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drug_type
RELEVANT_DRUG
intervention_type
Drug
drug_description
Third-generation, irreversible, CNS-penetrant EGFR tyrosine kinase inhibitor targeting activating EGFR mutations (and T790M) with reduced inhibition of wild-type EGFR.
nci_thesaurus_concept_id
C148147
nci_thesaurus_preferred_term
Lazertinib
nci_thesaurus_definition
An orally available third-generation, selective inhibitor of certain forms of the epidermal growth factor receptor (EGFR) with activating mutations, including the resistance mutation T790M, exon 19 deletions (Del19), and the L858R mutation, with potential antineoplastic activity. Upon administration, lazertinib specifically and irreversibly binds to and inhibits selective EGFR mutants, which prevents EGFR mutant-mediated signaling and leads to cell death in EGFR mutant-expressing tumor cells. Lazertinib may inhibit programmed cell death-1 ligand 1 (PD-L1) and inflammatory cytokines in specific cancer cells harboring certain EGFR mutations. Compared to some other EGFR inhibitors, lazertinib may have therapeutic benefits in tumors with T790M- or L858R-mediated drug resistance. In addition, lazertinib penetrates the blood-brain barrier (BBB). This agent shows minimal activity against wild-type EGFR (wtEGFR), and does not cause dose-limiting toxicities, which occur during the use of non-selective EGFR inhibitors and inhibit wtEGFR. EGFR, a receptor tyrosine kinase (RTK) mutated in many tumor cell types, plays a key role in tumor cell proliferation and tumor vascularization.
drug_mesh_term
Lazertinib
drug_category
SMALL MOLECULE DRUG
drug_class
Inhibitor
drug_delivery_route
Oral
drug_mechanism_of_action
Third-generation, irreversible, CNS-penetrant EGFR tyrosine kinase inhibitor that selectively and covalently targets mutant EGFR (e.g., T790M, exon 19 deletions, L858R) with minimal wild‑type EGFR activity, thereby blocking EGFR-mediated signaling (MAPK/PI3K-AKT) and inducing death of EGFR-mutant tumor cells.
drug_name
Lazertinib
nct_id_drug_ref
NCT06667076