RYBREVANT FASPRO™ Receives FDA Approval for First-Line EGFR-Mutated NSCLC
December 26, 2025
Brand Name :
N/A
Synonyms :
patritumab deruxtecan, HER3-DXd
Class :
Antineoplastic, Antibody-drug conjugate
Dosage Forms & Strengths
It is investigational drug used in clinical trials which is waiting for FDA approval
Injectable solution (IV)
5.6 mg/kg
The FDA approval is pending for NSCLC
Safety and efficacy are not seen in pediatrics
Refer to the adult dosing
Actions and Spectrum:
Actions:
Patritumab, an antibody-drug conjugate, targets HER3 using the topoisomerase I inhibitor DX 8951 to inhibit HER3-dependent signaling pathways and hinder cell proliferation and differentiation.
Spectrum:
A new drug, patritumab deruxtecan targets HER3 protein in EGFR-mutated NSCLC. FDA granted Priority Review for its application in Dec 2023. If approved, it’s for advanced NSCLC after two or more therapies.
Frequency defined
Neutropenia (19%)
Thrombocytopenia (20.9%)
Anemia (14%)
Constipation (34%)
Decreased appetite (39%)
Nausea (63%)
Hypokalemia (5%)
Leukopenia (10%)
Asthenia (5%)
Fatigue (6%)
Black box warning
None
Contraindication/Caution:
Contraindications
Hypersensitivity
Cautions
Renal impairment
Hepatic impairment
Drug interactions
CNS metastases
Brain metastasis
Pregnancy
Breastfeeding
Pregnancy consideration:
No data is available regarding the administration of the drug during pregnancy.
Breastfeeding warnings:
No data is available regarding the excretion of drug in breast milk.
Pregnancy category:
Category A: well-controlled and satisfactory studies show no risk to the fetus in the first or later trimester.
<b>Category B: There was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.
Category C: There was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: Adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.
Category N: No data is available for the drug under this category.
Pharmacology:
Patritumab is a drug that targets the HER3 receptor and inhibits its activation, potentially blocking HER3-dependent cell signaling and growth.
Pharmacodynamics:
Patritumab effectively adjusted doses to handle gastrointestinal and cytopenia issues, with thrombocytopenia and neutropenia being the main severe adverse events. The discontinuation rate of treatment was low (9%), mainly due to these events, but none were singularly responsible.
Pharmacokinetics:
Limited data is available
Administration:
Limited data available
Patient information leaflet
Generic Name: patritumab deruxtecan
Pronounced: pah-TRIH-too-mab der-UKS-te-can
Why do we use patritumab deruxtecan?
Patritumab deruxtecan targets the HER3 protein found in many cancers. It’s being tested in trials for effectiveness against HER3-expressing cancers like certain breast cancers. The drug delivers a powerful treatment directly to cancer cells via the HER3 receptor.