Jazz Pharmaceuticals Provides Update on Zepzelca® (lurbinectedin) Phase 3 LAGOON Trial in Second-Line Small Cell Lung Cancer

Jazz Pharmaceuticals Provides Update on Zepzelca® (lurbinectedin) Phase 3 LAGOON Trial in Second-Line Small Cell Lung Cancer

Jazz Pharmaceuticals business

Key Points:

  • Jazz Pharmaceuticals announced that the Phase 3 LAGOON trial evaluating Zepzelca® (lurbinectedin) for second-line treatment of relapsed metastatic small cell lung cancer (SCLC) did not meet its primary endpoint of overall survival compared to standard therapies.
  • The safety profile of Zepzelca, both as monotherapy and combined with irinotecan, was consistent with known data, with no new safety concerns identified.
  • Despite the LAGOON trial results, Jazz emphasized that these findings do not impact Zepzelca's U.S. approval or use in the first-line maintenance setting in combination with immunotherapy, based on positive Phase 3 IMforte trial results.
  • Jazz will discuss next steps and post-marketing requirements with the FDA regarding the second-line indication and confirmed the LAGOON results do not affect the company's 2026 financial guidance.
  • Zepzelca is approved for first-line maintenance treatment of extensive-stage SCLC in combination with atezolizumab and for second-line treatment under accelerated approval, with important safety warnings including risks of myelosuppression, hepatotoxicity, and extravasation.

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