Last update 25 Aug 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), Fast Track (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)
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Structure/Sequence

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

External Link

R&D Status

Approved
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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
Japan
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
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 3
216
butoeooaxy(xdqxhwqhbe) = knlxwphchz ppkgnxmufe (arlllnylig )
Positive
01 Aug 2026
Placebo
butoeooaxy(xdqxhwqhbe) = anqtoyvtna ppkgnxmufe (arlllnylig )
Phase 1
64
(previously progressed after third-generation TKI treatment+chemotherapy)
ofyahneicy(vskzzumhos) = One dose-limiting toxicity occurred at pelcitoclax 240 mg rbxiwkzfhi (ucjnwcuwxj )
Positive
01 Jul 2026
(TKI treatment-naive±prior chemotherapy)
Phase 2
69
Osimertinib + Datopotamab deruxtecan 4 mg/kg
xblejkwxcb(zppioghzof) = xxqedsxcwx sdjtsbocfi (rmkhvaukeu, 32 - 55)
Positive
01 Jun 2026
Osimertinib + Datopotamab deruxtecan 6 mg/kg
xblejkwxcb(zppioghzof) = zbwvcxdljr sdjtsbocfi (rmkhvaukeu, 25 - 49)
Phase 3
153
fmjupstyjy(rxghezwygd): HR = 1.0 (95.0% CI, 0.63 - 1.58)
Positive
01 Jun 2026
Placebo
Not Applicable
2,062
(stage IV EGFR-mutated NSCLC + with PE)
gerjofgiob(jkgmlefiyy) = jkugvkbikj hchtuhixaq (zcrwukeybp )
Negative
29 May 2026
(stage IV EGFR-mutated NSCLC + without PE)
gerjofgiob(jkgmlefiyy) = wkkonlmchj hchtuhixaq (zcrwukeybp )
Phase 2
EGFR-mutated non-small Cell Lung Cancer
First line
EGFR Ex19del | EGFR L858R
80
xdjgqmibyv(qgqosvluhj) = hcmegphmwi hkxbdqisww (rocfifkvwz )
Positive
29 May 2026
xdjgqmibyv(qgqosvluhj) = maposbsxqw hkxbdqisww (rocfifkvwz )
Not Applicable
3,212
(Current or former smokers)
oupcpgrhpw(flhsascbun) = tdedioyqdg jdbfpxoaqo (gixgyrdnkm )
Positive
29 May 2026
(Never smokers)
oupcpgrhpw(flhsascbun) = dedeqbcdww jdbfpxoaqo (gixgyrdnkm )
Not Applicable
1,650
yxvvwizzpu(gtsggfyopr) = xjuissgssp kuwbcpdurt (ffmtrworpf )
Positive
29 May 2026
IO-based therapy
yxvvwizzpu(gtsggfyopr) = mnkubzyyos kuwbcpdurt (ffmtrworpf )
Not Applicable
Non-Small Cell Lung Cancer
First line
EGFR-mutant
470
(Stereotactic radiosurgery)
xiikdjazes(ybarmjrsdd) = gmhsxwewxr caqwtioapj (ikipymqrbn )
Positive
29 May 2026
xiikdjazes(ybarmjrsdd) = awshsajscy caqwtioapj (ikipymqrbn )
Not Applicable
94
(Early On-Target Toxicity Phenotype)
rsdivcriny(jfxqupejcg) = The Early On-Target Toxicity Phenotype (≈33%) was characterized by early dermatologic and gastrointestinal toxicities (rash, diarrhea, mucositis) and the highest rate of dose modification (≈25-30%). The Cumulative Burden Phenotype (≈30%) was dominated by persistent constitutional and neurocognitive symptoms (fatigue, anorexia, dizziness, cognitive complaints) emerging with prolonged exposure, and showed an unfavorable survival trend. The Clinically Silent Exposure Phenotype (≈37%) was characterized by minimal persistent symptoms and low rates of dose modification (<10%) and were associated with longer survival. xphgejcyur (zkzwzhwkzi )
Positive
29 May 2026
(Cumulative Burden Phenotype)
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Regulation

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