Mirati drug combination shrinks tumors in 39% of colon cancer patients in study

combination of Mirati Therapeutics’ genetic mutation-targeting adagrasib and older cancer drug Erbitux shrank tumors in 39% of patients with advanced colorectal cancer treated in a small trial, the company said last week.

Chief Executive Officer Charles Baum told Reuters Mirati plans to meet with the Food and Drug Administration in October to discuss whether it can pursue accelerated approval based on the combination therapy data.

Adagrasib targets a mutated form of a gene known as KRAS that occurs in around 13% of non-small cell lung cancers, 3% to 5% of colorectal cancers and up to 2% of other solid tumor cancers. Like other newer experimental drugs, it homes in on specific gene mutations driving cancer regardless of the organ in which the disease originated.

In May, Amgen’s Lumakras became the first approved drug in the class after the

Food and Drug Administration cleared it for use in patients with advanced nonsmall cell lung cancer.

At a meeting of the European Society of Medical Oncology (ESMO) last week, Mirati said that out of 28 evaluated trial patients treated with adagrasib plus Erbitux, 11, or 39%, experienced tumor shrinkage. Two patients had tumor growth, but the cancer was stabilized in the others, Mirati said.

Erbitux is an Eli Lilly & Co drug designed to block one of the signals that tells a tumor cell to grow by attaching to a structure on the cell called the epidermal growth factor receptor (EGFR).

At the ESMO meeting last week, Amgen said a trial of Lumakras in combination with its own EGFR inhibitor Vectibix found that 7 out of 26 advanced colorectal cancer patients, or 27%, responded to the combination therapy.

Mirati said that at the time of its analysis, with a median follow up of seven months, 63% of enrolled patients remained on its combination treatment.

In a segment of the trial where colorectal cancer patients were given adagrasib alone, 22% of evaluated patients responded to the drug, the company said.

Researchers said serious side effects occurred in 30% of patients treated with adagrasib alone, and in 16% of patients treated with the combination. Two patients who received the combination discontinued treatment after developing infusion-related reactions.

“It looks like we’ve gained quite a bit in efficacy and not really added much significant toxicity. So that’s why, you know, that combination approach may end up being our fastest approach for accelerated approval,” CEO Baum said.

Mirati plans to present updated results from a trial of adagrasib for lung cancer patients at ESMO on Monday.

Both Amgen and Mirati are also studying their drugs in combination with Keytruda, Merck & Co.’s blockbuster immunotherapy, for treating lung cancer. (Reuters)