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Eli Lilly's Olomorasib Receives FDA Orphan Drug Designation for KRAS G12C-Mutated NSCLC Treatment

4 months ago2 min read

Key Insights

  • The FDA has granted orphan drug designation to Eli Lilly's Olomorasib for treating non-small cell lung cancer with KRAS G12C mutations, providing market exclusivity and development incentives.

  • Olomorasib is currently in Phase 3 clinical trials as a first-line treatment combined with Keytruda (pembrolizumab), with or without chemotherapy, for advanced NSCLC patients.

  • Previous ASCO data demonstrated that Olomorasib (50 or 100mg BID) combined with Keytruda showed promising safety and anti-tumor activity in KRAS G12C-mutated NSCLC patients.

The U.S. Food and Drug Administration has granted orphan drug designation to Eli Lilly and Company's investigational cancer drug Olomorasib for the treatment of non-small cell lung cancer (NSCLC) harboring KRAS G12C mutations. This regulatory milestone provides significant development advantages as the drug advances through Phase 3 clinical trials for this rare cancer indication.

Regulatory Benefits and Market Impact

The orphan drug designation confers several key benefits to Eli Lilly, including tax credits for clinical trial costs, exemption from FDA user fees, and seven years of market exclusivity upon approval. This designation validates the company's research efforts in targeting KRAS G12C mutations, which represent a common driver mutation in NSCLC patients with limited therapeutic options.

Current Clinical Development Program

Olomorasib is currently undergoing Phase 3 clinical evaluation as a first-line treatment for patients with advanced NSCLC harboring KRAS G12C mutations. The drug is being tested in combination with Keytruda (pembrolizumab), with the option to also include chemotherapy in the treatment regimen. This combination approach reflects the current trend toward multi-modal cancer therapy strategies.

Supporting Clinical Evidence

Data presented by Eli Lilly at the 2024 American Society of Clinical Oncology (ASCO) Annual Meeting in August demonstrated encouraging results for the Olomorasib combination. The study showed that Olomorasib administered at doses of 50 or 100mg twice daily (BID) in combination with Keytruda exhibited good safety profiles and anti-tumor activity in patients with advanced NSCLC carrying KRAS G12C mutations. These findings provided the scientific foundation supporting the drug's continued development in the first-line NSCLC setting.

Addressing Unmet Medical Need

The FDA's decision to grant orphan drug designation reflects Olomorasib's potential to address a significant unmet medical need in oncology. The KRAS G12C mutation represents a common driver mutation in NSCLC, yet patients with this genetic alteration have historically faced limited treatment options. Olomorasib's targeted mechanism of action against this specific mutation positions it as a promising therapeutic candidate for this patient population.
This designation underscores Eli Lilly's commitment to developing innovative therapies for patients with challenging cancer types and represents a significant step forward in the company's oncology pipeline development efforts.
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Sources

FDA grants breakthrough therapy status to Eli Lilly's olomorasib

pharmaceutical-business-review.comSep 5, 2025

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