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FDA Approves First Systemic Therapy for H3 K27M-Mutant Diffuse Midline Glioma

Continued approval hinges on clinical benefit results from the ongoing phase III ACTION trial.

H3 K27M-mutant diffuse midline glioma is a rare and highly aggressive brain tumour. Credit: Dmytro Zinkevych/Shutterstock.com.
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FDA Approves Dordaviprone for Diffuse Midline Glioma

Overview

  • Dordaviprone (Modeyso) is authorized for patients aged one year and older with recurrent H3 K27M-mutant diffuse midline glioma following prior therapy
  • The approval represents the first systemic treatment option for this aggressive grade IV tumor that traditionally relied on radiation and palliative care
  • Regulatory clearance was granted on the basis of pooled data from five open-label studies showing a 22% overall response rate and a median response duration of 10.3 months
  • Prescribing information carries warnings for hypersensitivity reactions, QTc interval prolongation and embryo-fetal toxicity
  • Jazz Pharmaceuticals anticipates a late-summer commercial launch in the United States with marketing contingent on confirmatory phase III ACTION trial outcomes