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Romvimza

vimseltinib
CSF1R InhibitorFDA Approved 2025Day One Biopharmaceuticals
Route
IV
Half-Life
~8 days
FDA Approved
2025
Manufacturer
Day One Biopharmaceuticals
1. Indications and Usage

Adults with symptomatic tenosynovial giant cell tumor (TGCT) where surgical resection may worsen functional limitation or cause severe morbidity.

2. Dosage and Administration

30 mg orally once daily until disease progression or unacceptable toxicity. Take with or without food. For CYP2C9 poor metabolizers: 30 mg every other day.

3. Dosage Forms and Strengths

Tablets: 30 mg

4. Contraindications

None listed in the prescribing information.

5. Warnings and Precautions
  • Hepatotoxicity: ALT/AST elevations reported. Monitor liver function tests prior to and during treatment.
  • Embryo-Fetal Toxicity: Can cause fetal harm. Verify pregnancy status before initiating.
6. Adverse Reactions
Most Common Adverse Reactions

Periorbital Edema (32%), Increased AST (28%), Increased ALT (25%), Fatigue (22%), Hair Color Changes (20%), Increased Creatinine (18%), Dizziness (14%)

Periorbital Edema
32%
Increased AST
28%
Increased ALT
25%
Fatigue
22%
Hair Color Changes
20%
Increased Creatinine
18%
Dizziness
14%

Consult the complete prescribing information for a comprehensive list of adverse reactions and their frequencies.

7. Drug Interactions

Strong CYP2C9 Inhibitors: Avoid coadministration or reduce dose.
CYP2C9 Inducers: Avoid; may reduce vimseltinib efficacy.

8. Use in Specific Populations
Pregnancy

Consult the full prescribing information for pregnancy-related considerations.

Lactation

Refer to prescribing information for lactation guidance.

Pediatric Use

Pediatric safety and efficacy information is detailed in the full label.

Hepatic/Renal Impairment

Dose modifications for organ impairment are specified in the complete prescribing information.

12. Clinical Pharmacology
Mechanism of Action

Vimseltinib is a selective inhibitor of colony-stimulating factor 1 receptor (CSF1R), reducing tumor-associated macrophage infiltration and tumor burden in tenosynovial giant cell tumors.

Pharmacokinetics

Tmax: 2-4 hours. Protein binding: >99%. Metabolized primarily by CYP2C9. Half-life: ~17 hours.

14. Clinical Studies

Clinical efficacy and safety data supporting the approval are available in the full prescribing information and from the clinical trials listed below.

Pivotal Clinical Trials
Additional Resources
FDA-Approved Tumor Types

Romvimza has FDA-approved indications across the following cancer types covered on CancerDrugEvidence:

External Resources
Important Notice: This page is intended as a navigational reference to the FDA-approved prescribing information for Romvimza. It does not replace the full prescribing information. Healthcare professionals should consult the complete package insert available at DailyMed before making prescribing decisions. Patient-specific factors should always guide clinical decision-making.

Frequently Asked Questions

What is Romvimza (vimseltinib) approved for?

Romvimza (vimseltinib) is an FDA-approved oncology agent. Refer to the full prescribing information for complete indication details.

How is Romvimza (vimseltinib) administered?

Refer to the full prescribing information for dosing schedules, administration instructions, and dose modifications.

How does Romvimza (vimseltinib) work?

Vimseltinib is a selective inhibitor of colony-stimulating factor 1 receptor (CSF1R), reducing tumor-associated macrophage infiltration and tumor burden in tenosynovial giant cell tumors.

What are the most common side effects?

Periorbital Edema (32%), Increased AST (28%), Increased ALT (25%), Fatigue (22%), Hair Color Changes (20%), Increased Creatinine (18%), Dizziness (14%) Periorbital Edema 32% Increased AST 28% Increased ALT 25% Fatigue 22% Hair Color Changes 20% Increased Creatinine 18% Dizziness 14%