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Use of RYBREVANT in Patients with Hepatic Impairment

Last Updated: 02/13/2026

SUMMARY

  • RYBREVANT (amivantamab-vmjw) is a low fucose, fully human immunoglobulin G1 (IgG1)-based bispecific antibody with immune cell-directing activity that targets epidermal growth factor receptor (EGFR) mutations and mesenchymal-epithelial transition (MET) mutations and amplifications in non-small cell lung cancer (NSCLC).1
  • No clinically meaningful differences in the pharmacokinetics (PK) of amivantamab-vmjw were observed based on mild hepatic impairment ([total bilirubin ≤ upper limit of normal (ULN) and aspartate aminotransferase (AST) > ULN] or [ULN < total bilirubin ≤1.5 times ULN]). The effect of moderate to severe hepatic impairment (total bilirubin >1.5 times ULN and any AST) on amivantamab-vmjw PK has not been studied.2
  • Please refer to RYBREVANT product labeling for additional information.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 10 February 2026.

References

1 Moores SL, Chiu ML, Bushey BS, et al. A novel bispecific antibody targeting EGFR and cMet is effective against EGFR inhibitor-resistant lung tumors. Cancer Res. 2016;76(13):3942-3953.  
2 RYBREVANT (amivantamab-vmjw) [Prescribing Information]. Horsham, PA: Janssen Biotech, Inc.; https://www.jnjlabels.com/package-insert/product-monograph/prescribing-information/RYBREVANT-pi