How is Rybrevant administered?
Rybrevant is given as an intravenous (IV) infusion into your vein. Your healthcare provider will administer this medication to you and determine your dose. It may be given alone, in combination with chemotherapy (carboplatin and pemetrexed), or with a kinase inhibitor called Lazcluze (lazertinib) for the treatment of EGFR mutated non-small cell lung cancer (NSCLC).
Patients usually receive this medicine until their cancer worsens or they have side effects that require the drug to be stopped. Your doctor will determine your dose (based on your weight), how many treatments you will receive, and how often you receive them. Depending on your use, you will receive this medicine every 2 or 3 weeks, after initial Rybrevant dosing in the first 6 weeks.
Infusion reactions are common with Rybrevant. You will receive medicines before each dose (called "premedications") to help reduce your risk of an infusion-related reaction. These premedications may include an antihistamine (diphenhydramine), fever-reducer (acetaminophen), and a glucocorticoid (such as dexamethasone).
Symptoms of the infusion-related reaction may include:
- shortness of breath
- flushing
- fever
- chills
- nausea
- chest discomfort
- low blood pressure
- lightheadedness
- vomiting
Tell your doctor right away if you have any of these side effects. Your doctor may need to temporarily stop your infusion, decrease your dose or completely stop your treatment with Rybrevant if you have serious side effects.
Related: Rybrevant side effects (in more detail)
What is Rybrevant used for?
Rybrevant (amivantamab-vmjw) is a prescription medicine used to treat adults with non-small cell lung cancer (NSCLC) that has spread in the body or cannot be removed by surgery.
Patients who receive Rybrevant with NSCLC have certain abnormal epidermal growth factor receptor “EGFR” genes identified in a sample of tissue or blood. Your doctor can perform these tests to make sure you can receive Rybrevant. This is called biomarker testing.
There are different types of EGFR mutations, including EGFR exon 19 deletions, EGFR exon 21 L858R substitution mutations, and EGFR exon 20 insertion mutations.
Rybrevant works by attaching to areas on the cancer cell called receptors. By occupying these receptors, it helps to stops the tumors from living, growing, and spreading. Rybrevant also helps the immune system to find and kill cancer cells.
Related questions
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Uses for Rybrevant
- Rybrevant may be used in combination with the oral kinase inhibitor Lazcluze (lazertinib), as a first-line treatment for NSCLC.
- For some patients, Rybrevant may be used in combination with carboplatin and pemetrexed (2 chemotherapy medicines) to treat NSCLC as a second-line agent in patients whose disease has worsened on or after treatment with an EGFR tyrosine kinase inhibitor.
- It may also be used in combination with carboplatin and pemetrexed as a first-line treatment for NSCLC.
- Rybrevant is also used as a single agent (alone) to treat NSCLC in patients whose disease has worsened on or after platinum-based chemotherapy.
Can it be administered at home?
Rybrevant is not normally given at your home. You would typically receive this medicine in a healthcare facility or clinic with appropriate personnel, medicine and equipment so you can be monitored and treated for any infusion-related reactions. Your doctor will tell you when and where you will receive your infusion.
If you miss your appointment, call your healthcare provider as soon as possible to reschedule.
This is not all the information you need to know about Rybrevant (amivantamab-vmjw) for safe and effective use and does not take the place of your healthcare provider's directions. Review the product information and discuss any questions you have with your doctor or other health care provider.
References
- Rybrevant (amivantamab-vmjw) prescribing information. 9/2024. Janssen Pharmaceuticals. Horsham, PA. Accessed Nov. 1, 2024 at https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/RYBREVANT-pi.pdf
- FDA Approves First Targeted Therapy for Subset of Non-Small Cell Lung Cancer. US Food and Drug Administration. May 21, 2021. Press release. Accessed Sept 13, 2021 at https://www.fda.gov/news-events/press-announcements/fda-approves-first-targeted-therapy-subset-non-small-cell-lung-cancer
- Rybrevant.com. 9/2024. Janssen Pharmaceuticals. Horsham, PA. Accessed Nov. 1, 2024 at https://www.rybrevant.com/
- FDA approves amivantamab-vmjw with carboplatin and pemetrexed for non-small cell lung cancer with EGFR exon 19 deletions or L858R mutations. 9/19/2024. Accessed Nov. 1, 2024 at https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-amivantamab-vmjw-carboplatin-and-pemetrexed-non-small-cell-lung-cancer-egfr-exon-19
Read next
Is non-small cell lung cancer hereditary?
A hereditary family history of lung cancer is one of the many risk factors for developing non-small cell lung cancer. About 8% of lung cancers are thought to be inherited or linked to gene changes, but smoking and air pollution remain the primary causes of lung cancer. Continue reading
How aggressive is non-small cell lung cancer?
Non-small cell lung cancer (NSCLC) tends to spread more slowly than small cell lung cancer (SCLC). About 80% of all lung cancers are diagnosed as NSCLC. Some forms of NSCLC do grow rapidly, such as large cell undifferentiated carcinoma and large cell neuroendocrine carcinoma. Lung cancer most commonly spreads to the liver, brain, bones or adrenal glands. Continue reading
Does smoking cause non-small cell lung cancer?
Yes, smoking can cause non-small cell lung cancer (NSCLC), the most common type of lung cancer. NSCLC accounts for about 85% of all cases of lung cancer. Smoking tobacco contributes to 80% to 90% of all lung cancer deaths. Continue reading
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Drug information
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