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

Palbociclib Combined With Afatinib for Advanced Squamous Carcinoma of Esophagus or Gastroesophageal Junction

Phase 2
Recruiting
Conditions
Esophagus Squamous Cell Carcinoma
Interventions
First Posted Date
2023-05-18
Last Posted Date
2023-05-18
Lead Sponsor
AIPING ZHOU
Target Recruit Count
30
Registration Number
NCT05865132
Locations
🇨🇳

National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, Beijing, China

To Evaluate the Efficacy and Safety of Afatinib for Advanced ALTRK-negative ESCC

Phase 2
Recruiting
Conditions
Advanced Esophageal Squamous Cell Carcinoma
Interventions
First Posted Date
2023-04-19
Last Posted Date
2023-04-19
Lead Sponsor
Peking University
Target Recruit Count
72
Registration Number
NCT05818982
Locations
🇨🇳

Xinxiang Central Hospital of Henan Province, Xinxiang, China, Xinxiang, China

🇨🇳

Beijing Cancer Hospital, Beijing, China, Beijing, China

🇨🇳

First Hospital of Xiamen University Affiliated Hospital,Xiamen,China, Xiamen, China

Study Evaluating Zenocutuzumab in Patients With or Without Molecularly Defined Cancers

Phase 2
Active, not recruiting
Conditions
NSCLC Harboring NRG1 Fusion
Metastatic Castration-resistant Prostate Cancer
Interventions
First Posted Date
2022-10-20
Last Posted Date
2025-02-04
Lead Sponsor
Merus N.V.
Target Recruit Count
90
Registration Number
NCT05588609
Locations
🇺🇸

The Oncology Institute of Hope & Innovation, Whittier, California, United States

🇺🇸

Florida Cancer Specialists, Lake Mary, Florida, United States

🇺🇸

The Center for Cancer and Blood Disorders, Bethesda, Maryland, United States

and more 4 locations

Study to Evaluate the Efficacy of Afatinib in Skull Base Chordoma

Phase 2
Not yet recruiting
Conditions
Chordoma of Clivus
Interventions
First Posted Date
2022-08-29
Last Posted Date
2022-09-30
Lead Sponsor
Huashan Hospital
Target Recruit Count
20
Registration Number
NCT05519917
Locations
🇨🇳

Huashan Hospital, Shanghai, Shanghai, China

Neoadjuvant Tislelizumab With Afatinib for Resectable Head and Neck Squamous Cell Carcinoma

Phase 2
Recruiting
Conditions
Head and Neck Cancer
Interventions
Biological: Tislelizumab
First Posted Date
2022-08-26
Last Posted Date
2023-12-29
Lead Sponsor
West China Hospital
Target Recruit Count
23
Registration Number
NCT05517330
Locations
🇨🇳

Xingchen Peng, Chengdu, Sichuan, China

Neoadjuvant Chemotherapy, Tislelizumab With Afatinib for HNSCC

Phase 2
Recruiting
Conditions
Head and Neck Squamous Cell Carcinoma
Interventions
First Posted Date
2022-08-25
Last Posted Date
2023-12-29
Lead Sponsor
West China Hospital
Target Recruit Count
28
Registration Number
NCT05516589
Locations
🇨🇳

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

Pilot Trial for Treatment of Recurrent Glioblastoma

Early Phase 1
Recruiting
Conditions
Recurrent Glioblastoma
Glioblastoma
Recurrent Disease
Interventions
First Posted Date
2022-06-27
Last Posted Date
2025-04-25
Lead Sponsor
AHS Cancer Control Alberta
Target Recruit Count
10
Registration Number
NCT05432518
Locations
🇨🇦

Arthur J.E. Child Comprehensive Cancer Centre, Calgary, Alberta, Canada

Phase II Study of Afatinib Plus Bevacizumab in the Treatment Epidermal Growth Factor Receptor (EGFR) Exon G719X, S768I, and L861Q Mutation Metastatic Non-Small Cell Lung Cancer

Phase 2
Recruiting
Conditions
PFS
Interventions
First Posted Date
2022-03-04
Last Posted Date
2023-03-29
Lead Sponsor
Qingdao Central Hospital
Target Recruit Count
30
Registration Number
NCT05267288
Locations
🇨🇳

Qingdao Central Hospital, Qingdao, China

Primary Tumor Resection With EGFR TKI for Stage IV NSCLC

Phase 2
Active, not recruiting
Conditions
NSCLC Stage IV
Interventions
Procedure: therapeutic thoracic surgery
First Posted Date
2022-01-31
Last Posted Date
2025-02-19
Lead Sponsor
National Taiwan University Hospital
Target Recruit Count
100
Registration Number
NCT05215548
Locations
🇨🇳

National Taiwan University Hospital, Taipei, Taiwan

🇨🇳

National Taiwan University Cancer Center, Taipei, Taiwan

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