New Drug: Amivantamab for NSCLC


  • Study

    Phase 3, international, randomized trial (PAPILLON)
    Advanced NSCLC with EGFR exon 20 insertions who had not received previous systemic therapy
    Amivantamab + Chemoterapy (n=153) vs. Chemotherapy (n=155)




  • Efficacy

    mPFS: 11.4 vs. 6.7 mos, HR:0.40, p<0.001
    18 mos PFS: 31% vs. 3%
    ORR: 73% vs. 47%
    mDoR: 9.7 vs. 4.4 mos



  • Safety

    • Grade3: Neutropenia (33% vs. 23%), anemia (11% vs. 12%), thrombocytopenia (10% vs. 10%), rash (11% vs. 0)



  • N Engl J Med 2023 Oct 21

    Zhou C Amivantamab plus Chemotherapy in NSCLC with EGFR Exon 20 Insertions

    http://doi.org/10.1056/NEJMoa2306441

    Reviewed by Ulas D. Bayraktar, MD on Jan 13, 2024