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Lazertinib

From Wikipedia, the free encyclopedia
Anti-cancer medication

Pharmaceutical compound
Lazertinib
Clinical data
Trade namesLeclaza, Lazcluze, others
AHFS/Drugs.comMonograph
MedlinePlusa624058
License data
Routes of
administration
By mouth
Drug classEGFR inhibitor
ATC code
Legal status
Legal status
Identifiers
  • N-[5-[[4-[4-[(dimethylamino)methyl]-3-phenylpyrazol-1-yl]pyrimidin-2-yl]amino]-4-methoxy-2-morpholin-4-ylphenyl]prop-2-enamide
CAS Number
PubChemCID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEMBL
Chemical and physical data
FormulaC30H34N8O3
Molar mass554.655 g·mol−1
3D model (JSmol)
  • CN(C)CC1=CN(N=C1C2=CC=CC=C2)C3=NC(=NC=C3)NC4=C(C=C(C(=C4)NC(=O)C=C)N5CCOCC5)OC
  • InChI=1S/C30H34N8O3/c1-5-28(39)32-23-17-24(26(40-4)18-25(23)37-13-15-41-16-14-37)33-30-31-12-11-27(34-30)38-20-22(19-36(2)3)29(35-38)21-9-7-6-8-10-21/h5-12,17-18,20H,1,13-16,19H2,2-4H3,(H,32,39)(H,31,33,34)
  • Key:RRMJMHOQSALEJJ-UHFFFAOYSA-N

Lazertinib, sold under the brand namesLazcluze andLeclaza among others, is ananti-cancer medication used for the treatment ofnon-small cell lung cancer.[3][6][7] It is a kinase inhibitor of epidermal growth factor receptor.[3]

The most common adverse reactions include rash, nail toxicity, infusion-related reactions (amivantamab), musculoskeletal pain, edema, stomatitis, venous thromboembolism, paresthesia, fatigue, diarrhea, constipation, COVID-19 infection, hemorrhage, dry skin, decreased appetite, pruritus, nausea, and ocular toxicity.[6]

Lazertinib was approved for medical use in South Korea in January 2021,[8][9] in the United States in August 2024,[10] and in the European Union in January 2025.[4]

Medical uses

[edit]

Lazertinib isindicated, in combination withamivantamab, for thefirst-line treatment of adults with locally advanced or metastatic non-small cell lung cancer with epidermal growth factor receptor exon 19 deletions or exon 21 L858R substitution mutations.[3][4]

History

[edit]

Efficacy was evaluated in MARIPOSA (NCT04487080), a randomized, active-controlled, multi-center trial of 1074 participants with exon 19 deletion or exon 21 L858R substitution mutation-positive locally advanced or metastatic non-small cell lung cancer and no prior systemic therapy for advanced disease.[6] Participants were randomized (2:2:1) to receive lazertinib in combination withamivantamab,osimertinib monotherapy, or lazertinib monotherapy (an unapproved regimen for non-small cell lung cancer) until disease progression or unacceptable toxicity.[6] The USFood and Drug Administration (FDA) approved lazertinib in combination with amivantamab based on evidence from one clinical trial (MARIPOSA, NCT04487080) using data from 858 adult participants with locally advanced or metastatic non-small cell lung cancer with EGFR exon 19 deletions or exon 21 L858R substitution mutations.[10] The trial was conducted at 204 sites in 26 countries including China, South Korea, Brazil, Japan, Malaysia, Spain, Taiwan, Russian Federation, Turkey, Thailand, Mexico, France, Italy, Ukraine, Argentina, Poland, the United States, India, Australia, Portugal, Israel, the United Kingdom, Germany, Belgium, Hungary, and Netherlands.[10] Of the 858 participants, 12 were enrolled at sites in the United States.[10] Among the 858 participants, all were evaluated for efficacy and 849 were evaluated for safety.[10]

Society and culture

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Legal status

[edit]

Lazertinib was approved for medical use in the United States in August 2024.[11][12][13]

In November 2024, theCommittee for Medicinal Products for Human Use of theEuropean Medicines Agency adopted a positive opinion, recommending the granting of a marketing authorization for the medicinal product Lazcluze, intended in combination with amivantamab, for the treatment of non-small cell lung cancer (NSCLC) with activating epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 L858R substitution mutations.[4] The applicant for this medicinal product is Janssen-Cilag International NV.[4][14] Lazertinib was authorized for medical use in the European Union in January 2025.[4][5]

Names

[edit]

Lazertinib is theinternational nonproprietary name.[15]

Lazertinib is sold under the brand name Lazcluze[3][4] and in South Korea as Leclaza.[8]

References

[edit]
  1. ^"Summary Basis of Decision for Lazcluze".Drug and Health Products Portal. 28 May 2025. Retrieved22 June 2025.
  2. ^"Register of Innovative Drugs".Health Canada. 3 November 2006. Retrieved17 April 2025.
  3. ^abcde"Lazcluze- lazertinib tablet, film coated".DailyMed. 20 August 2024. Retrieved5 September 2024.
  4. ^abcdefg"Lazcluze EPAR".European Medicines Agency (EMA). 14 November 2024. Retrieved16 November 2024. Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  5. ^ab"Lazcluze PI".Union Register of medicinal products. 21 January 2025. Retrieved25 January 2025.
  6. ^abcd"FDA approves lazertinib with amivantamab-vmjw for non-small lung cancer".U.S.Food and Drug Administration (FDA). 19 August 2024. Retrieved21 August 2024.Public Domain This article incorporates text from this source, which is in thepublic domain.
  7. ^Dhillon S (June 2021)."Lazertinib: First Approval".Drugs.81 (9):1107–1113.doi:10.1007/s40265-021-01533-x.PMC 8217052.PMID 34028784.
  8. ^ab"Yuhan wins approval as MFDS clear T790M EGFR TKI drug 'Lazertinib'".바이오스펙테이터. Retrieved23 August 2024.
  9. ^Dhillon S (2021)."Lazertinib: First Approval".Drugs.81 (9):1107–1113.doi:10.1007/s40265-021-01533-x.ISSN 0012-6667.PMC 8217052.PMID 34028784.
  10. ^abcde"Drug Trials Snapshots: Lazcluze".U.S. Food and Drug Administration. 19 August 2024. Retrieved24 June 2025.Public Domain This article incorporates text from this source, which is in thepublic domain.
  11. ^"Novel Drug Approvals for 2024".U.S.Food and Drug Administration (FDA). 1 October 2024.Archived from the original on 19 April 2024. Retrieved8 November 2024.
  12. ^New Drug Therapy Approvals 2024(PDF).U.S.Food and Drug Administration (FDA) (Report). January 2025.Archived from the original on 21 January 2025. Retrieved21 January 2025.
  13. ^"Rybrevant (amivantamab-vmjw) plus Lazcluze (lazertinib) approved in the U.S. as a first-line chemotherapy-free treatment for patients with EGFR-mutated advanced lung cancer".Johnson & Johnson (Press release). 20 August 2024. Retrieved21 August 2024.
  14. ^"Meeting highlights from the Committee for Medicinal Products for Human Use (CHMP) 11-14 November 2024".European Medicines Agency (EMA). 15 November 2024. Retrieved16 November 2024.
  15. ^World Health Organization (2018). "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 79".WHO Drug Information.32 (1).hdl:10665/330941.

External links

[edit]
  • Clinical trial numberNCT04487080 for "A Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer (MARIPOSA)" atClinicalTrials.gov
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