close
Jump to content

Zidesamtinib

From Wikipedia, the free encyclopedia

Zidesamtinib
BERJAYA
Clinical data
Trade namesJideytro
Other namesNUV-520; NVL-520
AHFS/Drugs.comjideytro
License data
Routes of
administration
By mouth
Drug classTyrosine kinase inhibitor
ATC code
  • None
Legal status
Legal status
Identifiers
  • (19R)-3-Ethyl-16-fluoro-10,19-dimethyl-20-oxa-3,4,9,10,11,23-hexazapentacyclo[19.3.1.02,6.08,12.013,18]pentacosa-1(25),2(6),4,8,11,13(18),14,16,21,23-decaen-22-amine
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
PDB ligand
Chemical and physical data
FormulaC22H22FN7O
Molar mass419.464 g·mol−1
3D model (JSmol)
  • CCN1C2=C(CC3=NN(N=C3C4=C(C=C(C=C4)F)[C@H](OC5=C(N=CC2=C5)N)C)C)C=N1
  • InChI=1S/C22H22FN7O/c1-4-30-21-13(11-26-30)7-18-20(28-29(3)27-18)16-6-5-15(23)9-17(16)12(2)31-19-8-14(21)10-25-22(19)24/h5-6,8-12H,4,7H2,1-3H3,(H2,24,25)/t12-/m1/s1
  • Key:DTWUUAFTYSMNQX-GFCCVEGCSA-N

Zidesamtinib, sold under the brand name Jideytro, is an anti-cancer medication used for the treatment of non-small cell lung cancer.[1] Zidesamtinib is a kinase inhibitor.[1] It is taken by mouth.[1]

Zidesamtinib was approved for medical use in the United States in July 2026.[2]

Medical uses

[edit]

Zidesamtinib is indicated for the treatment of adults with locally advanced or metastatic ROS1-positive non-small cell lung cancer who have received a prior ROS1 kinase inhibitor.[1]

Adverse effects

[edit]

The US prescription label includes warnings and precautions for central nervous system adverse reactions, QTc interval prolongation, interstitial lung disease/pneumonitis, skeletal fractures, myalgia with creatine phosphokinase elevation, pancreatic toxicity, and embryo-fetal toxicity.[2]

Mechanism of action

[edit]

Zidesamtinib is a kinase inhibitor that works by blocking ROS1, an abnormal protein that drives some lung cancers to grow, including forms that have become resistant to earlier ROS1 treatments.[3] Zidesamtinib also works on the related protein ALK.[1] In laboratory and animal studies, zidesamtinib stopped cancer cells with ROS1 changes from growing and slowed tumor growth, including tumors in the brain.[4]

History

[edit]

Efficacy was evaluated in ARROS-1 (NCT05118789), a multi-center, single-arm, open-label, multi-cohort trial in participants with previously treated locally advanced or metastatic ROS1-positive NSCLC.[2] The efficacy population included 117 participants; 59 who received one prior ROS1 tyrosine kinase inhibitor and 58 who received two or more prior ROS1 tyrosine kinase inhibitors, including lorlatinib, repotrectinib, and/or taletrectinib.[2]

Society and culture

[edit]
[edit]

Zidesamtinib was approved for medical use in the United States in July 2026.[5] The US Food and Drug Administration granted the application for zidesamtinib orphan drug designation.[2]

Names

[edit]

Zidesamtinib is the international nonproprietary name.[6]

Zidesamtinib is sold under the brand name Jideytro.[5][7]

References

[edit]
  1. 1 2 3 4 5 6 "Jideytro- zidesamtinib tablet, film coated". DailyMed. 22 July 2026. Retrieved 4 August 2026.
  2. 1 2 3 4 5 "FDA approves zidesamtinib for ROS1-positive non-small cell lung cancer". U.S. Food and Drug Administration (FDA). 22 July 2026. Retrieved 25 July 2026. Public Domain This article incorporates text from this source, which is in the public domain.
  3. Wespiser M, Gille R, Pérol M (2026). "ROS1-positive non-small cell lung cancer: from genomics to treatment decisions". Frontiers in Oncology. 16 1739598. doi:10.3389/fonc.2026.1739598. PMC 12907153. PMID 41704605.
  4. "Jideytro: Uses, Dosage, Side Effects & Warnings". Drugs.com. Retrieved 23 July 2026.
  5. 1 2 "Novel Drug Approvals for 2026". U.S. Food and Drug Administration (FDA). 22 July 2026. Retrieved 24 July 2026.
  6. World Health Organization (2023). "International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 90". WHO Drug Information. 37 (3). hdl:10665/373341.
  7. "Jideytro (zidesamtinib) approved in the US for previously treated ROS1-positive non-small cell lung cancer". GSK. 22 July 2026. Retrieved 24 July 2026 via PR Newswire.
[edit]
  • Clinical trial number NCT05118789 for "A Study of Zidesamtinib (NVL-520) in Patients With Advanced NSCLC and Other Solid Tumors Harboring ROS1 Rearrangement (ARROS-1)" at ClinicalTrials.gov