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LAZCLUZE™ (lazertinib)

Medical Information

LAZCLUZE - Dosage and Administration

Last Updated: 08/20/2024

SUMMARY

  • LAZCLUZE (lazertinib) is a kinase inhibitor indicated in combination with RYBREVANT (amivantamab-vmjw) 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) Exon 19 deletions (Exon19del) or Exon 21 L858R substitution mutations, as detected by a United States Food and Drug Administration (FDA)-approved test.1
  • The recommended dosage of LAZCLUZE is 240 mg orally (PO) once daily (QD), with or without food, given in combination with RYBREVANT.1
    • LAZCLUZE is available as 80 mg or 240 mg tablets.
    • Do not cut, crush, or chew tablets.
    • Continue treatment until disease progression or unacceptable toxicity.
    • Administer LAZCLUZE any time prior to RYBREVANT when given on the same day.
    • Refer to the RYBREVANT Prescribing Information for recommended RYBREVANT dosing information.
  • Please refer to the DOSAGE AND ADMINISTRATION, DOSAGE FORMS AND STRENGTHS, WARNINGS AND PRECAUTIONS, HOW SUPPLIED/STORAGE AND HANDLING, and CLINICAL STUDIES sections of the full Prescribing Information for complete information.1

PRODUCT LABELING

DOSAGE AND ADMINISTRATION

Patient Selection

  • Select patients for the first-line treatment of NSCLC with LAZCLUZE, in combination with RYBREVANT, based on the presence of EGFR Exon19del or Exon 21 L858R substitution mutations in tumor or plasma specimens.1

Recommended Dosage and Administration

  • The recommended dosage of LAZCLUZE is 240 mg PO QD administered in combination with RYBREVANT, with or without food.1
    • Swallow LAZCLUZE tablets whole. Do not crush, split, or chew.
    • Continue treatment until disease progression or unacceptable toxicity.
    • Administer LAZCLUZE any time prior to RYBREVANT when given on the same day.
    • Refer to the RYBREVANT Prescribing Information for recommended RYBREVANT dosing information.

Missed Dose

  • If a patient misses a dose of LAZCLUZE within 12 hours, instruct the patient to take the missed dose.1
  • If more than 12 hours have passed since the dose was to be given, instruct the patient to take the next dose at its scheduled time.1

Vomiting

  • If vomiting occurs any time after taking LAZCLUZE, instruct the patient to take the next dose at its next regularly scheduled time.1

Concomitant Medications

  • When initiating treatment with LAZCLUZE in combination with RYBREVANT, administer anticoagulant prophylaxis to prevent venous thromboembolic (VTE) events for the first 4 months of treatment.1
    • If there are no signs or symptoms of VTE event during the first 4 months of treatment, consider discontinuation of anticoagulant prophylaxis at the discretion of the healthcare provider.
  • When initiating treatment with LAZCLUZE in combination with RYBREVANT, administer alcohol-free (eg, isopropanol-free, ethanol-free) emollient cream and encourage patients to limit sun exposure during and for 2 months after treatment, to wear protective clothing, and to use broad-spectrum ultraviolet (UV)-A/B sunscreen to reduce the risk of dermatologic adverse reactions.1
  • Consider prophylactic measures (eg, use of oral antibiotics) to reduce the risk of dermatologic adverse reactions.1

Dosage Modifications for Adverse Reactions


Recommended Dose Reductions for ARs1
Dose at Which the AR Occurred
1st Dose Reduction
2nd Dose Reduction
3rd Dose Reduction
240 mg QD (one 240 mg tablet)
160 mg QD (two 80 mg tablets)
80 mg QD (one 80 mg tablet)
Discontinue LAZCLUZE
Abbreviations: AR, adverse reaction; QD, once daily.
  • The recommended management and dosage modifications of LAZCLUZE for specific adverse reactions are presented in Table: Recommended Management and Dosage Modifications for ARs. Refer to the RYBREVANT Prescribing Information for information about dosage modifications for RYBREVANT.

Recommended Management and Dosage Modifications for ARs1
ARs
Severity
Dosage Modification
VTE
Grade 2 or 3
  • Withhold LAZCLUZE and RYBREVANT.
  • Administer anticoagulant treatment as clinically indicated.
  • Once anticoagulant treatment has been initiated, resume LAZCLUZE and RYBREVANT at the same dose level, at the discretion of the healthcare provider.
Grade 4 or recurrent Grade 2 or 3 despite therapeutic level anticoagulation
  • Withhold LAZCLUZE and permanently discontinue RYBREVANT.
  • Administer anticoagulant treatment as clinically indicated.
  • Once anticoagulant treatment has been initiated, treatment with LAZCLUZE can continue at the same dose level, at the discretion of the healthcare provider.
ILD/pneumonitis
Any grade
  • Withhold LAZCLUZE and RYBREVANT if ILD/pneumonitis is suspected.
  • Permanently discontinue LAZCLUZE and RYBREVANT if ILD/pneumonitis is confirmed.
Dermatologic ARs (including dermatitis acneiform, pruritus, dry skin)
Grade 1
  • Initiate supportive care management.
Grade 2
  • Initiate supportive care management.
  • If there is no improvement after 2 weeks, reduce the RYBREVANT dose and continue LAZCLUZE at the same dose.
  • Reassess every 2 weeks. If there is no improvement, reduce the LAZCLUZE dose until the AR is grade ≤1 (Table: Recommended Dose Reductions for ARs). Then, the previous dose of LAZCLUZE may be resumed at the discretion of the healthcare provider.
Grade 3
  • Withhold LAZCLUZE and RYBREVANT.
  • Initiate supportive care management.
  • Upon recovery of the AR to grade ≤2, resume LAZCLUZE at the same dose, or consider dose reduction and resume RYBREVANT at a reduced dose.
  • If there is no improvement within 2 weeks, permanently discontinue both LAZCLUZE and RYBREVANT.
Grade 4
(including severe bullous, blistering, or exfoliating skin conditions)
  • Initiate supportive care management.
  • Permanently discontinue RYBREVANT.
  • Withhold LAZCLUZE until recovery of the AR to grade ≤2 or baseline.
  • Upon recovery of the AR to grade ≤2, resume LAZCLUZE at a reduced dose, at the discretion of the healthcare provider.
Other ARs
Grade 3-4
  • Withhold LAZCLUZE and RYBREVANT until the AR resolves to grade ≤1 or baseline.
  • Resume both drugs at a reduced dose or LAZCLUZE alone.
  • Consider permanently discontinuing both LAZCLUZE and RYBREVANT if recovery does not occur within 4 weeks.
Abbreviations: AR, adverse reaction; ILD, interstitial lung disease; VTE, venous thromboembolic event.

Dosage Forms and Strengths

Tablets

  • 80 mg tablets: Each tablet is yellow, oval, film-coated, debossed with “LZ” on one side and “80” on the other side. Each tablet contains 80 mg of lazertinib.1
  • 240 mg tablets: Each tablet is reddish-purple, oval, film-coated, debossed with “LZ” on one side and “240” on the other side. Each tablet contains 240 mg of lazertinib.1

LITERATURE SEARCH

A literature search of MEDLINE®, Embase®, BIOSIS Previews®, and Derwent Drug File (and/or other resources, including internal/external databases) was conducted on 16 August 2024.

References

1 LAZCLUZE (lazertinib) [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.;https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/LAZCLUZE-pi.pdf.