HUTCHMED (China) Limited (“HUTCHMED”)
(Nasdaq/AIM:
HCM; HKEX:
13) today
announces that the supplemental New Drug Application (“sNDA”) for
savolitinib, in adult patients with locally advanced or metastatic
non-small cell lung cancer (“NSCLC”) with mesenchymal epithelial
transition factor (“MET”) exon 14 skipping alteration, has been
accepted for review by the China National Medical Products
Administration (NMPA). If approved, the new label indication for
savolitinib will be expanded to include
treatment-naïve patients in China.
Savolitinib was previously granted conditional
approval in China for the treatment of patients with NSCLC with MET
exon 14 skipping alterations who have progressed following prior
systemic therapy or are unable to receive chemotherapy. Savolitinib
was launched and is marketed under the brand name ORPATHYS® by our
partner, AstraZeneca for this patient population, representing the
first selective MET inhibitor approved in China. More than a third
of the world’s lung cancer patients are in China and, among those
with NSCLC globally, approximately 2-3% have tumors with MET exon
14 skipping alterations.
Preliminary efficacy and safety data from the
first-line cohort of the confirmatory Phase IIIb clinical trial
(NCT04923945) were presented during the IASLC World Conference on
Lung Cancer (WCLC) in September 2023. Final data from the
confirmatory Phase IIIb trial were presented at the European Lung
Cancer Congress on March 20, 2024.
The data from this study provide confirmatory
evidence for savolitinib as a targeted treatment option for
treatment-naïve or previously treated patients with MET exon 14
skipping alteration NSCLC. In treatment-naïve patients, objective
response rate (“ORR”) was 62.1% (95% CI: 51.0% to 72.3%), disease
control rate (“DCR”) was 92.0% (95% CI: 84.1% to 96.7%) and median
duration of response (“DoR”) was 12.5 months (95% CI: 8.3 months to
15.2 months), as assessed by an independent review committee.
Median progression free survival (“PFS”) was 13.7 months (95% CI:
8.5 months to 16.6 months) and median overall survival (“OS”) was
not reached with median follow-up of 20.8 months. In previously
treated patients, ORR was 39.2% (95% CI: 28.4% to 50.9%), DCR was
92.4% (95% CI: 84.2% to 97.2%) and median DoR was 11.1 months (95%
CI: 6.6 months to not reached), as assessed by an independent
review committee. Median PFS was 11.0 months (95% CI: 8.3 months to
16.6 months) and median OS was not mature with median follow-up of
12.5 months. Responses occurred early (time to response 1.4-1.6
months) in both treatment-naïve and previously treated patients.
The safety profile was tolerable and no new safety signals were
observed. The most common drug-related treatment-emergent adverse
events of Grade 3 or above (5% or more of patients) were abnormal
hepatic function (16.9%), increased alanine aminotransferase
(14.5%), increased aspartate aminotransferase (12.0%), peripheral
oedema (6.0%) and increased gamma-glutamyltransferase (6.0%).
About NSCLC and MET
aberrations
Lung cancer is the leading cause of cancer death
among men and women, accounting for about one-fifth of all cancer
deaths.1 Lung cancer is broadly split into NSCLC and small cell
lung cancer, with 80-85% classified as NSCLC.2 The majority of
NSCLC patients (approximately 75%) are diagnosed with advanced
disease, and approximately 10-15% of NSCLC patients in the U.S. and
Europe and 30-40% of patients in Asia have EGFRm NSCLC. 3,4,5,6
MET is a tyrosine kinase receptor that has an
essential role in normal cell development.7 MET overexpression
and/or amplification can lead to tumor growth and the metastatic
progression of cancer cells, and is one of the mechanisms of
acquired resistance to EGFR TKIs for metastatic EGFR-mutated
NSCLC.7,8 Approximately 2-3% of NSCLC patients have tumors with MET
exon 14 skipping alterations, a targetable mutation in the MET
gene.9 Among patients who experience disease progression
post-osimertinib treatment, approximately 15-50% present with MET
aberration.10,11,12,13,14 The prevalence of MET depends on the
sample type, detection method and assay cut-off used.15
About Savolitinib
(ORPATHYS® in China)
Savolitinib is an oral, potent and highly
selective MET tyrosine kinase inhibitor that has demonstrated
clinical activity in advanced solid tumors. It blocks atypical
activation of the MET receptor tyrosine kinase pathway that occurs
because of mutations (such as exon 14 skipping alterations or other
point mutations), gene amplification or protein overexpression.
Savolitinib is marketed in China under the brand
name ORPATHYS® for the treatment of patients with non-small cell
lung cancer with MET exon 14 skipping alterations who have
progressed following prior systemic therapy or are unable to
receive chemotherapy. It is currently under clinical development
for multiple tumor types, including lung, kidney and gastric
cancers, as a single treatment and in combination with other
medicines. Starting on March 1, 2023, ORPATHYS® was included in the
National Reimbursement Drug List (NRDL) for the treatment of
locally advanced or metastatic NSCLC adult patients with MET exon
14-skipping alterations who have progressed after or unable to
tolerate platinum-based chemotherapy.
In 2011, AstraZeneca and HUTCHMED entered a
global licensing and collaboration agreement to jointly develop and
commercialize savolitinib. Joint development of savolitinib in
China is led by HUTCHMED, while AstraZeneca leads development
outside of China. HUTCHMED is responsible for the marketing
authorization, manufacturing and supply of savolitinib in China.
AstraZeneca is responsible for the commercialization of savolitinib
in China and worldwide. Sales of savolitinib are recognized by
AstraZeneca.
About HUTCHMED
HUTCHMED (Nasdaq/AIM:HCM;
HKEX:13) is an innovative, commercial-stage,
biopharmaceutical company. It is committed to the discovery, global
development and commercialization of targeted therapies and
immunotherapies for the treatment of cancer and immunological
diseases. It has approximately 5,000 personnel across all its
companies, at the center of which is a team of about 1,800 in
oncology/immunology. Since inception, HUTCHMED has focused on
bringing cancer drug candidates from in-house discovery to patients
around the world, with its first three medicines marketed in China,
the first of which is also marketed in the U.S. For more
information, please visit: www.hutch-med.com or follow us on
LinkedIn.
Forward-Looking Statements
This press release contains forward-looking
statements within the meaning of the “safe harbor” provisions of
the U.S. Private Securities Litigation Reform Act of 1995. These
forward-looking statements reflect HUTCHMED’s current expectations
regarding future events, including its expectations regarding the
therapeutic potential of savolitinib, the further clinical
development for savolitinib, its expectations as to whether any
studies on savolitinib would meet their primary or secondary
endpoints, and its expectations as to the timing of the completion
and the release of results from such studies. Forward-looking
statements involve risks and uncertainties. Such risks and
uncertainties include, among other things, assumptions regarding
enrollment rates and the timing and availability of subjects
meeting a study’s inclusion and exclusion criteria; changes to
clinical protocols or regulatory requirements; unexpected adverse
events or safety issues; the ability of savolitinib, including as a
combination therapy, to meet the primary or secondary endpoint of a
study, to obtain regulatory approval in different jurisdictions and
to gain commercial acceptance after obtaining regulatory approval;
the potential market of savolitinib for a targeted indication; and
the sufficiency of funding. Existing and prospective investors are
cautioned not to place undue reliance on these forward-looking
statements, which speak only as of the date hereof. For further
discussion of these and other risks, see HUTCHMED’s filings with
the U.S. Securities and Exchange Commission, The Stock Exchange of
Hong Kong Limited and on AIM. HUTCHMED undertakes no obligation to
update or revise the information contained in this press release,
whether as a result of new information, future events or
circumstances or otherwise.
Medical Information
This press release contains information about
products that may not be available in all countries, or may be
available under different trademarks, for different indications, in
different dosages, or in different strengths. Nothing contained
herein should be considered a solicitation, promotion or
advertisement for any prescription drugs including the ones under
development.
CONTACTS
Investor Enquiries |
+852 2121 8200 /
ir@hutch-med.com |
|
|
Media Enquiries |
|
Ben Atwell / Alex Shaw, FTI Consulting |
+44 20 3727 1030 /
+44 7771 913 902 (Mobile) /
+44 7779 545 055 (Mobile) /
HUTCHMED@fticonsulting.com |
Zhou Yi, Brunswick |
+852 9783 6894 (Mobile) /
HUTCHMED@brunswickgroup.com |
|
|
Nominated Advisor |
|
Atholl Tweedie / Freddy Crossley /
Daphne Zhang, Panmure Gordon |
+44 (20) 7886 2500 |
____________________ |
REFERENCES |
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World Health Organization. International Agency for Research on
Cancer. All cancers fact sheet. Available at:
https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf.
Accessed November 2022. |
2 |
American Cancer Society. What is Lung Cancer? Available at:
https://www.cancer.org/cancer/lung-cancer/about/what-is.html.
Accessed November 2022. |
3 |
Knight SB, et al. Progress and prospects of early detection in lung
cancer. Open Biol. 2017;7(9): 170070. |
4 |
Keedy VL, et al. American Society of Clinical Oncology Provisional
Clinical Opinion: Epidermal Growth Factor Receptor (EGFR) Mutation
Testing for Patients with Advanced Non-Small-Cell Lung Cancer
Considering First-Line EGFR Tyrosine Kinase Inhibitor Therapy. J
Clin Oncol. 2011:29;2121-27. |
5 |
Zhang Y, et al. The prevalence of EGFR mutation in patients with
non-small cell lung cancer: a systematic review and meta-analysis.
Oncotarget. 2016;7(48). |
6 |
Szumera-Ciećkiewicz A, et al. EGFR Mutation Testing on Cytological
and Histological Samples in 11. Non-Small Cell Lung Cancer: a
Polish, Single Institution Study and Systematic Review of European
Incidence. Int J Clin Exp Pathol. 2013:6;2800-12. |
7 |
Uchikawa E, et al. Structural basis of the activation of c-MET
receptor. Nat Commun. 2021;12(4074). |
8 |
Wang Q, et al. MET inhibitors for targeted therapy of EGFR
TKI-resistant lung cancer. Journal of Hematology & Oncology.
2019;63. |
9 |
Vuong HG, et al. Clinicopathological implications of MET exon 14
mutations in non-small cell lung cancer – A systematic review and
meta-analysis. Lung Cancer 2018; 123: 76-82. |
10 |
Soria JC, et al. Osimertinib in Untreated EGFR-Mutated Advanced
Non-Small-Cell Lung Cancer. N Engl J Med. 2018;378(2):113-125. |
11 |
Mok TS, et al. Osimertinib or Platinum-Pemetrexed in EGFR
T790M-Positive Lung Cancer. N Engl J Med. 2017;376(7):629-640. |
12 |
Hartmaier R, et al. Tumor genomics in patients (pts) with advanced
epidermal growth factor receptor mutant (EGFRm) non-small cell lung
cancer (NSCLC) whose disease has progressed on first-line (1L)
osimertinib therapy in the Phase II ORCHARD study. Cancer
Res 15 June 2022; 82 (12_Supplement): LB078. |
13 |
Piotrowska, et al. MET amplification (amp) as a resistance
mechanism to osimertinib. Journal of Clinical Oncology 2017
35:15_suppl, 9020-9020. |
14 |
Hartmaier, et al. Detection of MET-mediated EGFR tyrosine kinase
inhibitor (TKI) resistance in advanced non-small cell lung cancer
(NSCLC): biomarker analysis of the TATTON study. Cancer Res (2019)
79 (13_Supplement): 4897. |
15 |
Coleman N, et al. Beyond epidermal growth factor receptor: MET
amplification as a general resistance driver to targeted therapy in
oncogene-driven non-small-cell lung cancer. ESMO Open.
2019;6(6). |
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