Last update 04 Jun 2025

Osimertinib mesylate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
[11C]osimertinib, ADAURA, Mereletinib
+ [14]
Action
inhibitors
Mechanism
EGFR T790M inhibitors(Epidermal Growth Factor Receptor T790M inhibitors), EGFR exon 19 deletion inhibitors, EGFR exon 21 L858R mutation inhibitors
Drug Highest PhaseApproved
First Approval Date
RegulationBreakthrough Therapy (United States), Fast Track (United States), Accelerated Approval (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Special Review Project (China), Priority Review (Australia), Accelerated assessment (European Union), Priority Review (United States)
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Structure/Sequence

Molecular FormulaC29H37N7O5S
InChIKeyFUKSNUHSJBTCFJ-UHFFFAOYSA-N
CAS Registry1421373-66-1

External Link

R&D Status

Approved
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IndicationCountry/LocationOrganizationDate
Non-Small Cell Lung Cancer
Canada
05 Jul 2016
EGFR positive non-small cell lung cancer
Japan
28 Mar 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Norway
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Norway
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Norway
01 Feb 2016
metastatic non-small cell lung cancer
European Union
01 Feb 2016
metastatic non-small cell lung cancer
Iceland
01 Feb 2016
metastatic non-small cell lung cancer
Liechtenstein
01 Feb 2016
metastatic non-small cell lung cancer
Norway
01 Feb 2016
EGFR T790M Mutation Positive Non-Small Cell Lung Carcinoma
United States
13 Nov 2015
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
NeoplasmsPhase 3
United States
08 May 2023
NeoplasmsPhase 3
China
08 May 2023
NeoplasmsPhase 3
France
08 May 2023
NeoplasmsPhase 3
Malaysia
08 May 2023
NeoplasmsPhase 3
Poland
08 May 2023
NeoplasmsPhase 3
Taiwan Province
08 May 2023
NeoplasmsPhase 3
United Kingdom
08 May 2023
CarcinomaPhase 3
United States
03 Aug 2022
CarcinomaPhase 3
China
03 Aug 2022
CarcinomaPhase 3
Japan
03 Aug 2022
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Not Applicable
-
(Biopsy specimens)
ytzyqshxxb(lbfiqgjvbj) = zazvyqtrdw xhppyirvnl (aoncdopjfq )
-
01 Jun 2025
(Resection specimens)
ytzyqshxxb(lbfiqgjvbj) = nnpaniguic xhppyirvnl (aoncdopjfq )
Not Applicable
EGFR-mutated non-small Cell Lung Cancer
Second line
TP53-mutated | TP53 wild-type
115
nrzgryrmce(gvgmyvxtfd) = agvmuaejsy swzkelbeam (btiqythibn, 16.2 - 31.4)
Positive
30 May 2025
Phase 1
15
Osimertinib 80mg QD + Repotrectinib 80mg QD
awvcmhtlpp(gvlskzmhah) = Most side effects were grade 1-2, including anemia zvznzvltjy (wudewdkjgg )
Positive
30 May 2025
Not Applicable
171
Osimertinib full dose
yjqxvffirt(hjxdpzwdfi) = All dose-reduced pts experienced AEs, compared to 48% of full-dose pts pdmnxfvnau (dbvodexpor )
Negative
30 May 2025
Osimertinib dose reduction
Not Applicable
18
rpbyoobklu(nntmwfzagn) = dimacauoky eulrhbkdzb (adqhogcnyd )
Positive
30 May 2025
Phase 3
358
Osimertinib + Chemotherapy
rddrymesvs(ljhjppeapp) = cdytkazroz dgebtatgdn (ovtvewaesm )
Positive
30 May 2025
Osimertinib Monotherapy
rddrymesvs(ljhjppeapp) = hgldomcjbb dgebtatgdn (ovtvewaesm )
Phase 3
EGFR positive non-small cell lung cancer
Adjuvant
EGFR mutation-positive
732
Adjuvant Osimertinib
cwxpkwlfqx(dolwegycyg) = In our study, there were 13 (45%) grade 1, 13 (45%) grade 2, 1 (3%) grade 4, and 2 (7%) AE of unknown grade. In ADAURA, there were 493 (69%) grade 1, 202 (28%) grade 2, and 22 (3%) grade 3 AE. ktutczcxpy (pnengyhpmv )
Positive
30 May 2025
Phase 3
EGFR-mutated non-small Cell Lung Cancer
Neoadjuvant
exon 21 L858R mutations | exon 18 G719X mutations
51
oqokavlqec(dykizczwfa) = mkteembqxu ktbbugdxlg (mgwbcvhqda )
Negative
30 May 2025
Platinum-based doublet chemotherapy alone
vzogypnvvy(bexwvygwuu) = bwnkxhykwu peyiwuuifc (lgaweatebf )
Not Applicable
161
wikpamrxoi(wmbyvabhvd) = ilxjxeoqhg onbvvfggci (drddefdubd )
Positive
30 May 2025
Local Therapy (LT)
lvakmzvtag(ilzsmrqgjg) = suhphgqubg etpvmeczsf (qljidhoslm )
Not Applicable
-
kyzpxrvbha(plskonxwgs) = cistbjkide lntmvgyjml (vprimaiuaa, ± 0.2)
-
16 May 2025
(PLGA-OSI nanoparticles)
mauspdapie(eudawmqadt) = tkvoegjhfn tqrtmtjypr (czzmnjmnux, ± 4.8)
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Regulation

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