gefitinib
Trade name: iressa
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
Earliest trial started Sep 1, 1999 (NCT00005806)
Timeline
1990s
- Jan 1, 1999
Earliest Phase 1 Sponsor(trial)
2000s
- Jan 1, 2000
AstraZeneca — Earliest Phase 3 Sponsor(trial)
- Jan 1, 2001
Earliest Phase 2 Sponsor(trial)
- May 5, 2003
AstraZeneca — Earliest FDA Approval
- May 5, 2003
AstraZeneca — NDA Organization
2020s
- Sep 23, 2022
Apotex — Marketing Organization
- Feb 13, 2023
Qilu Pharmaceutical Co., Ltd. — Marketing Organization
- Apr 26, 2023
Actavis — Marketing Organization
- Apr 26, 2023
AbbVie — Marketing Organization
- May 31, 2023
Natco Pharma — Marketing Organization
- May 16, 2025
Cipla — Marketing Organization
Indications
Approved for
Studied for
- Adenocarcinoma · Phase 2
- Adenocarcinoma of Lung · Phase 3
- Adenoma · Phase 2
- Adrenocortical Carcinoma · Phase 2
- Astrocytoma · Phase 1/Phase 2
- Bile Duct Neoplasms · Phase 2
- Brain Neoplasms · Phase 2/Phase 3
- Breast Neoplasms · Phase 3
- Breast Neoplasms, Male · Phase 2
- Carcinoma · Phase 3
- Carcinoma, Adenoid Cystic · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Islet Cell · Phase 2
- Carcinoma, Renal Cell · Phase 2
- Carcinoma, Squamous Cell · Phase 2
- Colonic Neoplasms · Phase 2
- Colorectal Neoplasms · Phase 2/Phase 3
- Drug-Related Side Effects and Adverse Reactions · Phase 2
- Drugs, Generic · Phase 1
- Epidermal Growth Factor · Phase 3
- Esophageal Neoplasms · Phase 2
- Fallopian Tube Neoplasms · Phase 2
- Gallbladder Neoplasms · Phase 2
- Gastrinoma · Phase 2
- Genes, erbB-1 · Phase 1/Phase 2
- Glioblastoma · Phase 2
- Glioma · Phase 1/Phase 2
- Gliosarcoma · Phase 2
- Glucagonoma · Phase 2
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 4
- Healthy Volunteers · Phase 1
- Insulinoma · Phase 2
- Intestinal Neoplasms · Phase 2
- Kidney Neoplasms · Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Liver Neoplasms · Phase 2
- Lung Diseases · Phase 2
- Lung Neoplasms · Phase 3
- Lymphoma · Phase 1
- Melanoma · Phase 1/Phase 2
- Mesothelioma · Phase 2
- Mutation · Phase 2/Phase 3
- Nasopharyngeal Carcinoma · Phase 1/Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms, Germ Cell and Embryonal · Phase 2
- Neoplasms, Squamous Cell · Phase 2
- Neuroblastoma · Phase 2
- Oligodendroglioma · Phase 1/Phase 2
- Osteosarcoma · Phase 1
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 2
- Peritoneal Neoplasms · Phase 1/Phase 2
- Pituitary ACTH Hypersecretion · Phase 2
- Progression-Free Survival · Phase 2
- Prostatic Neoplasms · Phase 2
- Respiratory Tract Diseases · Phase 2
- Respiratory Tract Neoplasms · Phase 1/Phase 2
- Rhabdomyosarcoma · Phase 1
- Salivary Gland Neoplasms · Phase 2
- Sarcoma · Phase 2
- Self Efficacy · Phase 2
- Skin Neoplasms · Phase 2
- Small Cell Lung Carcinoma · Phase 3
- Somatostatinoma · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 3
- Stomach Neoplasms · Phase 2
- Thoracic Neoplasms · Phase 3
- Urethral Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 3
- Uterine Cervical Neoplasms · Phase 2
- Uterine Neoplasms · Phase 2
- Vipoma · Phase 2
Mechanism of action
EGFR inhibitor
Approval history
- approvedPriority reviewAcceleratedFast trackMay 5, 2003
Chemistry & pharmacology
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
- WikipediaGefitinib ↗
- NCATSS65743JHBS ↗
- ChEMBLCHEMBL939 ↗
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 ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06630325 | Phase 2 | Jan 1, 2025 | AstraZeneca, Eli Lilly, OHSU Knight Cancer Institute, Oregon Health and Science University |
| NCT06071013 | Phase 1/Phase 2 (Phase 2) | Sep 28, 2023 | China Medical University |
| NCT06020066 | Phase 2 | Aug 10, 2023 | Central 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 |
| NCT04974866 | Phase 2 | Jul 1, 2021 | Qingdao Central Hospital |
| NCT04642547 | N/A | Nov 30, 2020 | Jiao Tong University |
| NCT04552613 | N/A | Sep 30, 2020 | Zhejiang University |
| NCT04425187 | Phase 2 | Jun 8, 2020 | Fudan University |
| NCT04390984 | Phase 1 | May 31, 2020 | Hengrui Therapeutics, Inc. |
| NCT04358562 | Phase 2 | May 1, 2020 | Nanchang University |
| NCT04248829 | Phase 3 | Feb 29, 2020 | Yuhan Pharmaceutical Company |
| NCT04239833 | Phase 3 | Jan 31, 2020 | Huazhong University of Science and Technology, Nanjing Sanhome Pharmaceutical, Co., Ltd. |
| NCT04193007 | Phase 2 | Dec 1, 2019 | Nanchang University |
| NCT04028778 | Phase 3 | Aug 31, 2019 | Sun Yat-Sen University |
| NCT04143607 | Phase 3 | Jul 23, 2019 | Jiangsu Aosaikang Pharmaceutical Co., Ltd. |
| NCT03944772 | Phase 2 | Jun 28, 2019 | AstraZeneca, Memorial Sloan-Kettering Cancer Center |
| NCT06521034 | Phase 1/Phase 2 (Phase 2) | Jun 27, 2019 | Central South University, Government of China |
| NCT03866499 | Phase 3 | May 31, 2019 | Beta Pharma, Inc., Chinese Academy of Medical Sciences |
| NCT03787992 | Phase 3 | Apr 1, 2019 | Allist Pharmaceuticals, Inc. |
| NCT03856697 | Phase 3 | Mar 31, 2019 | Acea Bio, Shantou University |
| NCT03766490 | N/A | Mar 30, 2019 | Changzhou 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 |
Organizations
Research & Development (248)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| AstraZeneca | For profit | 115 | 66 | 5 | 2000 |
| National Cancer Institute (NCI) | Government | 59 | 27 | 4 | 1999 |
| Fudan University | Academic/Hospital | 12 | 7 | 3 | 2007 |
| People's Liberation Army of China | Government | 12 | 5 | 3 | 2011 |
| Harvard University | Academic/Hospital | 11 | 8 | 2 | 2001 |
| Jiao Tong University | Academic/Hospital | 10 | 5 | 3 | 2011 |
| Sun Yat-Sen University | Academic/Hospital | 10 | 7 | 3 | 2009 |
| Huazhong University of Science and Technology | Academic/Hospital | 8 | 2 | 2 | 2011 |
| University of Texas at Houston | Academic/Hospital | 8 | 5 | 2 | 2002 |
| Chinese Academy of Medical Sciences | Academic/Hospital | 7 | 1 | 3 | 2009 |
| Cornell University | Academic/Hospital | 7 | 7 | 2 | 1999 |
| Sungkyunkwan University | Academic/Hospital | 7 | 6 | 3 | 2008 |
| Eli Lilly | For profit | 6 | 5 | 3 | 2005 |
| European Organisation for Research and Treatment of Cancer | Academic/Hospital | 6 | 6 | 2 | 2002 |
| Peking University | Academic/Hospital | 6 | 2 | 4 | 2011 |
| Shantou University | Academic/Hospital | 6 | 1 | 3 | 2007 |
| Eastern Cooperative Oncology Group | Academic/Hospital | 5 | 1 | 2 | 2001 |
| University of Chicago | Academic/Hospital | 5 | 5 | 1 | 2001 |
| Zhejiang University | Academic/Hospital | 5 | 3 | 3 | 2010 |
| China Medical University | Academic/Hospital | 4 | 2 | 2 | 2011 |
Marketing (8)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AbbVie | For profit | MKTG | Apr 26, 2023 |
| Actavis | For profit | MKTG | Apr 26, 2023 |
| Apotex | For profit | MKTG | Sep 23, 2022 |
| AstraZeneca | For profit | SYN | May 5, 2003 |
| AstraZeneca | For profit | NDA | May 5, 2003 |
| Cipla | For profit | MKTG | May 16, 2025 |
| Natco Pharma | For profit | MKTG | May 31, 2023 |
| Qilu Pharmaceutical Co., Ltd. | For profit | MKTG | Feb 13, 2023 |