To help oncologists discern which patients might benefit from Lumakras, the FDA also approved a blood-based diagnostic from Guardant Health
(NASDAQ: GH). This means new patients won't necessarily need a biopsy to begin treatment with Lumakras.
What's next
At the moment, Lumakras is approved to treat NSCLC patients who have already relapsed or failed to respond to their first course of treatment. This is an important population but it isn't nearly as large as the pool of newly diagnosed patients who tend to remain on treatment much longer. With a list price of around $18,000 per month, an expansion to the first-line setting could lead to a revenue explosion for Amgen.
To see what could be in store for Lumakras, we can look at AstraZeneca's
(NASDAQ: AZN)experience with Tagrisso a targeted treatment for NSCLC patients with EGFR mutations. Although first approved for a second-line setting about six years ago, a subsequent approval to treat first-line patients in 2019 pushed Tagrisso sales up to $4.3 billion last year.
We'll know more about Lumakras' future before too long. Amgen has already completed enrollment into a phase 3 study that compares Lumakras to standard chemotherapy.