PIONEER
Efficacy Data

AYVAKYT showed statistically significant improvements across primary and secondary endpoints in ISM1

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Primary endpoint

AYVAKYT + BSC demonstrated a statistically significant reduction in TSS vs placebo + BSC (P=0.003) at Week 241

MEAN CHANGE IN ISM-SAF TSS AT WEEK 24 AND 481

Primary endpoint graph indicating AYVAKYT + BSC demonstrated statistically significant reduction in TSS vs placebo + BSC at week 24

*For AYVAKYT-treated patients who rolled over into the open-label extension of PIONEER (Part 3).
**Placebo patients were allowed to move into an open-label ongoing AYVAKYT crossover arm, with TSS data available from Week 24 onwards.

AYVAKYT demonstrated a deepening reduction in mean TSS sustained over time1
Patients in the AYVAKYT + BSC arm continued to report improvements in TSS over time for at least 48 weeks1

Key secondary endpoints

AYVAKYT + BSC demonstrated statistically significant clinical improvements vs placebo + BSC, using ≥30% and ≥50% TSS thresholds1

PROPORTION OF PATIENTS ACHIEVING ≥30% REDUCTION IN ISM-SAF TSS THROUGH 24 WEEKS1,2

Graph: Secondary Endpoint Proportion of Patients Achieving ≥30% reduction in ISM-SAF TSS through 24 weeks

PROPORTION OF PATIENTS ACHIEVING ≥50% REDUCTION IN ISM-SAF TSS THROUGH 24 WEEKS1,2

Graph: Secondary Endpoint Proportion of Patients Achieving ≥50% reduction in ISM-SAF TSS through 24 weeks

Figures adapted from Gotlib et al. 2023.

A 30% reduction in TSS was selected as a valid and conservative threshold for clinically important improvement in symptoms3

Key secondary endpoints

AYVAKYT + BSC demonstrated significant improvements in objective measures of mast cell burden at Week 241

Graph: Secondary Endpoint Proportion of Patients Achieving ≥50% reduction in Mast Cell Measures at Week 24

P<0.0001.
TT analysis: For patients with high-dose steroid use within 7 days before Week 24, or greater than 14 consecutive days at any point from baseline to Week 24, the Week 24 score was set to missing.

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Learn about the safety of AYVAKYT in the PIONEER trial

PIONEER Safety Data

This medicinal product is subject to additional monitoring. This will allow quick identification of new safety information. Healthcare professionals are asked to report any suspected adverse reactions. See section 4.8 of the product SmPC for how to report adverse reactions.

References

  1. AYVAKYT® (avapritinib). Summary of Product Characteristics. Available at: https://www.ema.europa.eu/en/documents/product-information/ayvakyt-epar-product-information_en.pdf. Accessed February 2024.
  2. Gotlib J, et al. NEJM Evid. 2023;2(6):EVIDoa2200339.
  3. Padilla B, et al. Orphanet J Rare Dis. 2021;16:434.
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