Indications:
Ogivri™ is indicated for the treatment of adult patients with HER2 positive early breast cancer (EBC).
- Following adjuvant chemotherapy with doxorubicin and cyclophosphamide, in combination with paclitaxel or docetaxel.
- Following surgery, chemotherapy (neoadjuvant or adjuvant) and radiotherapy (if applicable) (see section "Pharmacodynamic properties").
- In combination with adjuvant chemotherapy consisting of docetaxel and carboplatin.
- In combination with neoadjuvant chemotherapy followed by adjuvant Ogivri™ therapy, for locally advanced (including inflammatory) disease or tumours > 2 cm in diameter (see section "Warnings and Precautions" and "Pharmacodynamic properties")
Ogivri™ should only be used in patients with metastatic or EBC whose tumours have either HER2 overexpression or HER2 gene amplification as determined by an accurate and validated assay.
Ogivri™ is indicated for the treatment of adult patients with HER2 positive metastatic breast cancer (MBC):
- As monotherapy for the treatment of those patients who have received at least one chemotherapy regimens for their metastatic disease.
- In combination with an aromatase inhibitor for the treatment of postmenopausal patients with hormone-receptor positive MBC, not previously treated with trastuzumab.
- In combination with paclitaxel for the treatment of those patients who have not received chemotherapy for their metastatic disease.
This indication is based on data from one Phase III trial which studied the use of Herceptin in combination with anastrozole (see Clinical Studies). Experience with other aromatase inhibitors is limited.
Metastatic gastric cancer:
Ogivri in combination with capecitabine or 5-fluorouracil and cisplatin is indicated for the treatment of adult patients with HER2 positive metastatic adenocarcinoma of the stomach or gastroesophageal junction who have not received prior anticancer treatment for their metastatic disease.
Ogivri should only be used in patients with metastatic gastric cancer (MGC) whose tumours have HER2 overexpression as defined by IHC2+ and a confirmatory FISH result, or by an IHC 3+ result. Accurate and validated assay methods should be used (see section "Warnings and Precautions" and "Pharmacodynamic properties")
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