Gefitinib
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Also known as Gefitinib mylanIressaNSC-759856ZD-1839ZD1839gefitnibgifitinibSID29215403SID103905343SID103905344Gefitinib (ZD1839)SID137275808SID144205236GetitinibSID170464828SID124892204SID124892206GefetinibCefitinib
Summary
Gefitinib (CHEMBL939) is an approved small-molecule antineoplastic agent (ATC L01EB01) targeting EGFR; indicated across 51 conditions including non-small cell lung carcinoma and neoplasm; with CIViC clinical evidence for 130 variant-indication associations (e.g. EGFR L858R OR EGFR Exon 19 Deletion in lung non-small cell carcinoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01EB01
- Targets: 1 (EGFR)
- Indications: 51 conditions
- Clinical trials: 295
- Precision-oncology evidence (CIViC): 130 variant–indication associations
- Chemistry: 446.9 Da · C22H24ClFN4O3
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL939 |
| Name | Gefitinib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 123631 |
| ChEBI | CHEBI:49668 |
| ATC | L01EB01 |
| Molecular formula | C22H24ClFN4O3 |
| Molecular weight | 446.9 |
| InChIKey | XGALLCVXEZPNRQ-UHFFFAOYSA-N |
SMILES: COC1=C(C=C2C(=C1)N=CN=C2NC3=CC(=C(C=C3)F)Cl)OCCCN4CCOCC4
IUPAC name: N-(3-chloro-4-fluorophenyl)-7-methoxy-6-(3-morpholin-4-ylpropoxy)quinazolin-4-amine
ChEBI definition: A member of the class of quinazolines that is quinazoline which is substituted by a (3-chloro-4-fluorophenyl)nitrilo group, 3-(morpholin-4-yl)propoxy group and a methoxy group at positions 4,6 and 7, respectively. An EGFR kinase inhibitor used for the treatment of non-small cell lung cancer.
Pharmacological roles (ChEBI): antineoplastic agent, epidermal growth factor receptor antagonist.
Also known as: Gefitinib, Gefitinib mylan, Iressa, NSC-759856, ZD-1839, ZD1839, gefitinib, gefitnib, gifitinib, SID29215403, GEFITINIB, SID103905343
Patent coverage: 31,132 distinct patent families (117,814 SureChEMBL compound mentions), from 6 matched compound structure(s). One matched structure accounts for 114,569 (97%) 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 |
|---|---|---|---|---|---|
| EGFR | epidermal growth factor receptor | Inhibition | 7.23 | 17.5% | P00533 |
Broader ChEMBL bioactivity targets: 107 (assay-derived). Sample: Homeodomain-interacting protein kinase 4, Serine/threonine-protein kinase SBK1, Nucleotide-binding oligomerization domain-containing protein 1, Microtubule-associated protein tau, Nucleotide-binding oligomerization domain-containing protein 2, ATP-binding cassette sub-family C member 4, Phosphatidylinositol 5-phosphate 4-kinase type-2 gamma, Receptor-interacting serine/threonine-protein kinase 3, Receptor tyrosine-protein kinase erbB-2, Tyrosine-protein kinase ABL1.
Bioactivity
ChEMBL activities: 559 potent at pChembl ≥ 5 of 585 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| EGFR | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_13297481 |
| EGFR | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_13380887 |
| EGFR | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_14574803 |
| EGFR | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_23250047 |
| EGFR | 9.82 | IC50 | 0.15 | nM | CHEMBL_ACT_17989470 |
| EGFR | 9.77 | IC50 | 0.17 | nM | CHEMBL_ACT_17989481 |
| EGFR | 9.7 | IC50 | 0.2 | nM | CHEMBL_ACT_13297507 |
| EGFR | 9.7 | IC50 | 0.2 | nM | CHEMBL_ACT_13380877 |
| EGFR | 9.7 | IC50 | 0.2 | nM | CHEMBL_ACT_14574810 |
| EGFR | 9.6 | IC50 | 0.25 | nM | CHEMBL_ACT_26199037 |
| EGFR | 9.49 | IC50 | 0.32 | nM | CHEMBL_ACT_23250044 |
| EGFR | 9.4 | Ki | 0.4 | nM | CHEMBL_ACT_26023189 |
| EGFR | 9.4 | Ki | 0.4 | nM | CHEMBL_ACT_3447717 |
| EGFR | 9.35 | IC50 | 0.45 | nM | CHEMBL_ACT_14974602 |
| EGFR | 9.35 | IC50 | 0.45 | nM | CHEMBL_ACT_14983535 |
| EGFR | 9.34 | IC50 | 0.46 | nM | CHEMBL_ACT_27322262 |
| EGFR | 9.33 | IC50 | 0.47 | nM | CHEMBL_ACT_19168555 |
| EGFR | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_22844317 |
| EGFR | 9.29 | IC50 | 0.51 | nM | CHEMBL_ACT_16612196 |
| EGFR | 9.28 | Kd | 0.52 | nM | CHEMBL_ACT_2898900 |
| EGFR | 9.28 | Kd | 0.52 | nM | CHEMBL_ACT_7588273 |
| EGFR | 9.27 | Kd | 0.54 | nM | CHEMBL_ACT_2898710 |
| EGFR | 9.27 | Kd | 0.54 | nM | CHEMBL_ACT_7588268 |
| EGFR | 9.24 | Kd | 0.57 | nM | CHEMBL_ACT_2898824 |
| EGFR | 9.24 | Kd | 0.57 | nM | CHEMBL_ACT_2898862 |
| EGFR | 9.24 | Kd | 0.57 | nM | CHEMBL_ACT_7588271 |
| EGFR | 9.24 | Kd | 0.57 | nM | CHEMBL_ACT_7588272 |
| EGFR | 9.23 | IC50 | 0.58 | nM | CHEMBL_ACT_16655518 |
| EGFR | 9.22 | IC50 | 0.6 | nM | CHEMBL_ACT_13453602 |
| EGFR | 9.2 | IC50 | 0.64 | nM | CHEMBL_ACT_16655524 |
Target pathways
Aggregated over 1 target gene(s): EGFR.
Top Reactome pathways
37 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Signaling by ERBB2 | 1 | EGFR |
| Constitutive Signaling by Ligand-Responsive EGFR Cancer Variants | 1 | EGFR |
| Signaling by ERBB4 | 1 | EGFR |
| SHC1 events in ERBB2 signaling | 1 | EGFR |
| PLCG1 events in ERBB2 signaling | 1 | EGFR |
| PIP3 activates AKT signaling | 1 | EGFR |
| Signaling by EGFR | 1 | EGFR |
| GRB2 events in EGFR signaling | 1 | EGFR |
| GAB1 signalosome | 1 | EGFR |
| SHC1 events in EGFR signaling | 1 | EGFR |
| EGFR downregulation | 1 | EGFR |
| GRB2 events in ERBB2 signaling | 1 | EGFR |
| PI3K events in ERBB2 signaling | 1 | EGFR |
| EGFR interacts with phospholipase C-gamma | 1 | EGFR |
| EGFR Transactivation by Gastrin | 1 | EGFR |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | EGFR |
| Signal transduction by L1 | 1 | EGFR |
| Constitutive Signaling by EGFRvIII | 1 | EGFR |
| Inhibition of Signaling by Overexpressed EGFR | 1 | EGFR |
| RAF/MAP kinase cascade | 1 | EGFR |
| ERBB2 Regulates Cell Motility | 1 | EGFR |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | EGFR |
| ERBB2 Activates PTK6 Signaling | 1 | EGFR |
| Cargo recognition for clathrin-mediated endocytosis | 1 | EGFR |
| Clathrin-mediated endocytosis | 1 | EGFR |
| PTK6 promotes HIF1A stabilization | 1 | EGFR |
| Downregulation of ERBB2 signaling | 1 | EGFR |
| TFAP2 (AP-2) family regulates transcription of growth factors and their receptors | 1 | EGFR |
| Extra-nuclear estrogen signaling | 1 | EGFR |
| NOTCH3 Activation and Transmission of Signal to the Nucleus | 1 | EGFR |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| cell morphogenesis | 1 |
| ossification | 1 |
| embryonic placenta development | 1 |
| positive regulation of protein phosphorylation | 1 |
| hair follicle development | 1 |
| ubiquitin-dependent protein catabolic process | 1 |
| signal transduction | 1 |
| cell surface receptor signaling pathway | 1 |
| epidermal growth factor receptor signaling pathway | 1 |
| salivary gland morphogenesis | 1 |
| learning or memory | 1 |
| positive regulation of cell population proliferation | 1 |
| gene expression | 1 |
| protein ubiquitination | 1 |
| cerebral cortex cell migration | 1 |
Indications & clinical
Indications
51 indications (3 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| non-small cell lung carcinoma | 4 | MONDO:0005233 | EFO:0003060 |
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| upper aerodigestive tract neoplasm | 3 | MONDO:0005398 | EFO:0004284 |
| lung carcinoma | 3 | MONDO:0005138 | EFO:0001071 |
| squamous cell carcinoma | 3 | MONDO:0005096 | EFO:0000707 |
| head and neck squamous cell carcinoma | 3 | MONDO:0010150 | EFO:0000181 |
| squamous cell lung carcinoma | 3 | MONDO:0005097 | EFO:0000708 |
| breast neoplasm | 3 | MONDO:0021100 | EFO:0003869 |
| head and neck cancer | 3 | MONDO:0005627 | EFO:0006859 |
| lung adenocarcinoma | 3 | MONDO:0005061 | EFO:0000571 |
| minimally invasive lung adenocarcinoma | 3 | MONDO:0004991 | EFO:0000308 |
| lung neoplasm | 3 | MONDO:0021117 | MONDO:0008903 |
| acute myeloid leukemia | 2 | MONDO:0018874 | EFO:0000222 |
| mesothelioma | 2 | MONDO:0005065 | EFO:0000588 |
| gliosarcoma | 2 | MONDO:0016681 | EFO:1001465 |
| tumor of uterus | 2 | MONDO:0021353 | EFO:0003859 |
| gastric carcinoma | 2 | MONDO:0004950 | EFO:0000178 |
| germ cell tumor | 2 | MONDO:0005040 | EFO:0000514 |
| glioblastoma | 2 | MONDO:0018177 | EFO:0000519 |
| neuroblastoma | 2 | MONDO:0005072 | EFO:0000621 |
| sarcoma | 2 | MONDO:0005089 | EFO:0000691 |
| small cell lung carcinoma | 2 | MONDO:0008433 | EFO:0000702 |
| gastric neoplasm | 2 | MONDO:0021085 | EFO:0003897 |
| male breast carcinoma | 2 | MONDO:0005628 | EFO:0006861 |
| fallopian tube carcinoma | 2 | MONDO:0006206 | EFO:1000251 |
| peritoneal neoplasm | 2 | MONDO:0006901 | EFO:1001100 |
| central nervous system neoplasm | 2 | MONDO:0006130 | EFO:1000158 |
| fallopian tube neoplasm | 2 | MONDO:0021092 | MONDO:0002158 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| skin neoplasm | 2 | MONDO:0002531 | MONDO:0002898 |
| salivary gland cancer | 2 | MONDO:0004669 | MONDO:0004669 |
| ovarian cancer | 2 | MONDO:0008170 | MONDO:0008170 |
| bile duct carcinoma | 2 | MONDO:0005496 | EFO:0005540 |
| gallbladder neoplasm | 2 | MONDO:0021253 | MONDO:0005411 |
| colorectal neoplasm | 2 | MONDO:0005335 | MONDO:0005575 |
| metastatic prostate carcinoma | 1 | MONDO:0004956 | EFO:0000196 |
| renal cell carcinoma | 1 | MONDO:0005086 | EFO:0000681 |
| exocrine pancreatic carcinoma | 1 | MONDO:0005192 | EFO:0002618 |
| carcinoma | 1 | MONDO:0004993 | EFO:0000313 |
| nasopharyngeal carcinoma | 1 | MONDO:0015459 | MONDO:0015459 |
11 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 295.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 156 |
| PHASE3 | 48 |
| PHASE1 | 31 |
| PHASE1/PHASE2 | 30 |
| Not specified | 17 |
| PHASE4 | 6 |
| PHASE2/PHASE3 | 6 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00536107 | PHASE4 | TERMINATED | Study to Assess Safety/Tolerability/Efficacy of Gefitinib Versus Docetaxel in Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) |
| NCT00608868 | PHASE4 | COMPLETED | SELINE: Second-Line Iressa Phase IV Study in NSCLC Patients |
| NCT00770588 | PHASE4 | COMPLETED | Assess the Efficacy, Safety and Tolerability of Gefitinib (Iressa® 250mg) as Maintenance Therapy in Locally Advanced or Metastatic (Stage IIIB/IV) Non Small Cell Lung Cancer (NSCLC) |
| NCT01203917 | PHASE4 | COMPLETED | Efficacy, Safety, Tolerability of Gefitinib as 1st Line in Caucasian Patients With EGFR Mutation Positive Advanced NSCLC |
| NCT02031601 | PHASE4 | UNKNOWN | Intercalated Combination of Chemotherapy and Tyrosine Kinase Inhibitors as First-line Treatment for Patients With Non-Small-Cell Lung Cancer |
| NCT02299765 | PHASE4 | TERMINATED | Intercalating and Maintenance Gefitinib in Combination With Chemotherapy for Advanced EGFR-mutant NSCLC |
| NCT02411448 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY) |
| NCT03787992 | PHASE3 | ACTIVE_NOT_RECRUITING | Alflutinib Mesylate Versus Gefitinib in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer (FLAG) |
| NCT03866499 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of BPI-7711 Capsule in Non-small Cell Lung Cancer Patients |
| NCT04143607 | PHASE3 | ACTIVE_NOT_RECRUITING | ASK120067 Versus Gefitinib as First-line Treatment for EGFRm Locally Advanced or Metastatic NSCLC |
| NCT00006048 | PHASE3 | UNKNOWN | ZD 1839 Plus Combination Chemotherapy in Treating Patients With Non-Small Cell Lung Cancer |
| NCT00006049 | PHASE3 | UNKNOWN | ZD 1839 Plus Chemotherapy in Treating Patients With Non-Small Cell Lung Cancer |
| NCT00020709 | PHASE3 | COMPLETED | Combination Chemotherapy and Radiation Therapy With or Without Gefitinib in Treating Patients With Stage III Non-Small Cell Lung Cancer That Cannot Be Removed By Surgery |
| NCT00034879 | PHASE3 | COMPLETED | Iressa Expanded Access Program (EAP) |
| NCT00049543 | PHASE3 | COMPLETED | Gefitinib in Treating Patients With Stage IB, II, or IIIA Non-small Cell Lung Cancer That Was Completely Removed by Surgery |
| NCT00076388 | PHASE3 | COMPLETED | Iressa Versus Docetaxel (Taxotere) |
| NCT00080340 | PHASE3 | COMPLETED | Study of TLK286 (Telcyta) vs. Gefitinib in Locally Advanced or Metastatic Non-Small Cell Lung Cancer |
| NCT00088907 | PHASE3 | TERMINATED | Phase III Trial Of Docetaxel Versus Docetaxel Plus ZD1839 In Head And Neck Cancer |
| NCT00090675 | PHASE3 | WITHDRAWN | Maintenance ZD1839 (IRESSA®) Following Completion of Front Line, Platinum-Based, Double Chemotherapy in Subjects With Advanced or Metastatic Non-Small Cell Lung Cancer |
| NCT00091156 | PHASE3 | TERMINATED | Gefitinib After Chemotherapy in Treating Patients With Stage IIIB or Stage IV Non-Small Cell Lung Cancer |
| NCT00206219 | PHASE3 | COMPLETED | Head and Neck Phase III Iressa Versus Methotrexate Refractory: Iressa Versus Methotrexate (IMEX) |
| NCT00234429 | PHASE2/PHASE3 | COMPLETED | A Phase 2 Study of Tomudex & Iressa as Second Line Chemotherapy in Subjects With Colorectal Carcinoma |
| NCT00234468 | PHASE3 | TERMINATED | Iressa vs Placebo as Maintenance Therapy in Locally Advanced NSCLC |
| NCT00242801 | PHASE3 | COMPLETED | Iressa vs Best Supportive Care - 2nd/3rd Line Survival Study |
| NCT00259064 | PHASE2/PHASE3 | COMPLETED | Iressa v BSC (Best Supportive Care) in First Line NSCLC |
| NCT00322452 | PHASE3 | COMPLETED | First Line IRESSA™ Versus Carboplatin/Paclitaxel in Asia |
| NCT00352079 | PHASE3 | TERMINATED | BCG With or Without Gefitinib in Treating Patients With High-Risk Bladder Cancer |
| NCT00357734 | PHASE3 | COMPLETED | Iressa Follow-up Trial |
| NCT00455936 | PHASE3 | COMPLETED | First-line Gefitinib Versus Chemotherapy for Lung Adenocarcinoma in Never Smoker |
| NCT00478049 | PHASE3 | COMPLETED | Iressa as Second Line Therapy in Advanced NSCLC-Asia |
| NCT00635973 | PHASE3 | COMPLETED | Open-Label Extension of Other SZ1839 (Iressa) Trials |
| NCT00807066 | PHASE3 | COMPLETED | Randomized Gefitinib Trial |
| NCT00955695 | PHASE3 | UNKNOWN | Radiation Therapy to the Brain or Observation in Preventing Brain Metastases in Patients With Advanced Non-Small Cell Lung Cancer |
| NCT01017874 | PHASE3 | COMPLETED | A Study of Alimta/Cisplatin/Gefitinib for Asian Non-smoking Participants With Non Small Cell Lung Cancer |
| NCT01024413 | PHASE3 | COMPLETED | Phase III Trial to Evaluate the Elortinib vs Gefitinib in Advanced NSCLC With EGFR Exon 19 or 21 Mutations |
| NCT01040780 | PHASE3 | COMPLETED | Safety and Efficacy Study of Icotinb in Non-small Cell Lung Cancer (NSCLC) Patients |
| NCT01066195 | PHASE3 | UNKNOWN | Pemetrexed (ALIMTA) and Gefitinib (IRESSA®) in Never-Smoker and Adenocarcinoma Patients With Non-Small Cell Lung Cancer Previously Treated With Platinum-Based Chemotherapy |
| NCT01158170 | PHASE3 | UNKNOWN | Prophylactic Cranial Irradiation in Erlotinib/Gefitinib-responders With Non-small Cell Lung Cancer (NSCLC) (RT1001) |
| NCT01404260 | PHASE3 | COMPLETED | Intercalating and Maintenance Use of Iressa Versus Chemotherapy in Selected Advanced Non Small Cell Lung Cancer |
| NCT01405079 | PHASE3 | UNKNOWN | Gefitinib Versus Vinorelbine/Platinum as Adjuvant Treatment in Stage II-IIIA(N1-N2) NSCLC With EGFR Mutation |
Clinical evidence (CIViC)
Variant × indication × effect (130 predictive associations from 183 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| EGFR L858R OR EGFR Exon 19 Deletion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC A | EID11241 +1 |
| SEC61G::EGFR Fusion | Childhood Ependymoma | Sensitivity/Response | Gefitinib | CIViC A | EID10933 |
| EGFR L858R | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID1665 +3 |
| EGFR Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID1937 +3 |
| EGFR Amplification | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID5924 +2 |
| EGFR E746_T751delinsA | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID2531 +2 |
| EGFR L858R | Lung Adenocarcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID2634 +2 |
| EGFR R831H | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID2618 +2 |
| EGFR S768I | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID2614 +2 |
| EGFR Exon 19 Deletion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID1666 +1 |
| EGFR Exon 19 Deletion | Lung Adenocarcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID2519 +1 |
| EGFR L858R | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID229 +1 |
| EGFR Exon 19 Deletion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Afatinib + Erlotinib | CIViC B | EID12202 |
| EGFR Exon 19 Deletion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID413 |
| EGFR Expression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID4877 |
| EGFR G719 | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID4189 |
| EGFR G719S | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID1736 |
| EGFR Gain-of-function | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID4931 |
| EGFR L858R | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib + Afatinib | CIViC B | EID12203 |
| EGFR L858R OR EGFR Exon 19 Deletion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID4759 |
| EGFR L861 | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID4298 |
| EGFR Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID2053 |
| EGFR Mutation | Lung Cancer | Sensitivity/Response | Gefitinib | CIViC B | EID2939 |
| EGFR Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Pemetrexed + Gefitinib | CIViC B | EID7650 |
| EGFR Mutation AND ( MET Amplification OR MET Overexpression ) | Lung Non-small Cell Carcinoma | Sensitivity/Response | Tepotinib + Gefitinib | CIViC B | EID11456 |
| EGFR Overexpression | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib | CIViC B | EID954 |
| EGFR Rare Exon 18-21 Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID4755 |
| EGFR Rare Exon 18-21 Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID4762 |
| EGFR VIII | Glioblastoma | Sensitivity/Response | Erlotinib + Gefitinib | CIViC B | EID1128 |
| EGFR Y1092 PHOSPHORYLATION | Lung Non-small Cell Carcinoma | Sensitivity/Response | Gefitinib + Erlotinib | CIViC B | EID923 |
+100 more predictive associations (showing top 30 by level).
Pharmacology
Pharmacogenomics
PharmGKB dosing guidelines (1) — CPIC / DPWG genotype-guided dosing for this drug (drug × pharmacogene):
| Guideline | Source | Gene(s) | Dosing | Recommendation |
|---|---|---|---|---|
| Annotation of DPWG Guideline for gefitinib and CYP2D6 | DPWG | CYP2D6 |
PharmGKB also curates 22 clinical and 180 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
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.
157 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| AFATINIB | ChEMBL + PubChem | Phase 4 (approved) | EGFR |
| SELUMETINIB | ChEMBL + PubChem | Phase 4 (approved) | EGFR |
| ABEMACICLIB | ChEMBL | Phase 4 (approved) | EGFR |
| ACALABRUTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| AFATINIB DIMALEATE | ChEMBL | Phase 4 (approved) | EGFR |
| ALECTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | EGFR |
| AXITINIB | ChEMBL | Phase 4 (approved) | EGFR |
| BACITRACIN | ChEMBL | Phase 4 (approved) | EGFR |
| BITHIONOL | ChEMBL | Phase 4 (approved) | EGFR |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| BRIGATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| CABOZANTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| CERITINIB | ChEMBL | Phase 4 (approved) | EGFR |
| CHLORPROMAZINE | ChEMBL | Phase 4 (approved) | EGFR |
| CHROMIC CHLORIDE | ChEMBL | Phase 4 (approved) | EGFR |
| CISPLATIN | ChEMBL | Phase 4 (approved) | EGFR |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | EGFR |
| COLISTIN | ChEMBL | Phase 4 (approved) | EGFR |
| CRIZOTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| DACOMITINIB | ChEMBL | Phase 4 (approved) | EGFR |
| DASATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| DOBUTAMINE | ChEMBL | Phase 4 (approved) | EGFR |
| DOCETAXEL | ChEMBL | Phase 4 (approved) | EGFR |
| EBASTINE | ChEMBL | Phase 4 (approved) | EGFR |
| ECONAZOLE | ChEMBL | Phase 4 (approved) | EGFR |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| FEDRATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| FLUPHENAZINE | ChEMBL | Phase 4 (approved) | EGFR |
| GENTIAN VIOLET | ChEMBL | Phase 4 (approved) | EGFR |
| GILTERITINIB | ChEMBL | Phase 4 (approved) | EGFR |
| HEXACHLOROPHENE | ChEMBL | Phase 4 (approved) | EGFR |
| IBRUTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| IMATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| LAPATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| LAPATINIB DITOSYLATE | ChEMBL | Phase 4 (approved) | EGFR |
| LAZERTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| LEVODOPA | ChEMBL | Phase 4 (approved) | EGFR |
| LORLATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| METHYLDOPA | ChEMBL | Phase 4 (approved) | EGFR |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | EGFR |
| MIDOSTAURIN | ChEMBL | Phase 4 (approved) | EGFR |
| MITOXANTRONE | ChEMBL | Phase 4 (approved) | EGFR |
| MOBOCERTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| MONTELUKAST | ChEMBL | Phase 4 (approved) | EGFR |
| NELFINAVIR | ChEMBL | Phase 4 (approved) | EGFR |
| NERATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| NICLOSAMIDE | ChEMBL | Phase 4 (approved) | EGFR |
| OLMUTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| OSIMERTINIB | ChEMBL | Phase 4 (approved) | EGFR |
| PERHEXILINE | ChEMBL | Phase 4 (approved) | EGFR |
| PONATINIB | ChEMBL | Phase 4 (approved) | EGFR |
| SORAFENIB | ChEMBL | Phase 4 (approved) | EGFR |
| SULOCTIDIL | ChEMBL | Phase 4 (approved) | EGFR |
| SUNITINIB | ChEMBL | Phase 4 (approved) | EGFR |
| TAMOXIFEN | ChEMBL | Phase 4 (approved) | EGFR |
| TERFENADINE | ChEMBL | Phase 4 (approved) | EGFR |
| THIORIDAZINE | ChEMBL | Phase 4 (approved) | EGFR |
| TRIBROMSALAN | ChEMBL | Phase 4 (approved) | EGFR |
| TUCATINIB | ChEMBL | Phase 4 (approved) | EGFR |
Related Atlas pages
- Genes: EGFR
- Diseases: non-small cell lung carcinoma, neoplasm, upper aerodigestive tract neoplasm, lung carcinoma, squamous cell carcinoma, head and neck squamous cell carcinoma, squamous cell lung carcinoma, breast neoplasm, head and neck cancer, lung adenocarcinoma, minimally invasive lung adenocarcinoma, lung neoplasm, childhood ependymoma, glioblastoma
- Drugs: Afatinib, Selumetinib, Abemaciclib, Acalabrutinib, Alectinib, Astemizole, Axitinib, Bacitracin, Bithionol, Bosutinib, Brigatinib, Cabozantinib, Ceritinib, Chlorpromazine, Chromic Chloride, Cisplatin, Clotrimazole, Colistin, Crizotinib, Dacomitinib, Dasatinib, Dobutamine, Docetaxel, Ebastine, Econazole, Erlotinib, Fedratinib, Fluphenazine, Gilteritinib, Hexachlorophene, Ibrutinib, Imatinib, Lapatinib, Lazertinib, Levodopa, Lorlatinib, Methyldopa, Miconazole, Midostaurin, Mitoxantrone, Mobocertinib, Montelukast, Nelfinavir, Neratinib, Niclosamide, Olmutinib, Osimertinib, Perhexiline, Ponatinib, Sorafenib, Suloctidil, Sunitinib, Tamoxifen, Terfenadine, Thioridazine, Tribromsalan, Tucatinib
- Biomarker genes: IGF1R, PBK