afatinib 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | BioActivity |

Stem definitionDrug idCAS RN
tyrosine kinase inhibitors 4318 850140-72-6

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • afatinib
  • tovok
  • afatinib dimaleate
  • gilotrif
  • BIBW2992
  • afatinib maleate
A quinazoline and butenamide derivative that acts as a tyrosine kinase inhibitor of epidermal growth factor receptors (ERBB RECEPTORS) and is used in the treatment of metastatic NON-SMALL CELL LUNG CANCER.
  • Molecular weight: 485.94
  • Formula: C24H25ClFN5O3
  • CLOGP: 4.34
  • LIPINSKI: 0
  • HAC: 8
  • HDO: 2
  • TPSA: 88.61
  • ALOGS: -4.58
  • ROTB: 8

  • Status: ONP

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

Drug dosage:

DoseUnitRoute
40 mg O

ADMET properties:

PropertyValueReference
BDDCS (Biopharmaceutical Drug Disposition Classification System) 3 Hosey CM, Chan R, Benet LZ

Approvals:

DateAgencyCompanyOrphan
Sept. 25, 2013 EMA
July 12, 2013 FDA BOEHRINGER INGELHEIM

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 1767.81 28.23 589 7855 67535 50529145
Diarrhoea 1204.21 28.23 888 7556 587588 50009092
Paronychia 779.08 28.23 175 8269 4389 50592291
Metastases to central nervous system 311.71 28.23 103 8341 11179 50585501
Stomatitis 293.22 28.23 192 8252 101152 50495528
Rash 223.60 28.23 316 8128 437155 50159525
Dermatitis acneiform 223.51 28.23 63 8381 3994 50592686
Decreased appetite 183.42 28.23 195 8249 200728 50395952
Dehydration 142.52 28.23 150 8294 152299 50444381
Metastases to meninges 137.59 28.23 37 8407 1965 50594715
Skin toxicity 129.48 28.23 41 8403 3872 50592808
Acne 98.05 28.23 53 8391 19542 50577138
EGFR gene mutation 96.99 28.23 19 8425 236 50596444
Dry skin 89.81 28.23 67 8377 43124 50553556
Pleural effusion 72.13 28.23 78 8366 81376 50515304
Skin fissures 65.51 28.23 31 8413 8637 50588043
Nail disorder 62.17 28.23 31 8413 9677 50587003
Mucosal inflammation 61.39 28.23 52 8392 40090 50556590
Skin disorder 58.41 28.23 41 8403 23989 50572691
Metastases to bone 56.49 28.23 36 8408 17959 50578721
Vomiting 55.92 28.23 186 8258 460572 50136108
Metastases to liver 55.24 28.23 37 8407 20067 50576613
Drug resistance 52.30 28.23 35 8409 18954 50577726
Metastases to lung 50.13 28.23 28 8416 10992 50585688
Interstitial lung disease 47.17 28.23 51 8393 53125 50543555
Death 46.39 28.23 139 8305 325240 50271440
Arthralgia 45.58 28.23 9 8435 438693 50157987
Small cell lung cancer 42.43 28.23 14 8430 1505 50595175
Cutaneous symptom 41.41 28.23 9 8435 191 50596489
Onychoclasis 37.48 28.23 18 8426 5178 50591502
Acquired gene mutation 37.26 28.23 11 8433 820 50595860
Gene mutation 36.65 28.23 12 8432 1259 50595421
Therapy partial responder 36.26 28.23 19 8425 6572 50590108
Oral pain 33.37 28.23 30 8414 25003 50571677
Nausea 31.59 28.23 213 8231 705185 49891495
Disease progression 31.53 28.23 57 8387 95809 50500871
Neoplasm progression 31.31 28.23 31 8413 29126 50567554
Pneumonitis 31 28.23 31 8413 29479 50567201
Rash pustular 30.93 28.23 17 8427 6464 50590216
Drug ineffective 29.35 28.23 58 8386 819275 49777405
Epistaxis 29.07 28.23 44 8400 63910 50532770
Condition aggravated 28.97 28.23 7 8437 297051 50299629

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 1266.62 34.93 452 3904 73407 29496764
Diarrhoea 577.10 34.93 433 3923 332265 29237906
Paronychia 354.09 34.93 83 4273 2870 29567301
Metastases to central nervous system 272.76 34.93 81 4275 7050 29563121
Rash 257.73 34.93 216 4140 189603 29380568
Stomatitis 223.92 34.93 109 4247 37004 29533167
EGFR gene mutation 128.46 34.93 21 4335 95 29570076
Dermatitis acneiform 109.26 34.93 38 4318 5453 29564718
Interstitial lung disease 90.79 34.93 72 4284 57646 29512525
Decreased appetite 80.99 34.93 103 4253 145239 29424932
Acne 55.16 34.93 27 4329 9193 29560978
Lymphangiosis carcinomatosa 52.82 34.93 14 4342 798 29569373
Skin toxicity 52.27 34.93 20 4336 3751 29566420
Metastases to meninges 51.76 34.93 15 4341 1190 29568981
Dehydration 45.28 34.93 69 4287 114679 29455492
Metastases to bone 44.74 34.93 24 4332 9874 29560297
Pleural effusion 39.94 34.93 51 4305 71857 29498314

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 2531.71 25.38 891 10718 111980 64375143
Diarrhoea 1524.00 25.38 1146 10463 721558 63765565
Paronychia 1014.95 25.38 235 11374 6257 64480866
Stomatitis 464.16 25.38 272 11337 109333 64377790
Metastases to central nervous system 446.92 25.38 145 11464 13767 64473356
Rash 419.07 25.38 460 11149 458089 64029034
Dermatitis acneiform 320.61 25.38 100 11509 8343 64478780
EGFR gene mutation 223.14 25.38 41 11568 323 64486800
Decreased appetite 221.26 25.38 262 11347 281027 64206096
Metastases to meninges 175.62 25.38 49 11560 2766 64484357
Skin toxicity 161.08 25.38 56 11553 6546 64480577
Dehydration 146.03 25.38 187 11422 216576 64270547
Acne 126.42 25.38 68 11541 23013 64464110
Interstitial lung disease 109.60 25.38 110 11499 97622 64389501
Dry skin 95.93 25.38 77 11532 51084 64436039
Metastases to bone 92.18 25.38 53 11556 20382 64466741
Pleural effusion 91.11 25.38 113 11496 126446 64360677
Metastases to liver 86.94 25.38 54 11555 23887 64463236
Nail disorder 78.78 25.38 36 11573 8588 64478535
Lymphangiosis carcinomatosa 75.12 25.38 23 11586 1798 64485325
Skin fissures 66.79 25.38 34 11575 10272 64476851
Small cell lung cancer 66.55 25.38 23 11586 2638 64484485
Drug resistance 66.14 25.38 53 11556 35049 64452074
Mucosal inflammation 62.08 25.38 66 11543 62518 64424605
Metastases to lung 62.01 25.38 37 11572 15227 64471896
Vomiting 57.51 25.38 223 11386 550894 63936229
Therapy partial responder 55.55 25.38 30 11579 10218 64476905
Skin disorder 52.58 25.38 42 11567 27638 64459485
Cutaneous symptom 48.33 25.38 12 11597 428 64486695
Rash pustular 48.24 25.38 27 11582 9858 64477265
Gene mutation 44.45 25.38 16 11593 2066 64485057
Arthralgia 41.46 25.38 14 11595 442246 64044877
Acquired gene mutation 41.42 25.38 15 11594 1971 64485152
Drug interaction 38.49 25.38 9 11600 362074 64125049
Nausea 37.90 25.38 256 11353 785544 63701579
Malignant neoplasm of pleura 37.05 25.38 8 11601 152 64486971
Condition aggravated 34.52 25.38 12 11597 372414 64114709
Death 34.06 25.38 174 11435 482531 64004592
Neoplasm progression 33.38 25.38 39 11570 40925 64446198
Drug ineffective 32.53 25.38 64 11545 840183 63646940
Onychoclasis 32.25 25.38 16 11593 4576 64482547
Metastases to pleura 31.90 25.38 11 11598 1253 64485870
Gastrointestinal toxicity 30.02 25.38 16 11593 5306 64481817
Dysgeusia 29.07 25.38 39 11570 47008 64440115
Angular cheilitis 27.93 25.38 8 11601 496 64486627
Small cell carcinoma 26.93 25.38 7 11602 301 64486822
Metastasis 26.28 25.38 15 11594 5680 64481443
Toxicity to various agents 25.62 25.38 17 11592 363496 64123627

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01EB03 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:38637 tyrosine kinase inhibitors

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

DiseaseRelationSNOMED_IDDOID
Non-small cell lung cancer, positive for epidermal growth factor receptor expression indication 426964009




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 11.1 acidic
pKa2 8.94 Basic
pKa3 4.09 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
EQ 20MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL 9539258 Nov. 9, 2026 TREATMENT OF PATIENTS WITH ADVANCED (METASTATIC) NON-SMALL CELL LUNG CANCER WHOSE DISEASE PROGRESSED DURING OR AFTER PLATINUM-BASED CHEMOTHERAPY
EQ 30MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL 9539258 Nov. 9, 2026 TREATMENT OF PATIENTS WITH ADVANCED (METASTATIC) NON-SMALL CELL LUNG CANCER WHOSE DISEASE PROGRESSED DURING OR AFTER PLATINUM-BASED CHEMOTHERAPY
EQ 40MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL 9539258 Nov. 9, 2026 TREATMENT OF PATIENTS WITH ADVANCED (METASTATIC) NON-SMALL CELL LUNG CANCER WHOSE DISEASE PROGRESSED DURING OR AFTER PLATINUM-BASED CHEMOTHERAPY

Orange Book exclusivity data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRouteExclusivity dateDescription
EQ 20MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL April 15, 2023 TREATMENT OF PATIENTS WITH METASTATIC, SQUAMOUS, NON-SMALL CELL LUNG CANCER PROGRESSING AFTER PLATINUM-BASED CHEMOTHERAPY
EQ 30MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL April 15, 2023 TREATMENT OF PATIENTS WITH METASTATIC, SQUAMOUS, NON-SMALL CELL LUNG CANCER PROGRESSING AFTER PLATINUM-BASED CHEMOTHERAPY
EQ 40MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL April 15, 2023 TREATMENT OF PATIENTS WITH METASTATIC, SQUAMOUS, NON-SMALL CELL LUNG CANCER PROGRESSING AFTER PLATINUM-BASED CHEMOTHERAPY
EQ 20MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Oct. 15, 2023 PEDIATRIC EXCLUSIVITY
EQ 30MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Oct. 15, 2023 PEDIATRIC EXCLUSIVITY
EQ 40MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Oct. 15, 2023 PEDIATRIC EXCLUSIVITY
EQ 20MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Jan. 12, 2025 FIRST-LINE TREATMENT OF METASTATIC NON-SMALL CELL LUNG CANCER WHOSE TUMORS HAVE NON-RESISTANT EPIDERMAL GROWTH FACTOR (EGFR) MUTATIONS OTHER THAN EXON 19 DELETIONS OR EXON 21 (L858R) SUBSTITUTION MUTATIONS AS DETECTED BY AN FDA-APPROVED TEST
EQ 30MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Jan. 12, 2025 FIRST-LINE TREATMENT OF METASTATIC NON-SMALL CELL LUNG CANCER WHOSE TUMORS HAVE NON-RESISTANT EPIDERMAL GROWTH FACTOR (EGFR) MUTATIONS OTHER THAN EXON 19 DELETIONS OR EXON 21 (L858R) SUBSTITUTION MUTATIONS AS DETECTED BY AN FDA-APPROVED TEST
EQ 40MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL Jan. 12, 2025 FIRST-LINE TREATMENT OF METASTATIC NON-SMALL CELL LUNG CANCER WHOSE TUMORS HAVE NON-RESISTANT EPIDERMAL GROWTH FACTOR (EGFR) MUTATIONS OTHER THAN EXON 19 DELETIONS OR EXON 21 (L858R) SUBSTITUTION MUTATIONS AS DETECTED BY AN FDA-APPROVED TEST
EQ 20MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL July 12, 2025 PEDIATRIC EXCLUSIVITY
EQ 30MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL July 12, 2025 PEDIATRIC EXCLUSIVITY
EQ 40MG BASE GILOTRIF BOEHRINGER INGELHEIM N201292 July 12, 2013 RX TABLET ORAL July 12, 2025 PEDIATRIC EXCLUSIVITY

Bioactivity Summary:

TargetClassPharosUniProtActionTypeActivity value
(-log[M])
Mechanism
action
Bioact sourceMoA source
Epidermal growth factor receptor Kinase INHIBITOR Kd 10 CHEMBL CHEMBL
Receptor tyrosine-protein kinase erbB-4 Kinase INHIBITOR Kd 8.20 CHEMBL CHEMBL
Receptor tyrosine-protein kinase erbB-2 Kinase INHIBITOR Kd 8.30 CHEMBL CHEMBL
Tyrosine-protein kinase Lck Kinase Kd 6.24 CHEMBL
Receptor-type tyrosine-protein kinase FLT3 Kinase Kd 5.85 CHEMBL
Phosphorylase b kinase gamma catalytic chain, liver/testis isoform Kinase Kd 6.33 CHEMBL
Myosin light chain kinase, smooth muscle Kinase Kd 4.50 CHEMBL
Tyrosine-protein kinase HCK Kinase Kd 5.66 CHEMBL
Mitogen-activated protein kinase 10 Kinase Kd 5.70 CHEMBL
Hepatocyte growth factor receptor Kinase Kd 5.66 CHEMBL
Phosphorylase b kinase gamma catalytic chain, skeletal muscle/heart isoform Kinase Kd 5.89 CHEMBL
Serine/threonine-protein kinase 10 Kinase Kd 5.37 CHEMBL
Mitogen-activated protein kinase 11 Kinase Kd 5.55 CHEMBL
Serine/threonine-protein kinase 17A Kinase Kd 5.64 CHEMBL
Ephrin type-A receptor 6 Kinase Kd 6.47 CHEMBL
Casein kinase I isoform epsilon Kinase Kd 5.89 CHEMBL
Mitogen-activated protein kinase 14 Kinase Kd 5.89 CHEMBL
Tyrosine-protein kinase FRK Kinase Kd 5.85 CHEMBL
Cyclin-G-associated kinase Kinase Kd 7.10 CHEMBL
Receptor-interacting serine/threonine-protein kinase 2 Kinase Kd 5.57 CHEMBL
STE20-like serine/threonine-protein kinase Kinase Kd 5.43 CHEMBL
MAP kinase-interacting serine/threonine-protein kinase 2 Kinase Kd 5.80 CHEMBL
Mitogen-activated protein kinase 9 Kinase Kd 5.68 CHEMBL
MAP kinase-activated protein kinase 2 Kinase Kd 6.09 CHEMBL
Tyrosine-protein kinase receptor UFO Kinase Kd 5.28 CHEMBL
Ribosomal protein S6 kinase alpha-6 Kinase Kd 5.51 CHEMBL
Tyrosine-protein kinase TXK Kinase Kd 5.51 CHEMBL
Dual specificity tyrosine-phosphorylation-regulated kinase 1B Kinase Kd 5.55 CHEMBL
MAP kinase-interacting serine/threonine-protein kinase 1 Kinase Kd 5.74 CHEMBL
Tyrosine-protein kinase Blk Kinase Kd 6.66 CHEMBL
Citron Rho-interacting kinase Kinase Kd 5.54 CHEMBL
Dual specificity tyrosine-phosphorylation-regulated kinase 1A Kinase Kd 6.01 CHEMBL
Dual specificity tyrosine-phosphorylation-regulated kinase 2 Kinase Kd 5.74 CHEMBL
Ephrin type-B receptor 6 Kinase Kd 5.51 CHEMBL
Homeodomain-interacting protein kinase 4 Kinase Kd 6.44 CHEMBL
Interleukin-1 receptor-associated kinase 1 Kinase Kd 6.62 CHEMBL
Receptor tyrosine-protein kinase erbB-3 Kinase Kd 5.35 CHEMBL
Serine/threonine-protein kinase SBK1 Kinase Kd 5.32 CHEMBL
Adenosine kinase Kinase Kd 5.46 CHEMBL
Dual specificity mitogen-activated protein kinase kinase 5 Kinase Kd 5.89 CHEMBL
Tyrosine-protein kinase ABL1 Kinase Kd 6.64 CHEMBL
Proto-oncogene tyrosine-protein kinase Src Kinase Kd 5.55 CHEMBL

External reference:

IDSource
4032662 VUID
N0000188388 NUI
D09724 KEGG_DRUG
850140-73-7 SECONDARY_CAS_RN
4032662 VANDF
4032663 VANDF
C2987648 UMLSCUI
CHEBI:61390 CHEBI
0WM PDB_CHEM_ID
CHEMBL1173655 ChEMBL_ID
D000077716 MESH_DESCRIPTOR_UI
DB08916 DRUGBANK_ID
5667 IUPHAR_LIGAND_ID
9230 INN_ID
41UD74L59M UNII
10184653 PUBCHEM_CID
1430268 RXNORM
204142 MMSL
29566 MMSL
d08113 MMSL
015117 NDDF
015118 NDDF
703579002 SNOMEDCT_US
703580004 SNOMEDCT_US
703582007 SNOMEDCT_US
CHEMBL2105712 ChEMBL_ID
CHEMBL2347958 ChEMBL_ID

Pharmaceutical products:

ProductCategoryIngredientsNDCFormQuantityRouteMarketingLabel
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0137 TABLET, FILM COATED 30 mg ORAL NDA 31 sections
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0137 TABLET, FILM COATED 30 mg ORAL NDA 31 sections
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0138 TABLET, FILM COATED 40 mg ORAL NDA 31 sections
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0138 TABLET, FILM COATED 40 mg ORAL NDA 31 sections
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0141 TABLET, FILM COATED 20 mg ORAL NDA 31 sections
Gilotrif HUMAN PRESCRIPTION DRUG LABEL 1 0597-0141 TABLET, FILM COATED 20 mg ORAL NDA 31 sections