Efficacy demonstrated in EXPLORER and PATHFINDER clinical trials1
RECOMMENDED
NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) recommend avapritinib (AYVAKIT) (if platelets ≥50 x 109/L) as a Category 2A, preferred first-line treatment option for advanced systemic mastocytosis (SM), including aggressive SM (ASM), SM with an associated hematologic neoplasm (SM-AHN) (when the SM component requires more immediate treatment), and mast cell leukemia (MCL).2
NCCN=National Comprehensive Cancer Network.
(95% CI: 42%, 70%)*
Proven efficacy and demonstrated duration of response1
38.3-month median duration of response (DOR) demonstrated in clinical trials (95% CI: 19, NE) DRIVEN PRIMARILY by SM-AHN patients
EXPLORER and PATHFINDER were 2 multicenter, single-arm, open-label clinical trials evaluating the efficacy and safety of AYVAKIT for patients with Advanced SM.1
Watch Dr Mesa review information about efficacy and safety data.
Efficacy was based on overall response rate (ORR) per modified IWG-MRT-ECNM criteria across all evaluable patients dosed up to 200 mg daily (N=53). In the subgroup of patients with MCL, the efficacy was based on complete remission (CR).1
53 patients were evaluable for a response, with a median follow-up of 11.6 months (95% CI: 9.9 to 16.3 months)1
Patients enrolled in EXPLORER received a starting dose of AYVAKIT ranging from 30 mg to 400 mg orally once daily. In PATHFINDER, patients were enrolled at the recommended starting dose of 200 mg orally once daily1†
*ORR per modified IWG-MRT-ECNM is defined as patients who achieved a CR, CRh, or PR.
†The recommended dosage for patients with Advanced SM is 200 mg orally once daily per the US Prescribing Information.
View criteria for response-evaluable patients1
View baseline demographic characteristics (N=53)1
Proven efficacy across all subtypes and regardless of prior antineoplastic therapy1,7
All subtypes: ASM, MCL, SM-AHN (N=53)
(95% CI: 42%, 70%)a
72% ORR was achieved with the addition of patients who had clinical improvementb
Median DOR of 38.3 months (95% CI: 38, NE)
- Median time to response (n=30)7:
2.1 months - Median time to CR and CRh (n=15)7: 9.2 months
CR+CRh: 28%
PR: 28%
Clinical improvement: 15%
aMedian duration of follow-up was 11.6 months (95% CI: 9.9 to 16.3 months).
bClinical improvement is defined as having a response duration of ≥12 weeks and fulfillment of 1 or more of the nonhematologic and/or hematologic response criteria.8
CI=confidence interval; CR=complete remission; CRh=complete remission with partial hematologic recovery; ddPCR=droplet digital polymerase chain reaction; DOR=duration of response; ECNM=European Competence Network on Mastocytosis; ECOG PS=Eastern Cooperative Oncology Group Performance Status; IWG-MRT=International Working Group-Myeloproliferative Neoplasms Research and Treatment; NE=not estimable; PR=partial remission; WHO=World Health Organization.
Individual results may vary.