Daurismo Approval History
Reviewed by J.Stewart BPharm. Last updated on Nov 27, 2018.
Daurismo (glasdegib) is a hedgehog pathway inhibitor indicated for the combination treatment of adult patients ≥75 years with newly-diagnosed acute myeloid leukemia (AML).
- Daurismo (glasdegib) works by binding to and inhibiting Smoothened (Smo), a transmembrane protein involved in hedgehog signal transduction. Studies have shown that disruption of the Hedgehog signaling pathway pathway can impair the development and survival of cancer stem cells.
- In the Phase 2 BRIGHT 1003 trial, 115 patients with newly diagnosed AML were randomized 2:1 to receive Daurismo plus low-dose cytarabine (LDAC) or LDAC alone. Median overall survival was 8.3 months for patients treated with Daurismo plus LDAC, compared with 4.3 months for patients treated with LDAC alone. This difference represented a 54 percent reduction in the risk of death for patients treated with Daurismo plus LDAC.
- Daurismo is taken orally, once daily, in combination with low-dose cytarabine.
- The labeling for Daurismo includes a boxed warning for embryo-fetal toxicity. The most common side effects (incidence ≥20%) reported during clinical trials were anemia, fatigue, hemorrhage, febrile neutropenia, musculoskeletal pain, nausea, edema, thrombocytopenia, dyspnea, decreased appetite, dysgeusia, mucositis, constipation, and rash.