New Reference: Nirogacestat for Desmoid Tumors

Long-term treatment with nirogacestat resulted in an objective response rate of 45.7%. Safety findings showed a decrease in the incidence and severity of treatment-emergent adverse events over time.

  • Study

    Phase III placebo-controlled trial [DeFi; NCT03785964]
    Adults with progressing desmoid tumors
    Nirogacestat 150 mg twice daily continuing on open-label extension (n=39)



  • Efficacy

    ORR: 45.7% among pts who continued for 4 yrs



  • Safety

    Grade >=3 AEs: Diarrhea (Not reported after year 3), Ovarian toxicity (3 events after 3 years in patients with previously resolved OT), Nonmelanoma skin cancers: 2 events reported after primary analysis.


  • J Clin Oncol. Published online October 20, 2025

    Schöffski PF, Ratan R, Kasper B New Reference: Nirogacestat for Desmoid Tumors

    http://doi.org/10.1200/JCO-25-00582

    Reviewed by Ulas D. Bayraktar, MD on Nov 13, 2025

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