Description
Amivantamab-vmjw injection is used in combination with lazertinib as a first-line treatment for metastatic (cancer that has spread) or locally advanced (cannot be removed by surgery) non-small cell lung cancer (NSCLC) in patients who have an abnormal epidermal growth factor receptor (EGFR) gene (exon 19 deletions or exon 21 L858R substitution mutations). This medicine is also used in combination with carboplatin and pemetrexed to treat metastatic or locally advanced NSCLC in patients who have an EGFR gene (exon 19 deletions or exon 21 L858R substitution mutations), whose disease has progressed during or after treatment with other cancer medicines (eg, EFGR tyrosine kinase inhibitor).
It is also used in combination with carboplatin and pemetrexed as a first-line treatment for metastatic or locally advanced NSCLC in patients who have an abnormal EGFR gene (exon 20 insertion mutations). This medicine is also used alone to treat metastatic or locally advanced NSCLC in patients who have an abnormal EGFR gene (exon 20 insertion mutations), whose disease has progressed during or after treatment with other cancer medicines (eg, platinum). Your doctor will perform a test before you take this medicine.
This medicine is to be given only by or under the supervision of your doctor.
This product is available in the following dosage forms:
- Solution
Before Using
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Allergies
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
Pediatric
Appropriate studies have not been performed on the relationship of age to the effects of amivantamab-vmjw injection in the pediatric population. Safety and efficacy have not been established.
Geriatric
Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of amivantamab-vmjw injection in the elderly.
Breastfeeding
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Drug Interactions
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
- Bacillus of Calmette and Guerin Vaccine, Live
- Dengue Tetravalent Vaccine, Live
- Measles Virus Vaccine, Live
- Mumps Virus Vaccine, Live
- Rubella Virus Vaccine, Live
- Smallpox Monkeypox Vaccine
- Typhoid Vaccine
- Varicella Virus Vaccine
- Yellow Fever Vaccine
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
- Adenovirus Vaccine Type 4, Live
- Adenovirus Vaccine Type 7, Live
- Cholera Vaccine
- Ebola Zaire Vaccine, Live
- Influenza Virus Vaccine, Live
- Rotavirus Vaccine, Live
Other Interactions
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
Other Medical Problems
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
- Blood clots (eg, deep vein thrombosis, pulmonary embolism) or
- Eye or vision problems (eg, blepharitis, keratitis, uveitis) or
- Lung or breathing problems (eg, interstitial lung disease, pneumonitis), history of or
- Serious skin reactions (eg, dermatitis acneiform, toxic epidermal necrolysis)—Use with caution. May make these conditions worse.
Proper Use
Medicines used to treat cancer are very strong and can have many side effects. Before receiving this medicine, make sure you understand all the risks and benefits. It is important for you to work closely with your doctor during your treatment.
A nurse or other trained health professional will give you this medicine in a medical facility. It is given through an IV catheter that is placed into one of your veins.
This medicine comes with a patient information leaflet. Read and follow these instructions carefully. Ask your doctor if you have any questions.
Your doctor will give you other medicines (eg, allergy medicine, fever medicine, steroid) before you receive this medicine to help prevent unwanted effects.
Missed Dose
This medicine needs to be given on a fixed schedule. If you miss a dose, call your doctor, home health caregiver, or treatment clinic for instructions.
Precautions
It is very important that your doctor check your progress closely while you are receiving this medicine. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to receive it. Blood tests may be needed to check for unwanted effects.
Receiving this medicine while you are pregnant can harm your unborn baby. If you can get pregnant, your doctor may do tests to make sure you are not pregnant before starting treatment. Use an effective form of birth control to keep from getting pregnant during treatment and for at least 3 months after the last dose. If you think you have become pregnant while receiving this medicine, tell your doctor right away.
This medicine may cause infusion-related reactions, which can be life-threatening and require immediate medical attention. Tell your doctor right away if you start to have a fever, chills or shaking, dizziness, trouble breathing, itching or rash, or lightheadedness or fainting after receiving this medicine.
Check with your doctor right away if you have chest pain, chills, cough, fever, general feeling of discomfort or illness, trouble breathing, or thickening of bronchial secretions. These may be symptoms of a lung problem (eg, interstitial lung disease, pneumonitis).
Check with your doctor right away if you have anxiety, chest pain, cough, dizziness, lightheadedness, or fainting, fast heartbeat, pain, redness, or swelling in the arm or leg, or trouble breathing. These may be symptoms of serious blood clots (eg, deep vein thrombosis, pulmonary embolism).
This medicine may cause serious skin reactions (eg, dermatitis acneiform, toxic epidermal necrolysis). Check with your doctor right away if you have acne, blistering, crusting, irritation, itching, or reddening of the skin, chills, cough, cracked, dry, or scaly skin, diarrhea, itching, joint or muscle pain, peeling or loosening of the skin, red irritated eyes, red skin lesions, often with a purple center, sore throat, sores, ulcers, or white spots in the mouth or on the lips, swelling, or unusual tiredness or weakness.
This medicine may make your skin more sensitive to sunlight. Use a sunscreen when you are outdoors. Avoid sunlamps, outdoors and tanning beds for at least 2 months after the last dose.
Check with your doctor right away if blurred vision, difficulty with reading, eye pain, or any other change in vision occurs while you are receiving this medicine. Your doctor may want your eyes be checked by an ophthalmologist (eye doctor).
Side Effects
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor or nurse immediately if any of the following side effects occur:
More common
- Anxiety
- back pain
- bleeding gums
- blistering, crusting, irritation, itching, or reddening of the skin
- blood in the urine
- bloody nose
- burning, crawling, itching, numbness, painful, prickling, "pins and needles", or tingling feelings
- chest pain or tightness
- chills
- cough
- coughing or spitting up blood
- cracked, dry, or scaly skin
- dizziness or lightheadedness
- dry, itching skin
- fainting
- fast heartbeat
- fever
- flushing
- headache
- loosening of the fingernails
- muscle or bone pain
- nausea and vomiting
- nerve pain
- pain, redness, or swelling in the arm or leg
- rash with flat lesions or small raised lesions on the skin
- redness or soreness around the fingernails
- sneezing
- swelling
- trouble breathing
- unsteadiness or awkwardness
- weakness in the arms, hands, legs, or feet
Less common
- General feeling of discomfort or illness
- thickening of bronchial secretions
Rare
- Blistering, peeling, or loosening of the skin
- blurred vision or other change in vision
- diarrhea
- eye redness, irritation, or pain
- red skin lesions, often with a purple center
- sensitivity of the eye to light
- sore throat
- sores, ulcers, or white spots in the mouth or on the lips
- tearing
- unusual tiredness or weakness
Incidence not known
- Difficulty swallowing
- puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:
More common
- Canker sores
- chapped, red, or swollen lips
- constipation
- decreased appetite
- difficulty in moving
- lack or loss of strength
- muscle aches, cramps, or stiffness
- pain in the arms or legs
- pain in the joints
- redness, swelling, or soreness of the tongue
- scaling, redness, burning, pain, or other signs of inflammation of the lips
- stomach pain
- swelling or inflammation of the mouth
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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