IDEAYA posts mUM OS 21.1 months, ORR 34% in Phase 2 combo
IDEAYA Biosciences (IDYA) reported new Phase 2 clinical outcomes for its darovasertib plus crizotinib combination in first-line metastatic uveal melanoma.
Rhea-AI Filing Summary
IDEAYA Biosciences (IDYA) reported new Phase 2 clinical outcomes for its darovasertib plus crizotinib combination in first-line metastatic uveal melanoma. In 44 patients with a median follow-up of 25 months (cut-off May 28, 2025), the trial observed a median overall survival of 21.1 months and median progression-free survival of 7.0 months. Among 41 efficacy-evaluable patients, the confirmed overall response rate was 34% (14/41) with a 9.0‑month median duration of response, and disease control reached 90% (37/41). Historical median overall survival in treatment‑naïve mUM is approximately 12 months.
The regimen showed manageable tolerability; the most common treatment‑related adverse events (>30%) were diarrhea, nausea, edema, vomiting, dermatitis, hypoalbuminemia and fatigue, with grade ≥3 events of iron‑deficiency anemia and pulmonary embolism (both 5%). IDEAYA is running a registration‑enabling Phase 2/3 trial (OptimUM‑02) targeting median PFS readout by year‑end 2025 to Q1 2026, and a Phase 3 neoadjuvant trial (OptimUM‑10) in primary uveal melanoma. Pfizer is supplying defined quantities of crizotinib under a collaboration and supply agreement.
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Insights
Phase 2 combo shows prolonged survival signals with manageable safety.
Darovasertib + crizotinib in first-line metastatic uveal melanoma reported median overall survival of 21.1 months and median PFS of 7.0 months in 44 patients with a May 28, 2025 cut-off. In 41 efficacy-evaluable patients, confirmed ORR was 34% with a 9.0‑month median duration of response, and disease control was 90%. Historical treatment‑naïve mUM median OS is ~12 months, providing context for the observed outcomes.
Tolerability was described as manageable, with common TRAEs (>30%) including gastrointestinal and dermatologic events; grade ≥3 TRAEs were iron‑deficiency anemia and pulmonary embolism at 5% each. Baseline ECOG PS 1 proportion was higher than an earlier registrational mUM study, which may influence cross‑study comparisons.
IDEAYA is conducting the registration‑enabling OptimUM‑02 Phase 2/3 and targets median PFS data by year‑end 2025 to Q1 2026, while OptimUM‑10 evaluates neoadjuvant darovasertib in primary UM. Actual regulatory trajectory will depend on forthcoming readouts and consistency of efficacy and safety across studies.
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FAQ
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What efficacy results did IDEAYA (IDYA) report for darovasertib + crizotinib in mUM?
How do these outcomes compare to historical benchmarks in metastatic uveal melanoma?
What safety profile was observed in IDEAYA’s trial?
What are the next milestones for IDEAYA’s mUM program (IDYA)?
What neoadjuvant data did IDEAYA present in primary uveal melanoma?
What is the Pfizer collaboration’s role in this program?
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