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Sevabertinib is a dual inhibitor of wild-type and exon 20 insertion (ex20ins) mutation-containing EGFR and HER2 (IC50s = <0.5 nM for EGFR, EGFR exon20 D770 insSVD, HER2, and HER2 exon20 A775 insYMVA).1 It is selective for these proteins over HER4 (IC50 = 13.96 nM). Sevabertinib (0.01-1 µM) reduces the viability of A431, NCI-H2170, NCI-H1781, and MDA-MB-175-VII cells endogenously expressing EGFR or HER2 wild-type or insertion mutant gene amplifications. In vivo, sevabertinib (5 and 10 mg/kg) reduces tumor growth in a HER2 exon20 A775 insYMVA mutant-containing CTG-2543 patient-derived xenograft (PDX) mouse model. Formulations containing sevabertinib have been used in the treatment of non-small cell lung cancer (NSCLC).
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1. Sevabertinib, a reversible HER2 inhibitor with activity in lung cancer. Cancer Discov. (2025).