Difference between revisions of "Tucatinib (Tukysa)"

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==Mechanism of action==
 
==Mechanism of action==
From the [https://www.annalsofoncology.org/article/S0923-7534(19)32228-8/fulltext NCI Drug Dictionary]: An orally bioavailable inhibitor of the human epidermal growth factor receptor tyrosine kinase ErbB-2 (also called HER2) with potential antineoplastic activity. Tucatinib selectively binds to and inhibits the phosphorylation of ErbB-2, which may prevent the activation of ErbB-2 signal transduction pathways, resulting in growth inhibition and death of ErbB-2-expressing tumor cells.  
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From the [https://www.annalsofoncology.org/article/S0923-7534(19)32228-8 NCI Drug Dictionary]: An orally bioavailable inhibitor of the human epidermal growth factor receptor tyrosine kinase ErbB-2 (also called HER2) with potential antineoplastic activity. Tucatinib selectively binds to and inhibits the phosphorylation of ErbB-2, which may prevent the activation of ErbB-2 signal transduction pathways, resulting in growth inhibition and death of ErbB-2-expressing tumor cells.  
  
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==Diseases for which it is established==
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*[[Breast cancer, HER2-positive|HER2+ breast cancer]]
 
==Diseases for which it is used==
 
==Diseases for which it is used==
===[[Breast cancer, HER2-positive|HER2+ breast cancer]]===
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*[[Colorectal cancer, HER2-positive|HER2+ colorectal cancer]]
# '''HER2CLIMB:''' Murthy RK, Loi S, Okines A, Paplomata E, Hamilton E, Hurvitz SA, Lin NU, Borges V, Abramson V, Anders C, Bedard PL, Oliveira M, Jakobsen E, Bachelot T, Shachar SS, Müller V, Braga S, Duhoux FP, Greil R, Cameron D, Carey LA, Curigliano G, Gelmon K, Hortobagyi G, Krop I, Loibl S, Pegram M, Slamon D, Palanca-Wessels MC, Walker L, Feng W, Winer EP. Tucatinib, Trastuzumab, and Capecitabine for HER2-Positive Metastatic Breast Cancer. N Engl J Med. 2020 Feb 13;382(7):597-609. Epub 2019 Dec 11. Erratum in: N Engl J Med. 2020 Feb 6;382(6):586. [https://doi.org/10.1056/nejmoa1914609 link to original article] '''contains verified protocol''' [https://pubmed.ncbi.nlm.nih.gov/31825569 PubMed] NCT02614794
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==History of changes in FDA indication==
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*2020-04-17: Initial approval in combination with trastuzumab and capecitabine, for adult patients with advanced unresectable or metastatic [[Biomarkers#HER2|HER2]]-[[Biomarkers#Overexpression|positive]] [[breast cancer]], including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting. ''(Based on HER2CLIMB)''
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*2023-01-19: Granted accelerated approval in combination with trastuzumab for [[Biomarkers#RAS|RAS]] wild-type [[Biomarkers#HER2|HER2]]-[[Biomarkers#Overexpression|positive]] unresectable or metastatic [[colorectal cancer]] that has progressed following fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. ''(Based on MOUNTAINEER)''
  
==History of changes in FDA indication==
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==History of changes in EMA indication==
*4/17/2020: Initial approval in combination with trastuzumab and capecitabine, for adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting.
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*2021-02-11: Initial marketing authorization as Tukysa.
  
 
==Also known as==
 
==Also known as==
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[[Category:Drugs]]
 
[[Category:Drugs]]
 
[[Category:Oral medications]]
 
[[Category:Oral medications]]
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[[Category:Protein expression-specific medications]]
  
 
[[Category:ERBB2 inhibitors]]
 
[[Category:ERBB2 inhibitors]]
  
 
[[Category:Breast cancer medications]]
 
[[Category:Breast cancer medications]]
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[[Category:Colorectal cancer medications]]
  
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[[Category:EMA approved in 2021]]
 
[[Category:FDA approved in 2020]]
 
[[Category:FDA approved in 2020]]

Latest revision as of 01:45, 5 May 2023

Mechanism of action

From the NCI Drug Dictionary: An orally bioavailable inhibitor of the human epidermal growth factor receptor tyrosine kinase ErbB-2 (also called HER2) with potential antineoplastic activity. Tucatinib selectively binds to and inhibits the phosphorylation of ErbB-2, which may prevent the activation of ErbB-2 signal transduction pathways, resulting in growth inhibition and death of ErbB-2-expressing tumor cells.

Diseases for which it is established

Diseases for which it is used

History of changes in FDA indication

  • 2020-04-17: Initial approval in combination with trastuzumab and capecitabine, for adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting. (Based on HER2CLIMB)
  • 2023-01-19: Granted accelerated approval in combination with trastuzumab for RAS wild-type HER2-positive unresectable or metastatic colorectal cancer that has progressed following fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy. (Based on MOUNTAINEER)

History of changes in EMA indication

  • 2021-02-11: Initial marketing authorization as Tukysa.

Also known as

  • Code name: ARRY-380, ONT-380
  • Generic name: irbinitinib
  • Brand name: Tukysa