HUTCHMED, AstraZeneca file US NDA for Orpathys plus Tagrisso in MET-driven lung cancer
The application, based on the Phase III SAFFRON trial, targets patients who progressed on EGFR-TKI therapy with MET overexpression or amplification.
AstraZeneca submitted a New Drug Application to the US Food and Drug Administration on September 29, 2026 for Orpathys (savolitinib) plus Tagrisso (osimertinib), seeking a biomarker-directed, all-oral treatment option for patients whose tumors have MET overexpression or amplification, after progression on an EGFR-TKI therapy.1 HUTCHMED (China) Limited announced the filing.
The NDA is supported by the global SAFFRON Phase III trial, which showed the combination demonstrated a statistically significant and clinically meaningful improvement in both progression-free survival and overall survival versus doublet platinum-based chemotherapy in patients who progressed on treatment with Tagrisso.1 The safety profile was consistent with the known profiles of each medicine, with no new safety concerns.1 Full results will be presented in a Presidential Symposium at the upcoming ESMO Congress 2026.1
The trial design: SAFFRON was a randomized, open-label, multi-center, global Phase III trial studying Orpathys (300 mg twice daily) added to Tagrisso (80 mg once daily) versus doublet platinum-based chemotherapy in 338 patients with EGFRm, locally advanced or metastatic NSCLC with MET overexpression or amplification whose disease progressed following first- or second-line Tagrisso treatment.1 The trial enrolled patients at 230 centers across 29 countries.1
Orpathys is being jointly developed by AstraZeneca and HUTCHMED and is commercialized by AstraZeneca.1 The combination is already approved in China: Orpathys in combination with Tagrisso is approved in China for patients with locally advanced or metastatic EGFR mutation-positive non-squamous NSCLC with MET amplification after disease progression on EGFR TKI therapy, based on the SACHI Phase III trial.1 It also received temporary authorization in Switzerland for the same setting, based on results from the global SAVANNAH Phase II trial.1
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