This information is intended for US healthcare professionals to access current scientific information about J&J Innovative Medicine products. It is prepared by Medical Information and is not intended for promotional purposes, nor to provide medical advice.
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
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
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|
|
|
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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
|
|
|
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VTE
| Grade 2 or 3
| |
Grade 4 or recurrent Grade 2 or 3 despite therapeutic level anticoagulation
| |
ILD/pneumonitis
| Any grade
| |
Dermatologic ARs (including dermatitis acneiform, pruritus, dry skin)
| Grade 1
| |
Grade 2
| |
Grade 3
| |
Grade 4 (including severe bullous, blistering, or exfoliating skin conditions)
| |
Other ARs
| Grade 3-4
| |
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.