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]]
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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 [[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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*2021-02-11: Initial marketing authorization as Tukysa.
  
 
==Also known as==
 
==Also known as==
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[[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