Abion has received FDA approval for modifications to its Phase 2 clinical trial investigating vabametkib (ABN401) in combination with lazertinib for advanced non-small cell lung cancer (NSCLC) patients. The trial specifically targets patients who have developed resistance to EGFR-targeted therapies due to c-MET overexpression or amplification.
The comprehensive Phase 2 study will enroll 138 patients across multiple sites in Korea, Taiwan, and the United States, structured in three distinct parts. The trial design demonstrates a methodical approach to establishing both safety and efficacy parameters for this novel combination therapy.
Trial Design and Objectives
The clinical investigation is strategically divided into three sequential parts:
- Part 1 focuses on dose-finding and safety assessment of the combination therapy
- Part 2 aims to determine the optimal dosing strategy by evaluating efficacy across various dose combinations
- Part 3 will compare the established optimal combination against current standard treatment options
Addressing a Critical Treatment Gap
According to Abion, approximately 30% of NSCLC patients treated with EGFR-targeting drugs develop resistance through c-MET overexpression or amplification. The combination of vabametkib and lazertinib (marketed as Lazcluze in the US) represents a strategic approach to simultaneously target both c-MET and EGFR signaling pathways.
"This clinical modification approval enables us to move forward with full-scale clinical trials with lazertinib," stated an Abion representative. "The potential for a first-in-class innovative treatment is significant, as no drugs have yet been approved for this specific combination therapy."
Market Potential
The market opportunity for successful c-MET inhibitors appears substantial. According to Evaluate Pharma, the global c-MET inhibitor market is expected to reach approximately USD 4.726 billion by 2026, highlighting the significant commercial potential for effective therapies in this space.
The development of this combination therapy represents a potentially important advance in addressing treatment resistance in NSCLC, a persistent challenge in oncology. By targeting two critical pathways simultaneously, this approach could offer new hope for patients who have exhausted current treatment options.