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Sunvozertinib is an irreversible inhibitor of EGFR containing exon 20 insertion (ex20ins) mutations (IC50 = 2.1 nM for EGFR ex20ins 770_NPG).1 It is selective for EGFR ex20ins and EGFRL858R/T790M (IC50 = 13 nM) over wild-type EGFR, HER2, and HER4 (IC50s = 226, 392, and 704 nM, respectively), a panel of 106 kinases at 1 µM, and other kinases, including BTK, BRK, ALK, Yes, and TrkA (IC50s = 213, 529, 1,172, 2,895, and >10,000 nM, respectively). Sunvozertinib selectively inhibits the proliferation of mutant EGFR-expressing cancer cells (GI50s = 6-88 nM) over those containing wild-type EGFR (GI50 = 113 nM). Sunvozertinib (25 and 50 mg/kg twice per day) induces tumor regression in a patient-derived xenograft (PDX) mouse model of non-small cell lung cancer (NSCLC) carrying EGFR ex20ins insNPH. Formulations containing sunvozertinib have been used in the treatment of NSCLC with EGFR ex20ins mutations.
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1. Sunvozertinib, a selective EGFR inhibitor for previously treated non-