Day One Announces Three Year Follow-Up Data From OJEMDA™ (tovorafenib) Phase 2 FIREFLY-1 Trial at the 2025 Society for Neuro-Oncology (SNO) Annual Meeting
Day One (Nasdaq: DAWN) reported three-year follow-up data from the Phase 2 FIREFLY-1 trial of OJEMDA (tovorafenib) in relapsed/refractory pediatric low-grade glioma (data cutoff June 6, 2025; median study duration 40.6 months).
Key results in 76 evaluable patients: overall response rate 53%, median duration of response 19.4 months, median PFS 16.6 months, and median time-to-next-treatment 42.6 months. Of 39 patients entering treatment-free observation, 77% remained off therapy ≥12 months. No new safety signals; Grade ≥3 events (≥5%) listed.
Day One (Nasdaq: DAWN) ha riportato dati di follow-up di tre anni dal trial di Fase 2 FIREFLY-1 di OJEMDA (tovorafenib) in glioma pediatrico a basso grado ricorrente/refrattario (data cutoff 6 giugno 2025; durata mediana dello studio 40,6 mesi).
Risultati chiave in 76 pazienti valutabili: tasso di risposta globale 53%, durata mediana della risposta 19,4 mesi, mediana della PFS 16,6 mesi, e mediana del tempo al prossimo trattamento 42,6 mesi. Di 39 pazienti entrati in osservazione senza trattamento, 77% sono rimasti senza terapia ≥12 mesi. Nessun nuovo segnale di sicurezza; eventi di grado ≥3 (≥5%) elencati.
Day One (Nasdaq: DAWN) informó datos de seguimiento de tres años del ensayo de Fase 2 FIREFLY-1 de OJEMDA (tovorafenib) en glioma pediátrico de bajo grado recidivante/refractario (corte de datos 6 de junio de 2025; duración mediana del estudio 40,6 meses).
Resultados clave en 76 pacientes evaluables: tasa de respuesta global 53%, duración media de la respuesta 19,4 meses, mediana de PFS 16,6 meses, y mediana del tiempo hasta el siguiente tratamiento 42,6 meses. De 39 pacientes que entraron en observación sin tratamiento, 77% permanecieron sin terapia ≥12 meses. No hay señales de seguridad nuevas; se enumeran eventos de grado ≥3 (≥5%).
Day One (Nasdaq: DAWN) 은 재발/난치성 소아 저등급 뇌종양에서 FIREFLY-1 2상 시험의 OJEMDA(tovorafenib) 데이터의 3년 추적 데이터를 보고했습니다(데이터 종료 2025년 6월 6일; 연구 기간의 중간값 40.6개월).
76명의 평가 가능 환자에서 주요 결과: 전체 반응률 53%, 반응 지속 기간의 중간값 19.4개월, 무진행 생존(PFS) 중간값 16.6개월, 그리고 다음 치료까지의 중간 시간 42.6개월. 치료 없이 관찰에 진입한 39명 중 77%가 ≥12개월 동안 치료 없이 유지되었습니다. 새로운 안전 신호 없음; 등급 ≥3의 사건(≥5%)이 나열됨.
Day One (Nasdaq: DAWN) a communiqué des données de suivi sur trois ans de l’essai de phase 2 FIREFLY-1 de OJEMDA (tovorafenib) dans les gliomes pédiatriques à faible grade récurrents/réfractaires (date de coupure des données 6 juin 2025; durée médiane de l’étude 40,6 mois).
Résultats clés sur 76 patients évaluables : taux de réponse global 53%, durée médiane de la réponse 19,4 mois, médiane de la PFS 16,6 mois, et médiane du temps jusqu’au prochain traitement 42,6 mois. Sur 39 patients entrés en observation sans traitement, 77% sont restés sans thérapie ≥12 mois. Aucun nouveau signal de sécurité; les événements de grade ≥3 (≥5%) sont listés.
Day One (Nasdaq: DAWN) berichtete dreijährige Follow-up-Daten aus der Phase-2-FIREFLY-1-Studie von OJEMDA (tovorafenib) bei rezidivierenden/refraktären pädiatrischen Gliomen niedrigem Grades (Daten Cutoff 6. Juni 2025; mediane Studiendauer 40,6 Monate).
Wichtige Ergebnisse bei 76 evaluierbaren Patienten: Gesamtrücklaufquote 53%, mediane Ansprechdauer 19,4 Monate, medianes PFS 16,6 Monate, und mediane Zeit bis zur nächsten Behandlung 42,6 Monate. Von 39 Patienten, die in eine beobachtende Behandlungspause ohne Therapie gingen, blieben 77% ohne Therapie ≥12 Monate. Keine neuen Sicherheitssignale; Grade ≥3-Ereignisse (≥5%) aufgelistet.
Day One (Nasdaq: DAWN) أبلغت عن بيانات متابعة لمدة ثلاث سنوات من تجربة المرحلة 2 FIREFLY-1 لـ OJEMDA (tovorafenib) في الورم الدماغي النجمي منخفض الدرجة لدى الأطفال المتكرر/المقاوم (تاريخ قطع البيانات 6 يونيو 2025؛ مدة الدراسة الوسيطة 40.6 شهرًا).
النتائج الرئيسية في 76 مريضاً قابلاً للتقييم: معدل الاستجابة الكلية 53%، المدة الوسيطة للاستجابة 19.4 شهرًا، وسطي PFS 16.6 شهرًا، وسطي الوقت حتى العلاج التالي 42.6 شهرًا. من 39 مريضاً دخلوا في ملاحظة بدون علاج، بقي 77% بدون علاج لمدة ≥12 شهراً. لا توجد إشارات سلامة جديدة؛ أحداث من الدرجة ≥3 (≥5%) مذكورة.
- Overall response rate 53% (40/76)
- Median time-to-next-treatment 42.6 months
- 77% of patients in observation were treatment-free ≥12 months
- Median duration of response 19.4 months
- Median PFS 16.6 months
- Tumor rebound: 31% had ≥25% tumor increase within 6 months off therapy
- Grade ≥3 adverse events reported (≥5%) including decreased growth velocity and anemia
Insights
Three-year FIREFLY-1 data show durable off-therapy intervals and long TTNT, supporting meaningful clinical durability for tovorafenib.
FIREFLY-1 results indicate a strong clinical durability signal: an overall response rate of
The commercial and clinical value depends on durability and retreatment feasibility described here. The long TTNT and substantial proportion remaining treatment-free argue for meaningful patient benefit and a potential role as a later-line standard if sustained in broader use. Risks remain around the exploratory nature of some analyses, modest tumor rebound (≥25% increase in 31% within six months off therapy), and the limited retreatment dataset (eight patients, median retreatment 9 months). Watch for prospective confirmatory data and regulatory or guideline language changes over the next 12–24 months, and monitor longer-term safety and real-world retreatment outcomes with follow-up beyond the
Updated data expands clinically meaningful results available from FIREFLY-1 pivotal trial
The median time to next treatment (TTNT) following initiation of OJEMDA exceeded 3.5 years
BRISBANE, Calif., Nov. 24, 2025 (GLOBE NEWSWIRE) -- Day One Biopharmaceuticals, Inc. (Nasdaq: DAWN) (“Day One” or the “Company”), a biopharmaceutical company dedicated to developing and commercializing targeted therapies for people of all ages with life-threatening diseases, today announced three-year results from the OJEMDA pivotal Phase 2 FIREFLY-1 trial in an oral presentation at the 30th Annual Meeting & Education Day of the Society for Neuro-Oncology .
New data from the ongoing FIREFLY-1 trial (Arm 1), with an updated median study duration of 40.6 months (data cutoff June 6, 2025), are described below. Primary trial results, including trial eligibility, patient demographics, efficacy and safety have been previously reported (Kilburn, et al. Nature Medicine 2024).
“We are excited by these updated three-year data showing that patients taking tovorafenib were able to spend meaningful time off therapy, with the option to retreat as needed,” said Elly Barry, MD, Chief Medical Officer of Day One. “These findings highlight the potential for a treatment approach to help support patients through the long-term course of their disease and further support our view that tovorafenib has the potential to become the second line standard of care in pLGG.”
In 76 evaluable patients from Arm 1, 44 (
Exploratory analyses were also undertaken to further assess the clinical impact of tovorafenib in the same study population. Among these analyses:
- The median time-to-next-treatment (defined as the time from the date of the first dose of tovorafenib to the start of the first subsequent anticancer treatment, or date of death) was 42.6 months (
95% CI [36.7-NE]).
- 39 patients entered a treatment-free observation period:
77% (30/39) were treatment-free for a minimum of 12 months.- Median treatment-free interval, measured from the end of tovorafenib primary treatment to the start of the next subsequent anticancer treatment or death, was not reached.
- Tumor rebound was minimal in the first 6 months off therapy, with
31% of patients experiencing a ≥25% increase in tumor size from the last scan prior to the last dose. - Eight patients received retreatment with tovorafenib:
- The median retreatment duration was 9 months (all patients remained on therapy at the time of data cutoff).
- The median maximum percentage change in tumor reduction was –
38.3% .
- The median retreatment duration was 9 months (all patients remained on therapy at the time of data cutoff).
“These three-year data showed that patients were able to maintain disease control during extended periods off therapy, with the option to reinitiate tovorafenib treatment if clinically indicated,” said Dr. Cassie Kline, Director of Clinical Research in the Division of Neuro-Oncology at the Children’s Hospital of Philadelphia. “This approach has the potential to offer patients and their families meaningful time away from treatment.”
In this updated three-year analysis, no new safety signals were identified. Grade 3 or higher adverse events most commonly reported (≥
Tovorafenib is approved by the U.S. Food and Drug Administration for the treatment of pediatric patients 6 months of age and older with relapsed or refractory pediatric low-grade glioma (pLGG) harboring a BRAF fusion or rearrangement.
About tovorafenib
Tovorafenib (known as OJEMDATM in the U.S.) is a Type II RAF kinase inhibitor mutant BRAF V600, wild-type BRAF, and wild-type CRAF kinases. Tovorafenib is indicated for the treatment of patients 6 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, in part, on response rate and duration of response according to multiple response assessment criteria: Response Assessment in Neuro-Oncology High-Grade Glioma (RANO-HGG) criteria, Response Assessment in Pediatric Neuro-Oncology Low-Grade Glioma (RAPNO LGG) criteria, and Response Assessment for Neuro-Oncology Low-Grade Glioma (RANO LGG) criteria. Continued approval for this indication may be contingent upon verification and description of clinical benefit in a confirmatory trial(s).
Tovorafenib is under evaluation as a therapy for patients aged 6 months to 25 years with pLGG harboring BRAF fusion or rearrangement, or BRAF V600 mutation requiring front-line treatment (Phase III FIREFLY-2/LOGGIC).
Tovorafenib was granted Breakthrough Therapy and Rare Pediatric Disease designations by the FDA for the treatment of patients with pLGG harboring an activating RAF alteration, and it was evaluated by the FDA under priority review. Tovorafenib has also received Orphan Drug designation from the FDA for the treatment of malignant glioma and from the European Commission for the treatment of glioma.
For more information, please visit www.ojemda.com.
About Pediatric Low-Grade Glioma
Pediatric low-grade glioma (pLGG) is the most common brain tumor with an estimated US incidence of 1,100 and Europe incidence of 700 children per year who are eligible for front-line systemic therapy.i, ii BRAF is the gene most commonly altered in pLGG, which include two primary types of BRAF alterations – a BRAF gene fusion and BRAF point mutation. These BRAF alterations account for >
Pediatric low-grade gliomas can be chronic and relentless, with patients suffering profound side effects from both the tumor and the treatment, which may include chemotherapy and radiation. These side effects can impact their life over the long term, and may include muscle weakness, loss of vision, and difficulty speaking. This type of tumor has a high risk of progression, and many children with pLGG require long-term treatment. While most children with pLGG survive their cancer, children who do not achieve a complete resection following surgery may face years of increasingly aggressive treatment.
About FIREFLY-1
FIREFLY-1 is evaluating tovorafenib as once-weekly monotherapy in patients aged 6 months to 25 years with relapsed or progressive pLGG harboring a known activating BRAF alteration. The trial is being conducted in collaboration with the Pediatric Neuro-Oncology Consortium (PNOC). The pivotal and ongoing Phase 2 FIREFLY-1 study evaluated the safety and efficacy of tovorafenib in 137 relapsed or refractory BRAF-altered pLGG patients, who had received at least one line of prior therapy, across two study arms. Arm 1 (n=77) was used for the efficacy analyses and Arm 2 provided safety data for an additional 60 patients, initiated to enable access to tovorafenib once Arm 1 had fully recruited.
At the time of data cutoff on May 10, 2024, the major efficacy outcome measure was overall response rate (ORR) of
About the Pediatric Neuro-Oncology Consortium
The Pediatric Neuro-Oncology Consortium (PNOC) is an international consortium with study sites within the United States, Canada, Europe and Australia dedicated to bringing new therapies to children and young adults with brain tumors.
About Day One Biopharmaceuticals
Day One Biopharmaceuticals believes when it comes to pediatric cancer, we can do better. The Company was founded to address a critical unmet need: the dire lack of therapeutic development in pediatric cancer. Inspired by “The Day One Talk” that physicians have with patients and their families about an initial cancer diagnosis and treatment plan, Day One aims to re-envision cancer drug development and redefine what’s possible for all people living with cancer—regardless of age—starting from Day One.
Day One partners with leading clinical oncologists, families, and scientists to identify, acquire, and develop important targeted cancer treatments. The Company’s pipeline includes tovorafenib (OJEMDA™) and DAY301.
Day One is based in Brisbane, California. For more information, please visit www.dayonebio.com or find the Company on LinkedIn or X.
Day One uses its Investor Relations website (ir.dayonebio.com), its X handle (x.com/DayOneBio), and LinkedIn Home Page (linkedin.com/company/dayonebio) as a means of disseminating or providing notification of, among other things, news or announcements regarding its business or financial performance, investor events, press releases, and earnings releases, and as a means of disclosing material nonpublic information and for complying with its disclosure obligations under Regulation FD.
Cautionary Note Regarding Forward-Looking Statements
This press release contains “forward-looking” statements within the meaning of the “safe harbor” provisions of the Private Securities Litigation Reform Act of 1995, including, but not limited to: Day One’s plans to develop and commercialize cancer therapies, expectations from current and planned clinical trials, the execution of the Phase 2 and Phase 3 clinical trial for tovorafenib as designed, expectations with respect to the timing of Day One’s Phase 1a/b clinical trial of DAY301, any expectations about safety, efficacy, timing and ability to complete clinical trials, release data results and to obtain regulatory approvals for tovorafenib and other candidates in development, and the ability of tovorafenib to treat pLGG or related indications.
Statements including words such as “believe,” “plan,” “continue,” “expect,” “will,” “develop,” “signal,” “potential,” or “ongoing” and statements in the future tense are forward-looking statements. These forward-looking statements involve risks and uncertainties, as well as assumptions, which, if they do not fully materialize or prove incorrect, could cause our results to differ materially from those expressed or implied by such forward-looking statements.
Forward-looking statements are subject to risks and uncertainties that may cause Day One’s actual activities or results to differ significantly from those expressed in any forward-looking statement, including risks and uncertainties in this press release and other risks set forth in our filings with the Securities and Exchange Commission, including Day One’s ability to develop, obtain and retain regulatory approval for or commercialize any product candidate, Day One’s ability to protect intellectual property, the potential impact of global business or macroeconomic conditions, including as a result of inflation, changing interest rates, government shutdowns, cybersecurity incidents, significant political or regulatory developments or changes in trade policy, including tariffs, shifting priorities within the U.S. Food and Drug Administration and reduced funding to federal healthcare programs, global regional conflicts and the sufficiency of Day One’s cash, cash equivalents and investments to fund its operations. These forward-looking statements speak only as of the date hereof and Day One specifically disclaims any obligation to update these forward-looking statements or reasons why actual results might differ, whether as a result of new information, future events or otherwise, except as required by law.
DAY ONE MEDIA
media@dayonebio.com
DAY ONE INVESTORS
LifeSci Advisors, PJ Kelleher
pkelleher@lifesciadvisors.com
[i] Ryall S, et al. Acta Neuropathol Commun. 2020;8(1):30.
[ii] Estimates of annual incidence and prevalence for addressable patient population in E.U. 4 + U.K. are based on Ipsen calculations from publicly available data (Eurostat, <25yo population; Global Burden of Disease 2019; Desandes et al. Incidence and survival of children with central nervous system primitive tumors in the French National Registry of Childhood Solid Tumors. Neuro Oncol. 2014 Jul;16(7):975-83. doi: 10.1093/neuonc/not309; Qaddoumi et al. Outcome and prognostic features in pediatric gliomas: a review of 6212 cases from the Surveillance, Epidemiology, and End Results database. Cancer. 2009 Dec 15;115(24):5761-70. doi: 10.1002/cncr.24663)
[iii] Traunwieser T, et al. Neurooncol Adv. 2020;2(1):vdaa094.
FAQ
What did Day One (DAWN) report about OJEMDA (tovorafenib) at the SNO 2025 meeting?
How long did DAWN patients remain off therapy after OJEMDA in FIREFLY-1 (DAWN)?
What safety signals did Day One (DAWN) report for tovorafenib in the 3-year update?
What was the median time-to-next-treatment (TTNT) reported for OJEMDA in FIREFLY-1 (DAWN)?
Did patients retreat with OJEMDA in the FIREFLY-1 update and what were outcomes?
