FDA APPROVES LUMAKRAS® (SOTORASIB) IN COMBINATION WITH VECTIBIX® (PANITUMUMAB) FOR CHEMOREFRACTORY KRAS G12C-MUTATED METASTATIC COLORECTAL CANCER
Amgen (NASDAQ:AMGN) has received FDA approval for LUMAKRAS® (sotorasib) in combination with Vectibix® (panitumumab) for treating adult patients with KRAS G12C-mutated metastatic colorectal cancer (mCRC). The approval is based on the Phase 3 CodeBreaK 300 study results.
The study showed that LUMAKRAS (960 mg daily) plus Vectibix demonstrated a median progression-free survival of 5.6 months compared to 2 months with standard care, and an overall response rate of 26% versus 0%. The KRAS G12C mutation occurs in approximately 3-5% of colorectal cancers.
The most common adverse reactions (≥20%) include rash (87%), dry skin (28%), diarrhea (28%), stomatitis (26%), fatigue (21%), and musculoskeletal pain (21%).
Amgen (NASDAQ:AMGN) ha ricevuto l'approvazione dalla FDA per LUMAKRAS® (sotorasib) in combinazione con Vectibix® (panitumumab) per il trattamento di pazienti adulti affetti da cancro colonrettale metastatico (mCRC) con mutazione KRAS G12C. L'approvazione si basa sui risultati dello studio di fase 3 CodeBreaK 300.
Lo studio ha mostrato che LUMAKRAS (960 mg al giorno) in aggiunta a Vectibix ha dimostrato una sopravvivenza libera da progressione mediana di 5,6 mesi rispetto a 2 mesi con il trattamento standard, e un tasso di risposta globale del 26% contro 0%. La mutazione KRAS G12C si verifica in circa il 3-5% dei tumori del colon.
Le reazioni avverse più comuni (≥20%) includono eruzioni cutanee (87%), pelle secca (28%), diarrea (28%), stomatite (26%), affaticamento (21%) e dolore muscoloscheletrico (21%).
Amgen (NASDAQ:AMGN) ha recibido la aprobación de la FDA para LUMAKRAS® (sotorasib) en combinación con Vectibix® (panitumumab) para tratar a pacientes adultos con cáncer colorrectal metastásico (mCRC) con mutación KRAS G12C. La aprobación se basa en los resultados del estudio de fase 3 CodeBreaK 300.
El estudio mostró que LUMAKRAS (960 mg diarios) más Vectibix demostró una supervivencia libre de progresión mediana de 5.6 meses en comparación con 2 meses con el tratamiento estándar, y una tasa de respuesta global del 26% frente al 0%. La mutación KRAS G12C se encuentra en aproximadamente el 3-5% de los cánceres colorrectales.
Las reacciones adversas más comunes (≥20%) incluyen erupción cutánea (87%), piel seca (28%), diarrea (28%), estomatitis (26%), fatiga (21%) y dolor musculoesquelético (21%).
암젠(주식코드:AMGN)은 LUMAKRAS® (소토라십)와 Vectibix® (파니투무맙)의 병용요법이 KRAS G12C 변이를 가진 전이성 대장암(mCRC) 성인 환자의 치료에 대한 FDA의 승인을 받았다고 발표했습니다. 이 승인은 3상 CodeBreaK 300 연구 결과를 기반으로 합니다.
연구 결과, LUMAKRAS (960 mg 매일)와 Vectibix의 병용요법은 표준 요법과 비교했을 때 중간 무진행 생존 기간이 5.6개월인 반면, 표준 요법은 2개월이었으며, 전체 반응률은 26%로 0%와 비교되었습니다. KRAS G12C 변이는 대장암의 약 3-5%에서 발생합니다.
가장 흔한 부작용(≥20%)으로는 발진(87%), 건조 피부(28%), 설사(28%), 구내염(26%), 피로(21%), 그리고 근골격계 통증(21%)이 포함됩니다.
Amgen (NASDAQ:AMGN) a reçu l'approbation de la FDA pour LUMAKRAS® (sotorasib) en combinaison avec Vectibix® (panitumumab) pour le traitement des patients adultes atteints de cancer colorectal métastatique (mCRC) avec mutation KRAS G12C. L'approbation est fondée sur les résultats de l'étude de phase 3 CodeBreaK 300.
L'étude a montré que LUMAKRAS (960 mg par jour) associé à Vectibix a démontré une survie sans progression médiane de 5,6 mois contre 2 mois avec le traitement standard, et un taux de réponse global de 26% contre 0%. La mutation KRAS G12C apparaît dans environ 3-5% des cancers colorectaux.
Les effets indésirables les plus fréquents (≥20%) comprennent éruption cutanée (87%), peau sèche (28%), diarrhée (28%), stomatite (26%), fatigue (21%) et douleurs musculosquelettiques (21%).
Amgen (NASDAQ:AMGN) hat die FDA-Zulassung für LUMAKRAS® (Sotorasib) in Kombination mit Vectibix® (Panitumumab) zur Behandlung erwachsener Patienten mit metastasiertem kolorektalen Krebs (mCRC) mit KRAS G12C-Mutation erhalten. Die Genehmigung basiert auf den Ergebnissen der Phase-3-Studie CodeBreaK 300.
Die Studie zeigte, dass LUMAKRAS (960 mg täglich) zusammen mit Vectibix eine mediane progressionsfreie Überlebenszeit von 5,6 Monaten im Vergleich zu 2 Monaten mit der Standardbehandlung und eine Gesamtansprechrate von 26% im Vergleich zu 0% zeigte. Die KRAS G12C-Mutation tritt bei etwa 3-5% der kolorektalen Karzinome auf.
Die häufigsten Nebenwirkungen (≥20%) umfassen Hautausschlag (87%), trockene Haut (28%), Durchfall (28%), Stomatitis (26%), Müdigkeit (21%) und muskuloskelettale Schmerzen (21%).
- FDA approval for first targeted combination therapy in KRAS G12C-mutated mCRC
- Significant improvement in progression-free survival (5.6 months vs 2 months)
- 26% overall response rate compared to 0% in standard care
- Addresses an unmet medical need in a difficult-to-treat cancer population
- Final analysis of overall survival was not statistically significant
- Lower dose (240mg) combination showed no statistical significance vs standard care
- patient population (3-5% of colorectal cancers have KRAS G12C mutation)
- High rate of adverse reactions, including 87% experiencing rash
Insights
The FDA approval of LUMAKRAS® plus Vectibix® represents a significant breakthrough in targeted therapy for colorectal cancer treatment. The clinical data is particularly compelling, showing a median PFS of 5.6 months versus 2 months for standard care, translating to a 48% reduction in disease progression risk (HR=0.48). The 26% overall response rate compared to 0% in the control group further validates the combination's efficacy.
Breaking this down for non-experts: Imagine having a lock (KRAS G12C mutation) that previously couldn't be opened effectively. This new combination therapy acts like a specialized key-and-hammer approach - LUMAKRAS blocks the mutated protein while Vectibix prevents alternative escape routes, making the cancer cells more vulnerable. This dual-blockade strategy is proving significantly more effective than existing treatments.
Market implications are substantial given that colorectal cancer affects 3-5% of patients with this specific mutation. While this might seem small, it represents a considerable market opportunity given colorectal cancer's high prevalence as the third leading cause of cancer-related deaths in the US.
This approval strengthens Amgen's position in precision oncology, particularly noteworthy since they own both drugs in the combination therapy - a unique competitive advantage. The LUMAKRAS/Vectibix combination could potentially generate significant revenue growth, considering:
- The high unmet medical need in chemorefractory mCRC
- competition in the KRAS G12C-mutated space
- Potential pricing power due to superior efficacy data
- Dual ownership of both combination drugs
For investors, this represents a valuable addition to Amgen's oncology portfolio, potentially providing a new growth driver. The requirement for FDA-approved biomarker testing also creates a complementary diagnostic market opportunity. The strong safety profile and significant efficacy improvement over standard care suggest high likelihood of rapid clinical adoption.
Pivotal Study Demonstrated the Combination More Than Doubled Progression-Free Survival Compared to Investigated SOC
"Colorectal cancer is the third leading cause of cancer-related deaths in
The CodeBreaK 300 clinical trial compared LUMAKRAS at two different doses (960 mg daily or 240 mg daily) in combination with Vectibix to the investigator's choice of SOC (trifluridine and tipiracil or regorafenib) in patients with chemorefractory KRAS G12C-mutated mCRC. Study results demonstrated that LUMAKRAS 960 mg daily plus Vectibix (n=53) showed an improved median PFS of 5.6 months (4.2, 6.3) compared to 2 months (1.9, 3.9) on investigator's choice of care (n=54), with a hazard ratio (HR) of 0.48 (
The KRAS G12C mutation is present in approximately 3
"In metastatic colorectal cancer, KRAS mutations are historically associated with worse mortality rates and inferior outcomes compared to non-mutated tumors, and standard treatment options have shown minimal benefit," said Marwan G. Fakih, M.D., primary study investigator and co-director of the Gastrointestinal Cancer Program, City of Hope.3-6 "Designed for dual blockade of KRAS G12C and EGFR pathways, the combination of sotorasib plus panitumumab provides a needed new treatment option to better overcome cancer's escape mechanisms. The CodeBreaK 300 study showed superior progression-free survival compared to the investigated standard of care and represents a clinically meaningful benefit for patients with KRAS G12C-mutated metastatic colorectal cancer."
"There is an immense need for continued innovation and precision medicine to help address metastatic colorectal cancer," said Michael Sapienza, Chief Executive Officer of the Colorectal Cancer Alliance. "This new combination approach is an important breakthrough for patients with KRAS G12C-mutated metastatic colorectal cancer, offering a new beneficial treatment option for patients living with this devastating and challenging disease."
*Investigator's choice for SOC included trifluridine/tipiracil or regorafenib.
About CodeBreaK 300
The CodeBreaK 300 trial enrolled 160 participants and compared LUMAKRAS® (sotorasib) at doses of 960 mg and 240 mg in combination with Vectibix® (panitumumab) to investigator's choice of standard of care (trifluridine/tipiracil or regorafenib) in patients with chemorefractory KRAS G12C-mutated metastatic colorectal cancer (mCRC). The study met its primary endpoint showing improved progression-free survival (PFS), and the key secondary endpoints of overall survival (OS) and overall response rate (ORR) also favored the combination.
About mCRC and the KRAS G12C Mutation
Colorectal cancer (CRC) is the second leading cause of cancer deaths worldwide, comprising
Patients with previously treated mCRC need more effective treatment options. For patients in the third-line setting, standard therapies yield median OS times of less than one year, and patients' response rates are less than
KRAS mutations are among the most common genetic alterations in CRC, with the KRAS G12C mutation present in approximately 3
About LUMAKRAS® (sotorasib) in Combination with Vectibix® (panitumumab)
In the
About LUMAKRAS®/LUMYKRAS® (sotorasib)
LUMAKRAS received accelerated approval from the FDA on May 28, 2021. The FDA completed its review of Amgen's supplemental New Drug Application (sNDA) seeking full approval of LUMAKRAS on December 26, 2023, which resulted in a complete response letter. In addition, the FDA concluded that the dose comparison postmarketing requirement (PMR) issued at the time of LUMAKRAS accelerated approval, to compare the safety and efficacy of LUMAKRAS 960 mg daily dose versus a lower daily dose, has been fulfilled. The company said LUMAKRAS at 960 mg once-daily will remain the dose for patients with KRAS G12C-mutated non-small cell lung cancer (NSCLC) under accelerated approval. The FDA also issued a new PMR for an additional confirmatory study to support full approval that will be completed no later than February 2028.
About Vectibix® (panitumumab)
Vectibix is the first and only human monoclonal anti-EGFR antibody fully approved by the FDA for the treatment of mCRC. Vectibix was approved in the U.S. in September 2006 as a monotherapy for the treatment of patients with EGFR-expressing mCRC following disease progression after prior treatment with fluoropyrimidine-, oxaliplatin- and irinotecan-containing chemotherapy.
In May 2014, the FDA approved Vectibix for use in combination with FOLFOX as first-line treatment in patients with wild-type KRAS (exon 2) mCRC. With this approval, Vectibix became the first-and-only anti-EGFR biologic therapy indicated for use with FOLFOX, one of the most commonly used chemotherapy regimens, in first-line treatment of mCRC for patients with wild-type KRAS mCRC.
In June 2017, the FDA approved a refined indication for Vectibix for use in patients with wild-type RAS (defined as wild-type in both KRAS and NRAS as determined by an FDA-approved test for this use) mCRC, specifically as first-line therapy in combination with FOLFOX and as monotherapy following disease progression after prior treatment with fluoropyrimidine-, oxaliplatin- and irinotecan-containing chemotherapy.
LUMAKRAS® (sotorasib) in Combination with Vectibix® (panitumumab)
Vectibix® in combination with sotorasib, is indicated for the treatment of adult patients with KRAS G12C-mutated mCRC, as determined by an FDA-approved test, who have received prior treatment with fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy.
LIMITATIONS OF USE
Vectibix® is not indicated for the treatment of patients with RAS-mutant mCRC unless used in combination with sotorasib in KRAS G12C-mutated mCRC. Vectibix® is not indicated for the treatment of patients with mCRC for whom RAS mutation status is unknown.
IMPORTANT SAFETY INFORMATION FOR LUMAKRAS® (SOTORASIB)
Hepatotoxicity
- LUMAKRAS® can cause hepatotoxicity and increased ALT or AST which may lead to drug-induced liver injury and hepatitis.
- In the pooled safety population of NSCLC patients who received single agent LUMAKRAS® 960 mg hepatotoxicity occurred in
27% of patients, of which16% were Grade ≥ 3. Among patients with hepatotoxicity who required dosage modifications,64% required treatment with corticosteroids. - In this pooled safety population of NSCLC patients who received single agent LUMAKRAS® 960 mg,
17% of patients who received LUMAKRAS® had increased alanine aminotransferase (ALT)/increased aspartate aminotransferase (AST); of which9% were Grade ≥ 3. The median time to first onset of increased ALT/AST was 6.3 weeks (range: 0.4 to 42). Increased ALT/AST leading to dose interruption or reduction occurred in9% of patients treated with LUMAKRAS®. LUMAKRAS® was permanently discontinued due to increased ALT/AST in2.7% of patients. Drug-induced liver injury occurred in1.6% (all grades) including1.3% (Grade ≥ 3). - In this pooled safety population of NSCLC patients who received single agent LUMAKRAS® 960 mg, a total of
40% patients with recent (≤ 3 months) immunotherapy prior to starting LUMAKRAS® had an event of hepatotoxicity. An event of hepatotoxicity was observed in18% of patients who started LUMAKRAS® more than 3 months after last dose of immunotherapy and in17% of those who never received immunotherapy. Regardless of time from prior immunotherapy,94% of hepatotoxicity events improved or resolved with dosage modification of LUMAKRAS®, with or without corticosteroid treatment. - Monitor liver function tests (ALT, AST, alkaline phosphatase and total bilirubin) prior to the start of LUMAKRAS®, every 3 weeks for the first 3 months of treatment, then once a month or as clinically indicated, with more frequent testing in patients who develop transaminase and/or bilirubin elevations. Withhold, reduce the dose or permanently discontinue LUMAKRAS® based on severity of the adverse reaction. Consider administering systemic corticosteroids for the management of hepatotoxicity.
Interstitial Lung Disease (ILD)/Pneumonitis
- LUMAKRAS® can cause ILD/pneumonitis that can be fatal.
- In the pooled safety population of NSCLC patients who received single agent LUMAKRAS® 960 mg ILD/pneumonitis occurred in
2.2% of patients, of which1.1% were Grade ≥ 3, and 1 case was fatal. The median time to first onset for ILD/pneumonitis was 8.6 weeks (range: 2.1 to 36.7 weeks). LUMAKRAS® was permanently discontinued due to ILD/pneumonitis in1.3% of LUMAKRAS®-treated patients. Monitor patients for new or worsening pulmonary symptoms indicative of ILD/pneumonitis (e.g., dyspnea, cough, fever). Immediately withhold LUMAKRAS® in patients with suspected ILD/pneumonitis and permanently discontinue LUMAKRAS® if no other potential causes of ILD/pneumonitis are identified.
Most Common Adverse Reactions
- The most common adverse reactions ≥
20% were diarrhea, musculoskeletal pain, nausea, fatigue, hepatotoxicity, and cough.
Drug Interactions
- Advise patients to inform their healthcare provider of all concomitant medications, including prescription medicines, over-the-counter drugs, vitamins, dietary and herbal products.
- Inform patients to avoid proton pump inhibitors and H2 receptor antagonists while taking LUMAKRAS®.
- If coadministration with an acid-reducing agent cannot be avoided, inform patients to take LUMAKRAS® 4 hours before or 10 hours after a locally acting antacid.
Please see accompanying LUMAKRAS® full Prescribing Information.
IMPORTANT SAFETY INFORMATION FOR VECTIBIX® (PANITUMUMAB)
BOXED WARNING: DERMATOLOGIC TOXICITY
Dermatologic Toxicity: Dermatologic toxicities occurred in
- Vectibix® can cause dermatologic toxicity, which may be severe. Clinical manifestations included, but were not limited to, acneiform dermatitis, pruritus, erythema, rash, skin exfoliation, paronychia, dry skin, and skin fissures.
- Among 229 patients who received Vectibix® as monotherapy, dermatologic toxicity occurred in
90% including Grade 3 (15% ). Among 585 patients who received Vectibix® in combination with FOLFOX, dermatologic toxicity occurred in96% including Grade 4 (1% ) and Grade 3 (32% ). In 126 patients receiving Vectibix® in combination with sotorasib across clinical studies, dermatologic toxicities occurred in94% , including Grade 3 (16% ) of patients. - Monitor patients who develop dermatologic or soft tissue toxicities while receiving Vectibix® for the development of inflammatory or infectious sequelae. Life-threatening and fatal infectious complications including necrotizing fasciitis, abscesses, and sepsis have been observed in patients treated with Vectibix®. Life-threatening and fatal bullous mucocutaneous disease with blisters, erosions, and skin sloughing has also been observed in patients treated with Vectibix®. It could not be determined whether these mucocutaneous adverse reactions were directly related to EGFR inhibition or to idiosyncratic immune-related effects (eg, Stevens Johnson syndrome or toxic epidermal necrolysis). Withhold or discontinue Vectibix® for dermatologic or soft tissue toxicity associated with severe or life-threatening inflammatory or infectious complications. Dose modifications for Vectibix® concerning dermatologic toxicity are provided
- Vectibix® monotherapy or in combination with oxaliplatin-based chemotherapy is not indicated for the treatment of patients with colorectal cancer that harbor somatic RAS mutations in exon 2 (codons 12 and 13), exon 3 (codons 59 and 61), and exon 4 (codons 117 and 146) of either KRAS or NRAS and hereafter is referred to as "RAS."
- Retrospective subset analyses across several randomized clinical trials were conducted to investigate the role of RAS mutations on the clinical effects of anti-EGFR-directed monoclonal antibodies (panitumumab or cetuximab). Anti-EGFR antibodies in patients with tumors containing RAS mutations resulted in exposing those patients to anti-EGFR related adverse reactions without clinical benefit from these agents. Additionally, in Study 20050203, 272 patients with RAS-mutant mCRC tumors received Vectibix® in combination with FOLFOX and 276 patients received FOLFOX alone. In an exploratory subgroup analysis, OS was shorter (HR = 1.21,
95% CI: 1.01-1.45) in patients with RAS-mutant mCRC who received Vectibix® and FOLFOX versus FOLFOX alone. - Vectibix® can cause progressively decreasing serum magnesium levels leading to severe (Grade 3 or 4) hypomagnesemia. Among 229 patients who received Vectibix® as monotherapy, hypomagnesemia occurred in
38% including Grade 4 (1.3% ) and Grade 3 (2.6% ). Among 585 patients who received Vectibix® in combination with FOLFOX, hypomagnesemia occurred in51% including Grade 4 (5% ) and Grade 3 (6% ). In 126 patients receiving Vectibix® in combination with sotorasib across clinical studies, decreased magnesium occurred in69% , including Grade 4 (2.4% ) and Grade 3 (14% ). - Monitor patients for hypomagnesemia and hypocalcemia prior to initiating Vectibix® treatment, periodically during Vectibix® treatment, and for up to 8 weeks after the completion of treatment. Other electrolyte disturbances, including hypokalemia, have also been observed. Replete magnesium and other electrolytes as appropriate.
- In Study 20020408,
4% of patients experienced infusion reactions and1% of patients experienced severe infusion reactions (NCI-CTC Grade 3-4). Infusion reactions, manifesting as fever, chills, dyspnea, bronchospasm, and hypotension, can occur following Vectibix® administration. Fatal infusion reactions occurred in postmarketing experience. Terminate the infusion for severe infusion reactions. - Severe diarrhea and dehydration, leading to acute renal failure and other complications, have been observed in patients treated with Vectibix®. Among 229 patients who received Vectibix® as monotherapy, acute renal failure occurred in
2% including Grades 3 or 4 (2% ). Among 585 patients who received Vectibix® in combination with FOLFOX, acute renal failure occurred in2% including Grade 3 or 4 (2% ). In 126 patients receiving Vectibix® in combination with sotorasib across clinical studies, acute renal failure occurred in3.2% , including Grade 3 (0.8% ). Monitor patients for diarrhea and dehydration, provide supportive care (including anti-emetic or anti-diarrheal therapy) as needed, and withhold Vectibix® if necessary. - Fatal and nonfatal cases of interstitial lung disease (ILD) (
1% ) and pulmonary fibrosis have been observed in patients treated with Vectibix®. Pulmonary fibrosis occurred in less than1% (2/1467) of patients enrolled in clinical studies of Vectibix®. Grade 1 ILD/pneumonitis occurred in0.8% (1/126) of patients enrolled in clinical studies of Vectibix® in combination with sotorasib. In the event of acute onset or worsening of pulmonary symptoms interrupt Vectibix® therapy. Discontinue Vectibix® therapy if ILD is confirmed. - In patients with a history of interstitial pneumonitis or pulmonary fibrosis, or evidence of interstitial pneumonitis or pulmonary fibrosis, the benefits of therapy with Vectibix® versus the risk of pulmonary complications must be carefully considered.
- Exposure to sunlight can exacerbate dermatologic toxicity. Advise patients to wear sunscreen and hats and limit sun exposure while receiving Vectibix®.
- Serious cases of keratitis, ulcerative keratitis, and corneal perforation have occurred with Vectibix® use. Among 585 patients who received Vectibix® in combination with FOLFOX, keratitis occurred in
0.3% . In 126 patients receiving Vectibix® in combination with sotorasib across clinical studies, keratitis occurred in1.6% , ulcerative keratitis occurred in0.8% , and vernal keratoconjunctivitis in0.8% (all were Grade 1-2). Monitor for evidence of keratitis, ulcerative keratitis, or corneal perforation. Interrupt or discontinue Vectibix® therapy for acute or worsening keratitis, ulcerative keratitis, or corneal perforation. - In an interim analysis of an open-label, multicenter, randomized clinical trial in the first-line setting in patients with mCRC, the addition of Vectibix® to the combination of bevacizumab and chemotherapy resulted in decreased OS and increased incidence of NCI-CTC Grade 3-5 (
87% vs72% ) adverse reactions. NCI-CTC Grade 3-4 adverse reactions occurring at a higher rate in Vectibix®-treated patients included rash/acneiform dermatitis (26% vs1% ), diarrhea (23% vs12% ), dehydration (16% vs5% ), primarily occurring in patients with diarrhea, hypokalemia (10% vs4% ), stomatitis/mucositis (4% vs <1% ), and hypomagnesemia (4% vs 0). NCI-CTC Grade 3-5 pulmonary embolism occurred at a higher rate in Vectibix®-treated patients (7% vs3% ) and included fatal events in three (<1% ) Vectibix® -treated patients. - As a result of the toxicities experienced, patients randomized to Vectibix®, bevacizumab, and chemotherapy received a lower mean relative dose intensity of each chemotherapeutic agent (oxaliplatin, irinotecan, bolus 5-FU, and/or infusional 5-FU) over the first 24 weeks on study compared with those randomized to bevacizumab and chemotherapy.
- Based on data from animal studies and its mechanism of action, Vectibix® can cause fetal harm when administered to a pregnant woman. When given during organogenesis, panitumumab administration resulted in embryolethality in cynomolgus monkeys at exposures approximately 1.25 to 5 times the recommended human dose. Advise pregnant women and females of reproductive potential of the potential risk to the fetus. Advise females of reproductive potential to use effective contraception during treatment, and for at least 2 months after the last dose of Vectibix®.
- In monotherapy, the most commonly reported adverse reactions (≥
20% ) in patients with Vectibix® were skin rash with variable presentations, paronychia, fatigue, nausea, and diarrhea. - The most commonly reported adverse reactions (≥
20% ) with Vectibix® + FOLFOX were diarrhea, stomatitis, mucosal inflammation, asthenia, paronychia, anorexia, hypomagnesemia, hypokalemia, rash, acneiform dermatitis, pruritus, and dry skin. Serious adverse reactions (≥2% difference between treatment arms) were diarrhea and dehydration. - The most common adverse reactions (≥
20% ) in patients receiving Vectibix® in combination with sotorasib 960 mg were rash, dry skin, diarrhea, stomatitis, fatigue and musculoskeletal pain.
Please see full Prescribing Information, including Boxed WARNING.
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SOURCE Amgen
FAQ
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