erdafitinib

Trade name: Balversa

Small moleculeapprovedBreakthrough Therapy FDA

Approved

Apr 12, 2019

Erdafitinib (JNJ-42756493) is a potent and selective orally bioavailable, pan fibroblast growth factor receptor (FGFR) inhibitor with potential antineoplastic activity. It was discovered in collaboration with Janssen Pharmaceutica, N.V. from a partnership which commenced in June 2008. Astex’s FGFr inhibitor program originated from a collaboration initiated in 2005 with the Cancer Research UK Drug Discovery Group at the Newcastle Cancer Centre (Newcastle University UK), and Cancer Research Technology Limited. JNJ42756493 is currently being evaluated by Janssen in Phase 2 clinical trials in patients with urothelial cancer, advanced hepatocellular carcinoma, advanced non-small lung cancer, esophageal cancer or cholangiocarcinoma. JNJ-42756493 is a potent, oral pan-FGFR tyrosine kinase inhibitor with half-maximal inhibitory concentration values in the low nanomolar range for all members of the FGFR family (FGFR1 to FGFR4), with minimal activity on vascular endothelial growth factor receptor (VEGFR) kinases compared with FGFR kinases (approximately 20-fold potency difference). In vitro, the proliferation of cells treated with JNJ-42756493 is decreased, associated with increased apoptotic death and decreased cell survival. It is also in phase I trials for the treatment of advanced refractory solid tumors or advanced refractory hematologic cancer. — NCATS

Clinical trial activity

40 trials · 21 clinical orgs · 2 marketing orgs

Phase 1
19
Phase 2
21
Phase 3
3
Phase 4
0

Earliest trial started Jun 15, 2012 (NCT01703481)

Timeline

2010s

  1. Jan 1, 2012

    Johnson and Johnson — Earliest Phase 1 Sponsor(trial)

  2. Jan 1, 2015

    Earliest Phase 2 Sponsor(trial)

  3. Jan 1, 2018

    Johnson and Johnson — Earliest Phase 3 Sponsor(trial)

  4. Apr 12, 2019

    Johnson and Johnson — Earliest FDA Approval

  5. Apr 12, 2019

    Johnson and Johnson — Marketing Organization

  6. Apr 12, 2019

    Johnson and Johnson — NDA Organization

2020s

  1. Feb 2, 2026

    Natco Pharma — Marketing Organization

Indications

Mechanism of action

Approval history

  • approvedPriority reviewAcceleratedBreakthroughApr 12, 2019

Chemistry & pharmacology

Loading structure…

SMILES

COC1=CC(=CC(OC)=C1)N(CCNC(C)C)C2=CC=C3N=CC(=NC3=C2)C4=CN(C)N=C4
Mol. weight
446.5447 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Achiral Molecule
Inorganic
No
Polymer
No
Delivery
Oral
Availability
Prescription Only

Oral

Yes

Parenteral

No

Topical

No

First in class

Sources

Also known as

  • bli4600
  • erdafitinib
  • erdafitinib
  • erdafitinib
  • erdafitinib
  • jnj-42756493
  • jnj-42756493
  • jnj-42756493

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT06919965Phase 3Sep 10, 2025
NCT05859334Phase 2Jul 19, 2024National Cancer Institute (NCI), University of Toronto
NCT06319820Phase 3Apr 18, 2024Johnson and Johnson
NCT06204614Early Phase 1 (Phase 1)Feb 14, 2024Harvard University
NCT06511648Phase 2Mar 7, 2023Johnson and Johnson, Pivotal S.L., Spanish Oncology Genito-Urinary Group
NCT05567185Phase 1Dec 14, 2022Janssen Pharmaceutica NV
NCT05564416Phase 2Oct 17, 2022National Cancer Institute (NCI), University of Toronto
NCT06328491N/AMay 30, 2022University of Toronto
NCT05316155Phase 1Apr 11, 2022
NCT04917809Phase 2Nov 30, 2021Memorial Sloan-Kettering Cancer Center
NCT04963153Phase 1Oct 13, 2021National Cancer Institute (NCI), University of Toronto
NCT04754425Phase 2Jul 15, 2021University of Texas at Houston
NCT04330248Phase 1Mar 31, 2020Johnson and Johnson
NCT04172675Phase 2Jan 31, 2020Janssen Pharmaceutica NV
NCT04083976Phase 2Nov 8, 2019Janssen Pharmaceutica NV
NCT03999515Phase 2Jul 31, 2019University of Washington
NCT03732703Phase 1/Phase 2 (Phase 2)Apr 1, 2019AbbVie, Celgene, Eli Lilly, Genentech, Janssen Pharmaceutica NV, Multiple Myeloma Research Consortium, Takeda
NCT03827850Phase 2Mar 15, 2019University of Cologne
NCT03587363Phase 1Oct 31, 2018Johnson and Johnson
NCT03547037Phase 1Aug 31, 2018Janssen Pharmaceutica NV
Showing 20 of 40 trials
Page 1 / 2

Organizations

Research & Development (21)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
Johnson and JohnsonFor profit171532012
National Cancer Institute (NCI)Government7622017
Janssen Pharmaceutica NVFor profit6532018
University of TorontoAcademic/Hospital5232017
ECOG-ACRIN Cancer Research GroupAcademic/Hospital2012018
AbbVieFor profit1012019
Braintree LaboratoriesFor profit1112015
CelerionFor profit1012017
CelgeneFor profit1012019
Eli LillyFor profit1012019
GenentechFor profit1012019
Harvard UniversityAcademic/Hospital1112024
Memorial Sloan-Kettering Cancer CenterAcademic/Hospital1112021
Multiple Myeloma Research ConsortiumAcademic/Hospital1112019
Pivotal S.L.For profit1012023
Spanish Oncology Genito-Urinary GroupAcademic/Hospital1112023
TakedaFor profit1012019
University of CologneAcademic/Hospital1112019
University of Texas at HoustonAcademic/Hospital1112021
University of WashingtonAcademic/Hospital1112019
21 organizations
Page 1 / 2

Marketing (3)

OrganizationOrg typeRelationshipDate
Johnson and JohnsonFor profitMKTGApr 12, 2019
Johnson and JohnsonFor profitNDAApr 12, 2019
Natco PharmaFor profitMKTGFeb 2, 2026