Question · Q4 2025
Steven Mah asked about strategies to increase IBTROZI's first-line penetration against crizotinib, including engaging regulators for NCCN guideline preference. He also requested an update on the BET inhibitor NUV-868 and clarification on whether a head-to-head trial versus Xalkori is still required for IBTROZI's European approval.
Answer
David Hung, Founder, President, and CEO of Nuvation Bio, stated that using crizotinib in the first-line setting is inappropriate due to its lack of CNS coverage, given the high propensity for brain metastases in ROS1-positive NSCLC. He confirmed that Nuvation Bio is exploring strategies to ensure IBTROZI's differentiation is reflected in NCCN guidelines. Colleen Sjogren, CCO, added that the team is focused on expanding the market through education on comprehensive genetic testing. Hung mentioned interest in NUV-868 and that options are being explored. For European approval, Hung indicated that no additional clinical trials are believed to be needed, with more details to follow upon MA submission.
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