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DRUG CLASS:

pan-FGFR inhib

6d
MET signaling drives acquired resistance to erdafitinib in muscle-invasive bladder cancer cells. (PubMed, Cell Death Dis)
Combined inhibition of FGFR1 and MET significantly suppressed tumor growth in resistant cells. These findings establish MET amplification and GAB1-SHP2 signaling as central mediators of erdafitinib resistance in FGFR1-amplified MIBC and support dual FGFR1/MET targeting as a promising therapeutic strategy.
Preclinical • Journal
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MET (MET proto-oncogene, receptor tyrosine kinase) • FGFR2 (Fibroblast growth factor receptor 2) • FGFR3 (Fibroblast growth factor receptor 3) • HGF (Hepatocyte growth factor) • GAB1 (GRB2 Associated Binding Protein 1)
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MET amplification
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Balversa (erdafitinib)
19d
Metabolic stability assessment and metabolite profiling of gunagratinib, a novel FGFR inhibitor, in rat, monkey and human liver microsomes by an integrated analysis method based on HPLC-MS/MS and HPLC-Orbitrap-HRMS. (PubMed, J Pharm Biomed Anal)
This study presents the first integrated analytical method based on HPLC-MS/MS and HPLC-Orbitrap-HRMS for the in vitro metabolic assessment of gunagratinib. We anticipate the clinical application of this method in future pharmacokinetic or metabolism studies.
Preclinical • Journal
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FGFR (Fibroblast Growth Factor Receptor)
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gunagratinib (ICP-192)
22d
The Role of FGFR3 in the Progression of Bladder Cancer. (PubMed, Cancers (Basel))
Functionally, the FGFR inhibitor erdafitinib suppressed cell proliferation and migration, and FGFR3 silencing also markedly reduced proliferation, migration, invasion, and colony formation in cancer cell lines. The down-regulation of FGFR3 in muscle-invasive bladder cancer, coupled with the inhibitory effect of its inactivation on cell growth, suggests a significant role for FGFR3 in bladder cancer progression.
Journal
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FGFR2 (Fibroblast growth factor receptor 2) • FGFR3 (Fibroblast growth factor receptor 3) • FGFR1 (Fibroblast growth factor receptor 1) • FGFR4 (Fibroblast growth factor receptor 4)
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Balversa (erdafitinib)
27d
Establishment and characterization of preclinical models of human gynecologic tract carcinosarcomas demonstrates targetable FGFR1 alterations. (PubMed, Transl Oncol)
These findings demonstrate the utility of patient-derived tumor models in the identification and the functional validation of potentially targetable molecular alterations in preclinical setting.
Preclinical • Journal
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TP53 (Tumor protein P53) • FGFR1 (Fibroblast growth factor receptor 1)
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TP53 mutation
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fexagratinib (ABSK091)
28d
Erdafitinib-associated Subretinal Fluid in a 75-Year-Old Man With Vitreomacular Traction. (PubMed, Ophthalmic Surg Lasers Imaging Retina)
Awareness of these risks and early intervention can prevent vision loss. Further research is needed to explore underlying mechanisms and preventive strategies.
Journal
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FGFR (Fibroblast Growth Factor Receptor)
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Balversa (erdafitinib)
30d
A broad kinase inhibitor library live cell imaging screen using liver, kidney and cardiac hiPSC-ICAM1-eGFP reporter lineages identifies liabilities for TNFα pathway modulation. (PubMed, Arch Toxicol)
Palbociclib (CDK4/6), miltefosine (PI3K/AKT/mTOR), gilteritinib (FLT3/AXL), and erdafitinib (FGFR) led to increased expression of the ICAM1-eGFP reporter and the release of chemokines. Finally, clinically relevant KIs that enhanced ICAM1-eGFP expression in PTLCs were found to be associated with renal adverse events in patients. Our overall findings support the application of imaging-based hiPSC-derived ICAM1-eGFP reporter covering different differentiated cell lineages to identify liabilities of novel kinase inhibitors to modulate TNFα pathways.
Journal
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FLT3 (Fms-related tyrosine kinase 3) • FGFR (Fibroblast Growth Factor Receptor) • AXL (AXL Receptor Tyrosine Kinase) • CDK4 (Cyclin-dependent kinase 4) • TNFA (Tumor Necrosis Factor-Alpha) • ICAM1 (Intercellular adhesion molecule 1)
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Ibrance (palbociclib) • Xospata (gilteritinib) • Balversa (erdafitinib)
1m
Development and Validation of a 7-eRNA Prognostic Signature for Lung Adenocarcinoma. (PubMed, Biology (Basel))
Somatic mutation profiling highlighted TP53 and TTN as frequently mutated genes, while drug sensitivity prediction identified four potential therapeutic agents (including AZD4547 and Nutlin-3a) for high-risk individuals. Collectively, this study constructed a 7-eRNA prognostic model for LUAD, providing a powerful tool for clinical risk assessment and uncovering eRNA-mediated regulatory mechanisms.
Journal
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TP53 (Tumor protein P53) • TTN (Titin)
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TP53 mutation
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fexagratinib (ABSK091)
1m
Molecular Mechanisms and Clinical Implications of Fibroblast Growth Factor Receptor 2 Signaling in Gastrointestinal Stromal Tumors. (PubMed, Curr Issues Mol Biol)
Introduction: Gastrointestinal stromal tumors (GISTs) are primarily driven by mutations in KIT (KIT proto-oncogene receptor tyrosine kinase) or PDGFRA (platelet-derived growth factor receptor alpha), but resistance to tyrosine kinase inhibitors (TKIs) such as imatinib remains a major clinical challenge. Although direct evidence remains limited, particularly regarding DNA repair and polymorphisms, FGFR2-targeted therapies (e.g., erdafitinib, pemigatinib) show potential, especially in combination with TKIs or DNA-damaging agents. Future research should prioritize GIST-specific clinical trials, the development of FGFR2-driven models, and standardized molecular diagnostics to validate FGFR2 as a therapeutic target.
Review • Journal
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FGFR2 (Fibroblast growth factor receptor 2) • KIT (KIT proto-oncogene, receptor tyrosine kinase) • PDGFRA (Platelet Derived Growth Factor Receptor Alpha) • TACC2 (Transforming Acidic Coiled-Coil Containing Protein 2)
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KIT mutation • FGFR2 mutation • FGFR2 fusion • PDGFRA mutation
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imatinib • Balversa (erdafitinib) • Pemazyre (pemigatinib)
1m
Deciphering lactate/lactylation networks in AML: integrated scRNA-seq and transcriptomics reveal functions and prognostic model. (PubMed, BMC Cancer)
Transcriptomic profiling indicated lactylation-associated immunosuppression (e.g., downregulated CXCL9/10-CXCR3 axis, enrichment of T cell exhaustion markers) and heightened in silico-predicted sensitivity to BCL-2/FGFR inhibitors (ABT-737/AZD4547) in high-risk patients. Collectively, integrated analyses uncovered lactate/lactylation-associated heterogeneity in AML. Our machine learning-based prognostic model predicts survival, therapeutic response, and drug sensitivity, suggesting a potential strategy for precision therapeutics in AML.
Journal • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • CXCL9 (Chemokine (C-X-C motif) ligand 9) • ARPP19 (CAMP Regulated Phosphoprotein 19) • CXCR3 (C-X-C Motif Chemokine Receptor 3) • IFI16 (Interferon Gamma Inducible Protein 16)
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fexagratinib (ABSK091) • ABT-737
1m
Erdafitinib suppresses pathological retinal angiogenesis via dual targeting of FGFR and VEGFR2 signaling. (PubMed, Sci Rep)
These findings establish that erdafitinib exerts off-target anti-angiogenic effects by blocking VEGFR2 phosphorylation and downstream signaling, supporting its repurposing potential for anti-VEGF-resistant retinal vascular diseases. Further studies should address its intraocular pharmacokinetics and long-term safety.
Journal
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FGFR1 (Fibroblast growth factor receptor 1) • FGFR (Fibroblast Growth Factor Receptor)
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FGFR mutation
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Balversa (erdafitinib)
1m
FGF/FGFR inhibitors downmodulates c-Myc oncoprotein and hampers the growth of adrenocortical carcinoma. (PubMed, Biomed Pharmacother)
Accordingly, inhibition of FGFR activation by TK inhibitors (erdafitinib and infigratinib) or FGF trapping (by NSC12) significantly hampered ACC growth and survival in vitro. Altogether these results demonstrate for the first time the impact of FGF/FGFR blockade on ACC cell growth and survival both in vitro and in vivo. This study may set the rationale to start clinical trials investigating the therapeutic potential of FDA approved FGFR-TK inhibitors for the treatment of aggressive ACC.
Journal
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MYC (V-myc avian myelocytomatosis viral oncogene homolog)
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Balversa (erdafitinib) • Truseltiq (infigratinib)
2ms
Testing Combination Erdafitinib and Enfortumab Vedotin in Metastatic Bladder Cancer After Treatment With Chemotherapy and Immunotherapy (clinicaltrials.gov)
P1, N=30, Active, not recruiting, National Cancer Institute (NCI) | Recruiting --> Active, not recruiting
Enrollment closed • IO biomarker
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PD-L1 (Programmed death ligand 1) • FGFR2 (Fibroblast growth factor receptor 2)
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Balversa (erdafitinib) • Padcev (enfortumab vedotin-ejfv)