Drug updated on 12/5/2025
| Dosage Form | Tablet (oral; 10 mg) |
| Drug Class | Kinase inhibitors |
| Ongoing and Completed Studies | ClinicalTrials.gov |
Indication
- Indicated for the treatment of adult patients with locally advanced or metastatic non-squamous non-small cell lung cancer (NSCLC) whose tumors have HER2 (ERBB2) tyrosine kinase domain (TKD) activating mutations, as detected by an FDA-approved test, and who have received a prior systemic therapy.
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Summary
- This summary is based on the review of one randomized controlled trial. [1]
- Cohort D (previously treated, no human epidermal growth factor receptor 2 (HER2)–targeted therapy) had an objective response of 64% (95% confidence interval [CI], 53 to 75), median duration of response 9.2 months (95% CI, 6.3 to 13.5), and median progression-free survival 8.3 months (95% CI, 6.9 to 12.3).
- Cohort E (previously received HER2-directed antibody-drug conjugates) had an objective response of 38% (95% CI, 25 to 52), median duration of response 8.5 months, and median progression-free survival 5.5 months.
- Cohort F (no previous treatment) had an objective response of 71% (95% CI, 59 to 81), median duration of response 11.0 months, and data on progression-free survival were immature; objective response was higher in Cohort D than Cohort E (64% vs 38%), with longer median duration of response (9.2 vs 8.5 months) and progression-free survival (8.3 vs 5.5 months), and Cohort F had the highest objective response (71%) and longest median duration of response (11.0 months) among the three cohorts.
- Grade 3 or higher drug-related adverse events occurred in 31% of patients; diarrhea was the most common adverse event (84 to 91% of patients), with grade 3 or higher diarrhea in 5 to 23% of patients.
- Treatment discontinuation due to drug-related adverse events occurred in 3% of patients.
Product Monograph / Prescribing Information
| Document Title | Year | Source |
|---|---|---|
| Hyrnuo (sevabertinib) Prescribing Information. | 2025 | Bayer HealthCare Pharmaceuticals Inc., Whippany, NJ |
Randomized Controlled Trials
| Document Title | Sex Distribution | Year | Source |
|---|---|---|---|
| Sevabertinib in Advanced HER2-Mutant Non-Small-Cell Lung Cancer | 209Subjects F: 63% M: 37% | 2025 | New England Journal of Medicine |
Sex Distribution:
F:63%
M:37%
209Subjects
Year:
2025
Source:New England Journal of Medicine

