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Verastem (VSTM) investor relations material
Verastem Evercore ISI 8th Annual HealthCONx Conference summary
Complete event summary combining all related documents: earnings call transcript, report, and slide presentation.Launch performance and market dynamics
Avutometinib launched for low-grade serous ovarian cancer, targeting a rare, underserved population, with a focus on being the first switch after current therapies fail.
Early launch skewed toward academic centers due to KOL involvement, but community uptake is increasing as GPO and distributor contracts are established.
Market consists of roughly half the patients at 100 major institutions, with the rest in large community practices; GynOnc specialists drive most prescribing.
Early approval required rapid operational adjustments, but infrastructure is now in place to support ongoing growth.
NCCN guideline updates expected after the new year may accelerate uptake, with strong reimbursement and active copay assistance programs supporting access.
Clinical development and trial updates
RAMP 301 trial enrollment was increased by 29 patients after interim analysis indicated promising results for both wild type and mutant cohorts.
Initial PFS results from RAMP 301 are expected in the second half of 2027, with guidance to be refined as the event-driven trial progresses.
Investigator's choice comparator arm in RAMP 301 uses five FDA-agreed therapies, with improved design over prior studies by prospectively separating wild type and mutant patients.
KRAS inhibitor landscape and competitive positioning
G12D inhibitor is positioned as potentially best-in-class, binding both on- and off-state KRAS with high affinity, unlike competitors that target only one state.
Preclinical and clinical data show superior durability and response rates compared to RevMed, with 69% response in lung and 58% in second-line pancreatic cancer.
Tolerability is managed through feeding and prophylactic antiemetics, resulting in minimal high-grade GI side effects in trials.
Combination strategies include cetuximab for colorectal and chemo/chemo-IO for lung, aiming for rapid entry into frontline settings.
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