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OJEMDA™ (tovorafenib) Now Available from Onco360 for the Treatment of Patients Six Months of Age and Older with Relapsed or Refractory Pediatric Low-Grade Glioma (LGG) Harboring a BRAF Fusion or Rearrangement, or BRAF V600 Mutation

Key Takeaway: Onco360 has partnered with Day One Biopharmaceuticals to provide OJEMDA™ (tovorafenib), now FDA approved for treating relapsed or refractory pediatric low-grade glioma in patients six months and older. This approval is based on a clinical trial showing a 51% overall response rate. The treatment is significant as it is the first oral medication approved for this condition.
Price reaction · baseline $10.58 (2024-04-26 close) · hit pre-market · 2 other BTSG headline(s) in the window, move may be shared
day 0 close · peak
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Market Sentiment Analysis

POSITIVE FACTORS

  • OJEMDA is the first FDA-approved oral treatment for pediatric LGG.
  • The drug shows a 51% overall response rate in clinical trials.
  • Onco360 is recognized as a leading specialty pharmacy provider.

CONCERNS & RISKS

  • Continued approval may depend on further confirmatory trials.
  • Common adverse reactions include rash, fatigue, and vomiting.

Full Press Release Details

Onco360® , the nation’s leading independent Specialty Pharmacy, has been selected as a pharmacy partner by Day One Biopharmaceuticals for OJEMDA™ (tovorafenib), which is now FDA approved for the treatment of patients six months of age and older with relapsed or refractory pediatric low-grade glioma (LGG) harboring a BRAF fusion or rearrangement, or BRAF V600 mutation. This indication is approved under accelerated approval based on response rate and duration of response. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
“Onco360 is grateful for the opportunity to partner with the team at Day One Biopharmaceuticals and become a specialty pharmacy provider for OJEMDA,” said Benito Fernandez, Chief Commercial Officer. “We are proud to add the first and only FDA-approved, once-weekly oral medicine for children six months and older with pediatric LGG that returned or did not respond to previous treatment and who have a certain type of abnormal BRAF gene.”
Pediatric LGG is the most common central nervous system (CNS) tumor diagnosed in children, representing approximately 30% of pediatric brain tumors. BRAF is the most commonly altered gene in pediatric LGG given that up to 75% of patients have BRAF alterations. The five-year overall survival (OS) for pediatric LGG is approximately 95%.1,2 The FDA approval for OJEMDA is based on the ongoing multicenter, open-label, single-arm FIREFLY-1 (NCT04775485) clinical trial. Eligible patients were required to have a relapsed or refractory pediatric LGG harboring an activating BRAF alteration based on local laboratory testing. All patients received at least one line of prior systemic therapy and documented evidence of radiographic progression. OJEMDA administration resulted in a 51% overall response rate (ORR) in the aforementioned FIREFLY-1 population including 76 patients. The most common adverse reactions (occurring in at least 30% of patients) were rash, hair color changes, fatigue, viral infection, vomiting, headache, hemorrhage, pyrexia, dry skin, constipation, nausea, dermatitis acneiform, and upper respiratory tract infection.3
Please see the full Prescribing Information for OJEMDA.
About Onco360 Oncology Pharmacy: Onco360 is the nation’s largest independent Oncology Pharmacy and clinical support services company. Onco360 was founded in 2003 to bring together the stakeholders involved in the cancer treatment process and serve the specialized needs of oncologists, patients, hospitals, cancer centers of excellence, manufacturers, health plans, and payers. It dispenses nationally through its network of URAC-, and ACHC-accredited Oncology Pharmacies. Onco360 is headquartered in Louisville, Kentucky, and is a flagship specialty pharmacy brand of PharMerica Corporation, a leading institutional pharmacy, specialty infusion, and hospital services company servicing healthcare facilities in the United States. For more information about Onco360, please visit Onco360.com.
References:
1) Ryall, S., Tabori, U. & Hawkins, C. Pediatric low-grade glioma in the era of molecular diagnostics. Acta Neuropathol. Commun. 8, 30 (2020). 2) Stokland T et al. A multivariate analysis of factors determining tumor progression in childhood low-grade glioma: A population-based cohort study (CCLG CNS9702). Neuro Oncol 12:1257-1268, 2010. 3) OJEMDA Prescribing Information. Brisbane, CA: Day One Biopharmaceuticals, INC; April 2024.

Frequently Asked Questions

What is OJEMDA™ used for?

OJEMDA™ is FDA approved for treating relapsed or refractory pediatric low-grade glioma.

Who can receive OJEMDA™?

It is for patients six months and older with specific BRAF gene alterations.

What was the response rate in clinical trials?

The overall response rate in the FIREFLY-1 trial was 51%.

What are common side effects of OJEMDA™?

Common side effects include rash, fatigue, and vomiting.

What is the significance of OJEMDA™ approval?

It is the first FDA-approved oral treatment for pediatric LGG.

Last updated: Apr 29, 2024