MedPath

Afatinib

Generic Name
Afatinib
Brand Names
Gilotrif, Giotrif
Drug Type
Small Molecule
Chemical Formula
C24H25ClFN5O3
CAS Number
850140-72-6
Unique Ingredient Identifier
41UD74L59M
Background

Afatinib is a 4-anilinoquinazoline tyrosine kinase inhibitor in the form of a dimaleate salt available as Boehringer Ingelheim's brand name Gilotrif . For oral use, afatinib tablets are a first-line (initial) treatment for patients with metastatic non-small cell lung cancer (NSCLC) with common epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test . Gilotrif (afatinib) is the first FDA-approved oncology product from Boehringer Ingelheim .

Indication

Afatinib is a kinase inhibitor indicated as monotherapy for the first-line treatment of (a) Epidermal Growth Factor Receptor (EGFR) TKI (tyrosine kinase inhibitor)-naive adult patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) whose tumours have non-resistant EGFR mutations as detected by an FDA-approved test , and (b) adult patients with locally advanced or metastatic NSCLC of squamous histology progressing on or after platinum-based chemotherapy .

Recently, as of January 2018, the US FDA approved a supplemental New Drug Application for Boehringer Ingelheim's Gilotrif (afatinib) for the first line treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors have non-resistant epidermal growth factor receptor (EGFR) mutations as detected by an FDA-approved test . The new label includes data on three additional EGFR mutations: L861Q, G719X and S768I .

Associated Conditions
Metastatic Non-Small Cell Lung Cancer, Refractory, metastatic squamous cell Non-small cell lung cancer

Neoadjuvant Low-Dose Radiotherapy Plus Targeted-Immunotherapy vs Targeted-Immunotherapy Monotherapy in Resectable HNSCC: A Randomized Trial

Phase 2
Recruiting
Conditions
Head and Neck Cancer
Interventions
Radiation: Low dose radiotherapy
First Posted Date
2025-02-03
Last Posted Date
2025-04-16
Lead Sponsor
West China Hospital
Target Recruit Count
98
Registration Number
NCT06804850
Locations
🇨🇳

West China Hospital, Sichuan University, Chengdu, Sichuan, China

FHND9041 Versus Afatinib for Non-small Cell Lung Cancer

Phase 3
Conditions
Non Small Cell Lung Cancer
Interventions
First Posted Date
2025-01-06
Last Posted Date
2025-01-06
Lead Sponsor
Jiangsu Chia Tai Fenghai Pharmaceutical Co., Ltd.
Target Recruit Count
350
Registration Number
NCT06759857
Locations
🇨🇳

Cancer Hospital Chinese Academy of Medical Sciences, Beijing, China

A Clinical Study on Neoadjuvant Treatment of Resectable Head and Neck Squamous Carcinoma With Immune-targeted Therapy and Lysogenic HSV Virus

Phase 1
Recruiting
Conditions
HNSCC
Neoadjuvant Therapy
Lysogenic HSV Virus
Immunotherapy
Targeted Therapy
Interventions
Biological: Lysogenic HSV virus.
First Posted Date
2024-12-19
Last Posted Date
2024-12-19
Lead Sponsor
West China Hospital
Target Recruit Count
21
Registration Number
NCT06741982
Locations
🇨🇳

West China Hospital, Sichuan University, Chengdu, Sichuan, China

Afatinib Combined With Chemotherapy as Conversion Therapy in Unresectable EGFR Sensitive Mutation-positive Stage III NSCLC

Phase 2
Not yet recruiting
Conditions
Carcinoma, Non-Small-Cell Lung
Interventions
First Posted Date
2024-11-28
Last Posted Date
2024-11-28
Lead Sponsor
Shandong Public Health Clinical Center
Target Recruit Count
30
Registration Number
NCT06709859
Locations
🇨🇳

Shandong Public Health Clinical Center, Jinan, Shandong, China

Afatinib in Patients with Fanconi Anemia (FA) and Advanced Head and Neck Squamous Cell Carcinoma (HNSCC)

Phase 1
Recruiting
Conditions
Fanconi Anemia
Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2024-10-18
Last Posted Date
2024-11-20
Lead Sponsor
Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Target Recruit Count
25
Registration Number
NCT06648096
Locations
🇩🇪

Medizinische Hochschule Hannover, Hannover, Germany

🇪🇸

Hospital de la Santa Creu i Sant Pau, Barcelona, Cataluña, Spain

Low-dose Radiotherapy Plus Tislelizumab in Combination With Afatinib for Neoadjuvant Treatment of Surgically Resectable Head and Neck Squamous Carcinoma

Phase 1
Recruiting
Conditions
Head and Neck Cancer
Interventions
Biological: Tislelizumab
Radiation: Low dose radiotherapy
First Posted Date
2024-07-10
Last Posted Date
2024-07-10
Lead Sponsor
West China Hospital
Target Recruit Count
29
Registration Number
NCT06494189
Locations
🇨🇳

West China Hospital, Sichuan University, Chengdu, Sichuan, China

Testing Afatinib as Potentially Targeted Treatment in Cancers With EGFR Genetic Changes (MATCH - Subprotocol A)

Phase 2
Active, not recruiting
Conditions
Advanced Malignant Solid Neoplasm
Refractory Lymphoma
Refractory Malignant Solid Neoplasm
Refractory Multiple Myeloma
Advanced Lymphoma
Interventions
Procedure: Biopsy Procedure
Procedure: Biospecimen Collection
Procedure: Computed Tomography
Procedure: Echocardiography Test
Procedure: Magnetic Resonance Imaging
Procedure: Radionuclide Imaging
First Posted Date
2024-04-26
Last Posted Date
2025-05-04
Lead Sponsor
National Cancer Institute (NCI)
Target Recruit Count
19
Registration Number
NCT06385483
Locations
🇺🇸

ECOG-ACRIN Cancer Research Group, Philadelphia, Pennsylvania, United States

Pemigatinib + Afatinib in Advanced Refractory Solid Tumors

Phase 1
Recruiting
Conditions
Advanced Solid Tumor
Cholangiocarcinoma
Metastatic Solid Tumor
Unresectable Solid Tumor
Interventions
First Posted Date
2024-03-12
Last Posted Date
2024-11-18
Lead Sponsor
Massachusetts General Hospital
Target Recruit Count
70
Registration Number
NCT06302621
Locations
🇺🇸

Massachusetts General Hospital, Boston, Massachusetts, United States

Trastuzumab Deruxtecan(T-DXd) and Afatinib Combination in HER2-low Advanced Gastric Cancer

Phase 1
Recruiting
Conditions
Stomach Neoplasm
Interventions
First Posted Date
2023-10-17
Last Posted Date
2024-11-06
Lead Sponsor
Jeeyun Lee
Target Recruit Count
61
Registration Number
NCT06085755
Locations
🇰🇷

Samsung Medical Center, Seoul, Korea, Republic of

Study of EGFR TKI in Patients With Advanced NSCLC Harbouring EGFR Mutations

Phase 2
Recruiting
Conditions
NSCLC
Interventions
First Posted Date
2023-10-02
Last Posted Date
2025-04-04
Lead Sponsor
National University Hospital, Singapore
Target Recruit Count
35
Registration Number
NCT06062823
Locations
🇸🇬

National University Hospital, Singapore, Singapore

© Copyright 2025. All Rights Reserved by MedPath