gefitinib

Trade name: iressa

Small moleculeapprovedFast Track FDA

Approved

May 5, 2003

Gefitinib is an anilinoquinazoline with antineoplastic activity. Gefitinib inhibits the epidermal growth factor receptor (EGFR) tyrosine kinase by binding to the adenosine triphosphate (ATP)-binding site of the enzyme. Thus the function of the EGFR tyrosine kinase in activating the Ras signal transduction cascade is inhibited; and malignant cells are inhibited. Gefitinib is the first selective inhibitor of the EGFR tyrosine kinase which is also referred to as Her1 or ErbB-1. EGFR is overexpressed in the cells of certain types of human carcinomas - for example in lung and breast cancers. Overexpression leads to inappropriate activation of the apoptotic Ras signal transduction cascade, eventually leading to uncontrolled cell proliferation. Gefitinib is used for the continued treatment of patients with locally advanced or metastatic non-small cell lung cancer after failure of either platinum-based or docetaxel chemotherapies. — NCATS

Clinical trial activity

338 trials · 248 clinical orgs · 7 marketing orgs

Phase 1
72
Phase 2
268
Phase 3
62
Phase 4
7

Earliest trial started Sep 1, 1999 (NCT00005806)

Timeline

1990s

  1. Jan 1, 1999

    Earliest Phase 1 Sponsor(trial)

2000s

  1. Jan 1, 2000

    AstraZeneca — Earliest Phase 3 Sponsor(trial)

  2. Jan 1, 2001

    Earliest Phase 2 Sponsor(trial)

  3. May 5, 2003

    AstraZeneca — Earliest FDA Approval

  4. May 5, 2003

    AstraZeneca — NDA Organization

2020s

  1. Sep 23, 2022

    Apotex — Marketing Organization

  2. Feb 13, 2023

    Qilu Pharmaceutical Co., Ltd. — Marketing Organization

  3. Apr 26, 2023

    Actavis — Marketing Organization

  4. Apr 26, 2023

    AbbVie — Marketing Organization

  5. May 31, 2023

    Natco Pharma — Marketing Organization

  6. May 16, 2025

    Cipla — Marketing Organization

Indications

Studied for

Mechanism of action

Approval history

  • approvedPriority reviewAcceleratedFast trackMay 5, 2003

Chemistry & pharmacology

Loading structure…

SMILES

COC1=CC2=NC=NC(NC3=CC(Cl)=C(F)C=C3)=C2C=C1OCCCN4CCOCC4
Mol. weight
446.902 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

Also known as

  • 4-(3'-chloro-4'-fluoroanilino)-7-methoxy-6-(3-morpholinopropoxy)quinazoline
  • 4-(3'-chloro-4'-fluoroanilino)-7-methoxy-6-(3-morpholinopropoxy)quinazoline
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • gefitinib
  • iressa
  • iressa
  • iressa
  • iressa
  • iressa
  • iressa
  • n-(3-chloro-4-fluorophenyl)-7-methoxy-6-(3-(4-morpholinyl)propoxy)-4-quinazolinamide
  • n-(3-chloro-4-fluorophenyl)-7-methoxy-6-(3-(4-morpholinyl)propoxy)-4-quinazolinamine
  • n-(3-chloro-4-fluorophenyl)-7-methoxy-6-(3-(4-morpholinyl)propoxy)-4-quinazolinamine
  • zd1839
  • zd1839
  • zd1839
  • zd1839
  • zd1839
  • zd1839
  • zd1839
  • zd 1839
  • zd 1839
  • zd 1839
  • zd 1839
  • zd-1839
  • zd-1839

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT06630325Phase 2Jan 1, 2025AstraZeneca, Eli Lilly, OHSU Knight Cancer Institute, Oregon Health and Science University
NCT06071013Phase 1/Phase 2 (Phase 2)Sep 28, 2023China Medical University
NCT06020066Phase 2Aug 10, 2023Central South University, Chongqing Medical University, Dalian Medical University, Fudan University, Fujian Medical University, Guizhou Medical University, Huazhong University of Science and Technology, Jiangnan University, Jiangsu Cancer Institute & Hospital, Jiao Tong University, Jilin Provincial Tumor Hospital, Nantong University, Ningbo No. 2 Hospital, Ningxia Medical University, Peking University, People's Liberation Army of China, Shandong University, Southern Medical University, Tianjin Medical University, Wuhan University
NCT04974866Phase 2Jul 1, 2021Qingdao Central Hospital
NCT04642547N/ANov 30, 2020Jiao Tong University
NCT04552613N/ASep 30, 2020Zhejiang University
NCT04425187Phase 2Jun 8, 2020Fudan University
NCT04390984Phase 1May 31, 2020Hengrui Therapeutics, Inc.
NCT04358562Phase 2May 1, 2020Nanchang University
NCT04248829Phase 3Feb 29, 2020Yuhan Pharmaceutical Company
NCT04239833Phase 3Jan 31, 2020Huazhong University of Science and Technology, Nanjing Sanhome Pharmaceutical, Co., Ltd.
NCT04193007Phase 2Dec 1, 2019Nanchang University
NCT04028778Phase 3Aug 31, 2019Sun Yat-Sen University
NCT04143607Phase 3Jul 23, 2019Jiangsu Aosaikang Pharmaceutical Co., Ltd.
NCT03944772Phase 2Jun 28, 2019AstraZeneca, Memorial Sloan-Kettering Cancer Center
NCT06521034Phase 1/Phase 2 (Phase 2)Jun 27, 2019Central South University, Government of China
NCT03866499Phase 3May 31, 2019Beta Pharma, Inc., Chinese Academy of Medical Sciences
NCT03787992Phase 3Apr 1, 2019Allist Pharmaceuticals, Inc.
NCT03856697Phase 3Mar 31, 2019Acea Bio, Shantou University
NCT03766490N/AMar 30, 2019Changzhou No.2 People's Hospital, Jiangnan University, Jiangsu Chia-tai Tianqing Pharmaceutical Co.,Ltd, Jiangyin People's Hospital, Nantong University, Soochow University, The First People's Hospital of Changzhou
Showing 20 of 338 trials
Page 1 / 17

Organizations

Research & Development (248)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
AstraZenecaFor profit1156652000
National Cancer Institute (NCI)Government592741999
Fudan UniversityAcademic/Hospital12732007
People's Liberation Army of ChinaGovernment12532011
Harvard UniversityAcademic/Hospital11822001
Jiao Tong UniversityAcademic/Hospital10532011
Sun Yat-Sen UniversityAcademic/Hospital10732009
Huazhong University of Science and TechnologyAcademic/Hospital8222011
University of Texas at HoustonAcademic/Hospital8522002
Chinese Academy of Medical SciencesAcademic/Hospital7132009
Cornell UniversityAcademic/Hospital7721999
Sungkyunkwan UniversityAcademic/Hospital7632008
Eli LillyFor profit6532005
European Organisation for Research and Treatment of CancerAcademic/Hospital6622002
Peking UniversityAcademic/Hospital6242011
Shantou UniversityAcademic/Hospital6132007
Eastern Cooperative Oncology GroupAcademic/Hospital5122001
University of ChicagoAcademic/Hospital5512001
Zhejiang UniversityAcademic/Hospital5332010
China Medical UniversityAcademic/Hospital4222011
248 organizations
Page 1 / 13

Marketing (8)

OrganizationOrg typeRelationshipDate
AbbVieFor profitMKTGApr 26, 2023
ActavisFor profitMKTGApr 26, 2023
ApotexFor profitMKTGSep 23, 2022
AstraZenecaFor profitSYNMay 5, 2003
AstraZenecaFor profitNDAMay 5, 2003
CiplaFor profitMKTGMay 16, 2025
Natco PharmaFor profitMKTGMay 31, 2023
Qilu Pharmaceutical Co., Ltd.For profitMKTGFeb 13, 2023