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At a glance

Osimertinib is an EGFR tyrosine kinase inhibitor used for metastatic non-small cell lung cancer (NSCLC). It is effective in tumors with EGFR T790M, L858R and exon 19 deletion mutations.

Indications
  • Metastatic NSCLC with EGFR exon 19 deletions or exon 21 L858R mutations (first-line)
  • EGFR T790M mutation-positive NSCLC (after progression on EGFR TKI therapy)
Pharmacology

Osimertinib binds to the ATP-binding site of EGFR to inhibit tyrosine kinase activity, preventing cancer cell growth and proliferation.

Dosage

Adult Dose (Oral):

  • 80 mg once daily (with or without food)
  • Continue until disease progression or unacceptable toxicity
Side effects

Common Side Effects (≥20%):

  • Diarrhea
  • Rash
  • Dry skin
  • Nail toxicity
  • Stomatitis
  • Fatigue
  • Decreased appetite

Serious: Interstitial Lung Disease/Pneumonitis (3.9%), QTc prolongation, Cardiomyopathy (1.4%)

Use in pregnancy

Use in Pregnancy: Osimertinib is highly unsafe during pregnancy; definite evidence of severe fetal harm. Do not use.

Pregnancy Category: D — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Withhold if ILD/pneumonitis symptoms occur
  • Monitor ECG in patients with QTc prolongation history
  • Cardiomyopathy: Assess LVEF before and every 3 months
  • Can cause fetal harm; use effective contraception (Females: 6 weeks after last dose; Males: 4 months after last dose)
Overdose effects

Limited information on overdose; symptomatic treatment.

Storage conditions

Store below 30°C; protect from moisture & light; safely discard expired medicine; keep out of reach of children.

Osimertinib — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.