Overview

Gavreto is a cancer medicine for treating adults with advanced non-small cell lung cancer caused by changes in a gene called RET (known as RET fusion-positive NSCLC) and who have not been treated with a RET inhibitor.

Gavreto contains the active substance pralsetinib.

Gavreto is available as capsules. Patients are recommended to take 400 mg per day with a glass of water on an empty stomach. The medicine can only be obtained with a prescription.

For more information about using Gavreto, see the package leaflet or contact your doctor or pharmacist.

The active substance in Gavreto, pralsetinib, is a RET inhibitor, which belongs to a broader class of cancer medicines known as tyrosine kinase inhibitors. It blocks the activity of an abnormal protein called RET fusion protein, which is made by the body due to a change in the RET gene. In NSCLC cells, RET fusion proteins can lead to uncontrolled cell growth and cancer. By blocking RET fusion proteins, pralsetinib helps to reduce the growth and spread of the cancer.

In one main study, Gavreto was effective at reducing tumour size in patients with RET fusion-positive NSCLC who had not been treated before as well as in those previously treated with platinum-based chemotherapy. In the study, Gavreto was not compared with any other treatment or placebo (dummy treatment).

Response to treatment was assessed using body scans, with a complete response being when the patient had no remaining signs of cancer. In previously untreated patients, around 72% (54 out of 75) responded completely or partially to treatment with Gavreto. In patients receiving Gavreto after being treated with platinum-based chemotherapy, around 59% (80 out of 136) responded completely or partially to treatment with Gavreto.

The most common side effects with Gavreto (which may affect more than 3 in 10 people) are anaemia (low levels of red blood cells), neutropenia (low levels of neutrophils, a type of white blood cell), constipation, bone or muscle pain, tiredness, leukopenia (low levels of white blood cells), an increased amount of aminotransferases (liver enzymes), and increased blood pressure. The most common serious side effects are pneumonia (lung infections), pneumonitis (lung inflammation) and severe anaemia. Other common side effects include haemorrhage (bleeding) (more than 1 in 10 people) and QT prolongation (a change in the heart’s electrical activity) (more than 1 in 100 people).

For the full list of side effects and restrictions, see the package leaflet.

One main study showed that Gavreto is effective at shrinking tumours in patients with RET fusion-positive NLCSC. Regarding safety, the side effects seen to date are considered manageable. Given the seriousness of the condition and the lack of existing treatments, the European Medicines Agency decided that Gavreto’s benefits are greater than its risk and it can be authorised for use in the EU.

Gavreto has been given ‘conditional authorisation’. This means that there is more evidence to come about the medicine, which the company is required to provide. Every year, the European Medicines Agency will review any new information that becomes available and this overview will be updated as necessary.

Since Gavreto has been given conditional authorisation, the company that markets Gavreto will submit further results from the ongoing main study for data on the long-term effectiveness and safety of Gavreto and provide results from another study that compares Gavreto with the current standard of care.

Recommendations and precautions to be followed by healthcare professionals and patients for the safe and effective use of Gavreto have also been included in the summary of product characteristics and the package leaflet.

As for all medicines, data on the use of Gavreto are continuously monitored. Suspected side effects reported with Gavreto are carefully evaluated and any necessary action taken to protect patients.

Gavreto received a conditional marketing authorisation valid throughout the EU on 18 November 2021

Gavreto : EPAR - Medicine Overview

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Gavreto : EPAR - Risk management plan summary

Product information

Gavreto : EPAR - Product Information

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Latest procedure affecting product information: II/0013

20/07/2023

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This medicine’s product information is available in all official EU languages.
Select 'available languages' to access the language you need.

Product information documents contain:

  • summary of product characteristics (annex I);
  • manufacturing authorisation holder responsible for batch release (annex IIA);
  • conditions of the marketing authorisation (annex IIB);
  • labelling (annex IIIA);
  • package leaflet (annex IIIB).

Gavreto : EPAR - All authorised presentations

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Product details

Name of medicine
Gavreto
Active substance
pralsetinib
International non-proprietary name (INN) or common name
pralsetinib
Therapeutic area (MeSH)
Carcinoma, Non-Small-Cell Lung
Anatomical therapeutic chemical (ATC) code
L01XE

Pharmacotherapeutic group

Antineoplastic agents

Therapeutic indication

Gavreto is indicated as monotherapy for the treatment of adult patients with rearranged during transfection (RET) fusion-positive advanced non-small cell lung cancer (NSCLC) not previously treated with a RET inhibitor.

Authorisation details

EMA product number
EMEA/H/C/005413

Additional monitoring

This medicine is under additional monitoring, meaning that it is monitored even more intensively than other medicines. For more information, see Medicines under additional monitoring.

Conditional approval

This medicine received a conditional marketing authorisation. This was granted in the interest of public health because the medicine addresses an unmet medical need and the benefit of immediate availability outweighs the risk from less comprehensive data than normally required. For more information, see Conditional marketing authorisation.

Marketing authorisation holder
Roche Registration GmbH 

Emil-Barell-Strasse 1
79639 Grenzach-Wyhlen
Germany

Opinion adopted
16/09/2021
Marketing authorisation issued
18/11/2021
Revision
6

Assessment history

Gavreto : EPAR - Procedural steps taken and scientific information after authorisation

Gavreto : EPAR - Public assessment report

CHMP summary of positive opinion for Gavreto

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