Difference between revisions of "Dacomitinib (Vizimpro)"

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=Mechanism of action=
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==Mechanism of action==
 
From the [https://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=462567 NCI Drug Dictionary]: An orally bioavailable, highly selective, second-generation small-molecule inhibitor of the pan-epidermal growth factor receptor (EGFR) family of tyrosine kinases (ErbB family) with potential antineoplastic activity. Dacomitinib specifically and irreversibly binds to and inhibits human EGFR subtypes, resulting in inhibition of proliferation and induction of apoptosis in EGFR-expressing tumor cells.
 
From the [https://www.cancer.gov/publications/dictionaries/cancer-drug?cdrid=462567 NCI Drug Dictionary]: An orally bioavailable, highly selective, second-generation small-molecule inhibitor of the pan-epidermal growth factor receptor (EGFR) family of tyrosine kinases (ErbB family) with potential antineoplastic activity. Dacomitinib specifically and irreversibly binds to and inhibits human EGFR subtypes, resulting in inhibition of proliferation and induction of apoptosis in EGFR-expressing tumor cells.
  
=Preliminary data=
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==Diseases for which it is approved==
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*[[Non-small_cell_lung_cancer,_EGFR-mutated|EGFR+ NSCLC]]
  
==[[Non-small cell lung cancer]]==
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==History of changes in FDA indication==
<!-- Presented in part at the 46th Annual Meeting of the American Society of Clinical Oncology, June 4-8, 2010, Chicago, IL; the 35th Congress of the European Society for Medical Oncology, October 8-12, 2010, Milan, Italy; and the 14th World Conference on Lung Cancer, July 3-7, 2011, Amsterdam, the Netherlands. -->
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*2018-09-27: Initial approval for the first-line treatment of patients with metastatic [[Non-small_cell_lung_cancer|non-small cell lung cancer (NSCLC)]] with [[Biomarkers#EGFR|epidermal growth factor receptor (EGFR)]] [[Biomarkers#Exon_19|exon 19]] [[Biomarkers#Deletion|deletion]] or [[Biomarkers#L858R|exon 21 L858R substitution]] mutations. ''(Based on ARCHER 1050)''
# Ramalingam SS, Blackhall F, Krzakowski M, Barrios CH, Park K, Bover I, Seog Heo D, Rosell R, Talbot DC, Frank R, Letrent SP, Ruiz-Garcia A, Taylor I, Liang JQ, Campbell AK, O'Connell J, Boyer M. Randomized phase II study of dacomitinib (PF-00299804), an irreversible pan-human epidermal growth factor receptor inhibitor, versus erlotinib in patients with advanced non-small-cell lung cancer. J Clin Oncol. 2012 Sep 20;30(27):3337-44. Epub 2012 Jul 2. [http://ascopubs.org/doi/full/10.1200/JCO.2011.40.9433 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/22753918 PubMed]
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==History of changes in EMA indication==
# Ramalingam SS, Jänne PA, Mok T, O'Byrne K, Boyer MJ, Von Pawel J, Pluzanski A, Shtivelband M, Docampo LI, Bennouna J, Zhang H, Liang JQ, Doherty JP, Taylor I, Mather CB, Goldberg Z, O'Connell J, Paz-Ares L. Dacomitinib versus erlotinib in patients with advanced-stage, previously treated non-small-cell lung cancer (ARCHER 1009): a randomised, double-blind, phase 3 trial. Lancet Oncol. 2014 Nov;15(12):1369-78. Epub 2014 Oct 15.[https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(14)70452-8/abstract link to original article]  [https://www.ncbi.nlm.nih.gov/pubmed/25439691 PubMed]
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*2019-04-02: Initial authorization
# Ellis PM, Shepherd FA, Millward M, Perrone F, Seymour L, Liu G, Sun S, Cho BC, Morabito A, Leighl NB, Stockler MR, Lee CW, Wierzbicki R, Cohen V, Blais N, Sangha RS, Favaretto AG, Kang JH, Tsao MS, Wilson CF, Goldberg Z, Ding K, Goss GD, Bradbury PA; NCIC CTG; Australasian Lung Cancer Trials Group; NCI Naples Clinical Trials Unit. Dacomitinib compared with placebo in pretreated patients with advanced or metastatic non-small-cell lung cancer (NCIC CTG BR.26): a double-blind, randomised, phase 3 trial. Lancet Oncol. 2014 Nov;15(12):1379-88. Epub 2014 Oct 15. [https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(14)70472-3/fulltext link to original article][https://www.ncbi.nlm.nih.gov/pubmed/25439692 PubMed]
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*Uncertain date: Vizimpro, as monotherapy, is indicated for the first-line treatment of adult patients with locally advanced or metastatic [[Non-small_cell_lung_cancer|non small cell lung cancer (NSCLC)]] with epidermal growth factor receptor (EGFR) activating mutations.
# '''ARCHER 1050:''' Wu YL, Cheng Y, Zhou X, Lee KH, Nakagawa K, Niho S, Tsuji F, Linke R, Rosell R, Corral J, Migliorino MR, Pluzanski A, Sbar EI, Wang T, White JL, Nadanaciva S, Sandin R, Mok TS. Dacomitinib versus gefitinib as first-line treatment for patients with EGFR-mutation-positive non-small-cell lung cancer (ARCHER 1050): a randomised, open-label, phase 3 trial. Lancet Oncol. 2017 Nov;18(11):1454-1466. Epub 2017 Sep 25. [https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(17)30608-3/fulltext link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/28958502 PubMed]
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==History of changes in Health Canada indication==
## '''Update:''' Mok TS, Cheng Y, Zhou X, Lee KH, Nakagawa K, Niho S, Lee M, Linke R, Rosell R, Corral J, Migliorino MR, Pluzanski A, Sbar EI, Wang T, White JL, Wu YL. Improvement in overall survival in a randomized study that compared dacomitinib with gefitinib in patients with advanced non-small-cell lung cancer and EGFR-activating mutations. J Clin Oncol. 2018 Aug 1;36(22):2244-2250. Epub 2018 Jun 4. [http://ascopubs.org/doi/full/10.1200/JCO.2018.78.7994 link to original article] [https://www.ncbi.nlm.nih.gov/pubmed/29864379 PubMed]
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*2019-02-26: Initial notice of compliance for the first-line treatment of adult patients with unresectable locally advanced or metastatic [[non-small cell lung cancer|non-small cell lung cancer (NSCLC)]] with confirmed epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations.  
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*2022-06-09: Drug withdrawn
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==History of changes in PMDA indication==
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*2019-01-08: New approval for the treatment of inoperable or recurrent [[non-small cell lung cancer]] with EGFR gene mutation.
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== Patient Drug Information==
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*[https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/211288s000lbl.pdf Dacomitinib (Vizimpro) Package Insert]<ref>[https://www.accessdata.fda.gov/drugsatfda_docs/label/2018/211288s000lbl.pdf Dacomitinib (Vizimpro) Package Insert]</ref>
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==Also known as==
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*'''Code name:''' PF-00299804
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*'''Brand name:''' Vizimpro
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==References==
  
 
[[Category:Drugs]]
 
[[Category:Drugs]]
 
[[Category:Oral medications]]
 
[[Category:Oral medications]]
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[[Category:Mutation-specific medications]]
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[[Category:Kinase inhibitors]]
 
 
[[Category:EGFR inhibitors]]
 
[[Category:EGFR inhibitors]]
  
[[Category:Investigational]]
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[[Category:Non-small cell lung cancer medications]]
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[[Category:FDA approved in 2018]]
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[[Category:EMA approved in 2019]]
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[[Category:Health Canada approved in 2019]]
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[[Category:PMDA approved in 2019]]

Latest revision as of 16:55, 15 June 2023

Mechanism of action

From the NCI Drug Dictionary: An orally bioavailable, highly selective, second-generation small-molecule inhibitor of the pan-epidermal growth factor receptor (EGFR) family of tyrosine kinases (ErbB family) with potential antineoplastic activity. Dacomitinib specifically and irreversibly binds to and inhibits human EGFR subtypes, resulting in inhibition of proliferation and induction of apoptosis in EGFR-expressing tumor cells.

Diseases for which it is approved

History of changes in FDA indication

History of changes in EMA indication

  • 2019-04-02: Initial authorization
  • Uncertain date: Vizimpro, as monotherapy, is indicated for the first-line treatment of adult patients with locally advanced or metastatic non small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) activating mutations.

History of changes in Health Canada indication

  • 2019-02-26: Initial notice of compliance for the first-line treatment of adult patients with unresectable locally advanced or metastatic non-small cell lung cancer (NSCLC) with confirmed epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations.
  • 2022-06-09: Drug withdrawn

History of changes in PMDA indication

Patient Drug Information

Also known as

  • Code name: PF-00299804
  • Brand name: Vizimpro

References