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Nerlynx (neratinib)Medica

Breast cancer – recurrent or metastatic HER2-negative disease with HER2-activating mutation

Initial criteria

  • age ≥ 18 years
  • HER2-negative breast cancer
  • presence of a HER2-activating mutation (e.g., L755S, D769H/Y, V777L, exon 20 insertion)
  • EITHER postmenopausal female or male OR pre/perimenopausal female with ovarian suppression/ablation with GnRH agonist (e.g., leuprolide, triptorelin, goserelin) or surgical bilateral oophorectomy or ovarian irradiation
  • EITHER hormone receptor–positive disease AND tried at least one CDK4/6 inhibitor (e.g., ribociclib, palbociclib, abemaciclib) OR hormone receptor–negative disease

Approval duration

1 year