gefitinib ๐Ÿถ Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
tyrosine kinase inhibitors 1282 184475-35-2

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • ZD1839
  • gefitinib
  • iressa
  • ZD 1839
Gefitinib reversibly inhibits the kinase activity of wild-type and certain activating mutations of EGFR, preventing autophosphorylation of tyrosine residues associated with the receptor, thereby inhibiting further downstream signalling and blocking EGFR-dependent proliferation.
  • Molecular weight: 446.91
  • Formula: C22H24ClFN4O3
  • CLOGP: 5.25
  • LIPINSKI: 1
  • HAC: 7
  • HDO: 1
  • TPSA: 68.74
  • ALOGS: -4.22
  • ROTB: 8

  • Status: OFP

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

DoseUnitRoute
0.25 g O

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 2 Benet LZ, Broccatelli F, Oprea TI
S (Water solubility) 0.00 mg/mL Benet LZ, Broccatelli F, Oprea TI
EoM (Fraction excreted unchanged in urine) 2 % Benet LZ, Broccatelli F, Oprea TI
MRTD (Maximum Recommended Therapeutic Daily Dose) 8 ยตM/kg/day Contrera JF, Matthews EJ, Kruhlak NL, Benz RD
BA (Bioavailability) 60 % Kim MT, Sedykh A, Chakravarti SK, Saiakhov RD, Zhu H
Vd (Volume of distribution) 23 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 12 mL/min/kg Lombardo F, Berellini G, Obach RS
fu (Fraction unbound in plasma) 0.09 % Lombardo F, Berellini G, Obach RS
t_half (Half-life) 34 hours Lombardo F, Berellini G, Obach RS

Approvals:

DateAgencyCompanyOrphan
May 5, 2003 FDA

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Malignant neoplasm progression 1178.77 23.83 410 6511 81711 63400390
Drug resistance 730.58 23.83 211 6710 22722 63459379
Acquired gene mutation 429.99 23.83 77 6844 906 63481195
Metastases to central nervous system 310.01 23.83 96 6825 13009 63469092
EGFR gene mutation 288.10 23.83 46 6875 251 63481850
Interstitial lung disease 253.53 23.83 127 6794 61781 63420320
Hepatic function abnormal 238.35 23.83 104 6817 37038 63445063
Disease progression 191.49 23.83 135 6786 122623 63359478
Malignant transformation 184.51 23.83 33 6888 384 63481717
Liver disorder 173.40 23.83 94 6827 53593 63428508
Diarrhoea 146.03 23.83 270 6651 715096 62767005
Paronychia 145.24 23.83 44 6877 5521 63476580
Metastases to meninges 124.33 23.83 33 6888 2569 63479532
Lung disorder 102.77 23.83 71 6850 62190 63419911
Dermatitis acneiform 86.88 23.83 29 6892 4967 63477134
Gene mutation 74.25 23.83 20 6901 1645 63480456
Metastases to lung 69.83 23.83 32 6889 12718 63469383
Metastases to bone 68.31 23.83 37 6884 20982 63461119
Pleural effusion 64.15 23.83 64 6857 93146 63388955
Small cell lung cancer 60.54 23.83 17 6904 1632 63480469
Skin toxicity 53.77 23.83 20 6901 4694 63477407
Metastases to liver 43.83 23.83 29 6892 23610 63458491
Hepatotoxicity 42.55 23.83 34 6887 37007 63445094
Rash 40.13 23.83 143 6778 560728 62921373
Therapy partial responder 38.10 23.83 20 6901 10638 63471463
Skin disorder 38.04 23.83 29 6892 29478 63452623
Arthralgia 32.25 23.83 11 6910 569699 62912402
Metastasis 31.48 23.83 14 6907 5183 63476918
Leukoencephalopathy 30.35 23.83 13 6908 4400 63477701
Pneumothorax 30.26 23.83 20 6901 16241 63465860
Dry skin 28.42 23.83 33 6888 56854 63425247
Lymphangiosis carcinomatosa 27.57 23.83 9 6912 1436 63480665
PRIDE syndrome 26.06 23.83 4 6917 16 63482085
Carcinoembryonic antigen increased 25.81 23.83 9 6912 1756 63480345
Pneumonitis 25.71 23.83 25 6896 35197 63446904
Neoplasm progression 25.00 23.83 25 6896 36403 63445698
Hepatitis 24.93 23.83 26 6895 39762 63442339
Sarcomatoid carcinoma 24.06 23.83 4 6917 29 63482072

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Malignant neoplasm progression 482.14 24.00 240 4827 87806 34864058
Interstitial lung disease 289.97 24.00 155 4912 65127 34886737
Drug resistance 273.12 24.00 112 4955 25815 34926049
Acquired gene mutation 210.87 24.00 47 5020 1308 34950556
EGFR gene mutation 182.04 24.00 30 5037 147 34951717
Lung disorder 155.33 24.00 83 4984 34613 34917251
Metastases to central nervous system 123.53 24.00 46 5021 8159 34943705
Disease progression 103.62 24.00 101 4966 107976 34843888
Rash 92.93 24.00 136 4931 222616 34729248
Metastases to bone 78.07 24.00 37 5030 11933 34939931
Hepatic function abnormal 65.44 24.00 53 5014 44310 34907554
Metastases to meninges 57.87 24.00 17 5050 1437 34950427
Diarrhoea 56.82 24.00 153 4914 389759 34562105
Dermatitis acneiform 52.56 24.00 23 5044 6166 34945698
Malignant transformation 52.39 24.00 14 5053 837 34951027
Mitochondrial aspartate aminotransferase increased 50.03 24.00 7 5060 7 34951857
Metastases to lung 49.36 24.00 25 5042 9295 34942569
Metastases to liver 48.22 24.00 28 5039 13635 34938229
Metastases to pleura 45.10 24.00 11 5056 455 34951409
Liver disorder 41.54 24.00 36 5031 32961 34918903
Lymphangiosis carcinomatosa 37.54 24.00 11 5056 921 34950943
Paronychia 30.03 24.00 13 5054 3392 34948472
Dehydration 28.51 24.00 60 5007 129909 34821955
Vomiting 28.00 24.00 89 4978 247532 34704332
Decreased appetite 24.73 24.00 66 5001 166326 34785538
Malignant pleural effusion 24.53 24.00 9 5058 1527 34950337

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Malignant neoplasm progression 1253.70 22.18 521 10217 135469 79598181
Drug resistance 887.62 22.18 297 10441 41916 79691734
Acquired gene mutation 587.69 22.18 118 10620 2115 79731535
Interstitial lung disease 468.42 22.18 250 10488 112350 79621300
EGFR gene mutation 442.94 22.18 73 10665 391 79733259
Metastases to central nervous system 366.48 22.18 121 10617 16254 79717396
Hepatic function abnormal 285.87 22.18 156 10582 72951 79660699
Lung disorder 214.42 22.18 134 10604 80423 79653227
Malignant transformation 202.30 22.18 44 10694 1174 79732476
Liver disorder 201.68 22.18 124 10614 72293 79661357
Disease progression 169.47 22.18 163 10575 184199 79549451
Diarrhoea 164.58 22.18 363 10375 880126 78853524
Metastases to meninges 150.43 22.18 43 10695 3558 79730092
Paronychia 144.26 22.18 50 10688 7758 79725892
Metastases to bone 141.45 22.18 68 10670 24359 79709291
Dermatitis acneiform 128.61 22.18 49 10689 9944 79723706
Rash 125.62 22.18 254 10484 578104 79155546
Metastases to lung 94.46 22.18 47 10691 18116 79715534
Pleural effusion 73.38 22.18 94 10644 145168 79588482
Gene mutation 72.89 22.18 23 10715 2663 79730987
Small cell lung cancer 71.32 22.18 23 10715 2857 79730793
Metastases to liver 67.51 22.18 44 10694 28270 79705380
Lymphangiosis carcinomatosa 60.77 22.18 19 10719 2135 79731515
Skin toxicity 60.09 22.18 27 10711 8287 79725363
Mitochondrial aspartate aminotransferase increased 50.54 22.18 7 10731 7 79733643
Hepatotoxicity 50.06 22.18 47 10691 51305 79682345
Metastasis 48.63 22.18 22 10716 6858 79726792
Skin disorder 45.00 22.18 37 10701 33906 79699744
Malignant pleural effusion 41.42 22.18 16 10722 3364 79730286
Therapy partial responder 41.38 22.18 27 10711 17370 79716280
Metastases to pleura 40.90 22.18 13 10725 1541 79732109
Decreased appetite 40.19 22.18 119 10619 342299 79391351
Cystitis haemorrhagic 39.76 22.18 21 10717 9151 79724499
Arthralgia 39.32 22.18 14 10724 571789 79161861
Metastases to lymph nodes 37.29 22.18 21 10717 10376 79723274
Leukoencephalopathy 36.78 22.18 19 10719 7910 79725740
Pneumothorax 35.72 22.18 30 10708 28293 79705357
Dehydration 32.73 22.18 90 10648 248097 79485553
PRIDE syndrome 32.39 22.18 5 10733 16 79733634
Alanine aminotransferase increased 29.93 22.18 67 10671 162503 79571147
Carcinoembryonic antigen increased 29.02 22.18 11 10727 2198 79731452
Pneumatosis intestinalis 28.73 22.18 15 10723 6382 79727268
Respiratory failure 28.35 22.18 70 10668 180841 79552809
Dry skin 28.18 22.18 40 10698 67955 79665695
Drug hypersensitivity 27.08 22.18 4 10734 298912 79434738
Lung infiltration 26.31 22.18 23 10715 22889 79710761
Pain 25.07 22.18 35 10703 703767 79029883
Pneumonia 24.97 22.18 163 10575 660083 79073567
Pneumonitis 24.04 22.18 35 10703 60825 79672825
Cerebral infarction 23.72 22.18 30 10708 45646 79688004
Peripheral swelling 23.53 22.18 4 10734 269613 79464037
Lung carcinoma cell type unspecified recurrent 23.43 22.18 6 10732 327 79733323
Radiation pneumonitis 22.90 22.18 11 10727 3922 79729728
Pulmonary embolism 22.36 22.18 62 10676 171592 79562058

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01EB01 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
PROTEIN KINASE INHIBITORS
Epidermal growth factor receptor (EGFR) tyrosine kinase inhibitors
FDA MoA N0000175076 Protein Kinase Inhibitors
MeSH PA D000970 Antineoplastic Agents
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D047428 Protein Kinase Inhibitors
FDA EPC N0000175605 Kinase Inhibitor
CHEBI has role CHEBI:35610 antineoplastic agents
CHEBI has role CHEBI:74440 EGFR antagonoists

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Non-small cell lung cancer indication 254637007 DOID:3908
Non-small cell lung cancer, positive for epidermal growth factor receptor expression indication 426964009
Fibrosis of lung contraindication 51615001 DOID:3770
Acute nephropathy contraindication 58574008
Interstitial pneumonia contraindication 64667001
Disease of liver contraindication 235856003 DOID:409
Pregnancy, function contraindication 289908002
Breastfeeding (mother) contraindication 413712001
Non-small cell lung cancer, negative for epidermal growth factor receptor expression contraindication 427038005




๐Ÿถ Veterinary Drug Use

None

๐Ÿถ Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 7.65 Basic
pKa2 5.8 Basic

Orange Book patent data (new drug applications)

None

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Epidermal growth factor receptor Kinase INHIBITOR Ki 9.40 CHEMBL CHEMBL
ATP-binding cassette sub-family G member 2 Transporter IC50 5.96 CHEMBL
Tyrosine-protein kinase ABL1 Kinase Kd 6.64 CHEMBL
Mast/stem cell growth factor receptor Kit Kinase Kd 5.74 CHEMBL
Tyrosine-protein kinase Lck Kinase Kd 6.20 CHEMBL
Serine/threonine-protein kinase B-raf Kinase IC50 5.70 CHEMBL
Receptor-type tyrosine-protein kinase FLT3 Kinase Kd 6 CHEMBL
Proto-oncogene tyrosine-protein kinase receptor Ret Kinase IC50 5.77 CHEMBL
Vascular endothelial growth factor receptor 2 Kinase IC50 5.72 CHEMBL
Receptor tyrosine-protein kinase erbB-2 Kinase Kd 5.96 CHEMBL
Phosphorylase b kinase gamma catalytic chain, liver/testis isoform Kinase Kd 5.57 CHEMBL
Death-associated protein kinase 3 Kinase Kd 5.24 CHEMBL
Tyrosine-protein kinase HCK Kinase Kd 5.36 CHEMBL
Receptor tyrosine-protein kinase erbB-4 Kinase Kd 6.39 CHEMBL
Mitogen-activated protein kinase 10 Kinase Kd 5.64 CHEMBL
Myosin light chain kinase 2, skeletal/cardiac muscle Kinase Kd 5.72 CHEMBL
Ephrin type-A receptor 8 Kinase Kd 5.74 CHEMBL
Hepatocyte growth factor receptor Kinase Kd 5.46 CHEMBL
Tyrosine-protein kinase Lyn Kinase Kd 6 CHEMBL
Phosphorylase b kinase gamma catalytic chain, skeletal muscle/heart isoform Kinase Kd 5.43 CHEMBL
Serine/threonine-protein kinase 17B Kinase Kd 5.42 CHEMBL
Serine/threonine-protein kinase 10 Kinase Kd 6.33 CHEMBL
Abelson tyrosine-protein kinase 2 Kinase Kd 5.80 CHEMBL
Ephrin type-A receptor 5 Kinase Kd 5.82 CHEMBL
Serine/threonine-protein kinase 17A Kinase Kd 5.70 CHEMBL
Ephrin type-A receptor 6 Kinase Kd 6.23 CHEMBL
TRAF2 and NCK-interacting protein kinase Kinase Kd 5.16 CHEMBL
Casein kinase I isoform epsilon Kinase Kd 6.37 CHEMBL
Tyrosine-protein kinase Fgr Kinase Kd 5.59 CHEMBL
Serine/threonine-protein kinase 36 Kinase Kd 5.24 CHEMBL
Ephrin type-A receptor 3 Kinase Kd 5.26 CHEMBL
Tyrosine-protein kinase FRK Kinase Kd 5.70 CHEMBL
Beta-secretase 1 Enzyme IC50 4.70 CHEMBL
Cyclin-G-associated kinase Kinase Kd 8.15 CHEMBL
Receptor-interacting serine/threonine-protein kinase 2 Kinase Kd 6.28 CHEMBL
Ephrin type-B receptor 1 Kinase Kd 5.89 CHEMBL
Activated CDC42 kinase 1 Kinase IC50 5.64 CHEMBL
STE20-like serine/threonine-protein kinase Kinase Kd 6.04 CHEMBL
MAP kinase-interacting serine/threonine-protein kinase 2 Kinase Kd 6.44 CHEMBL
Mitogen-activated protein kinase 9 Kinase Kd 5.85 CHEMBL
Ephrin type-B receptor 4 Kinase Kd 5.60 CHEMBL
Phosphatidylinositol 5-phosphate 4-kinase type-2 gamma Kinase Kd 5.12 CHEMBL
Protein-tyrosine kinase 6 Kinase IC50 6.01 CHEMBL
Tyrosine-protein kinase receptor UFO Kinase Kd 5.74 CHEMBL
Cyclin-dependent kinase 7 Kinase Kd 6.21 CHEMBL
Serine/threonine-protein kinase D1 Kinase Kd 5.46 CHEMBL
Serine/threonine-protein kinase DCLK3 Kinase Kd 5.54 CHEMBL
NUAK family SNF1-like kinase 2 Kinase Kd 5.34 CHEMBL
Casein kinase I isoform delta Kinase Kd 5.49 CHEMBL
Tyrosine-protein kinase TXK Kinase Kd 5.22 CHEMBL
MAP kinase-interacting serine/threonine-protein kinase 1 Kinase Kd 6.54 CHEMBL
Serine/threonine-protein kinase NLK Kinase Kd 5.38 CHEMBL
Interleukin-1 receptor-associated kinase 3 Kinase Kd 5.82 CHEMBL
Serine/threonine-protein kinase SIK2 Kinase Kd 5.68 CHEMBL
Myotonin-protein kinase Kinase Kd 5.16 CHEMBL
Leukocyte tyrosine kinase receptor Kinase Kd 5.26 CHEMBL
Serine/threonine-protein kinase pim-3 Kinase Kd 5.24 CHEMBL
Tyrosine-protein kinase Blk Kinase Kd 5.92 CHEMBL
Citron Rho-interacting kinase Kinase Kd 5.89 CHEMBL
Ephrin type-A receptor 1 Kinase Kd 5.40 CHEMBL
Mitogen-activated protein kinase 6 Kinase Kd 5.80 CHEMBL
Mitogen-activated protein kinase 4 Kinase Kd 5.51 CHEMBL
Ribosomal protein S6 kinase alpha-4 Kinase Kd 5.92 CHEMBL
Misshapen-like kinase 1 Kinase Kd 5.74 CHEMBL
Interleukin-1 receptor-associated kinase 4 Kinase Kd 6.27 CHEMBL
Serine/threonine-protein kinase Chk2 Kinase Kd 6.10 CHEMBL
Ephrin type-B receptor 6 Kinase Kd 5.49 CHEMBL
Homeodomain-interacting protein kinase 4 Kinase Kd 6.51 CHEMBL
Interleukin-1 receptor-associated kinase 1 Kinase Kd 7.16 CHEMBL
Mitogen-activated protein kinase kinase kinase 2 Kinase Kd 5.48 CHEMBL
Mitogen-activated protein kinase kinase kinase 3 Kinase Kd 5.68 CHEMBL
Mitogen-activated protein kinase kinase kinase 19 Kinase Kd 6.62 CHEMBL
Receptor tyrosine-protein kinase erbB-3 Kinase Kd 6.10 CHEMBL
Serine/threonine-protein kinase SBK1 Kinase Kd 6.25 CHEMBL
Dual specificity mitogen-activated protein kinase kinase 5 Kinase Kd 6.22 CHEMBL
Ferrochelatase, mitochondrial Enzyme Kd 5.17 CHEMBL
Receptor-interacting serine/threonine-protein kinase 3 Kinase Kd 5.57 CHEMBL
Acyl-CoA dehydrogenase family member 10 Enzyme Kd 4.47 CHEMBL
Transcription factor p65 Transcription factor IC50 7.26 CHEMBL
Multidrug resistance protein 1 Transporter IC50 4.70 CHEMBL
Proto-oncogene tyrosine-protein kinase Src Kinase Kd 5.42 SCIENTIFIC LITERATURE
Serine/threonine-protein kinase ULK3 Kinase Kd 5.85 CHEMBL
Tubulin alpha-1A chain Structural Kd 6.39 CHEMBL
Cruzipain Enzyme IC50 4.06 CHEMBL
Quinolone resistance protein NorA Transporter IC50 5.01 CHEMBL

External reference:

IDSource
4021392 VUID
N0000148810 NUI
D01977 KEGG_DRUG
4021392 VANDF
C1122962 UMLSCUI
CHEBI:49668 CHEBI
IRE PDB_CHEM_ID
CHEMBL939 ChEMBL_ID
D000077156 MESH_DESCRIPTOR_UI
DB00317 DRUGBANK_ID
4941 IUPHAR_LIGAND_ID
8204 INN_ID
S65743JHBS UNII
123631 PUBCHEM_CID
281883 RXNORM
17257 MMSL
256478 MMSL
46712 MMSL
d04868 MMSL
009981 NDDF
398685009 SNOMEDCT_US
407100002 SNOMEDCT_US

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
IRESSA HUMAN PRESCRIPTION DRUG LABEL 1 0310-0482 TABLET, COATED 250 mg ORAL NDA 28 sections
IRESSA HUMAN PRESCRIPTION DRUG LABEL 1 0310-0482 TABLET, COATED 250 mg ORAL NDA 28 sections
IRESSA HUMAN PRESCRIPTION DRUG LABEL 1 0310-0482 TABLET, COATED 250 mg ORAL NDA 28 sections
Gefitinib HUMAN PRESCRIPTION DRUG LABEL 1 0480-4053 TABLET, FILM COATED 250 mg ORAL ANDA 26 sections
Gefitinib HUMAN PRESCRIPTION DRUG LABEL 1 50742-366 TABLET, COATED 250 mg ORAL ANDA 26 sections
Gefitinib HUMAN PRESCRIPTION DRUG LABEL 1 60505-4512 TABLET 250 mg ORAL ANDA 26 sections
Gefitinib HUMAN PRESCRIPTION DRUG LABEL 1 67184-0531 TABLET, COATED 250 mg ORAL ANDA 26 sections
Gefitinib Human Prescription Drug Label 1 69339-168 TABLET, FILM COATED 250 mg ORAL ANDA 25 sections