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Approved Oncology Targeting Small Molecule Kinase Inhibitors

Complete Details on Oncology Approved Small Molecule Kinase Inhibitors

Team OmicsX by Team OmicsX
May 30, 2022
in Drug Targets, Kinase, Oncology, Small Molecules
Home Oncology Small Molecules Kinase
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First cancer targeting tyrosine kinase inhibitor imatinib was approved to enter the market by the US Food and Drug Administration (FDA) in 2001, since then an increasing number of small-molecule targeted drugs have been developed and approved for the treatment of cancer.

Global Oncology Intelligence Global Oncology Intelligence

By the end of 2021, worldwide 76 small-molecule targeted antitumor drugs have been approved by the US FDA and the National Medical Products Administration (NMPA) of China.

Beside Cancer, nearly 14 other disease targeting small molecule Kinase Inhibitors were also approved worldwide during the same time period, thus making total tally to 87 approved kinase Inhibitors.

Despite great progress, small-molecule targeted anti-cancer drugs still face many challenges, such as a low response rate and drug resistance. This article carefully summarizes the approved cancer kinases inhibitors.

Recently Approved Cancer Targeting Kinases Inhibitors (between 2019-2022)

No. Brand Drug Target Kinase Marketed by First Approved Cancer Indication
73 LUMAKRAS™ Sotorasib KRAS G12C Amgen 2021 On May 28, 2021, the FDA approved Sotorasib for the treatment of adult patients with KRAS G12C-mutated locally advanced or metastatic non-small cell lung cancer (NSCLC), as determined by an FDA-approved test, who have received at least one prior systemic therapy.
72 TRUSELTIQ™ Infigratinib FGFR1/2/3 QED Therapeutics / Partner Helsinn Group 2021 On May 28, 2021, The FDA approved TRUSELTIQ™ (infigratinib) under the accelerated approval program for the treatment of patients with previously-treated locally advanced or metastatic cholangiocarcinoma (CCA) harboring an FGFR2 fusion or rearrangement.
71 Ukoniq Umbralisib PI3K-delta / CK1-epsilon TG Therapeutics 2021 In Feb 2021, the FDA granted accelerated approval to Umbralisib, indicated for adults with relapsed or refractory marginal zone lymphoma (MZL) who have received at least one prior anti-CD20-based regimen; and adults with R/R Follicular Lymphoma (FL) who have received at least three prior lines of systemic therapy.
70 Cosela Trilaciclib CDK4/CDK6 G1 Therapeutics 2021 In Feb 2021, the FDA approved trilaciclib to mitigate chemotherapy-induced myelosuppression in adult patients with small cell lung cancer. Trilaciclib dramatically improves the patient chemotherapy clinical outcome (much less loss of bone marrow), treatment experience (materially less side effects especially fatigue) and, in some cancers, may extend patient lives (in cancers other than SCLC).
69 宜诺凯® Orelabrutinib BTK InnoCare Pharma (HKEX: 09969) 2020 On Dec. 28, 2020, Orelabrutinib received approval from the China National Medical Products Administration (NMPA) in two indications: the treatment of patients with relapsed/refractory chronic lymphocytic leukemia (CLL) /small lymphocytic lymphoma (SLL), and the treatment of patients with relapsed/refractory mantle cell lymphoma (MCL).
68 Klisyri® Tirbanibulin Src Athenex, Inc. 2020 In Dec 2020, FDA approved, Tirbanibulin as a first-in-class Src kinase signaling inhibitor and tubulin polymerisation,approved for the treatment of actinic keratosis on the face or scalp.
67 Gavreto Pralsetinib RET Blueprint Medicines 2020 On Sep 4, 2020, the FDA granted accelerated approval to pralsetinib for the treatment of adult patients with metastatic rearranged during transfection (RET) fusion- positive non-small cell lung cancer (NSCLC), and adult and pediatric patients 12 years of age and older with advanced or metastatic RET-mutant medullary thyroid cancer (MTC).
66 Alunbrig Brigatinib ALK ARIAD Pharmaceuticals Inc. 2020 On May 22, 2020, the FDA approved brigatinib (, ) for adult patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) as detected by an FDA-approved test.
65 Tabrecta Capmatinib MET Novartis 2020 On May 2020, Novartis secured accelerated approval in the US for Tabrecta, the first targeted therapy for advanced non-small cell lung cancer (NSCLC) with a specific genetic biomarker known as MET exon 14 skipping.
64 Retevmo Selpercatinib RET Loxo Oncology 2020 In May 2020, FDA approved Selpercatinib, for the treatment of non-small cell lung cancer, medullary thyroid cancer, and other types of thyroid cancers in people whose tumors have an alteration (mutation or fusion) in a specific gene (RET or "rearranged during transfection").
63 Tukysa Tucatinib HER2 Seattle Genetics 2020 In April 2020, the FDA approved in combination with trastuzumab and capecitabine, for adult patients with advanced unresectable or metastatic HER2-positive breast cancer, including patients with brain metastases, who have received one or more prior anti-HER2-based regimens in the metastatic setting.
62 Pemazyre Pemigatinib FGFR Incyte Corporation 2020 On April 2020, FDA approved pemigatinib to treat certain patients with cholangiocarcinoma, a rare form of cancer that forms in bile ducts.
61 Qinlock Ripretinib KIT, PDGFRa Dicephera Pharmaceuticals 2020 Ripretinib is a potent pan-KIT and PDGFRα kinase inhibitor; FDA approves ripretinib for advanced gastrointestinal stromal tumor on May 15, 2020, for adult patients with advanced gastrointestinal stromal tumor (GIST) who have received prior treatment with 3 or more kinase inhibitors, including imatinib.. Ripretinib binds to the 'switch pocket' of KIT, a domain that regulates the enzyme's catalytic conformation.
60 Koselugo Selumitinib MEK1/2 AstraZeneca 2020 Selumetinib is a medication for the treatment of children, two years of age and older, with neurofibromatosis type I (NF-1), a genetic disorder of the nervous system causing tumors to grow on nerves.
59 Tepmetko Tepotinib MET Merck & Co 2020 Tepotinib is a c-Met inhibitor, for the treatment of adults with metastatic NSCLC, whose tumors have a mutation that leads to mesenchymal-epithelial transition (MET) exon 14 skipping. Tepotinib, received first marketing approval in Japan, in March 2020, as a "line-agnostic" drug, meaning it is approved both for treatment-naive patients and for those in whom previous attempts at treatment have failed. In Feb 2021, it was approved by US FDA and was the second therapy approved by the FDA to treat non-small cell lung cancer with these particular mutations, after capmatinib.
48 Ameile Almonertinib*** EGFR T79M+ Hansoh Pharmaceutical Group Company Limited 2020 In Mar 2020, The Chinese National Medical Products Administration has approved almonertinib (Ameile; HS-10296) for the treatment of patients with EGFR T790M mutation–positive non–small cell lung cancer who have progressed on or after other EGFR TKI therapy.
57 Ayvakit Avapritinib mutant PDGFR Blueprint Medicines 2020 On January 2020 FDA approved avapritinib to treat adults with unresectable or metastatic gastrointestinal stromal tumor (GIST), harboring a platelet-derived growth factor receptor alpha (PDGFRA) exon 18 mutation, including D842V mutations.
56 Brukinsa Zanubrutinib BTK BeiGene 2019 Zanubrutinib is a medication for the treatment of adults with mantle cell lymphoma (MCL) who have received at least one prior therapy. It was approved for medical use in the United States in Nov 2019.
55 Inrebic Fedratinib JAK2 Sanofi 2019 In Aug 2019, FDA approved fedratinib to treat adult patients with intermediate-2 or high-risk primary or secondary myelofibrosis.
54 Rozlytrek Entrectinib TRKA/B/C / ROS1 / ALK Roche 2019 In Aug 2019, FDA approved entrectinib to treat ROS1-positive non-small cell lung cancer and NTRK fusion-positive solid tumors. Later it was approved in Australia in May 2020, and in the European Union in July 2020.
53 Turalio Pexidartinib CSF1R / c- KIT / FLT3 Daiichi Sankyo 2019 In Aug 2019, FDA approved pexidartinib to treat adult patients with symptomatic tenosynovial giant cell tumor.
52 Piqray Apelisib PI3Ka Novartis 2019 Alpelisib is indicated in combination with fulvestrant for the treatment of postmenopausal women, and men, with hormone receptor (HR)‑positive, human epidermal growth factor receptor 2 (HER2)‑negative, locally advanced or metastatic breast cancer with a PIK3CA mutation after disease progression following endocrine therapy as monotherapy.

Cancer Targeting Small Molecule Kinases Inhibitors Approved (between 2015-2018)

No. Brand Drug Target Kinase Marketed by First Approved Cancer Indication
51 Xospata Gilteritinib FLT3 / AXL Astellas Pharma 2018 In Nov 2018, the FDA approved Gilteritinib for the treatment of adult patients with FLT3 mutation–positive relapsed or refractory acute myeloid leukemia (AML).
50 Vitrakvi Larotrectinib TRKA/B/C Bayer 2018 In Nov 2018, the FDA approved larotrectinib for the treatment of Solid tumors with NTRK fusion.
49 Lorviqua Lorlatinib ALK/ROS1 Novartis 2018 In Nov 2018, the FDA approved lorlatinib to treat patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer.
48 Copictra Duvelisib PI3Kγ/δ Verastem 2018 In Oct 2018, the FDA approved Duvelisib for adult patients with relapsed or refractory chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL) nd follicular lymphoma after at least two prior therapies.
47 Vizimpro Dacomitinib EGFR Pfizer 2018 In Oct 2018, the FDA approved Dacomitinib for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test.
46 Elunate Fruquintinib*** VEGFR-1/2/3 Hutchison China MediTech / Lilly 2018 In Sep 2018, Fruquintinib received its first global approval, in China, for use in the treatment of metastatic colorectal cancer (CRC) in patients who have failed at least two prior systemic anti-neoplastic therapies. Fruquintinib is an orally available, potent and highly selective small molecule inhibitor of VEGFR-1, -2 and -3 that was discovered and developed by Hutchison MediPharma for the treatment of solid tumours.
45 Focus V Anlotinib*** VEGFR-2/3 / PDGFR-β / FGFRs Chia Tai Tianqing 2018 Anlotinib is approved in China for the treatment of patients with locally advanced or metastatic non-small cell lung cancer (NSCLC) who have undergone progression or recurrence after ≥ 2 lines of systemic chemotherapy.
44 Irene Pyrotinib*** ErbB Jiangsu Hengrui Medicine 2018 Pyrotinib is an irreversible dual pan-ErbB receptor tyrosine kinase inhibitor approved in China for use in combination with capecitabine for the treatment of HER2-positive, advanced or metastatic breast cancer in patients previously treated with anthracycline or taxane chemotherapy.
43 Braftovi Encorafenib RAF[V600E] Novartis / Array Pharma 2018 In June 2018, the FDA approved encorafenib and binimetinib in combination patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
42 Mektovi Binimetinib MEK1/2 Novartis / Array Pharma 2018 In June 2018, the FDA approved encorafenib and binimetinib in combination patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation, as detected by an FDA-approved test.
41 Verzenio Abernaciclib CDK4/CDK6 Eli Lilly 2017 On Sep 2017, the FDA approved abemaciclib in combination with fulvestrant or as monotherapy for women with HR-positive, HER2-negative advanced or metastatic breast cancer with disease progression following endocrine therapy.
40 Fotivda Tivozanib PDGFR-α / VEGFR-1/2/3 / FGFR-1/2/3/4 / c-Kit / RET AVEO Oncology / EUSA Pharma 2017 In Aug 2017, the European Commission approved tivozanib as a first line treatment of adult patients with advanced renal cell carcinoma who are VEGFR and mTOR pathway inhibitor-naïve following disease progression after one prior treatment with cytokine therapy, in the European Union plus Norway and Iceland. In March 2021, The FDA granted approval to tivozanib for the treatment of adult patients with R/R RCC following 2 or more prior lines of therapy.
39 Kisqali Ribociclib CDK4/CDK6 Novartis 2017 human epidermal growth factor receptor 2 (HER2) negative hormone-related breast cancer.
38 Nerlynx Neratinib HER2 Puma Biotechnology 2017 For use as an extended adjuvant treatment in adult patients with early stage HER2-overexpressed/amplified breast cancer, to follow adjuvant trastuzumab-based therapy
37 Aliqopa Copanlisib TOR/PI-3Kd Bayer 2017 Indicated for the treatment of adult patients with relapsed follicular lymphoma (FL) who have received at least two prior systemic therapies.
36 Calquence Acalabrutinib BTK AstraZeneca 2017 Acalabrutinib is currently indicated for the treatment of adult patients with Mantle Cell Lymphoma (MCL) who have received at least one prior therapy.
35 Akunbrig Brigatinib ALK / ROS / IGF1R / EGFR / FLT3 Ariad Pharmaceuticals 2017 Brigatinib is indicated for the treatment of patients with ALK+ NSCLC with intolerance to Crizotinib.
34 Rydapt Midostaurin FLT3 / c-Kit Novartis 2017 Acute Myeloid Leukemia
33 Olita Olmutinib** mutant EGFR Hanmi Pharmaceutical / Boehringer Ingelheim 2016 Olmutinib is an oral third-generation EGFR mutant-specific kinase inhibitor that was granted breakthrough therapy designation by US FDA in 2015 and received the first approval for the treatment of patients with EGFR T790M mutation-positive NSCLC in South Korea in 2016.
32 Alecensa Alectinib ALK Roche / Chugai 2015 Treatment of patients with anaplastic lymphoma kinase (ALK)-positive, metastatic non-small cell lung cancer (NSCLC) who have progressed on or are intolerant to crizotinib.
31 Ibrance Palbociclib CDK4/CDK6 Pfizer 2015 Palbociclib is indicated in combination with letrozole for the treatment of postmenopausal women with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer as initial endocrine-based therapy for their metastatic disease.
30 Lenvima Lenvatinib PDGFR-α / VEGFR-1/2/3 / FGFR-1/2/3/4 / c-Kit / RET Eisai 2015 Lenvatinib is indicated for the treatment of patients with locally recurrent or metastatic, progressive, radioactive iodine-refractory differentiated thyroid cancer. DTC (2015) Thyroid cancer (2015) RCC (2016) HCC (2018) Endometrial carcinoma (2019)
29 Cotellic Cobimetinib MEK1/2 Roche / Genentech / Exelixis 2015 For the treatment of patients with unresectable or metastatic melanoma with a BRAF V600E or V600K mutation. Cobimetinib is used in combination with vemurafenib, a BRAF inhibitor.
28 Tagrisso Osimertinib mutant EGFR AstraZeneca 2015 Osimertinib is indicated for the treatment of patients with metastatic epidermal growth factor receptor (EGFR) T790M mutation-positive non-small cell lung cancer (NSCLC), as detected by an FDA- approved test, who have progressed on or after EGFR-TKI therapy.

Cancer Targeting Small Molecule Kinases Inhibitors Approved (between 2001-2014)

No. Brand Drug Target Kinase Marketed by First Approved Cancer Indication
27 Zykadia Ceritinib ALK / ROS Novartis 2014 Treatment of patients with anaplastic lymphoma kinase (ALK)-positive metastatic non-small cell lung cancer (NSCLC) who have progressed on or are intolerant to crizotinib.
26 Zydelig Idelalisib PI3Kδ Gilead 2014 Approved for the treatment of chronic lymphocytic leukemia (CLL) as a second-line agent in combination with rituximab and for relapsed follicular B-cell non-Hodgkin lymphoma (FL) and relapsed small lymphocytic lymphoma (SLL) in patients who have received at least two prior systemic therapies.
25 Aitan Apatinib** VEGFR-2 / Src / c-Kit Hengrui Medicine 2014 Apatinib inhibits the activities of VEGFR-2, c-Src, and c-Kit simultaneously and was approved by the NMPA of China for the treatment of advanced gastric cancer in Oct 2014.
24 Imbruvica Ibrutinib BTK AbbVie (Pharmacyclics) / Johnson & Johnson 2013 Ibrutinib was approved by the FDA for the treatment of Mantle Cell Lymphoma, and later in February 2014 for the treatment of Chronic Lymphocytic Leukemia. Later approved for Waldenström's macroglobulinemia (2015), Small lymphocytic lymphoma (SLL) (2016) with or without 17p deletion and mantle cell lymphoma (2017)
23 Tafinlar Dabrafenib BRAF[V600E] / CRAF Novartis / GlaxoSmithKline 2013 In patients with unresectable or Metastatic Melanoma with BRAF V600E mutation as detected by an FDA-approved test. In April 2017, the EU approved the combination of Dabrafenib with Trametinib for BRAF V600+ Advanced Non small-cell lung cancer (2017) and for BRAF V600–Mutant Anaplastic Thyroid Cancer (2018).
22 Mekinist Trametinib MEK1 / MEK2 Novartis / GlaxoSmithKline 2013 Trametinib is indicated for the treatment of unresectable or metastatic melanoma with BRAF V600E or V600K mutations, as detected by an FDA-approved test. It was also approved in combination with Dabrafenib for NSCLC (2017) and ATC (2018).
21 Giotrif Afatinib EGFR Boehringer Ingelheim 2013 First-line treatment of patient with metastatic non-small cell lung cancer (NSCLC) whose tumours have epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations as detected by an FDA-approved test.
20 Cabometyx Cabozantinib VEGFR-1/2/3 / TYRO3 / ROS / TIE2 / c-Met / HGFR / c-Kit / TRK2 / RET Exelixis 2012 For the treatment of Metastatic Medullary Thyroid Cancer (2012); in patients with advanced Renal Cell Carcinoma (2016) who have received prior anti-angiogenic therapy and Hepatocellular Carcinoma (2019).
19 Iclusig Ponatinib Bcr-Abl / PDGFR-α / VEGFR-2 / FGFR-1 / Src / FLT3 / c-Kit Ariad Pharmaceuticals / Takeda 2012 Treatment of adult patients with chronic phase, accelerated phase, or blast phase chronic myeloid leukemia (CML) that is resistant or intolerant to prior tyrosine kinase inhibitor therapy or Philadelphia chromosome positive Acute Lymphoblastic leukemia (Ph+ALL) that is resistant or intolerant to prior tyrosine kinase inhibitor therapy.
18 Supect Radotinib** Bcr-Abl Ilyang Pharmaceutical / Daewoong Pharmaceutical 2012 Radotinib is a novel and selective second-generation BCR-ABL1 TKI, which is currently approved in Korea for the treatment of patients with CML.
17 Inlyta Axitinib VEGFR-1/2/3 / PDGFR Pfizer 2012 Renal Cell Carcinoma
16 Bosulif Bosutinib BCR Abl1 / Src / CDK2 / LYN Pfizer 2012 Treatment of chronic, accelerated, or blast phase Philadelphia chromosome-positive (Ph+) chronic myelogenous leukemia (CML) with resistance or intolerance to prior therapy in adult patients.
15 Stiverga Regorafenib VEGFR-1/2/3 / PDGFR-α/β / FGFR-1/2 / RAF / RET / c- Kit Bayer 2012 Treatment of patients with metastatic colorectal cancer (CRC) (2012) who have been previously treated with fluoropyrimidine-, oxaliplatin- and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if KRAS wild type, an anti-EGFR therapy. Regorafenib is also indicated for the treatment of patients with locally advanced, unresectable or metastatic gastrointestinal stromal tumor (GIST) (2013) who have been previously treated with imatinib mesylate and sunitinib malate and Hepatocellular Carcinoma (2017).
14 Xalkori Crizotinib ALK / ROS1 Pfizer 2011 Crizotinib is used for the treatment of locally advanced or metastatic non-small cell lung cancer (NSCLC) that is anaplastic-lymphoma kinase (ALK)-positive as detected by a FDA-approved test.
13 Caprelsa Vandetanib EGFR / VEGFR / RET / BRK / TIE2 / EPH Genzyme 2011 Vandetanib is indicated for the treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease.
12 Jakavi Ruxolitinib JAK 1,2 Incyte Corporation / Novartis 2011 Treatment of intermediate or high-risk myelofibrosis. Myeolofibrosis is the proliferation of abnormal bone marrow stem cells which cause fibrosis (the excessive formation of connective tissue).
11 Zelboraf Vemurafenib BRAF[V600E] Roche 2011 Approved for the treatment of metastatic melanoma with a mutation on BRAF in the valine located in the exon 15 at codon 600, this mutation is denominated as V600E.
10 Conmana Icotinib*** EGFR Zhejiang Beta Pharma 2011 In patients with advanced non-small-cell lung cancer (NSCLC) who failed previous chemotherapy.
9 Votrient Pazopanib PDGFR-β / VEGFR-1/2/3 / FGFR-1/3 / c-Kit / Itk / Lck / c-GSK Novartis 2009 Treatment of advanced Renal cell cancer (2009) and advanced soft tissue sarcoma (2012) (in patients previously treated with chemotherapy)
8 Tyverb Lapatinib EGFR / Her2 Novartis 2007 Indicated in combination with capecitabine for the treatment of patients with advanced breast cancer whose tumors overexpress HER2 protein and who have received prior therapy including an anthracycline, a taxane, and trastuzuma.
7 Tasigna Nilotinib Bcr-Abl / DDR1/2 Novartis 2007 For the potential treatment of various leukemias, including chronic myeloid leukemia (CML).
6 Sutent Sunitinib PDGFR-α/β / VEGFR-1/2/3 / CSF1R / c-Kit / RET / FLT3 Pfizer 2006 For the treatment of advanced renal cell carcinoma (2006) ; Gastrointestinal stromal tumor (2006) after disease progression on or intolerance to imatinib mesylate and Pancreas neuroendocrine tumor (2011).
5 Sprycel Dasatinib Bcr-Abl / Src / c-Kit / LCK / PDGFR-β Bristol Myers Squibb 2006 For the treatment of adults with chronic, accelerated, or myeloid or lymphoid blast phase chronic myeloid leukemia (CML) with resistance or intolerance to prior therapy. Also indicated for the treatment of adults with Philadelphia chromosome-positive acute lymphoblastic leukemia (ALL) with resistance or intolerance to prior therapy.
4 Nexavar Sorafenib c-Kit / FLT3 / RET / PTC / VEGFR-1/2/3 / PDGFR-β Bayer 2005 Sorafenib is indicated for the treatment of advanced Renal Cell Carcinoma (2005); Unresectable Hepatocellular Carcinoma (2007), DTC (2013) and Thyroid Cancer (2014)
3 Tarceva Erlotinib EGFR Osi Pharmaceuticals 2004 For the treatment of patients with locally advanced or metastatic NSCLC after failure of at least one prior chemotherapy regimen. Also for use, in combination with gemcitabine, as the first-line treatment of patients with locally advanced, unresectable or metastatic pancreatic cancer (2005).
2 Iressa Gefitinib EGFR AstraZeneca 2002 For the continued treatment of patients with locally advanced or metastatic NSCLC, after failure of either platinum-based or docetaxel chemotherapies.
1 Gleevec Imatinib Abl / c-KIT / CSF1R / PDGFR Novartis 2001 Ph+ Chronic Myeloid Leukemia (CML), Ph+ Acute Lymphoblastic Leukaemia, Malignant gastrointestinal stromal tumors (GIST)
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