IDEAYA Reveals IDMC Approval for Part 2a Dose in Darovasertib-Crizotinib Trial for Metastatic Uveal Melanoma

20 December 2024
IDEAYA Biosciences, Inc., a company specializing in precision medicine oncology, has announced significant progress in a clinical trial involving the combination of darovasertib and crizotinib for treating metastatic uveal melanoma (MUM) in patients with HLA-A2-negative status. This trial, which could potentially lead to registration, has over 185 patients enrolled, and the combination therapy has been granted Fast Track designation by the U.S. Food and Drug Administration (FDA).

A key development in this trial is the recommendation from the Independent Data Monitoring Committee (IDMC) to proceed with a specific dose for Part 2a, following guidelines set by the FDA's Project Optimus. This decision supports the potential Phase 2/3 trial aimed at evaluating the effectiveness of darovasertib and crizotinib as a first-line treatment for HLA-A2-negative MUM patients. Dr. Darrin M. Beaupre, Chief Medical Officer at IDEAYA Biosciences, expressed satisfaction with the IDMC's recommendation, highlighting its importance in advancing the trial towards potential accelerated approval. The primary goal of the trial is to achieve a median progression-free survival as the main endpoint.

Dr. Meredith McKean, a clinical investigator in the trial and Director of Melanoma and Skin Cancer Research at the Sarah Cannon Research Institute, emphasized the promising preliminary results of the darovasertib and crizotinib combination. This IDMC recommendation marks a crucial step in bringing a new treatment option to patients who have historically faced challenging prognoses. The rapid pace of enrollment reflects the strong interest from both physicians and patients, underscoring the critical need for new treatment alternatives in this patient population.

The combination therapy involving darovasertib and crizotinib is being evaluated in two clinical studies: a Phase 2/3 trial focusing on first-line HLA-A2-negative MUM and a separate Phase 2 trial. Additionally, darovasertib is being studied as a monotherapy in a Phase 2 trial for primary uveal melanoma. Looking ahead, IDEAYA plans to finalize a clinical trial protocol for a potential Phase 3 registration-enabling study aimed at neoadjuvant uveal melanoma patients, with the intention of initiating this study in the first half of 2025.

IDEAYA Biosciences is committed to developing targeted cancer therapies based on precision medicine principles. By integrating translational biomarker identification and validation with drug discovery, IDEAYA aims to select patient populations that are most likely to benefit from its therapies. The company's research efforts are focused on synthetic lethality, representing an emerging class of precision medicine targets.

Overall, this progress in the clinical development of the darovasertib and crizotinib combination represents a noteworthy advancement in addressing the unmet medical needs of patients with metastatic uveal melanoma. The ongoing trials and the FDA's Fast Track designation highlight the potential impact of this therapy in improving outcomes for patients affected by this challenging form of cancer. IDEAYA's dedication to precision medicine and targeted therapeutics continues to drive innovation and hope in the oncology field.

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