Drug intelligence / Profile preview

erdafitinib + abiraterone acetate

Development stage
Unknown
Lead developer
Janssen Research & Development
Modality
Small Molecules
Administration
Oral
01

Overview

This combination therapy involves the pan-fibroblast growth factor receptor (FGFR) kinase inhibitor erdafitinib (Balversa) administered in conjunction with either abiraterone acetate or enzalutamide. It is currently being evaluated in a Phase II clinical trial led by the University of Washington for the treatment of double-negative prostate cancer (DNPC). DNPC is a specific phenotype of prostate cancer characterized by the absence of androgen receptor (AR) expression and neuroendocrine markers, often associated with resistance to standard hormonal therapies. Erdafitinib works by blocking the activity of FGFR1-4 proteins, which are frequently upregulated in DNPC and contribute to tumor growth and survival. Abiraterone acetate (a CYP17 inhibitor) and enzalutamide (an AR antagonist) are standard-of-care androgen signaling inhibitors. The investigational regimen aims to determine if the addition of FGFR inhibition can provide therapeutic benefit in patients with this aggressive prostate cancer subtype.

Brand names
Xtandi
Other names
erdafitinib + enzalutamideBalversa + ZytigaBalversa + Xtandi
02

Targets

CYP17A1 (Steroid 17-alpha-hydroxylase/C17,20 lyase)FGFR1 (Fibroblast growth factor receptor 1)FGFR2 (Keratinocyte growth factor receptor)FGFR3 (Fibroblast growth factor receptor 3)FGFR4 (Fibroblast growth factor receptor 4)VEGFR2 (Vascular endothelial growth factor receptor 2)AR (Adrenergic receptors)

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