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Sunvozertinib

From Wikipedia, the free encyclopedia
Pharmaceutical drug

Pharmaceutical compound
Sunvozertinib
Clinical data
Trade names舒沃哲, Zegfrovy
AHFS/Drugs.comZegfrovy
Routes of
administration
By mouth
ATC code
  • None
Legal status
Legal status
Identifiers
  • N-[5-[[4-[5-chloro-4-fluoro-2-(2-hydroxypropan-2-yl)anilino]pyrimidin-2-yl]amino]-2-[(3R)-3-(dimethylamino)pyrrolidin-1-yl]-4-methoxyphenyl]prop-2-enamide
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
Chemical and physical data
FormulaC29H35ClFN7O3
Molar mass584.09 g·mol−1
3D model (JSmol)
  • COC1=CC(N2CC[C@H](C2)N(C)C)=C(NC(=O)C=C)C=C1NC1=NC=CC(NC2=CC(Cl)=C(F)C=C2C(C)(C)O)=N1
  • InChI=1S/C29H35ClFN7O3/c1-7-27(39)34-22-14-23(25(41-6)15-24(22)38-11-9-17(16-38)37(4)5)35-28-32-10-8-26(36-28)33-21-13-19(30)20(31)12-18(21)29(2,3)40/h7-8,10,12-15,17,40H,1,9,11,16H2,2-6H3,(H,34,39)(H2,32,33,35,36)/t17-/m1/s1
  • Key:BTMKEDDEMKKSEF-QGZVFWFLSA-N

Sunvozertinib is ananti-cancer medication used for the treatment ofnon-small-cell lung cancer.[2][3] It is anepidermal growth factor receptor (EGFR)tyrosine kinase inhibitor.[2][4]

Sunvozertinib was approved for medical use in the United States in July 2025.[1]

Medical uses

[edit]

In the US, sunvozertinib isindicated for the treatment of adults with locally advanced or metastatic non-small cell lung cancer with epidermal growth factor receptor exon 20 insertion mutations, as detected by an FDA-approved test, whose disease has progressed on or after platinum-based chemotherapy.[1]

Side effects

[edit]

The US FDA prescribing information for sunvozertinib includes warnings and precautions for interstitial lung disease/pneumonitis, gastrointestinal adverse reactions, dermatologic adverse reactions, ocular toxicity, and embryo-fetal toxicity.[1]

History

[edit]

Sunvozertinib is beingdeveloped by Dizal Pharmaceutical.[5] In China, it was conditionally approved in 2023 for the treatment of NSCLC and full approval is contingent on results ofphase 3 clinical trials.[6] In the United States, it has been designated by the Food and Drug Administration as abreakthrough therapy for patients with locally advanced or metastatic NSCLCs with an EGFR exon 20 insertion mutation.[7]

Efficacy was evaluated in WU-KONG1B (NCT03974022), a multinational, open-label, dose randomization trial.[1] Eligible participants had locally advanced or metastatic non-small cell lung cancer with epidermal growth factor receptor exon 20 insertion mutations with disease progression on or after platinum-based chemotherapy.[1] The primary efficacy population was in 85 participants who received sunvozertinib 200 mg orally once daily with food until disease progression or intolerable toxicity.[1]

The USFood and Drug Administration granted the application for sunvozertinibpriority review andbreakthrough therapy designations.[1]

References

[edit]
  1. ^abcdefgh"FDA grants accelerated approval to sunvozertinib for metastatic non-small cell lung cancer with EGFR exon 20 insertion mutations".U.S.Food and Drug Administration (FDA). 2 July 2025. Retrieved7 July 2025.Public Domain This article incorporates text from this source, which is in thepublic domain.
  2. ^abWang M, Yang JC, Mitchell PL, Fang J, Camidge DR, Nian W, et al. (July 2022)."Sunvozertinib, a Selective EGFR Inhibitor for Previously Treated Non-Small Cell Lung Cancer with EGFR Exon 20 Insertion Mutations".Cancer Discovery.12 (7):1676–1689.doi:10.1158/2159-8290.CD-21-1615.PMC 9262839.PMID 35404393.
  3. ^Wang M, Fan Y, Sun M, Wang Y, Zhao Y, Jin B, et al. (March 2024). "Sunvozertinib for patients in China with platinum-pretreated locally advanced or metastatic non-small-cell lung cancer and EGFR exon 20 insertion mutation (WU-KONG6): single-arm, open-label, multicentre, phase 2 trial".The Lancet. Respiratory Medicine.12 (3):217–224.doi:10.1016/S2213-2600(23)00379-X.PMID 38101437.
  4. ^Hayashi H (March 2024)."Sunvozertinib: the next candidate of TKI for NSCLC".The Lancet. Respiratory Medicine.12 (3):185–186.doi:10.1016/S2213-2600(23)00419-8.PMID 38101435.
  5. ^"ASH: With high tumor response, AstraZeneca spinout Dizal explores FDA path and US partner for PTCL drug". Fierce Biotech. 11 December 2023.
  6. ^Dhillon S (November 2023)."Sunvozertinib: First Approval".Drugs.83 (17):1629–1634.doi:10.1007/s40265-023-01959-5.PMID 37962831.
  7. ^"FDA Grants Breakthrough Therapy Designation to Sunvozertinib in EGFR Exon20+ NSCLC".targetedonc.com. 9 April 2024.

External links

[edit]
  • Clinical trial numberNCT03974022 for "Assessing an Oral EGFR Inhibitor, Sunvozertinib in Patients Who Have Advanced Non-small Cell Lung Cancer with EGFR or HER2 Mutation (WU-KONG1)" atClinicalTrials.gov
CImonoclonal antibodies ("-mab")
Receptor tyrosine kinase
Others for solid tumors
Leukemia/lymphoma
Other
Tyrosine kinase inhibitors ("-nib")
Receptor tyrosine kinase
Non-receptor
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