Agasti 2021: I-FDA inikeze i-amivantamab-vmjw (Rybrevant, Janssen Biotech, Inc.), i-bispecific antibody eqondiswe ngokumelene ne-epidermal growth factor (EGF) kanye nama-MET receptors, ukugunyazwa okusheshayo ezigulini ezikhulile ezinomdlavuza wamaphaphu osezingeni eliphezulu noma we-metastatic ongewona omncane (NSCLC) abanokuguqulwa kwe-epidermal growth factor receptor (EGFR) exon 20, njengoba kutholwe ukuhlolwa okugunyazwe yi-FDA.
I-Guardant360® CDx (i-Guardant Health, Inc.) iphinde yamukelwa yi-FDA njengocwaningo lokuhambisana lwe-amivantamab-vmjw.
I-CHRYSALIS, ilebuli evulekile eningi, engahleliwe, evulekile, isilingo somtholampilo se-multicohort (NCT02609776) ebandakanya iziguli ezine-NSCLC ezithuthukile endaweni noma ezine-metastatic ezazine-EGFR exon 20 insertion changes, yasetshenziselwa ukuthola imvume. Ukusebenza kuhlolwe ezigulini ezingama-81 ezine-NSCLC esezingeni eliphakeme ezazine-EGFR exon izinguquko ezingama-20 zokufaka futhi zathuthuka ngemuva kokwelashwa okwenziwe ngeplathinamu. I-Amivantamab-vmjw yanikezwa iziguli kanye ngesonto amasonto amane, bese kuthi njalo emavikini amabili kuze kube ukukhula kwesifo noma ubuthi obungamukeleki.
Izinga lokuphendula selilonke (i-ORR) ngokuya nge-RECIST 1.1 njengoba kuhlolwe ngokubuyekezwa okuzimele okuyimpumputhe (i-BICR) nesikhathi sokuphendula bekuyizinyathelo ezibalulekile zomphumela wokusebenza. Ngesikhathi sokuphendula esiphakathi kwezinyanga eziyi-11.1, i-ORR ibingama-40% (amaphesenti angama-95 we-CI: amaphesenti angama-29, amaphesenti angama-51) (amaphesenti angama-95 we-CI: 6.9, angahlolwa).
Ukuqubuka, izimpendulo ezihlobene nokumnika, i-paronychia, ubuhlungu be-musculoskeletal, i-dyspnea, isicanucanu, ukukhathala, i-edoema, i-stomatitis, ukukhwehlela, ukuqunjelwa, nokuhlanza kwakuyimicimbi eseceleni edume kakhulu (20%).
Umthamo onconywayo we-amivantamab-vmjw ungu-1050 mg weziguli ezinesisindo somzimba esingaphansi kwama-80 kg no-1400 mg kulabo abanesisindo sokuqala esingaphezu kuka-80 kg, esinikezwa masonto onke amasonto amane bese njalo njalo emavikini amabili kuze kube yisifo ukuqhubeka noma ubuthi obungamukeleki kwenzeka.
Izikhombo:
Bheka imininingwane lapha.