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Limertinib

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Limertinib

Supplied with complete CDSCO-approved import and customs documentation, including Form 12A & 12B, CDEC, GST Bill of Entry, Commercial Invoice, and Packing List.

Medicine Name: Limertinib
Generic Name (API): Limertinib
Dosage Form & Strength: 80 mg
Route: Oral
Drug Class: Third-generation EGFR tyrosine kinase inhibitor

Manufacturer / Innovator:

China

Regulatory Approval:

  • NMPA (China)
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What Is Limertinib Used For?

Limertinib is a targeted tablet for lung cancer driven by an EGFR mutation, developed in China by Jiangsu Aosaikang Pharmaceutical (ASK Pharm) and sold there as 奥壹新® (Aoyixin®). In mainland China it is brought to patients together with Innovent Biologics.

China's National Medical Products Administration (NMPA) first approved it in January 2025 and widened the approval in April 2025. It is approved for adults with non-small cell lung cancer (NSCLC) in two situations:

  • First-line treatment of locally advanced, recurrent or metastatic NSCLC with an EGFR exon 19 deletion or exon 21 L858R mutation
  • Locally advanced or metastatic NSCLC with a confirmed EGFR T790M mutation, where the cancer grew during or after earlier EGFR tablet treatment

It is a prescription cancer medicine and should only be used under a medical oncologist experienced in lung cancer.

How It Works

A faulty EGFR protein can act like a stuck "grow" switch in lung cancer cells. Limertinib is a third-generation EGFR inhibitor: it binds permanently to the faulty protein and turns that signal off. It acts on the common exon 19 and L858R mutations and also on T790M, the change that often makes cancer stop responding to earlier EGFR tablets, while largely sparing normal EGFR.

What the Trials Showed

As a first treatment: in a phase 3 trial published in The Lancet Respiratory Medicine in 2025, 337 patients in China took limertinib or a first-generation EGFR tablet used as a comparison medicine. The cancer was kept in check for a median of 20.7 months with limertinib against 9.7 months, a 56% lower risk of progression. The benefit was also seen in people whose cancer had spread to the brain.

After earlier EGFR treatment (T790M): in a phase 2b study of 301 patients (Journal of Thoracic Oncology, 2022), 68.8% responded and 92.4% had their disease controlled. Median time without progression was 11.0 months. Among 41 people with measurable brain tumours, 56.1% saw those tumours respond.

Recommended Dosage

Each tablet contains 80 mg. The doses used in the trials were:

  • First-line treatment: 80 mg twice a day by mouth
  • T790M-positive disease after earlier EGFR tablets: 160 mg twice a day by mouth
  • Taken every day until the disease progresses or side effects become too hard to manage

Your oncologist will set the exact dose from the Chinese prescribing information and your own test results.

This information is not a treatment plan. For personalized medical advice, consult your doctor and refer to the full prescribing information.

Warnings and Precautions

Diarrhoea: this is the main side effect. In the phase 2b study at the higher dose, 81.7% of patients had diarrhoea, and it was severe in 13.0%. Start anti-diarrhoea treatment early, drink plenty of fluids and tell your doctor if it does not settle within a day.

  • Blood salts: low potassium can follow diarrhoea. Severe low potassium was seen in 4.3% in the phase 2b study and 6% in the first-line trial, so blood tests are checked during treatment.
  • Heart rhythm: QT prolongation on the ECG was among the more common severe side effects in the first-line trial (3%). Your doctor may arrange ECGs, especially if you take other medicines that affect heart rhythm.
  • Skin and appetite: rash (29.9%), anaemia (32.6%) and poor appetite (28.2%) were also common in the phase 2b study, mostly mild.
  • Breathing problems: report any new or worsening cough, breathlessness or fever straight away, as lung inflammation is a known risk with EGFR tablets.
  • Pregnancy and breastfeeding: safety has not been established in the published data. Use reliable contraception and discuss pregnancy or breastfeeding with your oncologist first.

Overall: in the first-line trial, severe treatment-related side effects occurred in 25% of patients on limertinib and 25% on the comparison medicine, and serious treatment-related side effects in 5% and 10%. In the phase 2b study, 24.6% needed a pause in treatment because of side effects but only 2% stopped, and no deaths were linked to the medicine.

How to Access Limertinib in India: A 6-Step Process

Step 1 – Search & request your medicine: The patient or treating doctor submits a request with basic details to initiate the access process.

Step 2 – Verification & eligibility review: The team verifies availability and reviews eligibility against regulatory and clinical requirements to ensure a compliant pathway.

Step 3 – Receive quote & delivery timeline: A transparent quotation is shared, covering medicine cost, logistics, and a clear delivery timeline.

Step 4 – Regulatory approval process: Assistance is provided to secure the approvals and documentation required for legal cross-border access.

Step 5 – Temperature-controlled import & handling: The medicine is sourced and transported under strict GDP-compliant conditions to maintain product integrity.

Step 6 – Secure delivery: The medicine is delivered to the patient or treating hospital, with updates provided at each stage.

Note: From request to delivery, every step is designed to ensure your treatment reaches you safely, compliantly, and without unnecessary delays.

Documentation & Availability

What documents are required to import Limertinib to India?

The tablets can be imported only in the patient's name, by the patient or a government hospital, in line with India's import regulations for unapproved medicines. You will need:

  • A valid prescription from a qualified medical oncologist
  • Diagnostic reports, including the biopsy report and the EGFR mutation test (exon 19 deletion, L858R or T790M), plus details of any earlier EGFR treatment
  • Patient ID proof (issued by the Government of India)

How is the order confirmed?

Once we have received and checked a valid prescription and, where needed, an import permit.

Is Limertinib available in India?

No. It is approved only in China. It has no CDSCO approval, it is not sold in Indian pharmacies, and the US FDA and European Medicines Agency have not approved it either.

Patients can still get it legally through the Named Patient Program (NPP), which allows a medicine not registered in India to be imported for one specific patient on a prescription. For other EGFR lung cancer situations, see our pages on Lazcluze and Zegfrovy.

It can be made available to patients, doctors, and hospitals across major cities in India, including Gurgaon, Delhi, Bangalore, Mumbai, Navi Mumbai, Thane, Hyderabad, Mysore, Kerala, Chennai, Coimbatore, Madurai, Kolkata, Ahmedabad, Surat, Vadodara, Pune, Nagpur, Nashik, Jaipur, Udaipur, Lucknow, Kanpur, Gorakhpur, Chandigarh, Mohali, Faridabad, Noida, Ghaziabad, Kochi, Trivandrum, Kozhikode, Thrissur, Kannur, Mangalore, Bhubaneswar, Patna, Ranchi, Raipur, Guwahati, Visakhapatnam, Vijayawada, Goa, Jammu, Srinagar, Dehradun, Bhopal, Indore, Ludhiana, Amritsar, and others — and can facilitate delivery to the patient's treating hospital. Orders are confirmed only after receipt of a valid doctor's prescription and an import permit, where applicable.

Sourcing & Delivery

NamedPatientProgram.com (NPP) sources this medicine through the manufacturer's authorised supply channels in China and arranges supply to patients, doctors, and hospitals under applicable legal provisions. Each box holds 20 tablets of 80 mg. Because the number of tablets a day depends on the dose your oncologist chooses, we work out the monthly quantity from the prescription. The tablets travel in their sealed original packs under temperature-controlled shipping and should be stored as directed on the pack. All prescriptions are dispensed and checked by registered pharmacists and dispatched from New Delhi, India, after legal requirements are fulfilled.

For the current cost in India and availability, contact NPP via WhatsApp at +91 98104 69557 | Toll-Free: 1800-1200-365 or email info@namedpatientprogram.com.

Availability Across Major Cities in India

Patients across India can access this medicine through regulated import pathways, with delivery arranged to the patient or the treating hospital on a valid oncologist's prescription.

Delhi

Thoracic oncology teams in Delhi see EGFR-positive patients from across North India, and our New Delhi dispatch point keeps delivery times short.

Mumbai

Oncologists in Mumbai can request the tablets for a named patient once the mutation report is shared.

Bangalore

Patients in Bangalore can have each month's boxes delivered to their home or hospital pharmacy.

Chennai

A leading centre for lung cancer care in South India, with experience in importing targeted tablets for individual patients.

Hyderabad

We calculate the number of boxes from the prescribed dose so supply never runs short.

Kolkata

Patients in Kolkata and the eastern states can follow the same documented import route, with updates at each step.

Pune

The treating oncologist can send the prescription and EGFR test report to start the process.

Ahmedabad

Oncologists in Ahmedabad can coordinate access for patients newly diagnosed or whose cancer has developed a T790M mutation.

Jaipur

Patients in Rajasthan can receive the tablets without travelling, as long as the import is in their name.

Chandigarh

Serves patients from Punjab, Haryana and Himachal Pradesh, with delivery to the patient or the treating hospital.

Lucknow

We arrange delivery for patients treated at cancer hospitals across Uttar Pradesh.

Kochi

Patients across Kerala can have their supply delivered to Kochi and nearby cities.

Access can also be coordinated for patients in other Indian cities, subject to a valid prescription and regulatory requirements.

Author Details

Nitin Goswami

Written By

Nitin Goswami

Deputy Manager – Content & Social Media, Ikris Pharma Network

Sources: NMPA • CDSCO

Dr. Chirag C Shah

Medically Reviewed By

Dr. Chirag C Shah

MBBS

Last Updated: 19 October 2026

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