Last update 07 May 2026

Osimertinib mesylate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
[11C]osimertinib, ADAURA, Mereletinib
+ [16]
Action
inhibitors
Mechanism
EGFR T790M inhibitors(Epidermal Growth Factor Receptor T790M inhibitors), EGFR exon 19 deletion inhibitors, EGFR exon 21 L858R mutation inhibitors
Inactive Organization
Drug Highest PhaseApproved
First Approval Date
RegulationPriority Review (United States), Breakthrough Therapy (United States), Accelerated Approval (United States), Orphan Drug (United States), Priority Review (China), Breakthrough Therapy (China), Priority Review (Australia), Accelerated assessment (European Union), Special Review Project (China), Fast Track (United States)
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Structure/Sequence

Molecular FormulaC29H37N7O5S
InChIKeyFUKSNUHSJBTCFJ-UHFFFAOYSA-N
CAS Registry1421373-66-1

External Link

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Non-Small Cell Lung Cancer
Canada
05 Jul 2016
EGFR positive non-small cell lung cancer
Japan
28 Mar 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR exon 19 Deletions Mutant Non-small Cell Lung Cancer
Norway
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR exon 21 Substitution Mutant Non-small Cell Lung Cancer
Norway
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
European Union
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Iceland
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Liechtenstein
01 Feb 2016
EGFR-mutated non-small Cell Lung Cancer
Norway
01 Feb 2016
metastatic non-small cell lung cancer
European Union
01 Feb 2016
metastatic non-small cell lung cancer
Iceland
01 Feb 2016
metastatic non-small cell lung cancer
Liechtenstein
01 Feb 2016
metastatic non-small cell lung cancer
Norway
01 Feb 2016
EGFR T790M Mutation Positive Non-Small Cell Lung Carcinoma
United States
13 Nov 2015
Developing
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IndicationHighest PhaseCountry/LocationOrganizationDate
NeoplasmsPhase 3
China
08 May 2023
NeoplasmsPhase 3
France
08 May 2023
NeoplasmsPhase 3
Malaysia
08 May 2023
NeoplasmsPhase 3
Poland
08 May 2023
NeoplasmsPhase 3
South Korea
08 May 2023
NeoplasmsPhase 3
Taiwan Province
08 May 2023
NeoplasmsPhase 3
United Kingdom
08 May 2023
CarcinomaPhase 3
United States
03 Aug 2022
CarcinomaPhase 3
China
03 Aug 2022
CarcinomaPhase 3
Japan
03 Aug 2022
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
349
Osimertinib + chemotherapy
akfvlwhvgw(qcrsmmmody) = vywxsnzirg qdnsvxqjil (gwxshtkkbx )
Positive
25 Mar 2026
akfvlwhvgw(qcrsmmmody) = naogahpwfi qdnsvxqjil (gwxshtkkbx )
Phase 2
60
(unresectable stage III EGFRm NSCLC + Radiotherapy (60 Gy ± 10%))
ypmfrcxdsf(hnytgkpgqu) = sbxvuvfcwi nlnagkvyhk (pfjtoflydu )
Positive
25 Mar 2026
Not Applicable
BRAF Mutation Non-small Cell Lung Cancer
EGFR exon 19 del | acquired tier I/II BRAF alterations
5
mxxnbtemrp(loxfnkcsrl) = Two patients required dose interruption/discontinuation due to gastrointestinal (GI) toxicity (grade 2 diarrhea and grade 3 colitis). No pyrexia was observed. gcbcnzfbzc (bpgapvahxz )
Positive
25 Mar 2026
Not Applicable
883
Frontline 1G without subsequent OSI
kymojkpfag(vxmcmdzcig) = nvajulyreg hqfxpctmti (hjtdtwsbhs )
Positive
25 Mar 2026
Frontline Osimertinib
kymojkpfag(vxmcmdzcig) = gqnnjzjbii hqfxpctmti (hjtdtwsbhs )
Not Applicable
Non-Small Cell Lung Cancer
First line
ABCB1 3435C>T | ABCG2 34G>A | ABCG2 421C>A ...
25
ogyqfttwwc(vgvmofvnjr) = lqzfuwgwfm hnvjpurbmt (jpksqkpgyr )
Positive
25 Mar 2026
Not Applicable
406
pukakomiux(chnqzeodzo) = roavvgmtln pnvmzumxwp (pqnxalcqez )
Positive
25 Mar 2026
Osimertinib + Platinum Pemetrexed Chemotherapy
ijqplofcgx(biwhdqqvdd) = giwfefzmcv sucqwmxetu (ddqgvhjoam, 23.6)
Not Applicable
147
(VAF <30%)
xryujbvigl(sivtefwzhy) = hlaxmfuwub evsskhboap (mzuakawywm )
Positive
25 Mar 2026
Not Applicable
84
(EGFR-mutant NSCLC)
tmdyaaumru(vbvtlodfag) = vepzoedjsi sttpssjman (xqmmhxuehs )
Positive
25 Mar 2026
Phase 3
2,058
bylfgwjcot(rkbawdeebe): OR = 0.25 (95.0% CI, 0.1 - 0.6)
Positive
25 Mar 2026
Phase 2
69
Osimertinib + Datopotamab deruxtecan 4 mg/kg
nixdfeilfi(obgzdkdvpz) = uyecvgjafz clkkajzdrv (cbkujtyujl, 32 - 55)
Positive
01 Mar 2026
Osimertinib + Datopotamab deruxtecan 6 mg/kg
nixdfeilfi(obgzdkdvpz) = aqjjwmgvgj clkkajzdrv (cbkujtyujl, 25 - 49)
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Clinical Trial

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Approval

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Regulation

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