Erdafitinib
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Also known as BalversaJnj-42756493Erdafitinib (JNJ-42756493)Erdafitnib
Summary
Erdafitinib (CHEMBL3545376) is an approved small molecule (ATC L01EN01) targeting FGFR1, FGFR2, and FGFR3; indicated across 16 conditions including neoplasm and urothelial carcinoma; with CIViC clinical evidence for 33 variant-indication associations (e.g. FGFR3::v Fusion in transitional cell carcinoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01EN01
- Targets: 5 (FGFR1, FGFR2, FGFR3…)
- Indications: 16 conditions
- Clinical trials: 35
- Precision-oncology evidence (CIViC): 33 variant–indication associations
- Chemistry: 446.5 Da · C25H30N6O2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL3545376 |
| Name | Erdafitinib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 67462786 |
| ATC | L01EN01 |
| Molecular formula | C25H30N6O2 |
| Molecular weight | 446.5 |
| InChIKey | OLAHOMJCDNXHFI-UHFFFAOYSA-N |
SMILES: CC(C)NCCN(C1=CC2=NC(=CN=C2C=C1)C3=CN(N=C3)C)C4=CC(=CC(=C4)OC)OC
IUPAC name: N’-(3,5-dimethoxyphenyl)-N’-[3-(1-methylpyrazol-4-yl)quinoxalin-6-yl]-N-propan-2-ylethane-1,2-diamine
Also known as: Balversa, Erdafitinib, Jnj-42756493, JNJ-42756493, ERDAFITINIB, Erdafitinib (JNJ-42756493), erdafitinib, ErdafItinib, Erdafitnib
Parent form; salt/anhydrous children: CHEMBL3918638, CHEMBL3919709, CHEMBL3948043, CHEMBL3975791
Patent coverage: 1,173 distinct patent families (2,794 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 2,665 (95%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| FGFR1 | fibroblast growth factor receptor 1 | Inhibition | 8.94 | 11.5% | P11362 |
| FGFR2 | fibroblast growth factor receptor 2 | Inhibition | 8.64 | 1.7% | P21802 |
| FGFR3 | fibroblast growth factor receptor 3 | Inhibition | 8.52 | 0.5% | P22607 |
| FGFR4 | fibroblast growth factor receptor 4 | Inhibition | 8.25 | 0.7% | P22455 |
| KDR | kinase insert domain receptor | Inhibition | 7.44 | 1.1% | P35968 |
Broader ChEMBL bioactivity targets: 17 (assay-derived). Sample: 5-hydroxytryptamine receptor 2B, Alpha-2C adrenergic receptor, Muscarinic acetylcholine receptor M1, Sodium-dependent noradrenaline transporter, Sodium-dependent serotonin transporter, D(3) dopamine receptor, Delta-type opioid receptor, Sodium-dependent dopamine transporter, Adenosine receptor A3, Fibroblast growth factor receptor 3, Vascular endothelial growth factor receptor 2, 3’,5’-cyclic-AMP phosphodiesterase 4D, Vascular endothelial growth factor receptor 2, Fibroblast growth factor receptor 1, Fibroblast growth factor receptor 4, Fibroblast growth factor receptor 2, TEL/KDR.
Bioactivity
ChEMBL activities: 80 potent at pChembl ≥ 5 of 85 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| FGFR2 | 10.27 | IC50 | 0.05 | nM | CHEMBL_ACT_29151885 |
| FGFR3 | 10.18 | IC50 | 0.07 | nM | CHEMBL_ACT_29152172 |
| P35918 | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_19130930 |
| FGFR2 | 9.96 | IC50 | 0.11 | nM | CHEMBL_ACT_29152142 |
| FGFR2 | 9.72 | IC50 | 0.19 | nM | CHEMBL_ACT_29152154 |
| FGFR2 | 9.7 | IC50 | 0.2 | nM | CHEMBL_ACT_29057018 |
| FGFR1 | 9.6 | IC50 | 0.25 | nM | CHEMBL_ACT_26010488 |
| FGFR3 | 9.51 | IC50 | 0.31 | nM | CHEMBL_ACT_29152196 |
| FGFR3 | 9.38 | IC50 | 0.42 | nM | CHEMBL_ACT_24873120 |
| FGFR3 | 9.38 | IC50 | 0.42 | nM | CHEMBL_ACT_26010490 |
| FGFR2 | 9.38 | IC50 | 0.42 | nM | CHEMBL_ACT_29152160 |
| FGFR1 | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_29140675 |
| FGFR3 | 9.15 | IC50 | 0.7 | nM | CHEMBL_ACT_29140688 |
| FGFR3 | 9.11 | IC50 | 0.77 | nM | CHEMBL_ACT_29152190 |
| FGFR2 | 9.1 | IC50 | 0.8 | nM | CHEMBL_ACT_29140682 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_19245634 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_23284804 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_24661111 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_26025570 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_29057057 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_29064066 |
| FGFR1 | 8.92 | IC50 | 1.2 | nM | CHEMBL_ACT_29152317 |
| FGFR2 | 8.82 | IC50 | 1.5 | nM | CHEMBL_ACT_24873116 |
| FGFR2 | 8.82 | IC50 | 1.5 | nM | CHEMBL_ACT_26010489 |
| FGFR1 | 8.81 | IC50 | 1.53 | nM | CHEMBL_ACT_24805349 |
| FGFR3 | 8.79 | IC50 | 1.62 | nM | CHEMBL_ACT_24805367 |
| FGFR1 | 8.73 | IC50 | 1.86 | nM | CHEMBL_ACT_16871515 |
| FGFR4 | 8.7 | IC50 | 2 | nM | CHEMBL_ACT_24873124 |
| FGFR4 | 8.7 | IC50 | 2 | nM | CHEMBL_ACT_26010491 |
| FGFR4 | 8.62 | IC50 | 2.4 | nM | CHEMBL_ACT_29140694 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_19245633 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_23284808 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_24661118 |
| FGFR3 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_24805468 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_26025563 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_29057058 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_29064067 |
| FGFR2 | 8.6 | IC50 | 2.5 | nM | CHEMBL_ACT_29152325 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_19130922 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_19245632 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_20711793 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_23284812 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_24661115 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_25034770 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_26025576 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_29057059 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_29064068 |
| FGFR3 | 8.52 | IC50 | 3 | nM | CHEMBL_ACT_29152333 |
| FGFR3 | 8.42 | IC50 | 3.8 | nM | CHEMBL_ACT_16872757 |
| FGFR4 | 8.42 | IC50 | 3.8 | nM | CHEMBL_ACT_22850384 |
| FGFR2 | 8.35 | IC50 | 4.47 | nM | CHEMBL_ACT_16872136 |
| FGFR2 | 8.28 | IC50 | 5.28 | nM | CHEMBL_ACT_24805444 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_19245631 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_23284816 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_24661076 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_26025582 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_29057060 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_29064069 |
| FGFR4 | 8.24 | IC50 | 5.7 | nM | CHEMBL_ACT_29152341 |
| FGFR4 | 8.18 | IC50 | 6.61 | nM | CHEMBL_ACT_16873382 |
| FGFR2 | 8.07 | IC50 | 8.5 | nM | CHEMBL_ACT_29152136 |
| FGFR3 | 8 | IC50 | 9.9 | nM | CHEMBL_ACT_29152178 |
| FGFR3 | 7.8 | IC50 | 15.85 | nM | CHEMBL_ACT_16867462 |
| FGFR4 | 7.73 | IC50 | 18.7 | nM | CHEMBL_ACT_24805394 |
| KDR | 7.43 | IC50 | 37 | nM | CHEMBL_ACT_19130927 |
| KDR | 7.43 | IC50 | 36.8 | nM | CHEMBL_ACT_19245643 |
| KDR | 7.43 | IC50 | 36.8 | nM | CHEMBL_ACT_20711816 |
| KDR | 7.32 | IC50 | 47.86 | nM | CHEMBL_ACT_16874008 |
| FGFR3 | 7.25 | IC50 | 56 | nM | CHEMBL_ACT_29152184 |
| FGFR1 | 7.08 | IC50 | 83.18 | nM | CHEMBL_ACT_16874630 |
| FGFR3 | 6.95 | IC50 | 112.6 | nM | CHEMBL_ACT_24805427 |
| KDR | 6.2 | IC50 | 627 | nM | CHEMBL_ACT_26033298 |
| FGFR2 | 6.07 | IC50 | 850.7 | nM | CHEMBL_ACT_24805410 |
| FGFR1 | 5.78 | IC50 | 1658 | nM | CHEMBL_ACT_24805403 |
| SLC6A4 | 5.64 | AC50 | 2300 | nM | CHEMBL_ACT_25150894 |
| KDR | 5.48 | IC50 | 3311 | nM | CHEMBL_ACT_16868730 |
| HTR2B | 5.39 | AC50 | 4100 | nM | CHEMBL_ACT_25228072 |
| PDE4D | 5.22 | AC50 | 6000 | nM | CHEMBL_ACT_25185912 |
| SLC6A3 | 5.11 | AC50 | 7800 | nM | CHEMBL_ACT_25124521 |
| SLC6A2 | 5.06 | AC50 | 8700 | nM | CHEMBL_ACT_25145565 |
Target pathways
Aggregated over 5 target gene(s): FGFR1, FGFR2, FGFR3, FGFR4, KDR.
Top Reactome pathways
62 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| PI3K Cascade | 4 | FGFR1, FGFR2, FGFR3, FGFR4 |
| PIP3 activates AKT signaling | 4 | FGFR1, FGFR2, FGFR3, FGFR4 |
| Constitutive Signaling by Aberrant PI3K in Cancer | 4 | FGFR1, FGFR2, FGFR3, FGFR4 |
| RAF/MAP kinase cascade | 4 | FGFR1, FGFR2, FGFR3, FGFR4 |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 4 | FGFR1, FGFR2, FGFR3, FGFR4 |
| betaKlotho-mediated ligand binding | 1 | FGFR4 |
| Signaling by FGFR1 amplification mutants | 1 | FGFR1 |
| Signaling by activated point mutants of FGFR1 | 1 | FGFR1 |
| FGFR4 mutant receptor activation | 1 | FGFR4 |
| Signaling by activated point mutants of FGFR3 | 1 | FGFR3 |
| FGFR4 ligand binding and activation | 1 | FGFR4 |
| FGFR1b ligand binding and activation | 1 | FGFR1 |
| FGFR3b ligand binding and activation | 1 | FGFR3 |
| FGFR3c ligand binding and activation | 1 | FGFR3 |
| FGFR1c ligand binding and activation | 1 | FGFR1 |
| FGFR1c and Klotho ligand binding and activation | 1 | FGFR1 |
| FGFR2c ligand binding and activation | 1 | FGFR2 |
| FGFR2b ligand binding and activation | 1 | FGFR2 |
| Neuropilin interactions with VEGF and VEGFR | 1 | KDR |
| VEGF binds to VEGFR leading to receptor dimerization | 1 | KDR |
| Signaling by FGFR2 amplification mutants | 1 | FGFR2 |
| t(4;14) translocations of FGFR3 | 1 | FGFR3 |
| Activated point mutants of FGFR2 | 1 | FGFR2 |
| Integrin cell surface interactions | 1 | KDR |
| NCAM signaling for neurite out-growth | 1 | FGFR1 |
| VEGFA-VEGFR2 Pathway | 1 | KDR |
| Signal transduction by L1 | 1 | FGFR1 |
| VEGFR2 mediated cell proliferation | 1 | KDR |
| Phospholipase C-mediated cascade: FGFR1 | 1 | FGFR1 |
| Phospholipase C-mediated cascade; FGFR2 | 1 | FGFR2 |
| Phospholipase C-mediated cascade; FGFR3 | 1 | FGFR3 |
| Phospholipase C-mediated cascade; FGFR4 | 1 | FGFR4 |
| Downstream signaling of activated FGFR1 | 1 | FGFR1 |
| SHC-mediated cascade:FGFR1 | 1 | FGFR1 |
| PI-3K cascade:FGFR1 | 1 | FGFR1 |
| FRS-mediated FGFR1 signaling | 1 | FGFR1 |
| PI-3K cascade:FGFR2 | 1 | FGFR2 |
| SHC-mediated cascade:FGFR2 | 1 | FGFR2 |
| FRS-mediated FGFR2 signaling | 1 | FGFR2 |
| SHC-mediated cascade:FGFR3 | 1 | FGFR3 |
| FRS-mediated FGFR3 signaling | 1 | FGFR3 |
| PI-3K cascade:FGFR3 | 1 | FGFR3 |
| FRS-mediated FGFR4 signaling | 1 | FGFR4 |
| SHC-mediated cascade:FGFR4 | 1 | FGFR4 |
| PI-3K cascade:FGFR4 | 1 | FGFR4 |
| Negative regulation of FGFR1 signaling | 1 | FGFR1 |
| Negative regulation of FGFR2 signaling | 1 | FGFR2 |
| Negative regulation of FGFR3 signaling | 1 | FGFR3 |
| Negative regulation of FGFR4 signaling | 1 | FGFR4 |
| Signaling by FGFR2 in disease | 1 | FGFR2 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| protein phosphorylation | 5 |
| positive regulation of cell population proliferation | 5 |
| positive regulation of MAPK cascade | 5 |
| fibroblast growth factor receptor signaling pathway | 4 |
| peptidyl-tyrosine phosphorylation | 4 |
| protein autophosphorylation | 4 |
| positive regulation of ERK1 and ERK2 cascade | 4 |
| angiogenesis | 3 |
| positive regulation of mesenchymal cell proliferation | 3 |
| positive regulation of phospholipase activity | 3 |
| cell migration | 3 |
| skeletal system morphogenesis | 3 |
| positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction | 3 |
| positive regulation of cell communication | 3 |
| positive regulation of signaling | 3 |
Indications & clinical
Indications
3 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).
| Indication | Phase | MONDO | EFO |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| urothelial carcinoma | 4 | MONDO:0040679 | EFO:0008528 |
| urinary bladder neoplasm | 4 | MONDO:0004987 | EFO:0000294 |
10 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.
| Disease (in trials) | Phase | MONDO | EFO |
|---|---|---|---|
| plasma cell myeloma | 2 | MONDO:0009693 | EFO:0001378 |
| squamous cell lung carcinoma | 2 | MONDO:0005097 | EFO:0000708 |
| non-small cell lung carcinoma | 2 | MONDO:0005233 | EFO:0003060 |
| metastatic prostate carcinoma | 2 | MONDO:0004956 | EFO:0000196 |
| prostate adenocarcinoma | 2 | MONDO:0005082 | EFO:0000673 |
| prostate carcinoma | 2 | MONDO:0005159 | EFO:0001663 |
| hepatocellular carcinoma | 1 | MONDO:0007256 | EFO:0000182 |
| lymphoma | 1 | MONDO:0005062 | EFO:0000574 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| breast neoplasm | 1 | MONDO:0021100 | MONDO:0007254 |
3 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 35.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 18 |
| PHASE1 | 9 |
| PHASE1/PHASE2 | 3 |
| Not specified | 3 |
| PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT03390504 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Erdafitinib Compared With Vinflunine or Docetaxel or Pembrolizumab in Participants With Advanced Urothelial Cancer and Selected Fibroblast Growth Factor Receptor (FGFR) Gene Aberrations |
| NCT02365597 | PHASE2 | ACTIVE_NOT_RECRUITING | An Efficacy and Safety Study of Erdafitinib (JNJ-42756493) in Participants With Urothelial Cancer |
| NCT02465060 | PHASE2 | ACTIVE_NOT_RECRUITING | Targeted Therapy Directed by Genetic Testing in Treating Patients With Advanced Refractory Solid Tumors, Lymphomas, or Multiple Myeloma (The MATCH Screening Trial) |
| NCT02925234 | PHASE2 | RECRUITING | The Drug Rediscovery Protocol (DRUP Trial) |
| NCT03155620 | PHASE2 | ACTIVE_NOT_RECRUITING | Targeted Therapy Directed by Genetic Testing in Treating Pediatric Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphomas, or Histiocytic Disorders (The Pediatric MATCH Screening Trial) |
| NCT03210714 | PHASE2 | ACTIVE_NOT_RECRUITING | Erdafitinib in Treating Patients With Relapsed or Refractory Advanced Solid Tumors, Non-Hodgkin Lymphoma, or Histiocytic Disorders With FGFR Mutations (A Pediatric MATCH Treatment Trial) |
| NCT03473743 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Erdafitinib in Participants With Metastatic or Locally Advanced Urothelial Cancer |
| NCT04917809 | PHASE2 | ACTIVE_NOT_RECRUITING | A Study of Oral Erdafitinib in People With Recurrent Non-Invasive Bladder Cancer |
| NCT05859334 | PHASE2 | RECRUITING | Testing the Anti-cancer Drug Erdafitinib for Brain Cancers That Have Returned or Progressed Following Treatment |
| NCT06308822 | PHASE2 | ACTIVE_NOT_RECRUITING | Testing JNJ-42756493 (Erdafitinib) as Potentially Targeting Treatment in Cancers With FGFR Amplifications (MATCH-Subprotocol K1) |
| NCT06351371 | PHASE2 | ACTIVE_NOT_RECRUITING | Testing JNJ-42756493 (Erdafitinib) as Potentially Targeting Treatment in Cancers With FGFR Mutations or Fusions (MATCH - Subprotocol K2) |
| NCT06511648 | PHASE2 | RECRUITING | Erdafitinib Monotherapy or in Combination With Cetrelimab in Muscle-invasive Bladder Cancer Patients With Fibroblast Growth Factor Receptor (FGFR ) Gene Alterations |
| NCT02421185 | PHASE1/PHASE2 | COMPLETED | Study to Evaluate the Safety, Pharmacokinetics, and Pharmacodynamics of JNJ-42756493 (Erdafitinib) in Participants With Advanced Hepatocellular Carcinoma |
| NCT02699606 | PHASE2 | COMPLETED | A Study to Evaluate the Clinical Efficacy of JNJ-42756493 (Erdafitinib), A Pan-Fibroblast Growth Factor Receptor (FGFR) Tyrosine Kinase Inhibitor, In Asian Participants With Advanced Non-Small-Cell Lung Cancer, Urothelial Cancer, Esophageal Cancer Or Cholangiocarcinoma |
| NCT02952573 | PHASE2 | TERMINATED | Testing JNJ-42756493 In Combination With Dexamethasone in Multiple Myeloma That Came Back After a Period of Improvement |
| NCT03732703 | PHASE1/PHASE2 | COMPLETED | Myeloma-Developing Regimens Using Genomics (MyDRUG) |
| NCT03827850 | PHASE2 | TERMINATED | FGFR Inhibitor in FGFR Dysregulated Cancer |
| NCT03999515 | PHASE2 | TERMINATED | Erdafitinib and Abiraterone Acetate or Enzalutamide in Treating Patients With Double Negative Prostate Cancer |
| NCT04083976 | PHASE2 | COMPLETED | A Study of Erdafitinib in Participants With Advanced Solid Tumors and Fibroblast Growth Factor Receptor (FGFR) Gene Alterations |
| NCT04172675 | PHASE2 | COMPLETED | A Study of Erdafitinib Versus Investigator Choice of Intravesical Chemotherapy in Participants Who Received Bacillus Calmette-Guérin (BCG) and Recurred With High Risk Non-Muscle-Invasive Bladder Cancer (NMIBC) |
| NCT04754425 | PHASE2 | TERMINATED | Erdafitinib for the Treatment of Patients With Castration-Resistant Prostate Cancer |
| NCT05564416 | PHASE2 | WITHDRAWN | Testing Anti-Cancer Drugs Erdafitinib With or Without Atezolizumab in Patients With Localized Bladder Cancer Not Able to Receive Cisplatin Chemotherapy, NERA Trial |
| NCT04963153 | PHASE1 | ACTIVE_NOT_RECRUITING | Testing Combination Erdafitinib and Enfortumab Vedotin in Metastatic Bladder Cancer After Treatment With Chemotherapy and Immunotherapy |
| NCT02231489 | PHASE1 | COMPLETED | Study to Assess the Relative Bioavailability of Orally Administered JNJ-42756493 Tablet Versus JNJ-42756493 Capsule in Healthy Participants |
| NCT02692677 | PHASE1 | COMPLETED | A Study to Assess the Absorption, Metabolism, and Routes of Excretion Following Oral Administration of (14C) Radiolabeled JNJ–42756493 to Healthy Male Participants |
| NCT03066687 | PHASE1 | COMPLETED | A Study to Determine the Effect of Food on the Pharmacokinetics of Erdafitinib in Healthy Participants |
| NCT03135106 | PHASE1 | COMPLETED | A Study to Evaluate the Effect of Fluconazole and Itraconazole on Erdafitinib Pharmacokinetics in Healthy Adult Participants |
| NCT03238196 | PHASE1 | COMPLETED | Fulvestrant, Palbociclib and Erdafitinib in ER+/HER2-/FGFR-amplified Metastatic Breast Cancer |
| NCT03547037 | PHASE1 | COMPLETED | A Study to Evaluate the Safety, Pharmacokinetics, Pharmacodynamics, and Immunogenicity of JNJ-63723283, an Anti-Programmed Cell Death (PD)-1 Monoclonal Antibody, as Monotherapy or in Combination With Erdafitinib in Japanese Participants With Advanced Solid Cancers |
| NCT03587363 | PHASE1 | TERMINATED | A Study to Evaluate the Effect of Hepatic Impairment on the Pharmacokinetics of Erdafitinib |
| NCT04330248 | PHASE1 | COMPLETED | A Study of Steady-state Carbamazepine on the Single-dose of Erdafitinib Tablets in Healthy Adult Participants |
| NCT06204614 | EARLY_PHASE1 | ENROLLING_BY_INVITATION | Drug Screening Using IMD in Bladder Cancer |
| NCT03825484 | Not specified | APPROVED_FOR_MARKETING | Expanded Access Program (EAP) for Participants With Advanced Cancers and Fibroblast Growth Factor Receptor (FGFR) Genetic Alterations Who Have Exhausted All Treatment Options |
| NCT05052372 | Not specified | TERMINATED | Biomarker Research Study for Patients With FGFR-Mutant Bladder Cancer Receiving Erdafitinib |
| NCT06328491 | Not specified | COMPLETED | Erdafitinib in Metastatic Steroid-cell Ovarian Cancer |
Clinical evidence (CIViC)
Variant × indication × effect (33 predictive associations from 36 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| FGFR3::v Fusion | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7262 +1 |
| FGFR2 Mutation OR FGFR2::v Fusion OR FGFR2::? Fusion | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7261 |
| FGFR2::v Fusion | Bladder Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID11257 |
| FGFR2::v Fusion | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7423 |
| FGFR3 G370C | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7307 |
| FGFR3 Mutation | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7422 |
| FGFR3 R248C | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7305 |
| FGFR3 S249C | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7306 |
| FGFR3 Y373C | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID7308 |
| FGFR3::v Fusion | Bladder Carcinoma | Sensitivity/Response | Erdafitinib | CIViC A | EID11258 |
| FGFR3 S249C | Urothelial Carcinoma | Sensitivity/Response | Erdafitinib | CIViC B | EID12953 +1 |
| FGFR1 Amplification | Breast Cancer | Sensitivity/Response | Erdafitinib | CIViC B | EID12469 |
| FGFR1 Amplification OR FGFR2 Amplification OR FGFR3 Amplification OR FGFR4 Amplification | Cancer | Sensitivity/Response | Erdafitinib | CIViC B | EID12024 |
| FGFR2::? Fusion | Cholangiocarcinoma | Sensitivity/Response | Erdafitinib | CIViC B | EID10406 |
| FGFR2::v Fusion | Cancer | Sensitivity/Response | Erdafitinib | CIViC B | EID1918 |
| FGFR3 Mutation | Bladder Urothelial Carcinoma | Sensitivity/Response | Erdafitinib | CIViC B | EID10397 |
| FGFR3::TACC3 Fusion | Cancer | Sensitivity/Response | Erdafitinib | CIViC B | EID1919 |
| FGFR1 Amplification | Breast Cancer | Palbociclib + Erdafitinib + Fulvestrant | CIViC B | EID12485 | |
| FGFR2 Mutation | Cholangiocarcinoma | Sensitivity/Response | Erdafitinib | CIViC C | EID10375 +1 |
| FGFR2::? Fusion | Bladder Urothelial Carcinoma | Sensitivity/Response | Erdafitinib | CIViC C | EID10404 |
| FGFR2::BICC1 Fusion | Transitional Cell Carcinoma | Sensitivity/Response | Erdafitinib | CIViC C | EID1917 |
| FGFR2::BICC1 Fusion | Endometrial Cancer | Sensitivity/Response | Erdafitinib | CIViC C | EID1920 |
| FGFR3 G802_X807del AND IGHA1::FGFR3 Fusion | Multiple Myeloma | Sensitivity/Response | Erdafitinib | CIViC C | EID11033 |
| FGFR3::TACC3 Fusion AND FGFR2::CCDC6 Fusion | Adrenal Carcinoma | Sensitivity/Response | Erdafitinib | CIViC C | EID4861 |
| FGFR3::v Fusion | Bladder Urothelial Carcinoma | Sensitivity/Response | Erdafitinib | CIViC C | EID10405 |
| FGFR3 Y373C AND FGFR3 N540K | Urothelial Carcinoma | Resistance | Erdafitinib + Futibatinib | CIViC C | EID12704 |
| PIK3CA E545K AND FGFR3 S249C AND FGFR3 N540K | Urothelial Carcinoma | Resistance | Erdafitinib | CIViC C | EID12703 |
| FGFR1 Amplification | Lung Cancer | Sensitivity/Response | Erdafitinib | CIViC D | EID7954 |
| FGFR2 Amplification | Stomach Cancer | Sensitivity/Response | Erdafitinib | CIViC D | EID7953 |
| FGFR2 Overexpression | Colorectal Cancer | Sensitivity/Response | Erdafitinib | CIViC D | EID7832 |
+3 more predictive associations (showing top 30 by level).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
190 molecules share ≥1 primary target. Top 100 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| Crizotinib | ChEMBL + PubChem | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| Gefitinib | ChEMBL + PubChem | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| PAZOPANIB | ChEMBL + PubChem | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| BRIGATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| FEDRATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| FUTIBATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| INFIGRATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| LENVATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| NINTEDANIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| NINTEDANIB ESYLATE | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| PONATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| SUNITINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| VANDETANIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| BRIVANIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| CEDIRANIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| DOVITINIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| LESTAURTINIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| LINIFANIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| SEMAXANIB | ChEMBL | Phase 3 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| FEXAGRATINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| FGFR INHIBITOR DEBIO 1347 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| OSI-632 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| R-406 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| REBASTINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| SU-014813 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| TANDUTINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| TOZASERTIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| Afatinib | PubChem | Approved | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| Selumetinib | PubChem | Approved | FGFR1, FGFR2, FGFR3, FGFR4, KDR |
| AXITINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, KDR |
| CERITINIB | ChEMBL | Phase 4 (approved) | FGFR2, FGFR3, FGFR4, KDR |
| DASATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, KDR |
| MIDOSTAURIN | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, KDR |
| PEMIGATINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, FGFR4 |
| SORAFENIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR2, FGFR3, KDR |
| AT-9283 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, KDR |
| DORAMAPIMOD | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR4, KDR |
| E-7090 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4 |
| FISOGATINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4 |
| FORETINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, KDR |
| LIRAFUGRATINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4 |
| LUCITANIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, KDR |
| MK-2461 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, KDR |
| RESIGRATINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4 |
| SEGIGRATINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3, FGFR4 |
| Idelalisib | PubChem | Approved | FGFR1, FGFR2, FGFR3, FGFR4 |
| ENTRECTINIB | ChEMBL | Phase 4 (approved) | FGFR1, FGFR3, KDR |
| ALISERTIB | ChEMBL | Phase 3 | FGFR1, FGFR3, KDR |
| MOTESANIB | ChEMBL | Phase 3 | FGFR1, FGFR4, KDR |
| BMS-754807 | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3 |
| CENISERTIB | ChEMBL | Phase 2 | FGFR1, FGFR3, KDR |
| CEP-11981 | ChEMBL | Phase 2 | FGFR1, FGFR3, KDR |
| DERAZANTINIB | ChEMBL | Phase 2 | FGFR1, FGFR2, FGFR3 |
| ILORASERTIB | ChEMBL | Phase 2 | FGFR1, FGFR3, KDR |
| ROGARATINIB | ChEMBL | Phase 2 | FGFR1, FGFR3, FGFR4 |
| RX-518 | ChEMBL | Phase 2 | FGFR1, FGFR2, KDR |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | FGFR1, KDR |
| CABOZANTINIB | ChEMBL | Phase 4 (approved) | FGFR1, KDR |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | FGFR2, KDR |
| IBRUTINIB | ChEMBL | Phase 4 (approved) | FGFR2, KDR |
| NICLOSAMIDE | ChEMBL | Phase 4 (approved) | FGFR1, KDR |
| TIVOZANIB | ChEMBL | Phase 4 (approved) | FGFR1, KDR |
| UPADACITINIB | ChEMBL | Phase 4 (approved) | FGFR1, KDR |
| ORANTINIB | ChEMBL | Phase 3 | FGFR1, KDR |
| SURUFATINIB | ChEMBL | Phase 3 | FGFR1, KDR |
| AG-13958 | ChEMBL | Phase 2 | FGFR1, KDR |
| DANUSERTIB | ChEMBL | Phase 2 | FGFR1, KDR |
| ENMD-2076 | ChEMBL | Phase 2 | FGFR1, KDR |
| RAF-265 | ChEMBL | Phase 2 | FGFR1, KDR |
| TOCERANIB | ChEMBL | Phase 2 | FGFR1, KDR |
| Binimetinib | PubChem | Approved | FGFR1, KDR |
| GENTIAN VIOLET | ChEMBL + PubChem | Phase 4 (approved) | KDR |
| ABEMACICLIB | ChEMBL | Phase 4 (approved) | KDR |
| ABROCITINIB | ChEMBL | Phase 4 (approved) | KDR |
| ACALABRUTINIB | ChEMBL | Phase 4 (approved) | KDR |
| ALECTINIB | ChEMBL | Phase 4 (approved) | KDR |
| AUROTHIOGLUCOSE | ChEMBL | Phase 4 (approved) | KDR |
| CABOZANTINIB S-MALATE | ChEMBL | Phase 4 (approved) | KDR |
| CAPIVASERTIB | ChEMBL | Phase 4 (approved) | FGFR1 |
| ENASIDENIB | ChEMBL | Phase 4 (approved) | KDR |
| ESTRAMUSTINE | ChEMBL | Phase 4 (approved) | KDR |
| FOSTAMATINIB DISODIUM | ChEMBL | Phase 4 (approved) | KDR |
| FRUQUINTINIB | ChEMBL | Phase 4 (approved) | KDR |
| GLAFENINE | ChEMBL | Phase 4 (approved) | KDR |
| HEXACHLOROPHENE | ChEMBL | Phase 4 (approved) | KDR |
| IMATINIB | ChEMBL | Phase 4 (approved) | KDR |
| INDIGOTINDISULFONATE | ChEMBL | Phase 4 (approved) | KDR |
| ISOXICAM | ChEMBL | Phase 4 (approved) | KDR |
| MEBENDAZOLE | ChEMBL | Phase 4 (approved) | KDR |
| MESALAMINE | ChEMBL | Phase 4 (approved) | KDR |
| NERATINIB | ChEMBL | Phase 4 (approved) | KDR |
| NOVOBIOCIN | ChEMBL | Phase 4 (approved) | KDR |
| OLMUTINIB | ChEMBL | Phase 4 (approved) | KDR |
| OLSALAZINE | ChEMBL | Phase 4 (approved) | KDR |
| OSIMERTINIB | ChEMBL | Phase 4 (approved) | KDR |
| PEXIDARTINIB | ChEMBL | Phase 4 (approved) | KDR |
| PHENYL AMINOSALICYLATE | ChEMBL | Phase 4 (approved) | KDR |
| PIPERAZINE | ChEMBL | Phase 4 (approved) | KDR |
| QUIZARTINIB | ChEMBL | Phase 4 (approved) | KDR |
| SELPERCATINIB | ChEMBL | Phase 4 (approved) | KDR |
Related Atlas pages
- Genes: FGFR1, FGFR2, FGFR3, FGFR4, KDR
- Indicated for: neoplasm, urothelial carcinoma, urinary bladder neoplasm, transitional cell carcinoma, urinary bladder carcinoma, breast carcinoma, cancer, cholangiocarcinoma, bladder transitional cell carcinoma, endometrial carcinoma, adrenal carcinoma, lung carcinoma, gastric carcinoma, colorectal carcinoma
- In clinical trials for: plasma cell myeloma, squamous cell lung carcinoma, non-small cell lung carcinoma, metastatic prostate carcinoma, prostate adenocarcinoma, prostate carcinoma
- Drugs: Crizotinib, Gefitinib, Pazopanib, Brigatinib, Fedratinib, Futibatinib, Infigratinib, Lenvatinib, Nintedanib, Ponatinib, Sunitinib, Vandetanib, Brivanib, Cediranib, Dovitinib, Lestaurtinib, Linifanib, Semaxanib, Afatinib, Selumetinib, Axitinib, Ceritinib, Dasatinib, Midostaurin, Pemigatinib, Sorafenib, Idelalisib, Entrectinib, Alisertib, Motesanib, Regorafenib, Cabozantinib, Erlotinib, Ibrutinib, Niclosamide, Tivozanib, Upadacitinib, Orantinib, Surufatinib, Binimetinib, Abemaciclib, Abrocitinib, Acalabrutinib, Alectinib, Aurothioglucose, Capivasertib, Enasidenib, Estramustine, Fruquintinib, Glafenine, Hexachlorophene, Imatinib, Isoxicam, Mebendazole, Mesalamine, Neratinib, Novobiocin, Olmutinib, Olsalazine, Osimertinib, Pexidartinib, Phenyl Aminosalicylate, Piperazine, Quizartinib, Selpercatinib