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Zegfrovy

sunvozertinib
EGFR Exon 20 InhibitorFDA Approved 2025Dizal Pharma
Route
Oral
Half-Life
~13 hrs
FDA Approved
2025
Manufacturer
Dizal Pharma
1. Indications and Usage

Adults with locally advanced or metastatic NSCLC with EGFR exon 20 insertion mutations whose disease progressed after platinum-based chemotherapy.

2. Dosage and Administration

300 mg orally once daily with or without food.

3. Dosage Forms and Strengths

Capsules: 100 mg, 300 mg

4. Contraindications

None listed in the prescribing information.

5. Warnings and Precautions
  • ILD/Pneumonitis: Monitor and permanently discontinue if confirmed.
  • Diarrhea: Severe diarrhea reported.
  • Hepatotoxicity: Monitor liver function tests.
  • QTc Prolongation: Monitor ECGs.
  • Embryo-Fetal Toxicity: Can cause fetal harm.
6. Adverse Reactions
Most Common Adverse Reactions

Diarrhea (58%), Rash (42%), Stomatitis (30%), Paronychia (28%), Nausea (26%), Decreased Appetite (22%), Dry Skin (20%), Fatigue (18%)

Diarrhea
58%
Rash
42%
Stomatitis
30%
Paronychia
28%
Nausea
26%
Decreased Appetite
22%
Dry Skin
20%
Fatigue
18%

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

7. Drug Interactions

CYP3A4 Substrates: May increase exposure; use caution.
Acid-Reducing Agents: Avoid PPIs.

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

Sunvozertinib is a potent, selective TKI targeting EGFR exon 20 insertion mutations that covalently binds to C797 in the EGFR kinase domain.

Pharmacokinetics

Tmax: 2-4 hours. Protein binding: ~92%. Half-life: ~50 hours. Steady state ~15 days.

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

Zegfrovy 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 Zegfrovy. 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 Zegfrovy (sunvozertinib) approved for?

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

How is Zegfrovy (sunvozertinib) administered?

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

How does Zegfrovy (sunvozertinib) work?

Sunvozertinib is a potent, selective TKI targeting EGFR exon 20 insertion mutations that covalently binds to C797 in the EGFR kinase domain.

What are the most common side effects?

Diarrhea (58%), Rash (42%), Stomatitis (30%), Paronychia (28%), Nausea (26%), Decreased Appetite (22%), Dry Skin (20%), Fatigue (18%) Diarrhea 58% Rash 42% Stomatitis 30% Paronychia 28% Nausea 26% Decreased Appetite 22% Dry Skin 20% Fatigue 18%