Can J&J’s Rybrevant/Lazcluze Combo Stand Up To Tagrisso?

The US FDA approved the J&J combination for certain first-line NSCLC patients, but there are concerns about safety. The company hopes a subcutaneous version of Rybrevant can address them.

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The US Food and Drug Administration’s approval of Johnson & Johnson’s third-generation EGFR inhibitor Lazcluze (lazertinib) for use with Rybrevant (amivantamab-vmjw) represents a potential challenge to the dominant position of AstraZeneca PLC’s Tagrisso (osimertinib) in first-line treatment of non-small cell lung cancer (NSCLC) patient with some EGFR mutations.

However, despite the combination showing better efficacy, Tagrisso may maintain its dominant position until J&J can iron out the safety issues of its offering, which it

Key Takeaways
  • The FDA approved J&J’s small molecule Lazcluze for use in combination with its bispecific antibody Rybrevant for NSCLC with EGFR exon 19 deletions or exon 21 L858R substitution mutations.

  • The approval sets up the combination as a competitor to the current standard of care, AstraZeneca’s single-agent Tagrisso, with superior efficacy shown in the MARIPOSA trial

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