TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

TAGRISSO

OSIMERTINIB MESYLATE Kinase Inhibitors
Oncology Approved 2015-11-13

Tagrisso is a kinase inhibitor indicated for the treatment of adult patients with non-small cell lung cancer (NSCLC) harboring specific epidermal growth factor receptor (EGFR) mutations. It is utilized across various disease stages, including as adjuvant therapy following tumor resection, for locally advanced unresectable disease after chemoradiation, and as a first-line treatment for metastatic cases. Additionally, it is indicated for patients with metastatic EGFR T790M mutation-positive NSCLC whose disease has progressed during or after prior EGFR tyrosine kinase inhibitor therapy.

Source: FDA Label • AstraZeneca • Kinase Inhibitor

How TAGRISSO Works

Osimertinib is a kinase inhibitor that binds irreversibly to mutant forms of the epidermal growth factor receptor (EGFR), such as exon 19 deletions and L858R mutations. By targeting these mutations at lower concentrations than wild-type EGFR, the drug inhibits the signaling pathways that drive tumor growth. The medication and its active metabolites also inhibit other kinases, including HER2 and HER4, and have demonstrated the ability to distribute to the brain in animal models.

Source: FDA Label
9
Indications
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Phase 3 Trials
6
Priority Reviews
10
Years on Market

Details

Status
Prescription
First Approved
2015-11-13
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: OSIMERTINIB MESYLATE

TAGRISSO Approval History

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What TAGRISSO Treats

5 indications

TAGRISSO is approved for 5 conditions since its original approval in 2015. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Adjuvant therapy after tumor resection in adult patients with EGFR exon 19 deletions or exon 21 L858R mutation-positive non-small cell lung cancer (NSCLC)
  • Locally advanced, unresectable (stage III) EGFR exon 19 deletions or exon 21 L858R mutation-positive NSCLC that has not progressed during or following platinum-based chemoradiation therapy
  • First-line treatment of adult patients with metastatic EGFR exon 19 deletions or exon 21 L858R mutation-positive NSCLC
  • First-line treatment of adult patients with locally advanced or metastatic EGFR exon 19 deletions or exon 21 L858R mutation-positive NSCLC, in combination with pemetrexed and platinum-based chemotherapy
  • Metastatic EGFR T790M mutation-positive NSCLC in patients whose disease has progressed on or after EGFR tyrosine kinase inhibitor therapy
Source: FDA Label

TAGRISSO Target & Pathway

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Target

HER2 (Human Epidermal Growth Factor Receptor 2) Growth Factor Receptor

A receptor tyrosine kinase that promotes cell growth and division. Approximately 20% of breast cancers overexpress HER2, leading to aggressive tumor growth. Targeting HER2 blocks these growth signals and can trigger immune-mediated destruction of cancer cells.

Pathway Context

HER2 forms dimers with other HER family members to activate growth signaling

EGFR (Epidermal Growth Factor Receptor) receptor

A receptor that triggers cell growth, proliferation, and survival when activated. Mutations or overexpression of EGFR drive many cancers, particularly lung cancer. Blocking EGFR stops the growth signals that fuel tumor progression.

TAGRISSO Competitors

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10 other drugs also target HER2. Compare mechanisms, indications, and trial activity.

View all 10 HER2 drugs →
Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (HER2). Earlier expiry dates signal biosimilar/generic opportunities.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

TAGRISSO FDA Label Details

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Indications & Usage

FDA Label (PDF)

TAGRISSO is a kinase inhibitor indicated for: • adjuvant therapy after tumor resection in adult patients with non-small cell lung cancer (NSCLC) whose tumors have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 L858R mutations, as detected by an FDA-approved test. • the treatment of adult patients with locally advanced, unresectable (stage III) NSCLC whose disease has not progressed during or following concurrent or sequential platinum-based chemoradiation therapy and whose tumors have EGFR exon 19 deletions or exon 21 L858R mutations, as detected by an FDA-approved test. ...

TAGRISSO Patents & Exclusivity

Latest Patent: Nov 2042
Exclusivity: Dec 2027

Patents (68 active)

US12465608 Expires Nov 26, 2042
US10183020 Expires Jan 2, 2035
US8946235 Expires Aug 8, 2032
US9732058 Expires Jul 25, 2032
US11524951 Expires Jul 25, 2032
+ 58 more patents

Exclusivity

I-941 Until Feb 2027
I-952 Until Sep 2027
ODE-337 Until Dec 2027
I-941 Until Feb 2027
I-952 Until Sep 2027
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.