Bispecific antibody targeting EGFR and MET

Amivantamab (أميفانتاماب)

Amivantamab is a targeted treatment for advanced non-small cell lung cancer with certain changes in the EGFR gene. It is given in hospital as a drip into a vein or an injection under the skin. Infusion reactions are common the first time, and skin and nail problems are common.

This medicine is used under close medical supervision, usually by a specialist. Never start, stop or change it without your doctor.

What it is used for

  • Advanced non-small cell lung cancer with EGFR exon 20 insertion mutations, alone or with chemotherapy
  • Advanced lung cancer with other common mutations in this gene, with lazertinib or with chemotherapy, as the oncologist decides

How it is used

  • It is given only in hospital by the cancer team as a drip into a vein or an injection under the skin
  • The first dose may be split over two days, with medicines beforehand to prevent infusion reactions
  • When combined with lazertinib, your doctor may prescribe a blood thinner to prevent clots in the first months
  • Attend regular blood tests and check-ups

Possible side effects

  • Infusion or injection reactions such as chills, breathlessness and nausea
  • An acne-like rash and dry, itchy skin
  • Infection around the nails
  • Swelling of the feet and low albumin
  • Mouth sores, tiredness or constipation

Who should not use it

  • Allergy to amivantamab or any of its ingredients

Before and while using it

  • A new cough, breathlessness or fever may mean lung inflammation and needs urgent contact with the team
  • Protect your skin from the sun and use moisturisers as advised, and report a severe rash
  • Report any change in vision or eye pain
  • Swelling of one leg, chest pain or sudden breathlessness can mean a clot and needs emergency help

Medicine interactions

  • Combining it with lazertinib increases the risk of clots
  • Tell the cancer team about all your medicines and herbal products before treatment

Pregnancy and breastfeeding

  • It may harm an unborn baby; use effective contraception during treatment and for a period afterwards set by your doctor
  • Do not breastfeed during treatment and for a period afterwards

How to store it

  • It is kept in the fridge and prepared in hospital

Get medical help straight away if

  • Your face, lips or tongue swell, or you find it hard to breathe.
  • You get a severe rash, blistering or peeling skin.
  • A side effect worries you or doesn’t go away: contact your doctor or pharmacist.

Questions about this medicine?

Talk to a doctor by video, or send your question by text.

Source: Standard international medicine references

This guide is general information and doesn’t replace advice from your doctor or pharmacist. Don’t start, stop or change a medicine without asking them, and always read the leaflet in the pack.