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RYBREVANT FASPRO™ (amivantamab and hyaluronidase-lpuj)

Medical Information

Use of RYBREVANT FASPRO - Reproductive Potential and Lactation

Last Updated: 12/17/2025

SUMMARY

  • RYBREVANT FASPRO (amivantamab and hyaluronidase-lpuj) for subcutaneous (SC) administration is a coformulation of amivantamab with recombinant human hyaluronidase PH20 (rHuPH20).1
  • Verify the pregnancy status of patients of reproductive potential prior to initiating RYBREVANT FASPRO.2
  • Based on the mechanism of action and findings in animal models, RYBREVANT FASPRO can cause fetal harm when administered to a pregnant patient. Advise pregnant patients and patients of reproductive potential of the potential risk to a fetus.2
    • Advise patients of reproductive potential to use effective contraception during treatment and for 3 months after the last dose of RYBREVANT FASPRO.
  • Because of the potential for serious adverse reactions from RYBREVANT FASPRO in breastfed children, advise patients not to breastfeed during treatment with RYBREVANT FASPRO and for 3 months after the last dose.2
  • Please refer to RYBREVANT FASPRO product labeling for additional information.2

USE IN PATIENTS OF REPRODUCTIVE POTENTIAL AND LACTATING PATIENTS

Use in Patients of Reproductive Potential

RYBREVANT FASPRO can cause fetal harm when administered to a pregnant patient.2

Pregnancy Testing

  • Verify the pregnancy status of patients of reproductive potential prior to initiating RYBREVANT FASPRO.2

Contraception

Females
  • Advise patients of reproductive potential to use effective contraception during treatment and for 3 months after the last dose of RYBREVANT FASPRO.2

Use in Pregnant Patients

  • Based on the mechanism of action and findings in animal models, RYBREVANT FASPRO can cause fetal harm when administered to a pregnant patient. There are no available data on the use of RYBREVANT FASPRO in pregnant patients or animal data to assess the risk of RYBREVANT FASPRO in pregnancy.2
  • Administration of other epidermal growth factor receptor (EGFR) inhibitor molecules to pregnant animals has resulted in an increased incidence of impairment of embryo-fetal development, embryo lethality, and abortion. Advise pregnant patients and patients of reproductive potential of the potential risk to a fetus.2

Use in Lactating Patients

  • There are no data on the presence of amivantamab or hyaluronidase in human milk or its effects on the breastfed child, or on milk production.2
  • The effects of local gastrointestinal exposure and limited systemic exposure in the breastfed child to RYBREVANT FASPRO are unknown.2
  • Because of the potential for serious adverse reactions from RYBREVANT FASPRO in breastfed children, advise patients not to breastfeed during treatment with RYBREVANT FASPRO and for 3 months after the last dose.2

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 08 December 2025.

References

1 Leighl NB, Akamatsu H, Lim SM, et al. Subcutaneous versus intravenous amivantamab, both in combination with lazertinib, in refractory epidermal growth factor receptor-mutated non-small cell lung cancer: primary results from the phase III PALOMA-3 study. J Clin Oncol. 2024;42(30):3593-3605.  
2 RYBREVANT FASPRO (amivantamab and hyaluronidase-lpuj) [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.; https://www.janssenlabels.com/package-insert/product-monograph/prescribing-information/RYBREVANT+Faspro-pi.pdf