Product Category | Product Name | Company | Status |
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Breakthrough Drug, Phase 111 |
The U.S. FDA has granted Breakthrough Therapy Designation (BTD) for darovasertib, a first-in-class protein kinase C (PKC) inhibitor, for the neoadjuvant treatment of adult patients with primary uveal melanoma (UM) recommended for enucleation. This designation highlights the potential of darovasertib as a monotherapy in a patient population with no FDA-approved systemic treatments.
Clinical Development and Trial Data
The BTD application was supported by interim data from an ongoing Phase 2 trial (NCT05907954) evaluating darovasertib as a neoadjuvant monotherapy for localized UM. As of September 2024, data showed an 82% ocular tumor shrinkage rate and a 61% eye preservation rate.
Additionally, darovasertib received Fast Track designation for its combination with crizotinib in metastatic UM (MUM).
A Phase 2/3 registration-enabling trial for this combination in first-line HLA-A2-negative MUM is ongoing, with median progression-free survival (mPFS) data expected by late 2025. The drug has also been granted Orphan Drug status, providing regulatory benefits such as tax credits and market exclusivity.
Future Trials and Market Impact
IDEAYA Biosciences plans to launch a Phase 3 registrational trial in the first half of 2025 to assess darovasertib in primary UM patients eligible for enucleation (Cohort 1) or plaque brachytherapy (Cohort 2).
Clinical Trial Status | ClinicalTrial.gov Registration | Study Name |
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(Neo)Adjuvant IDE196 (Darovasertib) in Patients With Localized Ocular Melanoma |
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In progress | NCT05187884 | Neoadjuvant/?Adjuvant Trial of Darovasertib in Ocular Melanoma (NADOM) |
Access the Press Releases
31 March 2025 | IDEAYA Press Release| IDEAYA Biosciences Receives US FDA Breakthrough Therapy Designation for Darovasertib Monotherapy in Neoadjuvant Uveal Melanoma
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