DATROWAY has serious Warnings and Precautions. Click here for more information.

Common adverse reactions in the pooled locally advanced or metastatic EGFRm NSCLC population1*

The majority of adverse reactions were Grade 1 or 2 with DATROWAY*

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Common adverse reactions (≥10%) in patients with locally advanced or metastatic EGFRm NSCLC on DATROWAY  DATROWAY
(n=125)
All Grades, % Grades 3 or 4, %
Gastrointestinal disorders Stomatitis 71 9
Nausea 50 0
Constipation 31 0
Vomiting 16 0.8
Diarrhea 12 0
Skin and subcutaneous tissue disorders Alopecia 49 0
Rash 20 0.8
Pruritus 12 0
General disorders and administration site conditions Fatigue 42 6
Musculoskeletal and connective tissue disorders Musculoskeletal pain 22 0.8
Metabolism and nutrition disorders Decreased appetite 20 1.6
Infections and infestations COVID-19 19 2.4
Respiratory, thoracic, and mediastinal disorders Cough 18 0
Dyspnea 11 2.4
Eye disorders Dry eye 13 0
Keratitis§ 12 2.4
Injury, poisoning and procedural complications Infusion-related reaction 13 0
Nervous system disorders Headache 13 0

Grade ≥3 ARs3

24%

Discontinuation rate due to ARs

8%

Dose modifications due to ARs

  • Dosage interruptions: 43%
  • Dose reductions: 26%

Other clinically relevant ARs reported in <10% of patients included:

  • Dry skin
  • Blurred vision
  • Abdominal pain
  • Conjunctivitis
  • Dry mouth
  • ILD/pneumonitis
  • Skin hyperpigmentation
  • Increased lacrimation
  • Visual impairment

Events were graded using National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0.

*The pooled safety population reflects exposure to DATROWAY 6 mg/kg IV every 3 weeks in 125 patients with locally advanced or metastatic EGFR-mutated NSCLC in TROPION-Lung05, TROPION-Lung01, and TROPION-PanTumor01.

Includes other related terms.

Includes fatigue, asthenia, and malaise.

§Includes corneal disorder, corneal erosion, keratitis, punctate keratitis, and ulcerative keratitis.

Laboratory abnormalities in the pooled locally advanced or metastatic EGFRm NSCLC population1*

The majority of laboratory abnormalities were Grade 1 or 2

Select laboratory abnormalities (≥20%) that worsened from baseline in patients who received DATROWAY across three clinical trials*

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Laboratory Abnormality DATROWAY
All grades, % Grades 3 or 4, %
Hematology Decreased hemoglobin 34 4.8
Decreased lymphocytes 32 11
Decreased white blood cell count 27 1.6
Chemistry Increased calcium 31 0
Increased AST 28 2.4
Increased lactate dehydrogenase 23 0
Increased ALT 20 2.4

The denominator used to calculate the rate varied from 115 to 124 based on the number of patients with a baseline value and at least one post-treatment value. Frequencies were based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0 grade-derived laboratory abnormalities.

*The pooled safety population reflects exposure to DATROWAY 6 mg/kg IV every 3 weeks in 125 patients with locally advanced or metastatic EGFR-mutated NSCLC in TROPION-Lung05, TROPION-Lung01, and TROPION-PanTumor01.

Select adverse reactions in the pooled locally advanced or metastatic EGFRm NSCLC population1,3*

In the EGFRm NSCLC pooled patient population, adverse reactions of interest were mostly Grade 1 or 2

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Select adverse reactions DATROWAY (n=125)
Grade 1, % Grade 2, % Grade ≥3, % Discontinuation rate, %
Stomatitis 37 26 9 0
Keratitis 6 4 2.4 0.8
Dry eye 11 1.6 0 0
Adjudicated drug-related ILD 0.8 2.4 0.8 2.4

No Grade 5 adverse reactions of special interest were observed in the pooled EGFRm NSCLC population.

*The pooled safety population reflects exposure to DATROWAY 6 mg/kg IV every 3 weeks in 125 patients with locally advanced or metastatic EGFRm NSCLC in TROPION-Lung05, TROPION-Lung01, and TROPION-PanTumor01.1

  • Defining Grade 1 to 2 select adverse reactions1,8
    Stomatitis8†
    • Grade 1: Asymptomatic or mild symptoms
    • Grade 2: Moderate pain or ulcer that does not interfere with oral intake; modified diet indicated
    Keratitis1,8‡
    • Grade 1: Asymptomatic; clinical or diagnostic observations only
    • Grade 2: Symptomatic; moderate decrease in visual acuity
    Dry eye1,8‡
    • Grade 1: Asymptomatic; clinical or diagnostic observations only; symptoms may be relieved by lubricants
    • Grade 2: Symptomatic; moderate decrease in visual acuity
    Adjudicated drug-related ILD1,8‡
    • Grade 1: Asymptomatic; consider corticosteroid treatment
    • Grade 2: Symptomatic; promptly initiate corticosteroid treatment; limiting instrumental activities of daily living

    Grades are based on National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0.1,8

    Grades are based on both the NCI CTCAE and the full Prescribing Information for DATROWAY.1,8

    Grades shown here do not encompass all grades included in NCI CTCAE. Please refer to guidance on DATROWAY dosing modifications and adverse reaction management.
Warnings and Precautions

The pooled safety population described in WARNINGS AND PRECAUTIONS reflects exposure to DATROWAY in 927 patients from TROPION-Lung05, TROPION-Lung01, TROPION-PanTumor01, and another clinical trial. 

ILD/pneumonitis (locally advanced or metastatic NSCLC)*
  • DATROWAY can cause severe, life-threatening, or fatal interstitial lung disease (ILD) or pneumonitis. In the pooled safety population of 484 patients with NSCLC from TROPION-Lung01, TROPION-Lung05, and TROPION-PanTumor01, ILD/pneumonitis occurred in 7% of patients treated with DATROWAY, including 0.6% of patients with Grade 3 and 0.4% with Grade 4. There were 8 (1.7%) fatal cases. The median time to onset for ILD was 1.4 months (range: 0.2-9 months). Eleven patients (2.3%) had DATROWAY withheld and 20 patients (4.1%) permanently discontinued DATROWAY due to ILD/pneumonitis. Systemic corticosteroids were required in 79% (26/33) of patients with ILD/pneumonitis. ILD/pneumonitis resolved in 45% of patients
Ocular adverse reactions (locally advanced or metastatic NSCLC and other solid tumors)
  • DATROWAY can cause ocular ARs including dry eye, keratitis, blepharitis, meibomian gland dysfunction, increased lacrimation, conjunctivitis, and blurred vision. In the pooled safety population, ocular ARs occurred in 36% of patients treated with DATROWAY. Twenty patients (2.2%) experienced Grade 3 ocular ARs, which included keratitis and blurred vision, and one patient experienced a Grade 4 ocular AR of conjunctival hemorrhage. The most common (≥5%) ocular ARs were dry eye (17%), keratitis (14%), and increased lacrimation (7%). The median time to onset for ocular ARs was 2.3 months (range: 0.03 months to 23.2 months). Of the patients who experienced ocular ARs, 39% had complete resolution, and 10% had partial improvement (defined as a decrease in severity by one or more grades from the worst grade at last follow-up). Ocular ARs led to dosage interruption in 3.6% of patients, dosage reductions in 2.5% of patients, and permanent discontinuation of DATROWAY in 1% of patients
Stomatitis (locally advanced or metastatic NSCLC and other solid tumors)
  • DATROWAY can cause stomatitis, including mouth ulcers and oral mucositis. In the pooled safety population, stomatitis occurred in 63% of patients treated with DATROWAY, including 8% of patients with Grade 3 events and one patient with a Grade 4 reaction. The median time to first onset of stomatitis was 0.5 months (range: 0.03-18.6 months). Stomatitis led to dosage interruption in 6% of patients, dosage reductions in 11% of patients, and permanent discontinuation of DATROWAY in 0.5% of patients 
Embryo-fetal toxicity
  • DATROWAY can cause embryo-fetal harm

*A higher incidence of ILD/pneumonitis has been observed in patients with mild and moderate renal impairment (creatinine clearance [CLcr] 30 to <90 mL/min).1

  • Additional safety data for DATROWAY

    The safety of DATROWAY was evaluated in 125 patients with locally advanced or metastatic EGFRm NSCLC from TROPION-Lung05, TROPION-Lung01, and TROPION-PanTumor01

    Median duration of treatment:
    • 6.1 months (range: 0.7-41.7 months)
    Serious adverse reactions (>1% of patients):
    • COVID-19 (4%), stomatitis (2.4%), and pneumonia (1.6%)
    • Fatal adverse reactions occurred in 1.6% of patients who received DATROWAY, due to death not otherwise specified
    Adverse reactions associated with discontinuations and dose modifications:
    • Discontinuation (>1% of patients) included ILD/pneumonitis (2.4%) and abnormal hepatic function (1.6%)
    • Dosage interruptions (>1% of patients) included COVID-19 (13%), stomatitis (7%), fatigue (6%), pneumonia (4%), anemia (2.4%), amylase increased (2.4%), keratitis (2.4%), ILD/pneumonitis (1.6%), decreased appetite (1.6%), dyspnea (1.6%), rash (1.6%), and infusion-related reaction (1.6%)
    • Dose reduction (>1% of patients) included stomatitis (14%), keratitis (1.6%), fatigue (1.6%), decreased weight (1.6%), and COVID-19 (1.6%)

ADC, antibody drug conjugate; ALT, alanine aminotransferase; AR, adverse reaction; AST, aspartate aminotransferase; EGFRm, epidermal growth factor receptor-mutated; ILD, interstitial lung disease; IV, intravenous; NCI CTCAE, National Cancer Institute Common Terminology Criteria for Adverse Events; NSCLC, non-small cell lung cancer; Q3W, every 3 weeks; Trop-2, trophoblast cell surface antigen 2.