Abstract
Donafenib (Zepsun®, 泽普生®), a deuterium derivative of sorafenib, is an oral small molecule multikinase inhibitor of multiple receptor kinases, including vascular endothelial growth factor receptor (VEGFR), platelet-derived growth factor receptor (PDGFR) and Raf kinases. Donafenib is being developed by Suzhou Zelgen Biopharmaceuticals Co., Ltd. (Zelgen) for the treatment of various cancers, including hepatocellular carcinoma, colorectal cancer and thyroid cancer. In June 2021, donafenib received its first approval in China for the treatment of patients with unresectable hepatocellular carcinoma who have not previously received systemic treatment. This article summarizes the milestones in the development of donafenib leading to this first approval for use in unresectable hepatocellular carcinoma.
Similar content being viewed by others
References
Seebacher NA, Stacy AE, Porter GM, et al. Clinical development of targeted and immune based anti-cancer therapies. J Exp Clin Cancer Res. 2019;38:156.
National Medical Products Administration. Donafenib: NMPA approval notice [media release]. 9 Jun 2021. https://www.nmpa.gov.cn/directory/web/nmpa/yaowen/ypjgyw/20210609085421166.html.
Zelgen. Donafenib tosylate tablets: Chinese prescribing information. Kunshan City: Suzhou Zejing Biopharmaceutical Co Ltd; 2021.
Zelgen. R&D: clinical research. 2021. https://www.zelgen.com/en/index.php/chanpinxian/. Accessed 4 Aug 2021.
Zhong L, Hou C, Zhang L, et al. Synthesis of deuterium-enriched sorafenib derivatives and evaluation of their biological activities. Mol Divers. 2019;23(2):341–50.
Liu J, Li X, Zhang H, et al. Safety, pharmacokinetics and efficacy of donafenib in treating advanced hepatocellular carcinoma: report from a phase 1b trial. Pharmazie. 2019;74(11):688–93.
Qin S, Bi F, Gu S, et al. Donafenib versus sorafenib in first-line treatment of unresectable or metastatic hepatocellular carcinoma: a randomized, open-label, parallel-controlled phase II-III trial. J Clin Oncol. 2021. https://doi.org/10.1200/JCO.21.00163.
Alphamab Oncology. Jiangsu Alphamab reaches clinical collaboration with Zelgen to develop the combination therapy of KN046 and donafenib [media release]. 7 Jan 2020. http://www.alphamabonc.com.
Shanghai Junshi Biosciences Co Ltd. 2018 Annual Report. 2019. https://junshi-biosciences-umb.azurewebsites.net/media/qnpbvtfa/12-2018-annual-report.pdf. Accessed 3 Aug 2021.
Shanghai Junshi Biosciences Co Ltd. Announcement Of Shanghai Junshi Biosciences Co., Ltd. regarding the clinical study on toripalimab (JS001) in combination with donafenib (CM4307). 2019. https://staticpacific.blob.core.windows.net/press-releases-attachments/1270706/ltn20190214600.pdf. Accessed 3 Aug 2021.
CStone Pharmaceuticals. CStone Pharmaceuticals reports 2019 annual financial results [media release]. 26 Mar 2020. https://www.cstonepharma.com.
Zelgen. The clinical research application of Zejing Pharmaceuticals donafenib tosylate tablets and CStone anti-PD-L1 monoclonal antibody CS1001 for the treatment of patients with advanced solid tumors received acceptance [media release]. 9 Mar 2020. https://www.zelgen.com.
Li X, Qiu M, Wang S, et al. A Phase I dose-escalation, pharmacokinetics and food-effect study of oral donafenib in patients with advanced solid tumours. Cancer Chemother Pharmacol. 2020;85(3):593–604.
Qin S, Bi F, Xu J, et al. Comparison of the pharmacokinetics of donafenib and sorafenib in patients with advanced hepatocellular carcinoma: An open-label, randomized, parallel-controlled, multicentre phase II/III trial [abstract no. P-86]. Ann Oncol. 2020;31(Suppl 3):S117–8.
Bi F, Qiu M, Chai X, et al. A multicenter phase II study of donafenib in patients with advanced hepatocellular carcinoma [abstract no. e15682]. J Clin Oncol. 2017;35(15 Suppl):e15682.
Lin YS, Yang H, Ding Y, et al. Donafenib in progressive locally advanced or metastatic radioactive iodine-refractory differentiated thyroid cancer: results of a randomized, multicenter phase II trial. Thyroid. 2021;31(4):607–15.
Zelgen. Good news, Zelgen Pharmaceuticals donafenib tosylate tablets in the treatment of iodine-refractory differentiated thyroid cancer phase III clinical trials successfully [media release]. 16 Aug 2021. https://www.zelgen.com/xinwenzhongxin/2021/08-16/241.html.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
The preparation of this review was not supported by any external funding.
Authorship and Conflict of interest
During the peer review process the manufacturer of the agent under review was offered an opportunity to comment on the article. Changes resulting from any comments received were made by the authors on the basis of scientific completeness and accuracy. Susan Keam and Sean Duggan are salaried employees of Adis International Ltd/Springer Nature, and declare no relevant conflicts of interest. All authors contributed to the review and are responsible for the article content.
Ethics approval, Consent to participate, Consent to publish, Availability of data and material, Code availability
Not applicable.
Additional information
This profile has been extracted and modified from the AdisInsight database. AdisInsight tracks drug development worldwide through the entire development process, from discovery, through pre-clinical and clinical studies to market launch and beyond.
Supplementary Information
Below is the link to the electronic supplementary material.
Rights and permissions
About this article
Cite this article
Keam, S.J., Duggan, S. Donafenib: First Approval. Drugs 81, 1915–1920 (2021). https://doi.org/10.1007/s40265-021-01603-0
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40265-021-01603-0