UPDATE: SpringWorks Therapeutics Announces FDA Approval of GOMEKLI™ (mirdametinib) for the Treatment of Adult and Pediatric Patients with NF1-PN
SpringWorks Therapeutics (SWTX) has received FDA approval for GOMEKLI™ (mirdametinib), the first medicine approved for both adults and children with NF1-PN (neurofibromatosis type 1 with plexiform neurofibromas). The approval is based on the Phase 2b ReNeu trial results, which demonstrated significant efficacy with a 41% objective response rate in adults and 52% in children.
The trial showed deep and durable tumor volume reductions, with median best percentage changes of -41% in adults and -42% in children. The responses were long-lasting, with approximately 90% of patients maintaining responses for at least 12 months. GOMEKLI will be available in the US within two weeks through specialty pharmacies.
SpringWorks received a rare pediatric disease priority review voucher from the FDA. The company's Marketing Authorization Application is currently under review by the European Medicines Agency, with a decision expected in 2025.
SpringWorks Therapeutics (SWTX) ha ricevuto l'approvazione della FDA per GOMEKLI™ (mirdametinib), il primo farmaco approvato sia per adulti che per bambini affetti da NF1-PN (neurofibromatosi di tipo 1 con neurofibromi plexiformi). L'approvazione si basa sui risultati della fase 2b dello studio ReNeu, che ha dimostrato una significativa efficacia con un tasso di risposta obiettivo del 41% negli adulti e del 52% nei bambini.
Lo studio ha mostrato riduzioni profonde e durature del volume tumorale, con variazioni percentuali medie migliori del -41% negli adulti e del -42% nei bambini. Le risposte sono state durature, con circa il 90% dei pazienti che ha mantenuto le risposte per almeno 12 mesi. GOMEKLI sarà disponibile negli Stati Uniti entro due settimane tramite farmacie specializzate.
SpringWorks ha ricevuto dalla FDA un voucher per la revisione prioritaria per malattie pediatriche rare. La domanda di autorizzazione al commercio dell'azienda è attualmente in fase di revisione da parte dell'Agenzia Europea dei Medicinali, con una decisione attesa nel 2025.
SpringWorks Therapeutics (SWTX) ha recibido la aprobación de la FDA para GOMEKLI™ (mirdametinib), el primer medicamento aprobado tanto para adultos como para niños con NF1-PN (neurofibromatosis tipo 1 con neurofibromas plexiformes). La aprobación se basa en los resultados del ensayo de fase 2b ReNeu, que demostró una eficacia significativa con una tasa de respuesta objetiva del 41% en adultos y del 52% en niños.
El ensayo mostró reducciones profundas y duraderas del volumen tumoral, con cambios porcentuales medianos del -41% en adultos y del -42% en niños. Las respuestas fueron duraderas, con aproximadamente el 90% de los pacientes manteniendo respuestas durante al menos 12 meses. GOMEKLI estará disponible en EE. UU. dentro de dos semanas a través de farmacias especializadas.
SpringWorks recibió un voucher de revisión prioritaria para enfermedades pediátricas raras de la FDA. La solicitud de autorización de comercialización de la empresa está actualmente bajo revisión por la Agencia Europea de Medicamentos, con una decisión esperada en 2025.
SpringWorks Therapeutics (SWTX)는 NF1-PN(신경섬유종증 1형과 플렉시폼 신경섬유종)이 있는 성인과 아동 모두를 위한 최초의 약물인 GOMEKLI™(미르다메티닙)에 대해 FDA 승인을 받았습니다. 이 승인은 성인에서 41%, 아동에서 52%의 객관적 반응률을 보인 2b 단계 ReNeu 시험 결과를 기반으로 합니다.
시험 결과는 깊고 지속적인 종양 부피 감소를 보여주었으며, 성인에서의 중간 최상의 백분율 변화는 -41%, 아동에서는 -42%였습니다. 반응은 장기적이었으며, 약 90%의 환자가 최소 12개월 동안 반응을 유지했습니다. GOMEKLI는 2주 이내에 전문 약국을 통해 미국에서 제공될 예정입니다.
SpringWorks는 FDA로부터 희귀 소아 질환 우선 검토 바우처를 받았습니다. 이 회사의 마케팅 승인 신청서는 현재 유럽 의약품청에서 검토 중이며, 2025년에 결정이 예상됩니다.
SpringWorks Therapeutics (SWTX) a reçu l'approbation de la FDA pour GOMEKLI™ (mirdametinib), le premier médicament approuvé pour les adultes et les enfants atteints de NF1-PN (neurofibromatose de type 1 avec neurofibromes plexiformes). L'approbation est basée sur les résultats de l'essai de phase 2b ReNeu, qui a démontré une efficacité significative avec un taux de réponse objectif de 41% chez les adultes et de 52% chez les enfants.
L'essai a montré des réductions profondes et durables du volume tumoral, avec des changements de pourcentage médian de -41% chez les adultes et de -42% chez les enfants. Les réponses ont été durables, avec environ 90% des patients maintenant leurs réponses pendant au moins 12 mois. GOMEKLI sera disponible aux États-Unis dans les deux semaines via des pharmacies spécialisées.
SpringWorks a reçu un bon de révision prioritaire pour maladies pédiatriques rares de la FDA. La demande d'autorisation de mise sur le marché de l'entreprise est actuellement à l'examen par l'Agence européenne des médicaments, avec une décision attendue en 2025.
SpringWorks Therapeutics (SWTX) hat die FDA-Zulassung für GOMEKLI™ (Mirdametinib) erhalten, das erste Medikament, das sowohl für Erwachsene als auch für Kinder mit NF1-PN (Neurofibromatose Typ 1 mit plexiformen Neurofibromen) zugelassen ist. Die Genehmigung basiert auf den Ergebnissen der Phase 2b ReNeu-Studie, die eine signifikante Wirksamkeit mit einer objektiven Ansprechrate von 41% bei Erwachsenen und 52% bei Kindern zeigte.
Die Studie zeigte tiefe und nachhaltige Tumorvolumenreduktionen mit mittleren besten prozentualen Veränderungen von -41% bei Erwachsenen und -42% bei Kindern. Die Reaktionen waren langanhaltend, wobei etwa 90% der Patienten ihre Reaktionen mindestens 12 Monate lang aufrechterhielten. GOMEKLI wird in den USA innerhalb von zwei Wochen über Fachapotheken verfügbar sein.
SpringWorks erhielt von der FDA einen Voucher für die priorisierte Überprüfung seltener pädiatrischer Erkrankungen. Der Antrag auf Marktzulassung des Unternehmens wird derzeit von der Europäischen Arzneimittelagentur geprüft, mit einer Entscheidung, die für 2025 erwartet wird.
- First FDA-approved treatment for both adult and pediatric NF1-PN patients
- Strong efficacy with 41% ORR in adults and 52% in children
- Durable responses with ~90% of patients maintaining response for 12+ months
- Received rare pediatric disease priority review voucher
- Large addressable market of approximately 40,000 patients in the US
- Common adverse events reported in >25% of patients including rash, diarrhea, and nausea
- Safety warnings for ocular toxicity, left ventricular dysfunction, and dermatologic reactions
Insights
The FDA approval of GOMEKLI represents a transformative milestone for SpringWorks Therapeutics, marking their evolution into a multi-product commercial enterprise. The approval's scope is particularly noteworthy as it covers both adult and pediatric patients, addressing an estimated 40,000 patient market in the US alone.
The commercial potential is underpinned by several key factors: First, the robust efficacy data showing 41% ORR in adults and 52% in children, with impressive durability where 88-90% of responses lasted at least 12 months. This durability suggests strong recurring revenue potential as patients maintain treatment. Second, the company's strategic approach to market access, including multiple formulation options and a comprehensive patient support program (SpringWorks CareConnections™), which should facilitate adoption and adherence.
The rare pediatric disease priority review voucher (PRV) represents an additional significant asset, as these vouchers have historically sold for
The market dynamics are particularly favorable given the lack of approved treatments for adults with NF1-PN, who represent the majority of patients. The manageable safety profile and multiple formulation options (including a dissolvable tablet) provide flexibility in treatment administration, which is important for long-term therapy adherence.
Looking ahead, key metrics to monitor will be:
- Initial adoption rates, particularly in the adult population
- Reimbursement coverage and pricing dynamics
- Duration of therapy in real-world settings
- Progress of the European regulatory review
The clinical profile of GOMEKLI represents a significant advancement in NF1-PN treatment. The median tumor volume reductions of -41% in adults and -42% in children are clinically meaningful, particularly given that approximately 85% of these tumors are not amenable to complete surgical resection. The durability of responses, with roughly half of patients maintaining responses for 24 months or longer, suggests sustained clinical benefit.
The safety profile is particularly noteworthy given the chronic nature of NF1-PN treatment. While adverse events were common, they were generally manageable and consistent with the MEK inhibitor class. The inclusion of multiple formulation options, including a dissolvable tablet, demonstrates thoughtful consideration of patient needs, especially for the pediatric population.
A important aspect of the data is the demonstrated improvement in patient-reported outcomes, including pain and quality of life measures. These improvements were both early and sustained, suggesting that the tumor volume reductions translate into meaningful clinical benefits for patients. The comprehensive age range covered by the approval (2 years and older) ensures that patients can begin treatment early in their disease course when intervention may be most beneficial.
– GOMEKLI is the first and only medicine approved for both adults and children with NF1-PN –
– Approval based on positive data from Phase 2b ReNeu trial, which showed GOMEKLI treatment resulted in robust ORR, deep and durable reductions in tumor volume, and a manageable safety profile –
– SpringWorks granted rare pediatric disease priority review voucher by the FDA –
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STAMFORD, Conn., Feb. 11, 2025 (GLOBE NEWSWIRE) -- SpringWorks Therapeutics, Inc. (Nasdaq: SWTX), a commercial-stage biopharmaceutical company focused on severe rare diseases and cancer, announced today that the U.S. Food and Drug Administration (FDA) has approved GOMEKLI™ (mirdametinib), SpringWorks’ MEK inhibitor, for the treatment of adult and pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic plexiform neurofibromas (PN) not amenable to complete resection.1 With the approval, SpringWorks was granted a rare pediatric disease priority review voucher (PRV) by the FDA.
“The NF1-PN patient community has a great need for more treatment options. With today’s approval, we are honored to serve both adults and children with NF1-PN and provide them with a therapy that has the potential to shrink their tumors and offer meaningful symptomatic relief,” said Saqib Islam, Chief Executive Officer of SpringWorks. “We are grateful to each clinical trial participant, their families, the investigators, and the patient advocacy groups involved in the journey towards making GOMEKLI available in the U.S. I am proud that we are delivering on our commitment to patients with devastating diseases with our company’s second FDA approval in less than 18 months.”
NF1 is a genetic disorder that currently affects approximately 100,000 children and adults in the United States.2,3 Patients with NF1 have approximately a 30
“Patients with NF1-PN often face significant challenges with their health and have had limited treatment options to manage this devastating condition,” said Christopher Moertel, M.D., Medical Director Pediatric Neuro-Oncology and Neurofibromatosis Programs and Kenneth and Betty Jayne Dahlberg Professor of Pediatrics, University of Minnesota, and lead investigator of the ReNeu trial. “It was very encouraging in the ReNeu trial to see that GOMEKLI provided deep and durable responses, with a manageable safety profile that enabled patients to stay on therapy. This approval represents an important advance, especially for adults who previously did not have an approved treatment.”
GOMEKLI was approved under Priority Review and SpringWorks received a rare pediatric disease priority review voucher from the FDA. GOMEKLI was previously granted Orphan Drug and Fast Track designations for the treatment of NF1-PN.
The FDA approval of GOMEKLI is based on results from the Phase 2b ReNeu trial, which enrolled 114 patients with NF1-PN ≥2 years of age (58 adults and 56 pediatric patients).10 GOMEKLI met the primary endpoint of confirmed objective response rate (ORR), as assessed by blinded independent central review, demonstrating a
GOMEKLI demonstrated a manageable safety and tolerability profile.1 The most common adverse events (>
“We are excited to celebrate the extraordinary milestone of our partners and long-term friends at SpringWorks for the NF1-PN community. This FDA approval shows the power of collaboration to advance innovative science for drugs that may otherwise not have been taken forward,” said Annette Bakker, Ph.D., Chief Executive Officer of the Children’s Tumor Foundation. "When industry, researchers, and organizations like ours driving treatment innovation join forces, scientific progress moves faster, and patients gain access to the therapies they need. Every treatment approval is hard-won, built on research, persistence, and partnership. Today, that work delivers a critical new option for NF patients of all ages.”
“NF1-PN is a complex, devastating disease that affects not only individual patients, but entire families. Treatment advances are crucial to achieving better outcomes for patients and this FDA approval offers hope for NF patients and their families,” said Kim Bischoff, Executive Director, NF Network.
SpringWorks is dedicated to helping patients with NF1-PN access GOMEKLI and to providing support throughout their treatment journey. The SpringWorks CareConnections™ program is a comprehensive patient support program that offers personalized support services and resources to eligible GOMEKLI patients, including insurance coverage information and access support, financial assistance and personalized educational and emotional support. Physicians and patients can contact 1-844-CARES-55 (1-844-227-3755) or visit www.springworkstxcares.com for more information.
GOMEKLI is available in 1 and 2 mg capsules and in a 1mg tablet for oral suspension, which dissolves easily in water. GOMEKLI is expected to be available through a specialty pharmacy and specialty distributor network in the United States within two weeks.
SpringWorks’ Marketing Authorization Application for mirdametinib for the treatment of children and adults with NF1-PN was validated by the European Medicines Agency (EMA) and is currently under review; a decision is expected from the European Commission in 2025.
About NF1-PN
Neurofibromatosis type 1 (NF1) is a rare genetic disorder that arises from mutations in the NF1 gene, which encodes for neurofibromin, a key suppressor of the MAPK pathway.11,12 NF1 is the most common form of neurofibromatosis, with an estimated global birth incidence of approximately 1 in 2,500 individuals, and there are approximately 100,000 patients living with NF1 in the United States.2,3 The clinical course of NF1 is heterogeneous and manifests in a variety of symptoms across numerous organ systems, including abnormal pigmentation, skeletal deformities, tumor growth and neurological complications, such as cognitive impairment.13 Patients with NF1 have an 8 to 15-year mean reduction in their life expectancy compared to the general population.14
NF1 patients have approximately a 30
Surgical removal of these tumors can be challenging due to the infiltrative tumor growth pattern along nerves and can lead to permanent nerve damage and disfigurement.6 Up to approximately
About GOMEKLI™ (mirdametinib)
GOMEKLI™ is an oral, small molecule MEK inhibitor approved in the United States for the treatment of adult and pediatric patients 2 years of age and older with neurofibromatosis type 1 (NF1) who have symptomatic plexiform neurofibromas (PN) not amenable to complete resection.
IMPORTANT SAFETY INFORMATION
WARNINGS AND PRECAUTIONS
Ocular Toxicity: GOMEKLI can cause ocular toxicity including retinal vein occlusion (RVO), retinal pigment epithelium detachment (RPED), and blurred vision. In the adult pooled safety population, ocular toxicity occurred in
Left Ventricular Dysfunction: GOMEKLI can cause left ventricular dysfunction. GOMEKLI has not been studied in patients with a history of clinically significant cardiac disease or LVEF <
Dermatologic Adverse Reactions: GOMEKLI can cause dermatologic adverse reactions including rash. The most frequent rashes included dermatitis acneiform, rash, eczema, maculo-papular rash and pustular rash. In the pooled adult safety population, rash occurred in
Embryo-Fetal Toxicity: GOMEKLI can cause fetal harm when administered to a pregnant woman. Verify the pregnancy status of females of reproductive potential prior to the initiation of GOMEKLI. Advise pregnant women and females of reproductive potential of the potential risk to a fetus. Also advise patients to use effective contraception during treatment with GOMEKLI and for 6 weeks after the last dose (females) or 3 months after the last dose (males).
ADVERSE REACTIONS
The most common adverse reactions (>
The most common adverse reactions (>
USE IN SPECIFIC POPULATIONS
Pregnancy & Lactation. Verify the pregnancy status of patients of reproductive potential prior to initiating GOMEKLI. Due to the potential for adverse reactions in a breastfed child, advise patients not to breastfeed during treatment with GOMEKLI and for 1 week after the last dose.
You are encouraged to report negative side effects of prescription drugs to the FDA. To report suspected adverse reactions, contact SpringWorks Therapeutics at 1-888-400-SWTX (1-888-400-7989) or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.
Please see accompanying full Prescribing Information for more information.
About SpringWorks Therapeutics
SpringWorks is a commercial-stage biopharmaceutical company dedicated to improving the lives of patients with severe rare diseases and cancer. We developed and are commercializing OGSIVEO® (nirogacestat) as the first and only FDA-approved medicine for adults with desmoid tumors and GOMEKLI™ (mirdametinib) as the first and only FDA-approved medicine for both adults and children with neurofibromatosis type 1 associated plexiform neurofibromas (NF1-PN). We are also advancing a diverse portfolio of novel targeted therapy product candidates for patients with both solid tumors and hematological cancers.
For more information, visit www.springworkstx.com and follow @SpringWorksTx on X, LinkedIn, Facebook, Instagram, and YouTube.
SpringWorks Forward-Looking Statements
This press release contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, as amended, relating to our business, operations, and financial conditions, including but not limited to current beliefs, expectations and assumptions regarding the future of our business, future plans and strategies, our development and commercialization plans, our preclinical and clinical results, the potential for GOMEKLI to become an important new treatment for adult and pediatric NF1-PN patients, expectations regarding the timing and results of the review by the EMA of the MAA for mirdametinib for the treatment of adult and pediatric NF1-PN patients, as well as relating to other future conditions. Words such as, but not limited to, “look forward to,” “believe,” “expect,” “anticipate,” “estimate,” “intend,” “plan,” “would,” “should” and “could,” and similar expressions or words, identify forward-looking statements. New risks and uncertainties may emerge from time to time, and it is not possible to predict all risks and uncertainties. Any forward-looking statements in this press release are based on management’s current expectations and beliefs and are subject to a number of risks, uncertainties and important factors that may cause actual events or results to differ materially from those expressed or implied by any forward-looking statements contained in this press release, including, without limitation, risks relating to: (i) the success of our commercialization efforts with respect to GOMEKLI, (ii) our limited experience as a commercial company, (iii) our ability to obtain or maintain adequate coverage and reimbursement for GOMEKLI, (iv) the success and timing of our product development activities, including the initiation and completion of our clinical trials, (v) our expectations regarding the potential clinical benefit of GOMEKLI for adult and pediatric NF1-PN patients, (vi) our expectations regarding the market potential for GOMEKLI, (vii) our expectations regarding when GOMEKLI will become available, (viii) the fact that topline or interim data from clinical studies may not be predictive of the final or more detailed results of such study or the results of other ongoing or future studies, (ix) the success and timing of our collaboration partners’ ongoing and planned clinical trials, (x) the timing of our planned regulatory submissions and interactions, including the timing and outcome of decisions made by the FDA, EMA, and other regulatory authorities, investigational review boards at clinical trial sites and publication review bodies, (xi) whether FDA, EMA, or other regulatory authorities will require additional information or further studies, or may fail or refuse to approve or may delay approval of our product candidates, (xii) our ability to obtain regulatory approval of any of our product candidates or maintain regulatory approvals granted for our products, (xiii) our plans to research, discover and develop additional product candidates, (xiv) our ability to enter into collaborations for the development of new product candidates and our ability to realize the benefits expected from such collaborations, (xv) our ability to maintain adequate patent protection and successfully enforce patent claims against third parties, (xvi) the adequacy of our cash position to fund our operations through any time period indicated herein, (xvii) our ability to establish manufacturing capabilities, and our and our collaboration partners’ abilities to manufacture our product candidates and scale production, and (xviii) our ability to meet any specific milestones set forth herein.
Except as required by applicable law, we do not plan to publicly update or revise any forward-looking statements contained herein, whether as a result of any new information, future events, changed circumstances or otherwise. Although we believe the expectations reflected in such forward-looking statements are reasonable, we can give no assurance that such expectations will prove to be correct. Accordingly, readers are cautioned not to place undue reliance on these forward-looking statements.
For further information regarding the risks, uncertainties and other factors that may cause differences between SpringWorks’ expectations and actual results, you should review the “Risk Factors” in Item 1A of Part II of SpringWorks’ Quarterly Report on Form 10-Q for the quarter ended September 30, 2024, as well as discussions of potential risks, uncertainties and other important factors in SpringWorks’ subsequent filings.
Contacts:
Investors
Investors@Springworkstx.com
References
- GOMEKLI. Prescribing Information. SpringWorks Therapeutics, Inc.
- Prada C, Rangwala F, Martin L, et al. Pediatric Plexiform Neurofibromas: Impact on Morbidity and Mortality in Neurofibromatosis Type 1. J Pediatr. 2012;160(3):461-467. doi:10.1016/j.jpeds.2011.08.051.
- Ferner R. Neurofibromatosis 1 and neurofibromatosis 2: a twenty first century perspective. The Lancet Neurology. 2007;6(4):340-351. doi:10.1016/s1474-4422(07)70075-3.
- Miller DT, et al. Health supervision for children with neurofibromatosis Type 1. Pediatrics. 2019;143(5):e20190660.
- Data on File.
- Kamaludin, Siti Nurhazwani et al. “Plexiform neurofibromatosis with peripheral malignant nerve sheath tumor and scoliosis - more surveillance imaging needed?.” Radiology case reports vol. 17,7 2388-2393. 6 May. 2022, doi:10.1016/j.radcr.2022.03.111.
- Needle M, Cnaan A, Dattilo J, et al. Prognostic signs in the surgical management of plexiform neurofibroma: The Children’s Hospital of Philadelphia experience, 1974-1994. J Pediatr. 1997;131(5):678-682. doi:10.1016/s0022-3476(97)70092-1.
- Ejerskov, C., Farholt, S., Nielsen, F.S.K. et al. Clinical Characteristics and Management of Children and Adults with Neurofibromatosis Type 1 and Plexiform Neurofibromas in Denmark: A Nationwide Study. Oncol Ther 11, 97–110 (2023). https://doi.org/10.1007/s40487-022-00213-4.
- Wolkenstein, P. et al. (2023) ‘French cohort of children and adolescents with neurofibromatosis type 1 and symptomatic inoperable plexiform neurofibromas: Cassiopea study’, European Journal of Medical Genetics, 66(5), p. 104734. doi:10.1016/j.ejmg.2023.104734.
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- Weiss BD, Wolters PL, Plotkin SR, et al. NF106: A neurofibromatosis clinical trials consortium Phase II trial of the MEK inhibitor mirdametinib (PD-0325901) in adolescents and adults with NF1-related plexiform neurofibromas. J Clin Onc. 2021;JCO.20.02220.doi.org/10. 1200/JCO.20.02220.
- Lee: Lee TJ, et al. Incidence and prevalence of neurofibromatosis type 1 and 2: a systematic review and meta-analysis. Orphanet J Rare Dis. 2023;18(1):292. doi:10.1186/s13023-023-02911-2.
- Gross A, Singh G, Akshintala S, et al. Association of plexiform neurofibroma volume changes and development of clinical morbidities in neurofibromatosis 1. Neuro Oncol. 2018;20(12):1643-1651. doi:10.1093/neuonc/noy067.
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FAQ
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