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repotrectinib (Augtyro)
Indications:
- treatment of adult patients with locally advanced or metastatic ROS1-positive non-small cell lung cancer
- all NTRK gene fusion+ solid tumors [1]
Dosage:
- 160 mg PO QD for 14 days
- increase to 160 mg PO BID, with or without food.
Capsules: 40 mg
Adverse effects:
- > 20%
- dizziness, dysgeusia, peripheral neuropathy, constipation, dyspnea, ataxia, fatigue, cognitive disorders, muscle weakness
Drug interactions:
- strong & moderate CYP3A inhibitors: avoid concurrent use
- P-glucoprotein inhibitors: avoid concurrent use
- strong & moderate CYP3A inducers: avoid concurrent use
- hormonal contraceptives: avoid concurrent use
Mechanism of action:
- inhibits ROS1 & tropomyosin receptor tyrosine kinases TRKA, TRKB, & TRKC
General
small inhibitory antineoplastic agent (ib drug)
Database Correlations
PUBCHEM cid=135565923
References
- Alexander Otto M
FDA Expands Repotrectinib Label to All NTRK Gene Fusion+ Solid Tumors.
Medscape. June 13, 2024
https://www.medscape.com/viewarticle/fda-expands-repotrectinib-label-all-ntrk-gene-fusion-solid-2024a1000b3q
- HIGHLIGHTS OF PRESCRIBING INFORMATION
Augtyro (repotrectinib) capsules, for oral use
https://packageinserts.bms.com/pi/pi_augtyro.pdf