Chugai Obtains Approval for FoundationOne CDx Cancer Genomic Profile to Be Used as a Companion Diagnostic for RET Receptor Tyrosine Kinase Inhibitor, Selpercatinib for RET Fusion-Positive Sol
TOKYO, February 29, 2024 – Chugai Pharmaceutical Co., Ltd. (TOKYO: 4519) announced that it has obtained approval from the Ministry of Health, Labour and Welfare (MHLW) on February 28, 2024, for FoundationOne®CDx Cancer Genomic Profile to be used as a companion diagnostic for Eli Lilly Japan K.K.'s RET (rearranged during transfection) receptor tyrosine kinase inhibitor, Retevmo capsules (generic name: selpercatinib), for RET fusion-positive solid tumors.
“We are pleased that FoundationOne CDx Cancer Genomic Profile was approved as a companion diagnostic for selpercatinib, a cancer therapeutic drug for a rare RET fusion gene. It is useful for smooth consideration of treatment plans for patients because it can diagnose with a single test, including extremely rare genetic mutations that are found to be expressed across cancer types,” said Chugai’s President and CEO, Dr. Osamu Okuda.
This approval enables the detection of RET fusion genes using the FoundationOne CDx Cancer Genome Profile to assist of the decision to use selpercatinib for RET fusion-positive solid tumors. The efficacy and safety of selpercatinib for RET fusion-positive solid tumors was evaluated in the LIBRETTO-001 Phase 1/2 study. Eli Lilly Japan K.K. is currently applying to the MHLW for additional indications.
As a leading company in the field of oncology, Chugai is committed to realizing advanced personalized healthcare in oncology and contributing to patients through the expansion of Comprehensive Genome Profile.
Approval information The underlined and bolded part has been newly added.
Intended uses or indications
- The Product is used for comprehensive genomic profiling of tumor tissues in patients with solid cancers.
- The Product is used for detecting gene mutations and other alterations to support the assessment of drug indications listed in the table below.
Alterations |
Cancer type |
Relevant drugs |
Activated EGFR alterations |
Non-small cell lung cancer (NSCLC) |
afatinib dimaleate, erlotinib hydrochloride, gefitinib, osimertinib mesylate, dacomitinib hydrate |
EGFR exon 20 T790M alterations |
osimertinib mesylate |
|
ALK fusion genes |
alectinib hydrochloride, crizotinib, ceritinib, brigatinib |
|
ROS1 fusion genes |
entrectinib |
|
MET exon 14 skipping alterations |
capmatinib hydrochloride hydrate |
|
BRAF V600E and V600K alterations |
Malignant melanoma |
dabrafenib mesylate, trametinib dimethyl sulfoxide, vemurafenib, encorafenib, binimetinib |
ERBB2 copy number alterations (HER2 gene amplification positive) |
Breast cancer |
trastuzumab (genetical recombination) |
AKT1 alterations |
capivasertib |
|
PIK3CA alterations |
||
PTEN alterations |
||
KRAS/NRAS wild-type |
Colorectal cancer |
cetuximab (genetical recombination), panitumumab (genetical recombination) |
Microsatellite instability high |
nivolumab (genetical recombination) |
|
Microsatellite instability high |
Solid tumors |
pembrolizumab (genetical recombination) |
Tumor mutational burden high |
pembrolizumab (genetical recombination) |
|
NTRK1/2/3 fusion gene |
entrectinib, larotrectinib sulfate |
|
RET fusion genes |
selpercatinib |
Alterations |
Cancer type |
Relevant drugs |
BRCA1/2 alterations |
Ovarian cancer |
olaparib |
BRCA1/2 alterations |
Prostate cancer |
olaparib, talazoparib tosilate |
FGFR2 fusion genes |
Biliary tract cancer |
pemigatinib |
About FoundationOne CDx Cancer Genomic Profile
Developed by Foundation Medicine Inc., FoundationOne CDx Cancer Genomic Profile is a next- generation sequencing based in vitro diagnostic device for the detection of substitutions, insertion and deletion alterations, and copy number alterations in 324 genes and select gene rearrangements, as well as genomic signatures including microsatellite instability (MSI) and tumor mutational burden (TMB) using DNA isolated from formalin-fixed, paraffin-embedded (FFPE) tumor tissue specimens. The program is available as a companion diagnostic for multiple molecular-targeted drugs approved in Japan.
Trademarks used or mentioned in this release are protected by laws.
Source:- Chugai