Lapatinib

Lapatinib (Tyverb, Novartis Europharm Limited) has 3 EU-approved indications in 1 tumour type. Each needs a biomarker result: HER2 (3).
Approved indications of Lapatinib
Biomarker requirementRegimenSettingConditions
Breast cancer3
HER2 IHC 3+ or IHC 2+/ISH-positive
+ capecitabine
2L
advanced
Progression following prior therapy, which must have included anthracyclines and taxanes and therapy with trastuzumab in the metastatic setting
HER2 IHC 3+ or IHC 2+/ISH-positive, HR-negative
+ trastuzumab
2L
metastatic
Progressed on prior trastuzumab therapy(ies) in combination with chemotherapy
HER2 IHC 3+ or IHC 2+/ISH-positive, HR-positive
+ an aromatase inhibitor
Any line
metastatic
Postmenopausal women; not currently intended for chemotherapy
Full text of section 4.1 (therapeutic indications)

Tyverb is indicated for the treatment of adult patients with breast cancer, whose tumours overexpress HER2 (ErbB2); • in combination with capecitabine for patients with advanced or metastatic disease with progression following prior therapy, which must have included anthracyclines and taxanes and therapy with trastuzumab in the metastatic setting (see section 5.1). • in combination with trastuzumab for patients with hormone receptor-negative metastatic disease that has progressed on prior trastuzumab therapy(ies) in combination with chemotherapy (see section 5.1). • in combination with an aromatase inhibitor for postmenopausal women with hormone receptor positive metastatic disease, not currently intended for chemotherapy. The patients in the registration study were not previously treated with trastuzumab or an aromatase inhibitor (see sections 4.4. and 5.1). No data are available on the efficacy of this combination relative to trastuzumab in combination with an aromatase inhibitor in this patient population.

Label history

47 changes to the Tyverb label since 2009, 3 of them to the indications. Newest first, in the words of EMA's record of each procedure.

Changes