Skip to main content
Log in

Donafenib: First Approval

  • AdisInsight Report
  • Published:
Drugs Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 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.

    Article  CAS  Google Scholar 

  2. 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.

  3. Zelgen. Donafenib tosylate tablets: Chinese prescribing information. Kunshan City: Suzhou Zejing Biopharmaceutical Co Ltd; 2021.

  4. Zelgen. R&D: clinical research. 2021. https://www.zelgen.com/en/index.php/chanpinxian/. Accessed 4 Aug 2021.

  5. 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.

    Article  CAS  Google Scholar 

  6. 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.

    CAS  PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

  9. 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.

  10. 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.

  11. CStone Pharmaceuticals. CStone Pharmaceuticals reports 2019 annual financial results [media release]. 26 Mar 2020. https://www.cstonepharma.com.

  12. 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.

  13. 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.

    Article  CAS  Google Scholar 

  14. 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.

    Article  Google Scholar 

  15. 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.

    Article  Google Scholar 

  16. 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.

    Article  CAS  Google Scholar 

  17. 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.

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Susan J. Keam.

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.

Supplementary file1 (PPTX 503 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40265-021-01603-0

Navigation