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LAZCLUZE - Dosage and Administration

Last Updated: 11/12/2025

SUMMARY

  • LAZCLUZE (lazertinib) is a kinase inhibitor indicated in combination with RYBREVANT (amivantamab-vmjw) for the first-line treatment of adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) Exon 19 deletions (Exon19del) or Exon 21 L858R substitution mutations, as detected by a United States Food and Drug Administration (FDA)-approved test.1
  • The recommended dosage of LAZCLUZE is 240 mg orally (PO) once daily (QD), with or without food, given in combination with RYBREVANT.1
    • LAZCLUZE is available as 80 mg and 240 mg tablets.
    • Swallow LAZCLUZE tablets whole. Do not crush, split, or chew tablets.
    • Continue treatment until disease progression or unacceptable toxicity.
    • Administer LAZCLUZE any time prior to RYBREVANT when given on the same day.
    • Refer to the RYBREVANT Prescribing Information for recommended RYBREVANT dosing information.
  • Administer prophylactic and concomitant medications to reduce the risk of dermatologic adverse reactions (ARs).
  • Administer anticoagulant prophylaxis to reduce the risk of venous thromboembolic (VTE) events for the first 4 months of treatment.
  • Please refer to the DOSAGE AND ADMINISTRATION, DOSAGE FORMS AND STRENGTHS, WARNINGS AND PRECAUTIONS, HOW SUPPLIED/STORAGE AND HANDLING, and CLINICAL STUDIES sections of the full Prescribing Information for complete information.1

PRODUCT LABELING

DOSAGE AND ADMINISTRATION

Patient Selection

  • Select patients for the first-line treatment of NSCLC with LAZCLUZE, in combination with RYBREVANT, based on the presence of EGFR Exon19del or Exon 21 L858R substitution mutations in tumor or plasma specimens.1

Recommended Dosage and Administration

  • The recommended dosage of LAZCLUZE is 240 mg PO QD administered in combination with RYBREVANT, with or without food.1
    • Swallow LAZCLUZE tablets whole. Do not crush, split, or chew tablets.
    • Continue treatment until disease progression or unacceptable toxicity.
    • Administer LAZCLUZE any time prior to RYBREVANT when given on the same day.
    • Refer to the RYBREVANT Prescribing Information for recommended RYBREVANT dosing information.

Missed Dose

  • If a patient misses a dose of LAZCLUZE within 12 hours, instruct the patient to take the missed dose.1
  • If more than 12 hours have passed since the dose was to be given, instruct the patient to take the next dose at its scheduled time.1

Vomiting

  • If vomiting occurs any time after taking LAZCLUZE, instruct the patient to take the next dose at its next regularly scheduled time.1

Prophylactic and Concomitant Medications

Venous Thromboembolic Events

  • When initiating treatment with LAZCLUZE in combination with RYBREVANT, administer anticoagulant prophylaxis to reduce the risk of VTE events for the first 4 months of treatment.1
    • If there are no signs or symptoms of VTE events during the first 4 months of treatment, consider discontinuation of anticoagulant prophylaxis at the discretion of the healthcare provider.

Dermatologic ARs

  • When initiating treatment with LAZCLUZE in combination with RYBREVANT, prophylactic and concomitant medications are recommended to reduce the risk and severity of dermatologic ARs.1
    • Administer an oral antibiotic (doxycycline or minocycline, 100 mg PO twice daily) starting on Day 1 for the first 12 weeks of treatment.
    • After completion of oral antibiotic treatment, administer antibiotic lotion to the scalp (clindamycin 1% topical QD) for the next 9 months of treatment.
    • Administer non-comedogenic skin moisturizer (ceramide-based or other formulations that provide long-lasting skin hydration and exclude drying agents) on the face and whole body (except scalp).
    • Wash hands and feet with 4% chlorhexidine solution QD.
    • Limit sun exposure during and for 2 months after treatment. Advise patients to wear protective clothing and use broad spectrum UVA/UVB sunscreen to reduce the risk of dermatologic ARs.

Dosage Modifications for ARs

The recommended LAZCLUZE dose reductions for ARs are provided in Table: Recommended Dose Reductions for ARs for LAZCLUZE.


Recommended Dose Reductions for ARs for LAZCLUZE1
Dose at Which the AR Occurred
1st Dose Reduction
2nd Dose Reduction
3rd Dose Reduction
240 mg QD
(one 240 mg tablet)

160 mg QD
(two 80 mg tablets)

80 mg QD
(one 80 mg tablet)

Discontinue LAZCLUZE
Abbreviations: AR, adverse reaction; QD, once daily.

The recommended management and dosage modifications of LAZCLUZE for specific ARs are provided in Table: Recommended Management and Dosage Modifications for ARs for LAZCLUZE. Refer to the RYBREVANT Prescribing Information for information about dosage modifications for RYBREVANT.


Recommended Management and Dosage Modifications for ARs for LAZCLUZE1
ARs
Severity
Dosage Modification
VTE events
Grade 2 or 3
  • Withhold LAZCLUZE and RYBREVANT.
  • Administer anticoagulant treatment as clinically indicated.
  • Once anticoagulant treatment has been initiated, resume LAZCLUZE and RYBREVANT at the same dose level at the discretion of the healthcare provider.
Grade 4 or recurrent grade 2 or 3 despite therapeutic level anticoagulation
  • Withhold LAZCLUZE and permanently discontinue RYBREVANT.
  • Administer anticoagulant treatment as clinically indicated.
  • Once anticoagulant treatment has been initiated, treatment can continue with LAZCLUZE at the same dose level at the discretion of the healthcare provider.
ILD/pneumonitis
Any grade
  • Withhold LAZCLUZE and RYBREVANT if ILD/pneumonitis is suspected.
  • Permanently discontinue LAZCLUZE and RYBREVANT if ILD/pneumonitis is confirmed.
Dermatologic ARs (including dermatitis acneiform, pruritus, dry skin)
Grade 1
  • Initiate supportive care management as clinically indicated.
Grade 2
  • Initiate supportive care management as clinically indicated.
  • If there is no improvement after 2 weeks, reduce RYBREVANT dose and continue LAZCLUZE at the same dose.
  • Reassess every 2 weeks, if no improvement, reduce LAZCLUZE dose until grade ≤1 (Table: Recommended Dose Reductions for ARs for LAZCLUZE), then may resume previous dose of LAZCLUZE at the discretion of the healthcare provider.
Grade 3
  • Withhold LAZCLUZE and RYBREVANT.
  • Initiate supportive care management as clinically indicated.
  • Upon recovery to grade ≤2, resume LAZCLUZE at the same dose or consider dose reduction, and resume RYBREVANT at a reduced dose.
  • If there is no improvement within 2 weeks, permanently discontinue both LAZCLUZE and RYBREVANT.
Grade 4
(including severe bullous, blistering, or exfoliating skin conditions)
  • Initiate supportive care management as clinically indicated.
  • Permanently discontinue RYBREVANT.
  • Withhold LAZCLUZE until recovery to grade ≤2 or baseline.
  • Upon recovery to grade ≤2, resume LAZCLUZE at a reduced dose at the discretion of the healthcare provider.
Other ARs
Grade 3-4
  • Withhold LAZCLUZE and RYBREVANT until the AR resolves to grade ≤1 or baseline.
  • Resume both drugs at a reduced dose or LAZCLUZE alone.
  • Consider permanently discontinuing both LAZCLUZE and RYBREVANT if recovery does not occur within 4 weeks.
Abbreviations: AR, adverse reaction; ILD, interstitial lung disease; VTE, venous thromboembolic.

Dosage Forms and Strengths

Tablets

  • 80 mg tablets: yellow, oval film-coated tablet, debossed with “LZ” on one side and “80” on the other side. Each tablet contains 80 mg of lazertinib.1
  • 240 mg tablets: reddish-purple, oval film-coated tablet, debossed with “LZ” on one side and “240” on the other side. Each tablet contains 240 mg of lazertinib.1

LITERATURE SEARCH

A literature search of MEDLINE®, Embase®, BIOSIS Previews®, and Derwent Drug File (and/or other resources, including internal/external databases) was conducted on 12 November 2025.

References

1 LAZCLUZE (lazertinib) [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.; https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/LAZCLUZE-pi.pdf