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Gefitinib (ZD 1839) GMP

Alias: Gefitinib; ZD-1839; ZD1839; ZD 1839; Brand name: Iressa
Cat No.:V86399 Purity: ≥98%
Gefitinib (formerly ZD1839, ZD-1839 or trade name: Iressa) (GMP)is produced at GMP facility. GMP small molecules function well as a supporting reagent in the production of cell therapy.Gefitinibis a potent and orally bioavailable EGFR inhibitor with potential anticancer activity.
Gefitinib (ZD 1839)
Gefitinib (ZD 1839) Chemical Structure CAS No.: 184475-35-2
Product category: EGFR
This product is for research use only, not for human use. We do not sell to patients.
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Other Forms of Gefitinib (ZD 1839):

  • Gefitinib (ZD 1839)
  • Gefitinib D8
  • Gefitinib diHCl
  • Gefitinib hydrochloride
  • Gefitinib-d3 (gefitinib d3)
  • Gefitinib-d6 (ZD1839-d6)
Official Supplier of:
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Top Publications Citing lnvivochem Products
InvivoChem's Gefitinib (ZD 1839) has been cited by 1 publication
Purity & Quality Control Documentation

Purity: ≥98%

Product Description
Gefitinib (formerly ZD1839, ZD-1839 or trade name: Iressa) is a potent and orally bioavailable EGFR inhibitor with potential anticancer activity. In the NR6wtEGFR and NR6W cells, it inhibits EGFR Tyr1173, Tyr992, Tyr1173, and Tyr992 with IC50 values of 37 nM, 37 nM, 26 nM, and 57 nM, respectively. A variety of human tumor types, such as head and neck, prostate, breast, ovarian, colon, small-cell lung, and non-small-cell lung cancer, show anti-angiogenic properties when treated with gefitinib. The FDA authorized gefitinib in May 2003 for the treatment of non-small cell lung cancer (NSCLC). As a third-line therapy, it was authorized for use as monotherapy in patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) following the failure of both platinum-based and docetaxel chemotherapies.
Biological Activity I Assay Protocols (From Reference)
Targets
Tyr1173 (IC50 = 26 nM); Tyr1173 (IC50 = 37 nM); Tyr992 (IC50 = 37 nM); Tyr992 (IC50 = 57 nM)
ln Vitro
Gefitinib effectively inhibits all EGFR tyrosine phosphorylation sites in cell lines that express EGFR, including NR6, NR6M, and NR6W cell lines, as well as high and low-EGFR-expressing cell lines. Tyr992 and Tyr1173, two phosphorylation sites, are less sensitive and require greater concentrations of Gefitinib to inhibit. With an IC50 of 27 nM, gefitinib efficiently prevents PLC-γ phosphorylation in NR6W cells. PLC-γ phosphorylation is low in the NR6wtEGFR and NR6M cell lines, but it is more resistant to gefitinib inhibition in the latter, with IC50 values of 43 nM and 369 nM, respectively. Gefitinib inhibits Akt phosphorylations in the low-EGFR- and EGFRvIII-expressing cell lines, with IC50 values of 220 and 263 nM, respectively. When administered at doses ranging from 0.1 to 0.5μM, gefitinib significantly promotes NR6M cell colony formation as opposed to inhibiting it. On the other hand, Gefitinib totally prevents NR6M colony formation at a concentration of 2 μM. In both the high- and low-EGFR-expressing cell lines, gefitinib quickly and dose-dependently inhibits EGFR and ERK phosphorylation for up to 72 hours following EGF stimulation.[1] These EGF-driven untransformed MCF10A cells grow monolayerically when exposed to gefitinib, with an IC50 of 20 nM. [2] When paired with irradiation, Gefitinib (0.2 μM and 0.5 μM) significantly inhibited the growth of LoVo cells in comparison to radiation alone.[3]
ln Vivo
Gefitinib (100 mg/kg) enhances radiation therapy's anti-tumor efficaciousness in LoVo tumor xenografts.[3] When established human GEO colon cancer xenografts are given to nude mice bearing these tumors, gefitinib treatment results in a reversible dose-dependent inhibition of tumor growth, as GEO tumors eventually resume the growth rate of controls.[4]
The effect of ZD1839 (‘Iressa’), a specific inhibitor of the tyrosine kinase activity of the epidermal growth factor receptor, on the radiation response of human tumour cells (LoVo colorectal carcinoma) was evaluated in vitro and in vivo. ZD1839 (0.5 μM, incubated days 1–5) significantly increased the anti-proliferative effect of fractionated radiation treatment (2 Gy day−1, days 1–3) on LoVo cells grown in vitro (P=0.002). ZD1839 combined with either single or fractionated radiotherapy in mice bearing LoVo tumour xenografts, also produced a highly significant increase in tumour growth inhibition (P⩽0.001) when compared to treatment with either modality alone. The radio-potentiating effect of ZD1839 was more apparent when radiation was administered in a fractionated protocol. This phenomenon may be attributed to an anti proliferative effect of ZD1839 on tumour cell re-population between radiotherapy fractions. These data suggest radiotherapy with adjuvant ZD1839 could enhance treatment response. Clinical investigation of ZD1839 in combination with radiotherapy is therefore warranted. [3]
ZD-1839 treatment of nude mice bearing established human GEO colon cancer xenografts revealed a reversible dose-dependent inhibition of tumor growth because GEO tumors resumed the growth rate of controls at the end of the treatment. In contrast, the combined treatment with a cytotoxic agent, such as topotecan, raltitrexed, or paclitaxel, and ZD-1839 produced tumor growth arrest in all mice. Tumors grew slowly for approximately 4-8 weeks after the end of treatment, when they finally resumed a growth rate similar to controls. GEO tumors reached a size not compatible with normal life in all control mice within 4-6 weeks and in all single agent-treated mice within 6-8 weeks after GEO cell injection. In contrast, 50% of mice treated with ZD-1839 plus topotecan, raltitrexed, or paclitaxel were still alive 10, 12, and 15 weeks after cancer cell injection, respectively. These results demonstrate the antitumor effect of this EGFR-selective tyrosine kinase inhibitor and provide a rationale for its clinical evaluation in combination with cytotoxic drugs. [4]
The blockade of epidermal growth factor receptor (EGFR) function with monoclonal antibodies has major antiproliferative effects against human tumors in vivo. Similar antiproliferative effects against some of these same tumors have also been observed with specific inhibitors of the EGFR-associated tyrosine kinase. One such inhibitor, the p.o. active ZD1839 (Iressa), has pronounced antiproliferative activity against human tumor xenografts. We now show that coadministration of ZD1839, as with anti-EGFR, will enhance the efficacy of cytotoxic agents against human vulvar (A431), lung (A549 and SK-LC-16 NSCL and LX-1), and prostate (PC-3 and TSU-PR1) tumors. Oral ZD1839 (five times daily x 2) and cytotoxic agents (i.p. every 3-4 days x 4) were given for a period of 2 weeks to mice with well-established tumors. On this schedule, the maximum tolerated dose (150 mg/kg) of ZD1839 induced partial regression of A431, a tumor that expresses high levels of EGFR, 70-80% inhibition among tumors with low but highly variable levels of EGFR expression (A549, SKLC-16, TSU-PR1, and PC-3), and 50-55% inhibition against the LX-1 tumor, which expresses very low levels of EGFR. ZD1839 was very effective in potentiating most cytotoxic agents in combination treatment against all of these tumors, irrespective of EGFR status, but dose reduction of ZD1839 below its single-agent maximum tolerated dose was required for optimum tolerance. The pronounced growth inhibitory action of the platinums, cisplatin and carboplatinum, as single agents against A431 vulvar, A549 and LX-1 lung, and TSU-PR1 and PC-3 prostate tumors was increased several-fold when ZD1839 was added, with some regression of A431 and PC-3 tumors. Although the taxanes, paclitaxel or docetaxel, as single agents markedly inhibited the growth of A431, LX-1, SK-LC-16, TSU-PR1, and PC-3, when combined with ZD1839, partial or complete regression was usually seen. Against A549, the growth inhibition of doxorubicin was increased 10-fold (>99%) with ZD1839. The folate analogue, edatrexate, was highly growth inhibitory against A549, LX-1, and TSU-PR1, whereas edatrexate combined with ZD1839 resulted in partial or complete regression in these tumors. Against the A431 tumor, paclitaxel alone either was highly growth inhibitory or induced some regression, but when combined with ZD1839, pronounced regression was obtained. Combination with gemcitabine neither added nor detracted from baseline cytotoxic efficacy, whereas ZD1839 combined with vinorelbine was poorly tolerated. Overall, these results suggest that potentiation of cytotoxic treatment with ZD1839 does not require high levels of EGFR expression in the target tumors. They also suggest significant clinical benefit from ZD1839 in combination with a variety of widely used cytotoxic agents [5].
Enzyme Assay
Gefitinib hydrochloride is an inhibitor with an IC50 value of 2-37 nM in NR6wtEGFR cells that selectively binds to and inhibits the EGFR tyrosine kinase. With an IC50 of 27 nM, gefitinib efficiently prevents PLC-γ phosphorylation in NR6W cells. PLC-γ phosphorylation is low in the NR6wtEGFR and NR6M cell lines, but it is more resistant to gefitinib inhibition in the latter, with IC50 values of 43 nM and 369 nM, respectively. Gefitinib inhibits Akt phosphorylations in the low-EGFR- and EGFRvIII-expressing cell lines, with IC50 values of 220 and 263 nM, respectively.
Crosslinking assay [1]
Crosslinking of receptors were carried out as described (Montgomery, 2002). Briefly, Gefitinib-treated cells were washed twice in ice-cold phosphate-buffered saline (PBS) and solubilised in RIPA buffer containing protease and phosphatase inhibitors, 10% glycerol and 1 mM bis(sulfosuccinimidyl) suberate (BS3) for 20 min at 4°C. Glycine at a final concentration of 250 mM was subsequently added for 5 min, followed by centrifugation at 14 000 g for 10 min. Equivalent amounts of protein were resolved by SDS–PAGE and electroblotted onto nitrocellulose membranes. Blotting and antibody incubations were performed as above using anti-EGFR and antiphospho-tyrosine antibodies.
Cell Assay
Exponentially growing cells, such as NR6, NR6M, NR6M, and NR6W cells, are seeded in 96-well plates at a density of 2000 cells/well, allowed to adhere, and then washed in PBS before being incubated overnight in medium containing 0.5% FCS. After that, cells are exposed to different concentrations (0–2 μM) of either gefitinib or the solute controls, DMSO and EGF. Since NR6wtEGFR and NR6W cells can proliferate best at a known EGF concentration, 10 nM and 0.1 nM EGF, respectively, are added to NR6wtEGFR and NR6W cells. NR6 and NR6M cells do not receive additional EGF. An MTT proliferation assay is used to quantify the number of cells after 72 hours.
Proliferation assay [1]
Exponentially growing cells were seeded in sextuple in 96-well plates at a concentration of 2000 cells/well, allowed to adhere and subsequently washed in PBS and incubated overnight in medium containing 0.5% FCS. Cells were then treated with varying concentrations of Iressa or the solute control DMSO and EGF. The optimal EGF concentration for inducing proliferation of NR6wtEGFR and NR6W cells has previously been determined and hence NR6wtEGFR and NR6W cells were added 10 and 0.1 nM EGF, respectively (Pedersen et al, unpublished observation). NR6 and NR6M cells were not added EGF. After 72 h the amount of cells were measured by performing a 3-[4,5-dimethylthiazol-2-yl]-2,5-diphenyltetrazolium bromide (MTT) proliferation assay.
Soft agar assay for anchorage-independent growth [1]
Exponentially growing cells (1 × 105) were suspended in 3 ml 0.5% (w/v) NuSieve low-melting agar dissolved in DMEM+0.5% FCS and plated in six-well plates covered with 0.5% agar dissolved in DMEM+0.5% FCS. Cells were then treated with varying concentrations of Iressa or the solute control DMSO. The optimal concentration of EGF for inducing anchorage-independent growth of NR6wtEGFR and NR6W cells has previously been determined and hence NR6wtEGFR were added 10 and 0.1 nM EGF, respectively (Pedersen et al, unpublished observation). NR6 and NR6M were not stimulated with EGF. Cultures in triplicate for each condition were replenished with fresh medium once a week. After 3 weeks the plates were stained with crystal violet and colonies >50 cells were counted.
Analysis of proliferation in vitro [6]
Cells (5 × 104) were plated in normal growth medium in triplicate into 24-well cell culture clusters. After 24 hr, cells were treated with Gefitinib or DMSO vehicle for a further 48 hr. Cells were then counted using a haemocytometer. Cell viability, assessed by trypan blue staining, was always ≥95% and did not alter with drug treatment. Proliferation was calculated as the increase in cell number during the 48 hr treatment period. Effects of ZD1839 are expressed relative to the increase in cell number observed in control cultures. All experiments were conducted on 3 separate occasions for each cell line.
Analysis of apoptosis in vitro [6]
Following treatment with Gefitinib, adherent cells were collected by trypsinisation and combined with nonadherent cells. Cells were washed and resuspended in PBS. Cell suspension (50 μl) was applied to a microscope slide using Cytospin 2. Cells were then fixed in paraformaldehyde and treated with Hoechst stain for 2 min. Apoptosis was then quantified by determining the proportion of cells containing nuclei with apoptotic morphology. One hundred cells were assessed in triplicate for each treatment.
Animal Protocol
Female nude mice (cba nu/nu) aged 8–10 weeks are intra-dermal injected with LoVo cells.
100 mg/kg
Once daily by oral administration (0.1 mL/10 g body weight) for 14 days
Growth of tumours in athymic mice and drug treatments [6]
MDA-MB-231 or SKOV3 cells (2 × 106) in a 200 μl solution of 10% FCS with 50% (v/v) Matrigel were injected s.c. into each flank (2 tumours/mouse) of each mouse (n = 15) and allowed to form tumours over a period of 21 days. Mice were then gavaged daily with 75 mg/kg Gefitinib/ZD1839 or vehicle for 14 days. Tumour diameters were caliper-measured twice a week and tumour volume was calculated from the following formula: tumour volume = (width)2 × length/2. At the end of the experiment, tumours were removed from the mice, divided and processed for immunohistochemistry or stored in liquid nitrogen. The growth-inhibitory effect of Gefitinib/ZD1839 was calculated from the following formula: equation image, where d is final tumour volume after ZD1839 treatment, c is tumour volume before ZD1839 treatment, b is final tumour volume after control treatment and a is tumour volume before control treatment.
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Absorption is slow after oral administration, with a mean bioavailability of 60%. Peak plasma concentrations occur 3–7 hours after administration. Food does not affect the bioavailability of gefitinib. Elimination pathways are primarily metabolism (mainly via CYP3A4) and fecal excretion. Excretion is mainly via feces (86%), with less than 4% of the administered dose excreted by the kidneys and its metabolites. 1400 L [IV] 595 mL/min [IV] Metabolism/Metabolites Mainly metabolized via hepatic CYP3A4. Three biotransformation sites have been identified: metabolism of the N-propoxymorpholine group, demethylation of the methoxy substituent on quinazoline, and oxidative defluorination of the halophenyl group. Known metabolites of gefitinib include O-desmethylgefitinib and 4-desfluoro-4-hydroxygefitinib. Biological Half-Life 48 hours [IV]
Toxicity/Toxicokinetics
Hepatotoxicity
In early large clinical trials, 9% to 13% of patients receiving standard-dose gefitinib experienced elevated serum transaminase levels, and 2% to 4% had to discontinue treatment due to transaminase levels exceeding five times the upper limit of normal. Serum enzyme elevations typically appear after 4 to 12 weeks of treatment and are hepatocellular in nature. No reports of immune allergies or autoimmune features have been found, but skin rashes are common in patients receiving gefitinib. Most reported cases of gefitinib-induced liver injury are mild or asymptomatic and resolve within 1 to 2 months after discontinuation. Upon restarting treatment, serum enzyme levels typically (but not always) rise rapidly, and corticosteroid treatment does not appear to prevent this relapse. In some cases, patients can tolerate lower doses with mild or no ALT elevation. Regular monitoring of liver function is recommended during treatment. Although elevated serum transaminase levels are common during gefitinib treatment, clinically significant liver injury with jaundice is rare. The sponsor has received reports of severe and even fatal hepatotoxicity cases, therefore monitoring of liver function is recommended during treatment.
Probability Score: B (May lead to clinically significant liver damage).
Effects during Pregnancy and Lactation
◉ Overview of Use During Lactation
There is currently no information on the clinical use of gefitinib during lactation. Because gefitinib binds to plasma proteins at a rate of up to 90%, its concentration in breast milk may be low. However, its half-life is approximately 48 hours, so it may accumulate in the infant. The manufacturer recommends discontinuing breastfeeding during gefitinib treatment.
◉ Effects on Breastfed Infants
No published information found as of the revision date.
◉ Effects on Lactation and Breast Milk
No published information found as of the revision date.
Protein Binding
90% Primarily binds to serum albumin and α1-acid glycoprotein (regardless of drug concentration).
References

[1]. Br J Cancer . 2005 Oct 17;93(8):915-23.

[2]. Cancer Res . 2001 Oct 1;61(19):7184-8.

[3]. Br J Cancer. 2002 Apr 8; 86(7): 1157–1161.

[4]. Clin Cancer Res . 2000 May;6(5):2053-63.

[5]. Clin Cancer Res . 2000 Dec;6(12):4885-92.

[6]. Int J Cancer . 2001 Dec 15;94(6):774-82.

Additional Infomation
Gefitinib belongs to the quinazoline class of compounds. Its structure is quinazoline, with (3-chloro-4-fluorophenyl)nitroso, 3-(morpholino-4-yl)propoxy, and methoxy groups substituted at positions 4, 6, and 7, respectively. It is an epidermal growth factor receptor (EGFR) kinase inhibitor used to treat non-small cell lung cancer. It has the effects of an EGFR antagonist and an anti-tumor drug. Gefitinib is an aromatic ether, belonging to the monochlorobenzene, monofluorobenzene, secondary amine, tertiary amine, quinazoline, and morpholine classes of compounds. Gefitinib (original code ZD1839) is a drug used to treat certain types of cancer. Its mechanism of action is similar to erlotinib (trade name: Tarceva), selectively targeting mutated proteins in malignant cells. Gefitinib is marketed by AstraZeneca under the brand name Iressa. Gefitinib is a kinase inhibitor. Its mechanism of action is as a protein kinase inhibitor. Gefitinib is a selective tyrosine kinase receptor inhibitor used to treat non-small cell lung cancer. Gefitinib treatment has been associated with transient elevations in serum transaminase levels and rare, clinically significant acute liver injury. Data on gefitinib infection with Penicillium brocae have been reported. Gefitinib is an aniline-quinazoline compound with antitumor activity. Gefitinib inhibits the catalytic activity of multiple tyrosine kinases, including the epidermal growth factor receptor (EGFR), which may lead to the inhibition of tyrosine kinase-dependent tumor growth. Specifically, the drug competitively binds to the tyrosine kinase domain of EGFR with ATP, thereby inhibiting receptor autophosphorylation and ultimately inhibiting signal transduction. Gefitinib may also induce cell cycle arrest and inhibit angiogenesis. (NCI04) A selective epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor used to treat locally advanced or metastatic non-small cell lung cancer. Drug Indications Gefitinib (Mylan) is indicated for the continued treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) who have failed platinum-based or docetaxel chemotherapy. FDA Label Gefitinib (Mylan) is indicated for monotherapy in adult patients with locally advanced or metastatic NSCLC harboring EGFR-TK activating mutations. Iressa (Iressa) is indicated for the treatment of adult patients with locally advanced or metastatic NSCLC harboring epidermal growth factor receptor tyrosine kinase activating mutations. Mechanism of Action Gefitinib is an epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor that binds to the enzyme's adenosine triphosphate (ATP) binding site. EGFR is frequently overexpressed in certain human cancer cells, such as lung and breast cancer cells. Overexpression leads to enhanced activation of the anti-apoptotic Ras signaling cascade, resulting in increased cancer cell survival and uncontrolled cell proliferation. Gefitinib is the first selective inhibitor of EGFR tyrosine kinase, also known as Her1 or ErbB-1. By inhibiting EGFR tyrosine kinase, downstream signaling cascades are also suppressed, thereby inhibiting malignant cell proliferation. Pharmacodynamics Gefitinib inhibits intracellular phosphorylation of multiple tyrosine kinases associated with transmembrane cell surface receptors, including epidermal growth factor receptor (EGFR)-associated tyrosine kinase (EGFR-TK). EGFR is expressed on the cell surface of many normal and cancer cells. Epidermal growth factor receptor (EGFR) is frequently amplified and/or mutated in various human tumors, and aberrant signaling of this receptor is thought to be associated with the malignant phenotypes observed in these tumors. Gefitinib is a small molecule inhibitor that specifically binds to and inhibits EGFR tyrosine kinase and has been shown to inhibit the growth, proliferation, survival, and invasion of various EGFR-overexpressing tumor cells. However, the lack of correlation between the clinical efficacy of gefitinib and EGFR levels and activity suggests that other molecular mechanisms, such as downstream signaling pathways and gene mutations, may play an important role in predicting clinical efficacy. Therefore, we investigated the effects of the specific EGFR inhibitor gefitinib on phosphorylation levels, signaling pathways, and growth in cells expressing the naturally occurring constitutively active EGFR variant EGFRvIII, low-level unconverted EGFR, and high-level converted EGFR. The results showed that gefitinib doses sufficient to inhibit EGFR phosphorylation, EGFR-mediated proliferation, and EGFR-mediated anchorage-independent growth were insufficient to inhibit these characteristics in EGFRvIII-expressing cells. Furthermore, the data indicated that long-term exposure of EGFRvIII-expressing cells to low concentrations of gefitinib (0.01–0.1 μM) led to increased receptor phosphotyrosine levels, enhanced ERK signaling, and stimulation of cell proliferation and anchorage-independent growth, likely through the induction of EGFRvIII dimerization. On the other hand, higher concentrations of gefitinib (1-2 μM) significantly reduced EGFRvIII phosphotyrosine levels and inhibited EGFRvIII-mediated cell proliferation and anchorage-independent growth. Further research is needed to explore the clinical implications of these important findings. [1]
Epidermal growth factor receptor (EGFR) is widely overexpressed in many human tumors, providing a new target for the development of anticancer drugs. ZD1839 (Iressa) is a selective EGFR-targeting quinazoline tyrosine kinase inhibitor that has shown good activity in preclinical studies and early clinical trials. However, since it is not yet clear which tumor types are the best therapeutic targets for this drug, researchers have investigated the molecular characteristics associated with tumor sensitivity to ZD1839. Among a group of human breast cancer and other epithelial tumor cell lines, tumors overexpressing HER2 were particularly sensitive to ZD1839. Growth inhibition in these tumor cell lines was associated with dephosphorylation of EGFR, HER2 and HER3, accompanied by loss of HER3 binding to phosphatidylinositol 3-kinase and downregulation of Akt activity. These studies suggest that HER2-overexpressing tumors are particularly sensitive to inhibition of the HER family tyrosine kinase signaling pathway, and suggest new strategies for treating these highly aggressive tumors. [2] Transforming growth factor α (TGF-α) is an autocrine growth factor in human cancers. Overexpression of TGF-α and its specific receptor, epidermal growth factor receptor (EGFR), is associated with aggressive disease and poor prognosis. EGFR has been proposed as a target for anticancer therapy. Several compounds that can block ligand-induced EGFR activation have been developed. ZD-1839 (Iressa) is a pleiotropic quinazoline derivative that selectively inhibits EGFR tyrosine kinase and is currently being developed clinically in cancer patients. This study evaluated the antiproliferative activity of ZD-1839, alone or in combination with cytotoxic agents with different mechanisms of action (such as cisplatin, carboplatin, oxaliplatin, paclitaxel, docetaxel, doxorubicin, etoposide, topotecan, and raltitrexed), against human ovarian cancer (OVCAR-3), breast cancer (ZR-75-1, MCF-10A ras), and colon cancer (GEO) cells, all of which co-express EGFR and TGF-α. ZD-1839 inhibited colony formation in all cancer cell lines on soft agar in a dose-dependent manner. Its antiproliferative effect was primarily manifested as cell inhibition. However, higher doses increased apoptosis by 2–4-fold. When cancer cells were treated in combination with each cytotoxic agent and ZD-1839, a dose-dependent superadditive enhancement of growth inhibition was observed. Combination therapy significantly enhanced apoptosis induced by single-agent treatment. [4]
Overexpression of growth factor receptors EGFR and erbB2 occurs frequently in various human cancers and is associated with tumor invasiveness and poor patient prognosis. We investigated the effects of a novel EGFR tyrosine kinase inhibitor, ZD1839 (Iressa), on the in vitro and in vivo growth of human cancer cell lines expressing different levels of EGFR and erbB2. ZD1839 effectively inhibited the in vitro proliferation of EGFR-overexpressing A431 and MDA-MB-231 cells at low nanomolar concentrations (inhibition rates of 50%-70%). Simultaneously, ZD1839 blocked EGFR autophosphorylation and inhibited EGF-activated PLC-γ1, ERK MAP kinase, and PKB/Akt. ZD1839 also inhibited the proliferation of erbB2-overexpressing cells in EGFR(+) cancer cell lines (SKBr3, SKOV3, BT474) with inhibition rates ranging from 20% to 80%. This inhibitory effect is associated with the inhibition of EGF-dependent erbB2 phosphorylation and ERK MAP kinase and PKB/Akt activation in SKOV3 cells. Oral administration of ZD1839 inhibited the growth of MDA-MB-231 and SKOV3 tumors (xenografts established in athymic mice) by 71% and 32%, respectively. Growth inhibition and proliferation reduction occurred simultaneously, but the apoptosis index did not change. In summary, these results indicate that at the studied dose, ZD1839 can effectively inhibit not only the proliferation of EGFR-overexpressing cells, but also the proliferation of EGFR(+) cells overexpressing erbB2[6].
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C22H24CLFN4O3
Molecular Weight
446.90
Exact Mass
446.152
Elemental Analysis
C, 59.13; H, 5.41; Cl, 7.93; F, 4.25; N, 12.54; O, 10.74
CAS #
184475-35-2
Related CAS #
184475-35-2;857091-32-8; 184475-56-7; 184475-55-6; 1173976-40-3; 1173976-40-3; 1228664-49-0
PubChem CID
123631
Appearance
White solid powder
Density
1.3±0.1 g/cm3
Boiling Point
586.8±50.0 °C at 760 mmHg
Melting Point
119-1200C
Flash Point
308.7±30.1 °C
Vapour Pressure
0.0±1.6 mmHg at 25°C
Index of Refraction
1.621
LogP
4.11
Hydrogen Bond Donor Count
1
Hydrogen Bond Acceptor Count
8
Rotatable Bond Count
8
Heavy Atom Count
31
Complexity
545
Defined Atom Stereocenter Count
0
SMILES
ClC1=C(C([H])=C([H])C(=C1[H])N([H])C1C2C(=C([H])C(=C(C=2[H])OC([H])([H])C([H])([H])C([H])([H])N2C([H])([H])C([H])([H])OC([H])([H])C2([H])[H])OC([H])([H])[H])N=C([H])N=1)F
InChi Key
XGALLCVXEZPNRQ-UHFFFAOYSA-N
InChi Code
InChI=1S/C22H24ClFN4O3/c1-29-20-13-19-16(12-21(20)31-8-2-5-28-6-9-30-10-7-28)22(26-14-25-19)27-15-3-4-18(24)17(23)11-15/h3-4,11-14H,2,5-10H2,1H3,(H,25,26,27)
Chemical Name
N-(3-chloro-4-fluorophenyl)-7-methoxy-6-(3-morpholin-4-ylpropoxy)quinazolin-4-amine
Synonyms
Gefitinib; ZD-1839; ZD1839; ZD 1839; Brand name: Iressa
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: ~89 mg/mL (~199.1 mM)
Water: <1 mg/mL
Ethanol: ~4 mg/mL (~9.0 mM)
Solubility (In Vivo)
5% DMSO+corn oil: 2.5 mg/mL
 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 2.2376 mL 11.1882 mL 22.3764 mL
5 mM 0.4475 mL 2.2376 mL 4.4753 mL
10 mM 0.2238 mL 1.1188 mL 2.2376 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
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Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
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In vivo Formulation Calculator (Clear solution)
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Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
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Clinical Trial Information
Study to Allow Patients Previously Participating in a Novartis Sponsored Trial to Continue Receiving Capmatinib Treatment as Single Agent or in Combination With Other Treatments or the Combination Treatment Alone
CTID: NCT03040973
Phase: Phase 2    Status: Recruiting
Date: 2024-11-27
Clinical Trial of YH25448(Lazertinib) as the First-line Treatment in Patients With EGFR Mutation Positive Locally Advanced or Metastatic NSCLC (LASER301)
CTID: NCT04248829
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-11-13
First Line Treatment in EGFR Mutation Positive Advanced NSCLC Patients with Central Nervous System (CNS) Metastases
CTID: NCT03653546
Phase: Phase 2/Phase 3    Status: Completed
Date: 2024-10-15
A Precision Medicine Approach (SMMART-ACT) for the Treatment of Patients With Advanced, Recurrent Sarcoma, Prostate, Breast, Ovarian or Pancreatic Cancer
CTID: NCT06630325
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-10-08
Osimertinib and Gefitinib in EGFR Inhibitor naïve Advanced EGFR Mutant Lung Cancer
CTID: NCT03122717
Phase: Phase 1/Phase 2    Status: Active, not recruiting
Date: 2024-09-26
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Study of EGF816 in Combination With Selected Targeted Agents in EGFR-mutant NSCLC
CTID: NCT03333343
Phase: Phase 1    Status: Active, not recruiting
Date: 2024-09-19


A Study to Learn About the Effectiveness of Cancer Medicines in Patients With Metastatic Non-small Cell Lung Cancer in Norway.
CTID: NCT05834348
Phase:    Status: Completed
Date: 2024-09-04
A Study of Ramucirumab (LY3009806) in Combination With Erlotinib in Previously Untreated Participants With EGFR Mutation-Positive Metastatic NSCLC (RELAY)
CTID: NCT02411448
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-29
AZD9291 Versus Gefitinib or Erlotinib in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer
CTID: NCT02296125
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-21
A Study of BPI-7711 Capsule in Non-small Cell Lung Cancer Patients
CTID: NCT03866499
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-08-07
A Study of EGF816 and Gefitinib in TKI-naïve EGFR-mutant Non-Small Cell Lung Cancer
CTID: NCT03292133
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-29
Phase 2 Platform Study in Patients With Advanced Non-Small Lung Cancer Who Progressed on First-Line Osimertinib Therapy (ORCHARD)
CTID: NCT03944772
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-07-17
Study With Gefitinib in Combination With Olaparib (AZD2281) Versus Gefitinib Alone
CTID: NCT01513174
Phase: Phase 1/Phase 2    Status: Completed
Date: 2024-06-28
Intra-tumoral Mitazalimab (CD40 Antibody) With Irreversible Electroporation (IRE) in Locally Advanced Pancreas Cancer
CTID: NCT06205849
Phase: Phase 1    Status: Recruiting
Date: 2024-06-28
ASK120067 Versus Gefitinib as First-line Treatment for EGFRm Locally Advanced or Metastatic NSCLC
CTID: NCT04143607
Phase: Phase 3    Status: Active, not recruiting
Date: 2024-06-14
Treatment of Lung Adenocarcinoma With Bronchioloalveolar Feature
CTID: NCT00198380
Phase: Phase 2    Status: Completed
Date: 2024-03-08
A Phase II Study of 250-mg ZD1839 Monotherapy in Recurrent or Metastatic or Both Recurrent and Metastatic Squamous Cell Carcinoma
CTID: NCT01185158
Phase: Phase 2    Status: Completed
Date: 2023-11-29
Efficacy and Safety Study of Gefitinib in Squamous NSCLC Patients Who Failed First-Line Chemotherapy
CTID: NCT01485809
Phase: Phase 2    Status: Completed
Date: 2023-11-24
ARCHER1050: A Study of Dacomitinib vs. Gefitinib in 1st-Line Treatment Of Advanced NSCLC.
CTID: NCT01774721
Phase: Phase 3    Status: Completed
Date: 2023-11-14
BCG With or Without Gefitinib in Treating Patients With High-Risk Bladder Cancer
CTID: NCT00352079
Phase: Phase 3    Status: Terminated
Date: 2023-08-04
Preoperative Gefitinib for EGFR Mutant II-IIIa NSCLC (ECTOP-1001)
CTID: NCT01833572
Phase: Phase 2    Status: Completed
Date: 2023-07-12
The Study Observes How Long Patients With Non-small Cell Lung Cancer (NSCLC) Benefit From Treatment With Epidermal Growth Factor Tyrosine Kinase Inhibitor (EGFR-TKI) When Given Either for Uncommon Mutations or for Common Mutations in the Sequence Afatinib Followed by Osimertinib
CTID: NCT04179890
Phase:    Status: Completed
Date: 2023-05-25
Trial of Induction Chemotherapy With Carboplatin and Paclitaxel, Followed by Concurrent Chemotherapy/Radiation Therapy With ZD1839 (IRESSA), 5-FU, Hydroxyurea, and Twice-Daily Radiation, Followed by Adjuvant ZD1839 Monotherapy in Patients With Locally Advanced Head & Neck Cancer
CTID: NCT01185171
Phase: Phase 2    Status: Completed
Date: 2023-05-11
DS-1205c With Gefitinib for Metastatic or Unresectable Epidermal Growth Factor Receptor (EGFR)-Mutant Non-Small Cell Lung Cancer
CTID: NCT03599518
Phase: Phase 1    Status: Terminated
Date: 2023-02-08
A Study to Evaluate Safety and Efficacy of HS-10296 as First-Line Treatment in Patients
CTID: NCT03849768
Phase: Phase 3    Status: Unknown status
Date: 2023-01-20
Tepotinib With Gefitinib in Participants With Locally Advanced or Metastatic NSCLC (INSIGHT)
CTID: NCT01982955
Phase: Phase 1/Phase 2    Status: Completed
Date: 2022-11-08
A Study of Pembrolizumab (MK-3475) in Combination With Chemotherapy or Immunotherapy in Participants With Non-small Cell Lung Cancer (MK-3475-021/KEYNOTE-021)
CTID: NCT02039674
Phase: Phase 1/Phase 2    Status: Completed
Date: 2022-11-08
Osimertinib Treatment on EGFR T790M Plasma Positive NSCLC Patients (APPLE)
CTID: NCT02856893
Phase: Phase 2    Status: Active, not recruiting
Date: 2022-09-15
Ningetinib (CT053PTSA) Plus Gefitinib in Stage IIIB or IV NSCLC Patients With EGFR Mutation and T790M Negative
CTID: NCT03758287
Phase: Phase 1/Phase 2    Status: Unknown status
Date: 2022-06-22
Exploratory Study of Drug Sensitivity Prediction Software (IRCR-DReSS) With Patient-derived Tumor Cells of Metastatic Gastric Cancer
CTID: NCT03170180
Phase: Phase 2    Status: Completed
Date: 2022-06-15
Study to Evaluate the Safety and Efficacy of Gefitinib, in Subjects With EFGR Amplification Refractory Solid Tumors
CTID: NCT02447419
Phase: Phase 2    Status: Completed
Date: 2022-06-15
MEDI4736 (Anti PD-L1) Combined With Gefitinib in Subjects With Non-Small Cell Lung Cancer(NSCLC).
CTID: NCT02088112
Phase: Phase 1    Status: Completed
Date: 2022-04-04
Efficacy and Safety of Precision Therapy in Refractory Tumor
CTID: NCT03239015
Phase: Phase 2    Status: Unknown status
Date: 2022-03-04
Topotecan and Gefitinib (Iressa) for Ovarian, Peritoneal, or Fallopian Tube Cancer
CTID: NCT00317772
Phase: Phase 1/Phase 2    Status: Completed
Date: 2022-02-07
PRe-Operative Gefitinib in Resectable EGFR Mutation Positive Lung Cancer With Sector Sequencing for Biomarker Discovery
CTID: NCT02804776
Phase: Phase 2    Status: Completed
Date: 2021-06-02
A Safety and Efficacy Study of INC280 and Gefitinib in Patients With EGFR Mutated, c-MET-amplified NSCLC Who Have Progressed After EGFRi Treatment
CTID: NCT01610336
Phase: Phase 2    Status: Completed
Date: 2021-04-08
Iressa Re-challenge in Advanced NSCLC EGFR-mutated Patients
CTID: NCT02025218
Phase: Phase 2    Status: Terminated
Date: 2021-04-01
Lung Cancer in Women Treated With Anti-oestrogens anD Inhibitors of EGFR
CTID: NCT01556191
Phase: Phase 2    Status: Completed
Date: 2021-01-08
Gefitinib and Radiation Therapy in Treating Patients With Glioblastoma Multiforme
CTID: NCT00052208
Phase: Phase 1/Phase 2    Status: Completed
Date: 2020-10-30
Bevacizumab Plus EGFR-TKIs in Chinese Patients With EGFR-mutant NSCLC: a Real-world Study
CTID: NCT04575415
Phase:    Status: Unknown status
Date: 2020-10-20
A Study of IRESSA Treatment Beyond Progression in Addition to Chemotherapy Versus Chemotherapy Alone
CTID: NCT01544179
Phase: Phase 3    Status: Completed
Date: 2020-09-25
S-1 Plus Gefitinib Versus Gefitinib Monotherapy in Patients With EGFR-sensitive Mutation Advanced Non-squamous NSCLC
CTID: NCT03457337
Phase: Phase 2    Status: Unknown status
Date: 2020-07-10
Bevacizumab Combined With Gefitinib in the Treatment of Advanced NSCLC
CTID: NCT04425187
Phase: Phase 2    Status: Unknown status
Date: 2020-06-12
Gefitinib With Anlotinib in Advanced Non-squamous NSCLC Patients With Uncleared Plasma ctDNA EGFRm After First-line Treatment With Gefitinib
CTID: NCT04358562
Phase: Phase 2    Status: Unknown status
Date: 2020-04-24
A Phase I Study of Safety and Pharmacokinetics of Volitinib in Combination With Gefitinib in EGFR(+) NSCLC
CTID: NCT02374645
Phase: Phase 1    Status: Completed
Date: 2020-04-24
LUX-Lung 7: A Phase IIb Trial of Afatinib(BIBW2992) Versus Gefitinib for the Treatment of 1st Line EGFR Mutation Positive Adenocarcinoma of the Lung
CTID: NCT01466660
Phase: Phase 2    Status: Completed
Date: 2020-04-07
ZD 1839 in Treating Patients With Prostate Cancer That Has Not Responded to Hormone Therapy
CTID: NCT00025116
Phase: Phase 2    Status: Completed
Date: 2020-04-06
Gefitinib Versus Vinorelbine/Platinum as Adjuvant Treatment in Stage II-IIIA(N1-N2) NSCLC With EGFR Mutation
CTID: NCT01405079
Phase: Phase 3    Status: Unknown status
Date: 2020-02-18
Third-line Treatment of Gefitinib in NSCLC Patients
CTID: NCT01933347
Phase: Phase 2    Status: Completed
Date: 2020-02-06
A Study of SH-1028 Tablets Versus Gefitinib in Patients With Locally Advanced or Metastatic Non-small Cell Lung Cancer
CTID: NCT04239833
Phase: Phase 3    Status: Unknown status
Date: 2020-01-27
---------------------
APPLE trial: Feasibility and activity of AZD9291 (osimertinib) treatment on Positive PLasma T790M in EGFR mutant NSCLC patients
CTID: null
Phase: Phase 2    Status: Ongoing, Completed
Date: 2017-10-09
An open-label, multi-center, global, rollover study for patients who have previously received capmatinib (INC280) as monotherapy or in combination in a Novartis Sponsored trial
CTID: null
Phase: Phase 2    Status: Trial now transitioned, Ongoing, Completed
Date: 2017-05-31
A Phase Ib/II Multicenter, Randomized, Open Label Trial to Compare Tepotinib(MSC2156119J) Combined with Gefitinib Versus Chemotherapy as Second-line Treatment in Subjects with MET Positive, Locally Advanced or Metastatic Non-small
CTID: null
Phase: Phase 1, Phase 2    Status: Completed, Ongoing, Prematurely Ended
Date: 2017-02-07
Selecting cancer patients for treatment using Tumor Organoids, the SENSOR study
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-06-16
GEM3: A double blind placebo controlled trial of a combination of methotrexate and gefitinib versus methotrexate alone as a treatment for ectopic pregnancy
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA
Date: 2016-04-13
An Open-label, Randomized Phase 3 Efficacy Study of ASP8273 vs Erlotinib or Gefitinib in First-line Treatment of Patients with Stage IIIB/IV Non-small Cell Lung Cancer Tumors with EGFR Activating Mutations
CTID: null
Phase: Phase 3    Status: Temporarily Halted, Prematurely Ended, Completed
Date: 2016-03-11
Induction therapy with gefitinib followed by taxane platinum chemotherapy and intercalated gefitinib in NSCLC stages II-IIIB with activating EGFR mutation – A single arm Phase II trial.
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2015-09-29
Molecular-biological tumor profiling for drug treatment selection in patients with advanced and refractory carcinoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2015-05-04
A phase III, double-blind, randomised study to assess the efficacy and safety of AZD9291 versus a standard of care Epidermal Growth Factor Receptor Tyrosine Kinase Inhibitor as first-line treatment in patients with Epidermal Growth Factor Receptor Mutation Positive, locally advanced or Metastatic Non-Small Cell Lung Cancer
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Completed
Date: 2014-12-17
ARCHER 1050: A RANDOMIZED, OPEN-LABEL, PHASE 3, EFFICACY AND SAFETY STUDY OF DACOMITINIB (PF 00299804) VERSUS GEFITINIB FOR THE FIRST LINE TREATMENT OF LOCALLY ADVANCED OR METASTATIC NON SMALL CELL LUNG CANCER IN SUBJECTS WITH EPIDERMAL GROWTH FACTOR RECEPTOR (EGFR) ACTIVATING MUTATION(S)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2013-04-25
A phase IB/II, open label, multicenter study of INC280 administered orally in combination with gefitinib in adult patients with EGFR mutated, c-MET-amplified non-small cell lung cancer who have progressed after EGFR inhibitor treatment
CTID: null
Phase: Phase 1, Phase 2    Status: Completed
Date: 2013-03-14
Iressa RE-challenge in advanced NSCLC EGFR mutated patients who responded to an EGFR-TKI used as first-line or previous treatment.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2013-01-28
A phase II Open Label, Multicentre, Single Arm Study to Characterise the Efficacy, Safety and Tolerability of Gefitinib 250 mg (IRESSA™) as treatment re-challenge in Patients, who have Epidermal Growth Factor Receptor (EGFR) Mutation Positive Locally Advanced or Metastatic Non- Small Cell Lung Cancer (NSCLC) and who previously responded to gefitinib and received subsequent chemotherapy or other active anti-cancer therapy excluding EGFR-TKIs
CTID: null
Phase: Phase 2    Status: Completed
Date: 2012-04-30
A multi-center phase II randomized study of CustOmized Neoadjuvant ThErapy vs Standard chemoTherapy in non-small cell lung cancer (NSCLC) patients with resectable stage IIIA (N2) disease (CONTEST trial)
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2012-03-21
A Phase III Randomised, Double blind, Placebo controlled, Parallel, Multicentre Study to Assess the Efficacy and Safety of continuing IRESSATM 250 mg in addition to Chemotherapy versus Chemotherapy alone in Patients who have Epidermal Growth Factor Receptor (EGFR) Mutation Positive Locally advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC) and have progressed on First Line IRESSATM.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2012-02-22
LUX-Lung 7: A randomised, open-label Phase IIb Trial of afatinib versus gefitinib as first-line treatment of patients with EGFR mutation positive advanced adenocarcinoma of the lung
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-12-29
Combination gefitinib and methotrexate to treat ectopic pregnancies II
CTID: null
Phase: Phase 4    Status: Completed
Date: 2011-10-28
Tyrosine kinase Inhibitors in DysplAsia of Lung epithelium Study 1
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2011-05-18
Multi-centre, randomised, double-blind phase II study comparing cediranib (AZD2171) plus gefitinib (Iressa, ZD1839) with cediranib plus placebo in subjects with recurrent/progressive glioblastoma (DORIC Trial)
CTID: null
Phase: Phase 2    Status: Completed
Date: 2011-02-17
An Open Label, Multicentre, Single Arm Study to Characterise the Efficacy, Safety and Tolerability of Gefitinib 250 mg (IRESSA™) as First line Treatment in Caucasian Patients, who have Epidermal Growth Factor Receptor (EGFR) Mutation Positive Locally Advanced or Metastatic Non-Small Cell Lung Cancer (NSCLC)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-09-03
MULTICENTRIC RANDOMIZED PHASE III STUDY COMPARING GEFITINIB VERSUS PLATINUM-BASED CHEMOTHERAPY IN EGFR FISH POSITIVE NSCLC PATIENTS (RANGE)
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2008-10-21
Cancer Oesophagus Gefitinib(COG) - Phase III randomised, double-blind, placebo-controlled trial of gefitinib (Iressa®) versus placebo in oesophageal cancer progressing after chemotherapy.
CTID: null
Phase: Phase 3    Status: Completed
Date: 2008-10-20
A Phase II, Double-blind, Randomised, Parallel Group, Multi-centre Study Comparing gefitinib 250 mg (IRESSA™) with erlotinib 150 mg (Tarceva®) in Previously Treated Patients with Locally Advanced or Metastatic (Stage III or IV) Non-Small Cell Lung Cancer with High Epidermal Growth Factor Receptor Gene Copy Number (EGFR FISH +)
CTID: null
Phase: Phase 2    Status: Ongoing, GB - no longer in EU/EEA, Completed
Date: 2006-09-18
A 4-week randomized, double-blind, placebo controlled, parallel group, phase II study to assess the efficacy and safety of gefitinib tablets, 250 mg once daily (OD), in adult patients with moderate chronic obstructive pulmonary disease (COPD)
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2006-04-06
A Phase II randomised, double-blind, stratified, multi-centre trial comparing the Nolvadex 20 mg and placebo combination to the Nolvadex 20 mg and ZD1839 (IRESSA™) 250 mg combination in patients with metastatic breast cancer and estrogen receptor (ER) and/or progesterone (PR) positive tumours
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-11-23
A PHASE II, MULTICENTRE, OPEN-LABEL STUDY TO EVALUATE THE EFFICACY AND TOLERABILITY OF ZD1839 (IRESSA?) IN COMBINATION WITH CASODEX? IN PATIENTS WITH OPERABLE PROSTATE CANCER
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2005-03-14
Phase II Study with Gefitinib (sequentially) following Gemcitabine/Cisplatin as induction regimen for patients with stage IIIA N2 NSCLC.
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-03-03
A PHASE II MULTICENTRE RANDOMISED, PARALLEL GROUP, DOUBLE-BLIND, PLACEBO-CONTROLLED STUDY OF ZD1839 (IRESSA TM) (250MG TABLET) PLUS BEST SUPPORTIVE CARE (BSC) VERSUS PLACEBO PLUS BSC IN CHEMOTHERAPY-NAÏVE PATIENTS WITH ADVANCED (STAGE IIIB OR IV) NON-SMALL CELL LUNG CANCER (NSCLC) AND POOR PERFORMANCE STATUS
CTID: null
Phase: Phase 2    Status: Completed
Date: 2005-03-02
A randomized phase III study of follow up with or without adjuvant Gefitinib
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-02-17
Multicentre, open label, extension study of treatment with gefitinib (IRESSA™) for patients completing other gefitinib clinical studies who may benefit from gefitinib treatment
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-01-24
Multicentre, open label, extension study of treatment with gefitinib (IRESSA™) for patients completing other gefitinib clinical studies who may benefit from gefitinib treatment
CTID: null
Phase: Phase 3    Status: Completed
Date: 2004-12-20
A PHASE III RANDOMISED, STRATIFIED, PARALLEL-GROUP, MULTI-CENTRE, COMPARATIVE STUDY OF ZD1839 (IRESSA®) 250 MG AND 500 MG VERSUS METHOTREXATE FOR PREVIOUSLY TREATED PATIENTS WITH SQUAMOUS CELL CARCINOMA OF THE HEAD AND NECK
CTID: null
Phase: Phase 3    Status: Completed
Date: 2004-11-12
A Randomized, Open Label, Parallel Group, International, Multicenter, Phase III Study of Oral ZD1839 (IRESSA®) Versus Intravenous Docetaxel (TAXOTERE®) in Patients With Locally Advanced or Metastatic Recurrent Non Small Cell Lung Cancer who have Previously Received Platinum Based Chemotherapy
CTID: null
Phase: Phase 3    Status: Completed
Date: 2004-11-12
A Phase II Randomised, Double-blind, Placebo-controlled, Multicentre Comparative study of ZD1839 250 mg or 500 mg (Iressatm) given either continuously or concomitantly with cisplatin plus radiotherapy for the treatment of patients with previously untreated unresected late stage III/IV non-metastatic head and neck squamous cell carcinoma
CTID: null
Phase: Phase 2    Status: Completed
Date: 2004-10-06
Phase 3 Randomized Study of TLK286 versus Gefitinib
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2004-09-07
Exploratory clinical study of first-line treatment for patients with advanced EGFR mutation-positive non-squamous non-small-cell lung cancer
CTID: UMIN000015414
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2014-10-11
Randomised phase 2 trial of gefitinib plus bevacizumab vs gefitinib alone in patients with EGFR mutant non-squamous non small cell lung cance
CTID: UMIN000013586
Phase: Phase II    Status: Recruiting
Date: 2014-05-12
Randomized phase II trial evaluating the efficacy and safety of standard care +/- continuous gefitinib treatment beyond progression in patients with advanced NSCLC after 1st line treatment with gefitinib(TORG1019)
CTID: UMIN000013316
Phase: Phase II    Status: Complete: follow-up complete
Date: 2014-03-03
Phase II trial of gefitinib plus pemetrexed after the relapse to gefitinib in the patients with non-small-cell lung cancer harboring EGFR gene mutations.
CTID: UMIN000010709
Phase: Phase II    Status: Complete: follow-up complete
Date: 2013-05-13
None
CTID: jRCT1080221863
Phase:    Status:
Date: 2012-07-24
A phase II study of gefitinib with concurrent thoracic radiotherapy in patients with unresectable, stage III Non-Small Cell Lung Cancer harboring EGFR mutations.
CTID: UMIN000008366
Phase: Phase II    Status: Complete: follow-up complete
Date: 2012-07-06
Exploratory study of detection of mutated EGFR from plasma of patients with EGFR mutant non-small cell lung cancer resistant to EGFR-TKI.
CTID: UMIN000007817
Phase:    Status: Complete: follow-up complete
Date: 2012-05-14
A randomized phase II trial of docetaxelor pemetrexed with or without gefitinib in elderly advanced non-small cell lung cancer patients harboring activating EGFR mutation after failure of the therapy as first-line treatment.
CTID: UMIN000007765
Phase: Phase II    Status: Recruiting
Date: 2012-04-16
None
CTID: jRCT1080221763
Phase:    Status:
Date: 2012-04-09
A phase II study of gefitinib plus S-1 after gefitinib monotherapy in patients with adenocarcinoma of the lung
CTID: UMIN000006433
Phase: Phase II    Status: Complete: follow-up continuing
Date: 2011-11-01
Phase III study comparing gefitinib with gefitinib combined with carboplatin/pemetrexed for advanced non-small cell lung cancer with EGFR mutation (NEJ009)
CTID: UMIN000006340
Phase:    Status: Complete: follow-up complete
Date: 2011-10-01
A randomized phase III trial of adjuvant gefitinib versus cisplatin and vinorelbine in completely resected (stage II-III) non-small cell lung cancer (NSCLC) patients with mutated EGFR (investigator-initiated multicenter clinical trial)
CTID: UMIN000006252
Phase: Phase III    Status: Complete: follow-up complete
Date: 2011-09-03
A Phase II Study of Gefitinib Monotherapy as First-Line Treatment for Elderly Patients with Stage IIIB /IV Adenocarcinoma of the Lung
CTID: UMIN000006144
Phase: Phase II    Status: Complete: follow-up complete
Date: 2011-08-12
PhaseII study of gefitinib combined with cisplatin and pemetrexed in patients with advanced non-squamous, non-small cell lung cancer acquired resistance to first line gefitinib monotherapy.
CTID: UMIN000005690
Phase: Phase II    Status: Complete: follow-up complete
Date: 2011-06-02
First-line trial of CBDCA + S-1 + Gefitinib for patients with advanced or reccurent NSCLC patients harboring activating mutation of the EGFR gene -Phase II trial-
CTID: UMIN000005503
Phase: Phase II    Status: Complete: follow-up complete
Date: 2011-05-01
Phase II trial of induction gefitinib followed by cisplatin and docetaxel with concurrent radiotherapy in locally advanced non-small cell lung cancer with EGFR activating mutation
CTID: UMIN000005086
Phase: Phase II    Status: Complete: follow-up complete
Date: 2011-02-15
Phase I/II study of Gefitnib monotherapy as neo-adjuvant chemotherapy for cN2 lung adenocarcinoma with the EGFR mutation
CTID: UMIN000004807
Phase:    Status: Complete: follow-up complete
Date: 2010-12-29
The Utility of PET/CT in gofitinib treatment for Non-small Cell Lung Cancer
CTID: UMIN000003621
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2010-05-17
A phase II study of carboplatin plus pemetrexed followed by gefitinib for stage IIIB/IV non-small cell lung cancer with EGFR mutation
CTID: UMIN000003354
Phase: Phase II    Status: Complete: follow-up complete
Date: 2010-03-23
A phase II trial of gefitinib and concurrent radiation therapy for locally advanced non-small cell lung cancer patients harboring sensitive EGFR mutations.
CTID: UMIN000003274
Phase: Phase II    Status: Complete: follow-up continuing
Date: 2010-03-01
Pharmacokinetic, pharmacodynamic and phase II study of gefitinib in patients with malignant pleural effusion from non-small cell lung cancer
CTID: UMIN000002953
Phase: Phase II    Status: Complete: follow-up complete
Date: 2009-12-28
Randomized phase II study of continuous gefitinib plus chemotherapy versus alternation of gefitinib and chemotherapy in previously untreated non-small cell lung cancer (NSCLC) with sensitive EGFR mutations (NEJ005/TCOG0902)
CTID: UMIN000002789
Phase: Phase II    Status: Complete: follow-up complete
Date: 2009-11-20
A phase II study of gefitinib as first-line treatment for elderly patients with advanced lung adenocarcinoma who have active EGFR mutations
CTID: UMIN000002783
Phase:    Status: Complete: follow-up complete
Date: 2009-11-19
Phase III study of gefitinib versus erlotinib in patients with previously treated lung adeno carcinoma
CTID: UMIN000002014
Phase: Phase III    Status: Complete: follow-up complete
Date: 2009-06-19
A Phase II study of Gefitinib as First-Line Treatment for Elderly Patients with Non-Small-Cell Lung Cancer Harboring Epidermal Growth Factor Receptor Mutations.
CTID: UMIN000001863
Phase: Phase II    Status: Complete: follow-up complete
Date: 2009-04-08
Phase II study of gefitinib therapy inserted by chemotherapy as first line treatment for advanced non-small cell lung cancer harboring epidermal growth factor receptor (EGFR) mutation
CTID: UMIN000001738
Phase: Phase II    Status: Complete: follow-up complete
Date: 2009-03-01
Pilot study of gefitinib and irinotecan in young patients With Relapsed or Refractory Cancer
CTID: UMIN000001730
Phase: Phase I    Status: Complete: follow-up complete
Date: 2009-02-23
Randomized Phase III Trial Comparing Gefitinib with Carboplatin/Paclitaxel in Previously Untreated Advanced Non-Small-Cell Lung Cancer with Epidermal Growth Factor Receptor Gene Mutations
CTID: C000000376
Phase: Phase III    Status: Complete: follow-up complete
Date: 2008-12-31
A phase I study of Docetaxel-Gefitinib for patients with gefitinib refractory non-small cell lung cancer
CTID: UMIN000001338
Phase: Phase I    Status: Complete: follow-up complete
Date: 2008-09-01

Biological Data
  • Gefitinib (ZD1839)

    A, effect of metformin (MET) alone and in combination with gefitinib (GEF) on cell proliferation, on anchorage-independent growth ability of NSCLC cell lines, and on the induction of apoptosis in CALU-3, CALU-3 GEF-R, and H1299 cell lines.2013 Jul 1;19(13):3508-19.

  • Gefitinib (ZD1839)

    Effects on the downstream pathway by combined treatment of metformin and gefitinib. Western blotting of EGFR, MAPK, AKT p70S6K, and S6 activation following treatment with the indicated concentration of metformin and gefitinib in CALU-3 and CALU-3 GEF-R cell lines. β-Actin was included as a loading control.2013 Jul 1;19(13):3508-19.

  • Gefitinib (ZD1839)

    Effects of the combination treatment of metformin and gefitinib on NSCLC tumor xenografts.2013 Jul 1;19(13):3508-19.

  • Gefitinib (ZD1839)
  • Gefitinib (ZD1839)
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