Skip to content
← Back to this collection

LABELS · dd6ab36d-21fa-4513-a9d1-0867ca4420e8

Itovebi

Open original source → · Download preserved record

Preserved label snapshot, not confirmation of a current approved indication. Approval/withdrawal status must be checked for the exact disease, setting and regimen.

Label effective date
2026-04-21
Captured
2026-09-09T23:38:02.384588+00:00
Current indication reconciliation
Not reconciled

Indications and usage: exact source text

  1. 1 INDICATIONS AND USAGE ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] . ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy. ( 1 , 14.1 )
Full extracted label fields
application numbers
  1. NDA219249
boxed warning exact
    brand names
    1. Itovebi
    current indication status
    not_reconciled
    dailymed set url
    https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5de59f5b-e5db-410f-b692-658686ef4107
    generic names
    1. INAVOLISIB
    id
    dd6ab36d-21fa-4513-a9d1-0867ca4420e8
    indications and usage exact
    1. 1 INDICATIONS AND USAGE ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] . ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy. ( 1 , 14.1 )
    indications and usage tables exact
      is original packager
      1. true
      manufacturer names
      1. Genentech, Inc.
      matched search terms
      1. cancer
      package ndcs
      1. 50242-079-08
      2. 50242-079-86
      3. 50242-084-08
      product ndcs
      1. 50242-079
      2. 50242-084
      product types
      1. HUMAN PRESCRIPTION DRUG
      recent major changes exact
      1. Warnings and Precautions, Hyperglycemia ( 5.1 ) 09/2025 Dosage and Administration, Recommended Dosage in Patients with Moderate or Severe Renal Impairment ( 2.5 ) 04/2026
      record type
      complete_spl_indications_section_candidate
      routes
      1. ORAL
      rxcuis
      1. 2695427
      2. 2695433
      3. 2695435
      4. 2695437
      source batch
      file
      /private/tmp/cancer-full-research/indications/raw/labels-00700.json
      meta
      disclaimer
      Do not rely on openFDA to make decisions regarding medical care. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. We may limit or otherwise restrict your access to the API in line with our Terms of Service.
      last updated
      2026-09-09
      results
      limit
      100
      skip
      700
      total
      830
      sha256
      24c521d95bd19e54a354ae592997052a3a1b19254da1496b3a98a5e9bac4ed08
      url
      https://api.fda.gov/drug/label.json?search=%28indications_and_usage%3Acancer+OR+indications_and_usage%3Acarcinoma+OR+indications_and_usage%3Acarcinomas+OR+indications_and_usage%3Alymphoma+OR+indications_and_usage%3Alymphomas+OR+indications_and_usage%3Aleukemia+OR+indications_and_usage%3Aleukaemia+OR+indications_and_usage%3Asarcoma+OR+indications_and_usage%3Asarcomas+OR+indications_and_usage%3Amelanoma+OR+indications_and_usage%3Amyeloma+OR+indications_and_usage%3Atumor+OR+indications_and_usage%3Atumors+OR+indications_and_usage%3Atumour+OR+indications_and_usage%3Atumours+OR+indications_and_usage%3Aneoplasm+OR+indications_and_usage%3Aneoplasms+OR+indications_and_usage%3Amalignant+OR+indications_and_usage%3Amalignancy+OR+indications_and_usage%3Amyelodysplastic+OR+indications_and_usage%3Amyelofibrosis+OR+indications_and_usage%3Amastocytosis+OR+indications_and_usage%3Aglioma+OR+indications_and_usage%3Aglioblastoma+OR+indications_and_usage%3Aneuroblastoma+OR+indications_and_usage%3Aretinoblastoma+OR+indications_and_usage%3Apheochromocytoma+OR+indications_and_usage%3Aparaganglioma+OR+indications_and_usage%3Amyeloproliferative+OR+indications_and_usage%3Awaldenstrom+OR+indications_and_usage%3Apolycythemia+OR+indications_and_usage%3Athrombocythemia+OR+indications_and_usage%3Adesmoid+OR+indications_and_usage%3Aneurofibromatosis+OR+indications_and_usage%3Ahistiocytosis%29+AND+%28openfda.application_number%3ANDA%2A+OR+openfda.application_number%3ABLA%2A%29&limit=100&skip=700&sort=id%3Aasc
      source url
      https://api.fda.gov/drug/label.json?search=id%3A%22dd6ab36d-21fa-4513-a9d1-0867ca4420e8%22
      spl effective date
      2026-04-21
      spl effective time
      20260421
      spl set id
      5de59f5b-e5db-410f-b692-658686ef4107
      spl version
      10
      substance names
      1. INAVOLISIB
      uniis
      1. L4C1UY2NYH
      verification flags
      1. oncology_keyword_candidate_not_clinically_classified
      2. spl_text_not_verified_identical_to_latest_approved_label
      3. individual_indications_not_split_or_reconciled
      Drugs@FDA application source records
      1. application number
        NDA219249
        payload
        all indexed label documents
        1. Appl No
          219249
          Application Docs Date
          2024-10-11 00:00:00
          Application Docs ID
          79857
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          1
          Submission Type
          ORIG
        2. Appl No
          219249
          Application Docs Date
          2025-09-25 00:00:00
          Application Docs ID
          83559
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          2
          Submission Type
          SUPPL
        3. Appl No
          219249
          Application Docs Date
          2026-04-17 00:00:00
          Application Docs ID
          85705
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          4
          Submission Type
          SUPPL
        all submission records
        1. Appl No
          219249
          Review Priority
          PRIORITY
          Submission Class Code ID
          7
          Submission No
          1
          Submission Status
          AP
          Submission Status Date
          2024-10-10 00:00:00
          Submission Type
          ORIG
          Submissions Public Notes
        2. Appl No
          219249
          Review Priority
          STANDARD
          Submission Class Code ID
          3
          Submission No
          2
          Submission Status
          AP
          Submission Status Date
          2025-09-25 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        3. Appl No
          219249
          Review Priority
          STANDARD
          Submission Class Code ID
          2
          Submission No
          4
          Submission Status
          AP
          Submission Status Date
          2026-04-15 00:00:00
          Submission Type
          SUPPL
          Submissions Public Notes
        application number
        NDA219249
        approval interpretation
        Application linkage and approved submission are not indication-level current approval verification
        current indication status
        not_reconciled
        has approved submission record
        true
        latest approved submission date
        2026-04-15
        latest label selection rule
        max FDA ApplicationDocsDate, including all ties; posting date is not approval date and latest indexed document may be incomplete
        latest posted label documents
        1. Appl No
          219249
          Application Docs Date
          2026-04-17 00:00:00
          Application Docs ID
          85705
          Application Docs Title
          0
          Application Docs Type ID
          2
          Submission No
          4
          Submission Type
          SUPPL
        official application record
        Appl No
        219249
        Appl Public Notes
        Appl Type
        NDA
        Sponsor Name
        GENENTECH INC
        openfda application present
        true
        products
        1. Active Ingredient
          INAVOLISIB
          Appl No
          219249
          Drug Name
          ITOVEBI
          Form
          TABLET;ORAL
          Product No
          001
          Reference Drug
          1
          Reference Standard
          0
          Strength
          3MG
          marketing status
          1. Prescription
        2. Active Ingredient
          INAVOLISIB
          Appl No
          219249
          Drug Name
          ITOVEBI
          Form
          TABLET;ORAL
          Product No
          002
          Reference Drug
          1
          Reference Standard
          1
          Strength
          9MG
          marketing status
          1. Prescription

      Source passages and status connections

      Passage classifications are automated and are not treatment recommendations. Connections apply only to their recorded indication scope.

      Passage 1 · positive indication candidate
      application numbers
      1. NDA219249
      brand names
      1. Itovebi
      classification reasons
      1. explicit_positive_indication_predicate
      2. tumor_or_malignant_hematology_words_in_positive_statement
      clinical review status
      pending
      content role
      positive_indication_candidate
      context span
      end
      642
      end exclusive
      true
      exact text
      1 INDICATIONS AND USAGE ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] . ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human ep
      label id
      dd6ab36d-21fa-4513-a9d1-0867ca4420e8
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
      start
      0
      current approval status
      not_reconciled
      duplicate text group
      dup-d86898c12cacfeea29f8
      extraction review status
      automated_candidate_pending_source_review
      generic names
      1. INAVOLISIB
      id
      ind-span-02f9dca818c3024258fd
      label id
      dd6ab36d-21fa-4513-a9d1-0867ca4420e8
      positive predicate support span
      end
      94
      end exclusive
      true
      exact text
      is indicated
      label id
      dd6ab36d-21fa-4513-a9d1-0867ca4420e8
      offset unit
      unicode_code_points
      source array index
      0
      source field
      indications_and_usage_exact
      source text sha256
      de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
      start
      82
      qualifier mentions
      1. context exact
        bociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor
        kind
        age
        polarity
        not_inferred
        span
        end
        122
        end exclusive
        true
        exact text
        adults
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        116
      2. context exact
        cated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth fac
        kind
        biomarker
        polarity
        not_inferred
        span
        end
        164
        end exclusive
        true
        exact text
        PIK3CA -mutated
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        149
      3. context exact
        or (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected
        kind
        biomarker
        polarity
        not_inferred
        span
        end
        254
        end exclusive
        true
        exact text
        HER2)-negative
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        240
      4. context exact
        owth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence
        kind
        biomarker
        polarity
        not_inferred
        span
        end
        300
        end exclusive
        true
        exact text
        metastatic breast cancer
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        276
      5. context exact
        , human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence
        kind
        stage_or_setting
        polarity
        not_inferred
        span
        end
        300
        end exclusive
        true
        exact text
        locally advanced or metastatic breast cancer
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        256
      6. context exact
        -approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] .
        kind
        stage_or_setting
        polarity
        not_inferred
        span
        end
        426
        end exclusive
        true
        exact text
        adjuvant endocrine therapy [see Clinical St
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        383
      7. context exact
        1 INDICATIONS AND USAGE ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced
        kind
        regimen
        polarity
        not_inferred
        span
        end
        212
        end exclusive
        true
        exact text
        in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epiderma
        label id
        dd6ab36d-21fa-4513-a9d1-0867ca4420e8
        offset unit
        unicode_code_points
        source array index
        0
        source field
        indications_and_usage_exact
        source text sha256
        de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
        start
        33
      regulatory links
        schema version
        0.1.0
        source batch sha256
        24c521d95bd19e54a354ae592997052a3a1b19254da1496b3a98a5e9bac4ed08
        source defined aliases
          source span
          end
          442
          end exclusive
          true
          exact text
          1 INDICATIONS AND USAGE ITOVEBI, in combination with palbociclib and fulvestrant, is indicated for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] .
          label id
          dd6ab36d-21fa-4513-a9d1-0867ca4420e8
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
          start
          0
          source url
          https://api.fda.gov/drug/label.json?search=id%3A%22dd6ab36d-21fa-4513-a9d1-0867ca4420e8%22
          spl effective date
          2026-04-21
          spl set id
          5de59f5b-e5db-410f-b692-658686ef4107
          spl version
          10
          structured fields status
          not_extracted_no_values_inferred_from_mentions
          structured indication
          age
          Source null
          approval pathway
          Source null
          biomarker and test
          Source null
          disease stage
          Source null
          limitations
          Source null
          line
          Source null
          prior therapy
          Source null
          regimen
          Source null
          tumor histology
          Source null
          use intent
          tumor_directed_candidate
          Passage 2 · positive indication candidate
          application numbers
          1. NDA219249
          brand names
          1. Itovebi
          classification reasons
          1. explicit_positive_indication_predicate
          2. tumor_or_malignant_hematology_words_in_positive_statement
          clinical review status
          pending
          content role
          positive_indication_candidate
          context span
          end
          859
          end exclusive
          true
          exact text
          2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy [see Clinical Studies (14.1) ] . ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy. ( 1 , 14.1 )
          label id
          dd6ab36d-21fa-4513-a9d1-0867ca4420e8
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
          start
          243
          current approval status
          not_reconciled
          duplicate text group
          dup-8d4556f4fb828bbd1dc6
          extraction review status
          automated_candidate_pending_source_review
          generic names
          1. INAVOLISIB
          id
          ind-span-c9dedaefb4f952e4135e
          label id
          dd6ab36d-21fa-4513-a9d1-0867ca4420e8
          positive predicate support span
          end
          482
          end exclusive
          true
          exact text
          is a kinase inhibitor indicated
          label id
          dd6ab36d-21fa-4513-a9d1-0867ca4420e8
          offset unit
          unicode_code_points
          source array index
          0
          source field
          indications_and_usage_exact
          source text sha256
          de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
          start
          451
          qualifier mentions
          1. context exact
            ation with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor
            kind
            age
            polarity
            not_inferred
            span
            end
            558
            end exclusive
            true
            exact text
            adults
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            552
          2. context exact
            trant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth fac
            kind
            biomarker
            polarity
            not_inferred
            span
            end
            600
            end exclusive
            true
            exact text
            PIK3CA -mutated
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            585
          3. context exact
            or (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected
            kind
            biomarker
            polarity
            not_inferred
            span
            end
            690
            end exclusive
            true
            exact text
            HER2)-negative
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            676
          4. context exact
            owth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence
            kind
            biomarker
            polarity
            not_inferred
            span
            end
            736
            end exclusive
            true
            exact text
            metastatic breast cancer
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            712
          5. context exact
            , human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence
            kind
            stage_or_setting
            polarity
            not_inferred
            span
            end
            736
            end exclusive
            true
            exact text
            locally advanced or metastatic breast cancer
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            692
          6. context exact
            -approved test, following recurrence on or after completing adjuvant endocrine therapy.
            kind
            stage_or_setting
            polarity
            not_inferred
            span
            end
            845
            end exclusive
            true
            exact text
            adjuvant endocrine therapy
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            819
          7. context exact
            ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic
            kind
            regimen
            polarity
            not_inferred
            span
            end
            662
            end exclusive
            true
            exact text
            in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth facto
            label id
            dd6ab36d-21fa-4513-a9d1-0867ca4420e8
            offset unit
            unicode_code_points
            source array index
            0
            source field
            indications_and_usage_exact
            source text sha256
            de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
            start
            483
          regulatory links
            schema version
            0.1.0
            source batch sha256
            24c521d95bd19e54a354ae592997052a3a1b19254da1496b3a98a5e9bac4ed08
            source defined aliases
              source span
              end
              846
              end exclusive
              true
              exact text
              ITOVEBI is a kinase inhibitor indicated in combination with palbociclib and fulvestrant for the treatment of adults with endocrine-resistant, PIK3CA -mutated, hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy.
              label id
              dd6ab36d-21fa-4513-a9d1-0867ca4420e8
              offset unit
              unicode_code_points
              source array index
              0
              source field
              indications_and_usage_exact
              source text sha256
              de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
              start
              443
              source url
              https://api.fda.gov/drug/label.json?search=id%3A%22dd6ab36d-21fa-4513-a9d1-0867ca4420e8%22
              spl effective date
              2026-04-21
              spl set id
              5de59f5b-e5db-410f-b692-658686ef4107
              spl version
              10
              structured fields status
              not_extracted_no_values_inferred_from_mentions
              structured indication
              age
              Source null
              approval pathway
              Source null
              biomarker and test
              Source null
              disease stage
              Source null
              limitations
              Source null
              line
              Source null
              prior therapy
              Source null
              regimen
              Source null
              tumor histology
              Source null
              use intent
              tumor_directed_candidate
              Passage 3 · unclassified context
              application numbers
              1. NDA219249
              brand names
              1. Itovebi
              classification reasons
              1. no_unambiguous_positive_indication_predicate
              clinical review status
              pending
              content role
              unclassified_context
              context span
              end
              859
              end exclusive
              true
              exact text
              al growth factor receptor 2 (HER2)-negative, locally advanced or metastatic breast cancer, as detected by an FDA-approved test, following recurrence on or after completing adjuvant endocrine therapy. ( 1 , 14.1 )
              label id
              dd6ab36d-21fa-4513-a9d1-0867ca4420e8
              offset unit
              unicode_code_points
              source array index
              0
              source field
              indications_and_usage_exact
              source text sha256
              de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
              start
              647
              current approval status
              not_reconciled
              duplicate text group
              dup-dffdb569d719457afb38
              extraction review status
              automated_candidate_pending_source_review
              generic names
              1. INAVOLISIB
              id
              ind-span-60e7a26917eaeac95b4e
              label id
              dd6ab36d-21fa-4513-a9d1-0867ca4420e8
              positive predicate support span
              Source null
              qualifier mentions
                regulatory links
                  schema version
                  0.1.0
                  source batch sha256
                  24c521d95bd19e54a354ae592997052a3a1b19254da1496b3a98a5e9bac4ed08
                  source defined aliases
                    source span
                    end
                    859
                    end exclusive
                    true
                    exact text
                    ( 1 , 14.1 )
                    label id
                    dd6ab36d-21fa-4513-a9d1-0867ca4420e8
                    offset unit
                    unicode_code_points
                    source array index
                    0
                    source field
                    indications_and_usage_exact
                    source text sha256
                    de801448ace278e77c596271c86d4be1a4680fe71e9d6ed07bbfc476e44c3437
                    start
                    847
                    source url
                    https://api.fda.gov/drug/label.json?search=id%3A%22dd6ab36d-21fa-4513-a9d1-0867ca4420e8%22
                    spl effective date
                    2026-04-21
                    spl set id
                    5de59f5b-e5db-410f-b692-658686ef4107
                    spl version
                    10
                    structured fields status
                    not_extracted_no_values_inferred_from_mentions
                    structured indication
                    age
                    Source null
                    approval pathway
                    Source null
                    biomarker and test
                    Source null
                    disease stage
                    Source null
                    limitations
                    Source null
                    line
                    Source null
                    prior therapy
                    Source null
                    regimen
                    Source null
                    tumor histology
                    Source null
                    use intent
                    unclear

                    Preserved source evidence · Not medical advice