erdafitinib
Trade name: Balversa
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
Earliest trial started Jun 15, 2012 (NCT01703481)
Timeline
2010s
- Jan 1, 2012
Johnson and Johnson — Earliest Phase 1 Sponsor(trial)
- Jan 1, 2015
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2018
Johnson and Johnson — Earliest Phase 3 Sponsor(trial)
- Apr 12, 2019
Johnson and Johnson — Earliest FDA Approval
- Apr 12, 2019
Johnson and Johnson — Marketing Organization
- Apr 12, 2019
Johnson and Johnson — NDA Organization
2020s
- Feb 2, 2026
Natco Pharma — Marketing Organization
Indications
Studied for
- Adenocarcinoma · Phase 1
- Breast Neoplasms · Phase 1
- Carcinoma, Hepatocellular · Phase 1
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Carcinoma, Transitional Cell · Phase 3
- Cholangiocarcinoma · Phase 2
- Colonoscopy · Phase 2
- Ependymoma · Phase 2
- Esophageal Neoplasms · Phase 2
- Esophagogastric Junction · Phase 1
- Glioblastoma · Phase 2
- Glioma · Phase 2
- Healthy Volunteers · Phase 1
- Hepatoblastoma · Phase 2
- Histiocytosis, Langerhans-Cell · Phase 2
- Liver Diseases · Phase 1
- Lung Neoplasms · Phase 2
- Lymphoma · Phase 2
- Lymphoma, Non-Hodgkin · Phase 2
- Medulloblastoma · Phase 2
- Multiple Myeloma · Phase 2
- Mutation · Phase 2
- Neoplasm Metastasis · Phase 2
- Neoplasms · Phase 2
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Neuroblastoma · Phase 2
- Osteosarcoma · Phase 2
- Prostatic Neoplasms · Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 2
- Receptors, Fibroblast Growth Factor · Phase 1
- Rhabdoid Tumor · Phase 2
- Rhabdomyosarcoma · Phase 2
- Sarcoma · Phase 2
- Sarcoma, Ewing · Phase 2
- Ureteral Neoplasms · Phase 1
- Urethral Neoplasms · Phase 1
- Urinary Bladder Neoplasms · Phase 2
- Wilms Tumor · Phase 2
Mechanism of action
- Fibroblast growth factor receptor 2ANTAGONIST
FGFR2 antagonist
- Fibroblast growth factor receptor 3ANTAGONIST
FGFR3 antagonist
- Fibroblast growth factor receptorINHIBITOR
Fibroblast growth factor receptor inhibitor
Inhibits FGFR phosphorylation and signalling which decreases viability in cells with abnormal FGFR.
Active against FGFR1, FGFR2, FGFR3 and FGFR4. Also binds to RET, CSF1R, PDGFRA, PDGFRB, FLT4, KIT and VEGFR2.
Approval history
- approvedPriority reviewAcceleratedBreakthroughApr 12, 2019
Chemistry & pharmacology
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
Sources
- WikipediaErdafitinib ↗
- NCATS890E37NHMV ↗
- ChEMBLCHEMBL3545376 ↗
Also known as
- bli4600
- erdafitinib
- erdafitinib
- erdafitinib
- erdafitinib
- jnj-42756493
- jnj-42756493
- jnj-42756493
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06919965 | Phase 3 | Sep 10, 2025 | — |
| NCT05859334 | Phase 2 | Jul 19, 2024 | National Cancer Institute (NCI), University of Toronto |
| NCT06319820 | Phase 3 | Apr 18, 2024 | Johnson and Johnson |
| NCT06204614 | Early Phase 1 (Phase 1) | Feb 14, 2024 | Harvard University |
| NCT06511648 | Phase 2 | Mar 7, 2023 | Johnson and Johnson, Pivotal S.L., Spanish Oncology Genito-Urinary Group |
| NCT05567185 | Phase 1 | Dec 14, 2022 | Janssen Pharmaceutica NV |
| NCT05564416 | Phase 2 | Oct 17, 2022 | National Cancer Institute (NCI), University of Toronto |
| NCT06328491 | N/A | May 30, 2022 | University of Toronto |
| NCT05316155 | Phase 1 | Apr 11, 2022 | — |
| NCT04917809 | Phase 2 | Nov 30, 2021 | Memorial Sloan-Kettering Cancer Center |
| NCT04963153 | Phase 1 | Oct 13, 2021 | National Cancer Institute (NCI), University of Toronto |
| NCT04754425 | Phase 2 | Jul 15, 2021 | University of Texas at Houston |
| NCT04330248 | Phase 1 | Mar 31, 2020 | Johnson and Johnson |
| NCT04172675 | Phase 2 | Jan 31, 2020 | Janssen Pharmaceutica NV |
| NCT04083976 | Phase 2 | Nov 8, 2019 | Janssen Pharmaceutica NV |
| NCT03999515 | Phase 2 | Jul 31, 2019 | University of Washington |
| NCT03732703 | Phase 1/Phase 2 (Phase 2) | Apr 1, 2019 | AbbVie, Celgene, Eli Lilly, Genentech, Janssen Pharmaceutica NV, Multiple Myeloma Research Consortium, Takeda |
| NCT03827850 | Phase 2 | Mar 15, 2019 | University of Cologne |
| NCT03587363 | Phase 1 | Oct 31, 2018 | Johnson and Johnson |
| NCT03547037 | Phase 1 | Aug 31, 2018 | Janssen Pharmaceutica NV |
Organizations
Research & Development (21)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Johnson and Johnson | For profit | 17 | 15 | 3 | 2012 |
| National Cancer Institute (NCI) | Government | 7 | 6 | 2 | 2017 |
| Janssen Pharmaceutica NV | For profit | 6 | 5 | 3 | 2018 |
| University of Toronto | Academic/Hospital | 5 | 2 | 3 | 2017 |
| ECOG-ACRIN Cancer Research Group | Academic/Hospital | 2 | 0 | 1 | 2018 |
| AbbVie | For profit | 1 | 0 | 1 | 2019 |
| Braintree Laboratories | For profit | 1 | 1 | 1 | 2015 |
| Celerion | For profit | 1 | 0 | 1 | 2017 |
| Celgene | For profit | 1 | 0 | 1 | 2019 |
| Eli Lilly | For profit | 1 | 0 | 1 | 2019 |
| Genentech | For profit | 1 | 0 | 1 | 2019 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2024 |
| Memorial Sloan-Kettering Cancer Center | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Multiple Myeloma Research Consortium | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Pivotal S.L. | For profit | 1 | 0 | 1 | 2023 |
| Spanish Oncology Genito-Urinary Group | Academic/Hospital | 1 | 1 | 1 | 2023 |
| Takeda | For profit | 1 | 0 | 1 | 2019 |
| University of Cologne | Academic/Hospital | 1 | 1 | 1 | 2019 |
| University of Texas at Houston | Academic/Hospital | 1 | 1 | 1 | 2021 |
| University of Washington | Academic/Hospital | 1 | 1 | 1 | 2019 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Johnson and Johnson | For profit | MKTG | Apr 12, 2019 |
| Johnson and Johnson | For profit | NDA | Apr 12, 2019 |
| Natco Pharma | For profit | MKTG | Feb 2, 2026 |