EGFR-MET bispecific antibody · bispecific antibody

amivantamab

23 active trials across 8 of our biomarkers, targeting EGFR x MET. 12 active approvals for a biomarker on marked.bio.

Also known as JNJ-61186372, Rybrevant.

Counts only trials that select patients by one of the biomarkers on marked.bio, not every trial of this drug.

Approvals and pivotal results

Biomarker-selected approvals in the United States and the European Union, with the pivotal trial's results and side effects where we have them. Results from different trials are not directly comparable.

TherapyBiomarkerTumourUnited StatesEuropean Union
amivantamab with carboplatin + pemetrexed
FDA, 2024
locally advanced or metastatic, EGFR exon 19 deletion or exon 21 L858R, progressed on or after an EGFR TKI FDA approval 19/09/2024. Label requires progression on or after an EGFR TKI (not specifically osimertinib). Source
FDA, 2025
locally advanced or metastatic, EGFR exon 19 deletion or exon 21 L858R, progressed on or after an EGFR TKI Subcutaneous amivantamab; FDA approval 17/12/2025; label 1.2. Source
EU (EMA), 2024
advanced, after failure of prior therapy including an EGFR TKI II/0011, EC decision 22/08/2024. Source
Rybrevant, Rybrevant Faspro
EGFR exon 19 deletion / L858R NSCLC Approved 2024 Approved 2024

In the US approval report

MARIPOSA-2 vs carboplatin + pemetrexed, 657 randomised (3 arms)
PFS 6.3 months vs 4.2 months, HR 0.48 (0.36-0.64)Response 53% vs 29%OS HR 0.73 (0.54-0.99), not significant at interim

Serious side effects 32%Stopped for side effects 11%Fatal 2.3%

Trial details and side effects
Patients
EGFR exon 19 deletion or L858R NSCLC after osimertinib (NCT04988295)
Most common side effects
rash, infusion reaction, fatigue, nail toxicity, nausea, constipation, oedema, stomatitis (130 patients)
Notes
Efficacy from the FDA approval report; side effects from the Rybrevant US label rev. 08/2025 (percentages not given for each side effect).
Source
US approval report

In the EU product information

MARIPOSA-2 vs carboplatin + pemetrexed, 131 vs 263 patients
PFS 6.3 months vs 4.2 months, HR 0.48 (0.36-0.64)Response 64% vs 36%OS 17.7 months vs 15.3 months, HR 0.73 (0.54-0.99), not significant

Trial details and side effects
Patients
EGFR exon 19 deletion or L858R NSCLC after osimertinib (NCT04988295)
Most common side effects
rash, infusion reaction, fatigue, nail toxicity, nausea, constipation, oedema, stomatitis (130 patients)
Notes
EU SmPC section 5.1 (MARIPOSA-2, second interim OS). Side effects from the US label.
Source
EU product information
amivantamab with lazertinib
FDA, 2024
first line, locally advanced or metastatic, EGFR exon 19 deletion or exon 21 L858R FDA approval 19/08/2024 (Rybrevant + Lazcluze); label 1.1. Source
FDA, 2025
first line, locally advanced or metastatic, EGFR exon 19 deletion or exon 21 L858R Subcutaneous amivantamab; FDA approval 17/12/2025; label 1.1. Source
EU (EMA), 2024
first line, advanced, EGFR exon 19 deletions or exon 21 L858R II/0013: CHMP opinion 14/11/2024, EC decision 19/12/2024. Lazertinib is Lazcluze in the EU (separate MA 20/01/2025, own row). Source
Rybrevant, Rybrevant Fasprolazertinib page
EGFR exon 19 deletion / L858R NSCLC Approved 2024 Approved 2024

In the US label

MARIPOSA vs osimertinib, 429 vs 429 patients
PFS 23.7 months vs 16.6 months, HR 0.70 (0.58-0.85)Response 78% vs 73%OS not reached vs 36.7 months, HR 0.75 (0.61-0.92)

Serious side effects 49%Stopped for side effects 21% (lazertinib)Fatal 7%

Trial details and side effects
Patients
first-line EGFR exon 19 deletion or L858R NSCLC (NCT04487080)
Most common side effects
rash 86%, nail toxicity 71%, infusion reaction 63%, musculoskeletal pain 47%, oedema 43%, stomatitis 43%, venous thromboembolism 36% (421 patients)
Notes
Amivantamab with lazertinib. Lazertinib US label rev. 04/2026.
Source
US label

In the EU product information

MARIPOSA vs osimertinib, 429 vs 429 patients
PFS 23.7 months vs 16.6 months, HR 0.70 (0.58-0.85)Response 80% vs 77%OS not reached vs 36.7 months, HR 0.75 (0.61-0.92)

Trial details and side effects
Patients
first-line EGFR exon 19 deletion or L858R NSCLC (NCT04487080)
Most common side effects
rash 86%, nail toxicity 71%, infusion reaction 63%, musculoskeletal pain 47%, oedema 43%, stomatitis 43%, venous thromboembolism 36% (421 patients)
Notes
EU SmPC section 5.1 (MARIPOSA). Side effects from the US label.
Source
EU product information
lazertinib with amivantamab
FDA, 2024
first line, locally advanced or metastatic, EGFR exon 19 deletion or exon 21 L858R FDA approval 19/08/2024. Source
EU (EMA), 2025
first line, advanced, EGFR exon 19 deletions or exon 21 L858R MA 20/01/2025 (EMA medicines data). The matching Rybrevant variation had its EC decision on 19/12/2024 (see A026). Source
Lazcluzelazertinib page
EGFR exon 19 deletion / L858R NSCLC Approved 2024 Approved 2025

In the US label

MARIPOSA vs osimertinib, 429 vs 429 patients
PFS 23.7 months vs 16.6 months, HR 0.70 (0.58-0.85)Response 78% vs 73%OS not reached vs 36.7 months, HR 0.75 (0.61-0.92)

Serious side effects 49%Stopped for side effects 21% (lazertinib)Fatal 7%

Trial details and side effects
Patients
first-line EGFR exon 19 deletion or L858R NSCLC (NCT04487080)
Most common side effects
rash 86%, nail toxicity 71%, infusion reaction 63%, musculoskeletal pain 47%, oedema 43%, stomatitis 43%, venous thromboembolism 36% (421 patients)
Notes
Amivantamab with lazertinib. Lazertinib US label rev. 04/2026.
Source
US label

In the EU product information

MARIPOSA vs osimertinib, 429 vs 429 patients
PFS 23.7 months vs 16.6 months, HR 0.70 (0.58-0.85)Response 80% vs 77%OS not reached vs 36.7 months, HR 0.75 (0.61-0.92)

Trial details and side effects
Patients
first-line EGFR exon 19 deletion or L858R NSCLC (NCT04487080)
Most common side effects
rash 86%, nail toxicity 71%, infusion reaction 63%, musculoskeletal pain 47%, oedema 43%, stomatitis 43%, venous thromboembolism 36% (421 patients)
Notes
EU SmPC section 5.1 (MARIPOSA, in the Rybrevant product information). Side effects from the US label.
Source
EU product information
amivantamab
FDA, 2021
locally advanced or metastatic, EGFR exon 20 insertion, after platinum Accelerated approval 21/05/2021; traditional approval 01/03/2024 (with the PAPILLON first-line approval). Source
EU (EMA), 2021
advanced, activating EGFR exon 20 insertion, after platinum chemotherapy EU conditional authorisation 09/12/2021; switched to standard 27/06/2024. Source
Rybrevant
EGFR exon 20 insertion NSCLC Approved 2021 Approved 2021

In the FDA approval summary

CHRYSALIS single-arm, 81 patients
Response 40% (29-51)Lasting 11.1 months

Trial details and side effects
Patients
EGFR exon 20 insertion NSCLC after platinum (NCT02609776)
Most common side effects
rash, infusion-related reactions, paronychia, musculoskeletal pain, dyspnoea, nausea, fatigue, oedema, stomatitis, cough, constipation, vomiting
Notes
FDA approval summary (2021); side effects are those in 20% or more of patients.
Source
FDA approval summary

In the EU summary (EPAR)

CHRYSALIS single-arm, 114 patients
Response 37%Lasting just over 12 months on average

Trial details and side effects
Patients
EGFR exon 20 insertion NSCLC after platinum (NCT02609776)
Most common side effects
rash, infusion-related reactions, paronychia, musculoskeletal pain, dyspnoea, nausea, fatigue, oedema, stomatitis, cough, constipation, vomiting
Notes
EU figures from the EPAR summary; trial details and side effects from the US approval.
Source
EU summary (EPAR)
amivantamab with carboplatin + pemetrexed
FDA, 2024
first line, locally advanced or metastatic, EGFR exon 20 insertion FDA approval 01/03/2024. Source
EU (EMA), 2024
first line, advanced, activating EGFR exon 20 insertion Extension of the EU authorisation (2024; exact date not checked). Source
Rybrevant
EGFR exon 20 insertion NSCLC Approved 2024 Approved 2024

PAPILLON vs carboplatin + pemetrexed, 308 randomised (1:1)
PFS 11.4 months vs 6.7 months, HR 0.40 (0.30-0.53)

Trial details and side effects
Patients
untreated EGFR exon 20 insertion NSCLC (NCT04538664)
Most common side effects
rash, nail toxicity, stomatitis, infusion-related reaction, fatigue, oedema, constipation, decreased appetite, nausea, COVID-19, diarrhoea, vomiting
Notes
FDA approval summary (2024); OS immature. Side effects are those in 20% or more of patients.
Source
FDA approval summary

Biomarkers

BiomarkerActive trialsAll trialsFurthest active phase
EGFR exon 19 deletion / L858R 16 18 Phase 3
EGFR exon 20 insertion 7 8 Phase 3
MET exon 14 skipping 2 3 Phase 1/2
ALK fusion 1 1 Phase 1/2
IDH1/2 mutation 1 1 Phase 1
KRAS G12C 1 1 Phase 2
MSI-H / dMMR 1 1 Phase 2
ROS1 fusion 1 1 Phase 1/2

Sponsors

Industry sponsors leading active biomarker-selected trials of amivantamab.

  1. Johnson & Johnson 11
  2. AstraZeneca 1
  3. Kumquat Biosciences 1
  4. ORIC Pharmaceuticals 1

Trials

Status

23 of 26 trials shown

  1. A Study of Lazertinib With Subcutaneous Amivantamab Compared With Intravenous Amivantamab in Participants With Epidermal Growth Factor Receptor (EGFR)-Mutated Advanced or Metastatic Non-small Cell Lung Cancer

    Active, not recruiting Phase 3 Johnson & Johnson Started 2022Primary completion 2024-01 NCT05388669

    lazertinib FDA EUamivantamab FDA EU

    …cell lung cancer (NSCLC), characterized by either epidermal growth factor receptor (EGFR) Exon 19 deletion (Exon 19del) or Exon 21 leucine 858 to arginine substitution (Exon 21 L858R) mutation by …

    EGFR exon 19 deletion / L858RAdvanced or Metastatic Non-small Cell Lung Cancer

  2. A Study of Amivantamab and Lazertinib in Combination With Platinum-Based Chemotherapy Compared With Platinum-Based Chemotherapy in Patients With Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non- Small Cell Lung Cancer After Osimertinib Failure

    Active, not recruiting Phase 3 Johnson & Johnson Started 2021Primary completion 2023-07 NCT04988295

    lazertinib FDA EUamivantamab FDA EUpemetrexedcarboplatin

    …dvanced or metastatic disease diagnosis by either epidermal growth factor receptor (EGFR) Exon 19del or Exon 21 L858R mutation

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  3. A Study of Amivantamab and Lazertinib Combination Therapy Versus Osimertinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer

    Active, not recruiting Phase 3 Johnson & Johnson Started 2020Primary completion 2023-08 NCT04487080

    amivantamab FDA EUosimertinib FDA EUlazertinib FDA EU

    The tumor harbors exon 19 deletions (Exon 19del) or Exon 21 L858R substitution, as detected by an food and drug administrati…

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  4. A Study of Combination Amivantamab and Carboplatin-Pemetrexed Therapy, Compared With Carboplatin-Pemetrexed, in Participants With Advanced or Metastatic Non-Small Cell Lung Cancer Characterized by Epidermal Growth Factor Receptor (EGFR) Exon 20 Insertions

    Active, not recruiting Phase 3 Johnson & Johnson Started 2020Primary completion 2023-05 NCT04538664

    amivantamab FDA EUpemetrexedcarboplatin

    … cell lung cancer (NSCLC) with documented primary epidermal growth factor receptor (EGFR) Exon 20ins activating mutation

    EGFR exon 20 insertionCarcinoma, Non-Small-Cell Lung

  5. Collaborative Clinical-translational Cohort of Amivantamab Plus Lazertinib and Amivantamab Plus Chemotherapy in Patients With EGFR-mutant, Locally Advanced or Metastatic/Recurrent Non-Small Cell Lung Cancer (INSTAR Study)

    Not yet recruiting Phase 2 Yonsei University Started 2026Primary completion 2031-01 NCT07507188

    amivantamab FDA EUlazertinib FDA EUcarboplatinpemetrexed

    Documented activating EGFR mutation (Exon 19 deletion or L858R)

    EGFR exon 19 deletion / L858RNon Small Cell Lung Cancer

  6. Amivantamab Combined With Intrathecal Pemetrexed for LM From EGFR-Mutated Lung Adenocarcinoma

    Recruiting Phase 1/2 Second Affiliated Hospital, Zhejiang University, School of Medicine Started 2026Primary completion 2028-05 NCT07744529

    amivantamab FDA EUpemetrexed

    Patients with EGFR-mutated lung adenocarcinoma with leptomeningeal metastasis diagnosed according to the EANO-ESMO g…

    EGFR exon 19 deletion / L858RLeptomeningeal Metastasis From Lung Cancer

  7. Phase II Trial of Amivantamab Plus Monochemotherapy in Platinum Unfit NSCLC Patients With EGFR exon20 Insertion Mutations.

    Recruiting Phase 2 Fondazione Ricerca Traslazionale Started 2025Primary completion 2027-10 NCT07392658

    amivantamab FDA EU

    …ically or cytologically confirmed stage IV or recurrent non-squamous NSCLC harboring EGFR exon20 insertion mutation;

    EGFR exon 20 insertionMetastatic NSCLC - Non-Small Cell Lung Cancer

  8. A Study of Amivantamab in Combination With Lazertinib, or Amivantamab in Combination With Platinum-Based Chemotherapy, for Common Epidermal Growth Factor Receptor (EGFR)-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)

    Recruiting Phase 2 Johnson & Johnson Started 2024Primary completion 2029-05 NCT06667076

    amivantamab FDA EUlazertinib FDA EUpemetrexedcarboplatin

    …Amivantamab in Combination With Platinum-Based Chemotherapy as Second-line Treatment, for Common EGFR-Mutated Locally Advanced or Metastatic Non-Small Cell Lung Cancer

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  9. Enhanced Dermatological Care to Reduce Rash and Paronychia in Epidermal Growth Factor Receptor (EGRF)-Mutated Non-Small Cell Lung Cancer (NSCLC) Treated First-line With Amivantamab Plus Lazertinib

    Active, not recruiting Phase 2 Johnson & Johnson Started 2024Primary completion 2027-05 NCT06120140

    amivantamab FDA EUlazertinib FDA EUDoxycyclineMinocyclineClindamycinChlorhexidineZinc gluconatePropranololTimololClobetasol

    Have a tumor that harbors an epidermal growth factor receptor (EGFR) Exon 19del or Exon 21 L858R substitution, as detected by an Food and Drug Administration (FDA)-appro…

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  10. PhI/II Study of Amivantamab and Tepotinib Combo in MET-altered Non-small Cell Lung Cancer

    Active, not recruiting Phase 1/2 M.D. Anderson Cancer Center Started 2024Primary completion 2027-12 NCT06083857

    amivantamabtepotinib FDA EU

    NSCLC which harbors MET Exon 14 skipping alterations detected in the tissue or ctDNA (safety cohort and cohort A \[MET ex…

    MET exon 14 skippingNon-small Cell Lung Cancer

  11. A Study of Combination Therapy With Amivantamab and Cetrelimab in Participants With Metastatic Non-small Cell Lung Cancer

    Active, not recruiting Phase 1/2 Johnson & Johnson Started 2023Primary completion 2027-01 NCT05908734

    Cetrelimabamivantamab FDA EU

    Cohort A: Participant's tumor must have an EGFR exon19del or L858R mutation, as determined by local molecular testing, Cohort B: Participants must …

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  12. Premedication to Reduce Amivantamab Associated Infusion Related Reactions

    Active, not recruiting Phase 2 Johnson & Johnson Started 2023Primary completion 2024-03 NCT05663866

    dexamethasoneMontelukastmethotrexateamivantamab FDA EUlazertinib FDA EU

    Previously identified EGFR-mutated non-small cell lung cancer (NSCLC) (EGFR Exon19 deletion or L858R) (identified locally in a Clinical Laboratory Improvement Amendments \[CLIA\]-ce…

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  13. A Study to Investigate Safety and Efficacy of Osimertinib and Amivantamab in Participants With Non-small Cell Lung Cancer With Common Epidermal Growth Factor Receptor Mutations

    Active, not recruiting Phase 2 AstraZeneca Started 2023Primary completion 2027-10 NCT05801029

    osimertinib FDA EUamivantamab FDA EU

    …icacy of Osimertinib and Amivantamab in Participants With Non-small Cell Lung Cancer With Common Epidermal Growth Factor Receptor Mutations

    EGFR exon 19 deletion / L858RNon-Small Cell Lung Cancer (NSCLC)

  14. Amivantamab, Lazertinib and Bevacizumab in Patients With EGFR-mutant Advanced Non-small Cell Lung Cancer With Progression on Previous Third-generation EGFR-TKI

    Active, not recruiting Phase 2 ETOP IBCSG Partners Foundation Started 2023Primary completion 2024-08 NCT05601973

    amivantamab FDA EUlazertinib FDA EUZirabev

    Amivantamab, Lazertinib and Bevacizumab in Patients With EGFR-mutant Advanced Non-small Cell Lung Cancer With Progression on Previous Third-generation EGFR-TK…

    EGFR exon 19 deletion / L858RNon Small Cell Lung Cancer

  15. Pre-operative Targeted Treatments in Molecularly Selected Resectable Colorectal Cancer (UNICORN)

    Recruiting Phase 2 Gruppo Oncologico del Nord-Ovest Started 2023Primary completion 2027-05 NCT05845450

    trastuzumab deruxtecandurvalumabpanitumumab FDAbotensilimabbalstilimabsotorasib FDA EUVorbipiprantnivolumabamivantamab

    COHORT 8: pMMR/MSS status and KRAS G12C mutation, absence of HER2 overexpression/amplification and wild-type status for BRAF.

    KRAS G12CMSI-H / dMMRColorectal Cancer, Resectable Colorectal Carcinoma

  16. Amivantamab With Tyrosine Kinase Inhibitors (TKI) for Advanced NSCLC With ALK, ROS1, or RET Alterations

    Active, not recruiting Phase 1/2 University of Colorado, Denver Started 2023Primary completion 2026-09 NCT05845671

    amivantamab

    ALK fusions - alectinib, brigatinib, lorlatinib

    ALK fusionROS1 fusionLung Cancer, Non Small Cell Lung Cancer

  17. A Study of Amivantamab in Participants With Advanced or Metastatic Solid Tumors Including Epidermal Growth Factor Receptor (EGFR)-Mutated Non-Small Cell Lung Cancer

    Recruiting Phase 2 Johnson & Johnson Started 2022Primary completion 2027-08 NCT05498428

    amivantamab FDA EUlazertinib FDA EUcarboplatinpemetrexedDirect Oral Anticoagulant (DOAC)Low Molecular Weight Heparin (LMWH)

    …quirements include: Cohorts 1, 3, 3b, 5, 6 and 7: epidermal growth factor receptor (EGFR) exon 19 deletion (Exon19del) or Exon 21 L858R mutation

    EGFR exon 19 deletion / L858REGFR exon 20 insertionCarcinoma, Non-small-Cell Lung

  18. JIN-A02 Plus Amivantamab in EGFR-Mutant NSCLC After Third-Generation EGFR-TKI Failure

    Not yet recruiting Phase 1 Yonsei University Started 2026Primary completion 2028-06 NCT07798921

    amivantamab FDA EU

    Subjects with advanced and/or metastatic NSCLC harboring an activating EGFR mutation (Ex19del or L858R), as confirmed by testing of tissue or blood samples, whose disease has progress…

    EGFR exon 19 deletion / L858RCarcinoma, Non-Small-Cell Lung

  19. ORIC-114 in Combination With Subcutaneous Amivantamab in Patients With EGFR Exon20 Insertion Mutant NSCLC

    Recruiting Phase 1 ORIC Pharmaceuticals Started 2025Primary completion 2026-12 NCT06816992

    ORIC-114amivantamab FDA EU

    Histologically or cytologically confirmed metastatic NSCLC with a documented EGFR exon 20 insertion mutation as determined locally by any nucleic acid-based diagnostic testing method

    EGFR exon 20 insertionSolid Tumors, EGFR Exon 20 Insertion Mutations, NSCLC, EGFR-mutated NSCLC

  20. A Study to Investigate the Safety and Efficacy of KQB198 as Monotherapy and in Combination in Participants With Advanced Solid Malignancies

    Active, not recruiting Phase 1 Kumquat Biosciences Started 2024Primary completion 2026-12 NCT06507306

    KQB198osimertinib FDA EUamivantamab FDA EU

    … arms) and Part 2 Cohort A and Cohort B: Histologically confirmed diagnosis of NSCLC with activating EGFR mutation and progression on osimertinib

    EGFR exon 19 deletion / L858REGFR exon 20 insertionSolid Tumor, Adult

  21. 5G-EMERALD: Amivantamab in Malignant Brain Tumours

    Active, not recruiting Phase 1 Institute of Cancer Research, United Kingdom Started 2024Primary completion 2027-07 NCT06632236

    amivantamab

    Astrocytoma, IDH-mutant, Grade 4 (lower Grade 2/3 are not included)

    IDH1/2 mutationMalignant Primary Gliomas, Glioblastoma Multiform (Grade IV Astrocytoma), Diffuse Hemispheric Glioma, H3 G34-Mutant, Glioblastoma Multiforme (GBM)

  22. A Study of Lazertinib as Monotherapy or in Combination With Amivantamab in Participants With Advanced Non-small Cell Lung Cancer

    Active, not recruiting Phase 1 Johnson & Johnson Started 2019Primary completion 2027-02 NCT04077463

    lazertinib FDA EUamivantamab FDA EUcarboplatinpemetrexed

    …Cohort D, E, and F: Participant must have advanced or metastatic EGFR-mutated NSCLC (EGFR Exon19 deletion or L858R) that has progressed on prior treatment with osimertinib in the first or second …

    EGFR exon 19 deletion / L858REGFR exon 20 insertionCarcinoma, Non-Small-Cell Lung

  23. Study of Amivantamab, a Human Bispecific EGFR and cMet Antibody, in Participants With Advanced Non-Small Cell Lung Cancer

    Active, not recruiting Phase 1 Johnson & Johnson Started 2016Primary completion 2026-12 NCT02609776

    amivantamab FDA EUlazertinib FDA EUcarboplatinpemetrexed

    …ion Dose Escalation with lazertinib only: Participants must have been diagnosed with EGFR Exon 19del or L858R activating mutation and (a) be treatment naïve for metastatic disease, without a…

    EGFR exon 19 deletion / L858REGFR exon 20 insertionMET exon 14 skippingNon-Small-Cell Lung Cancer