, dubbed INDIGO, were presented at ASCO Sunday and simultaneously published in the New England Journal of Medicine.
Servier, a private French biopharma company, entered the U.S. market nearly five years ago, setting up shop in Boston in 2019 after acquiring Shire’s oncology business for $2.4 billion in 2018. The company made another big splash in December 2021, shelling out $1.8 billion to acquire Agios Pharmaceuticals’ oncology business.
Vorasidenib was the lead asset in the package, coming over to the French pharma along with AG-270, an adenosyltransferase 2a (MAT2A) inhibitor being developed for non-small cell lung cancer (NSCLC) and pancreatic cancer, and AG-636, which inhibits dihydroorotate dehydrogenase, a mitochondrial enzyme implicated in tumor progression.
The FDA granted vorasidenib Fast Track designation in March 2023, and Pandya said Servier is currently in conversations with regulatory authorities regarding its potential approval in IDH-mutated grade 2 glioma.