Neratinib

Not yet reviewed: Listed from FDA or ClinicalTrials.gov records; an editor has not checked it yetListed from FDA or ClinicalTrials.gov records; an editor has not checked it yet.

Also known as Nerlynx, Neratinib maleate

PUMA BIOTECHNOLOGY, INC. PBYI · Breast Cancer; HER2+ Metastatic Breast Cancer (MBC)

Key figures

  • Next catalyst

    None scheduled

    Only dates with a source are listed

  • Phase

    Approved

    Not recorded

  • Linked trials

    2

    From ClinicalTrials.gov

  • Latest FDA action

    Approved

    NDA208051,

Recalls, shortages, patents and EU status at a glance

Key information

Indications
Breast Cancer; HER2+ Metastatic Breast Cancer (MBC) Source: Conditions from ClinicalTrials.gov (opens in a new tab)
Designations
None recorded
Next catalyst
None scheduled

Development timeline

  1. Preclinical Completed
  2. Phase 1 Completed
  3. Phase 2 Completed
  4. Phase 3 CompletedFirst trial start 9 Jul 20092 linked trials
  5. Filed Completed
  6. Approved Current stageFirst approval 17 Jul 2017

Overview

Mechanism
Not recorded
Route
Not recorded
Modality
Not recorded
Specialties
Not recorded

Overview text is written by HealthTrade editors.

Key dates

No catalysts yet. Editors add each date together with its source.

FDA designations

No FDA designations are on record for Neratinib. Editors add each one with its source.

Filed application

No filed application is on record for Neratinib. Approvals are listed under FDA actions.

FDA advisory committees

No FDA advisory committee meetings are on record for Neratinib.

Clinical trials

Trials linked to Neratinib
TrialTitlePhaseStatusEnrollmentPrimary completionResults posted
NCT01808573ClinicalTrials.gov record for NCT01808573 (opens in a new tab)NALAA Study of Neratinib Plus Capecitabine Versus Lapatinib Plus Capecitabine in Patients With HER2+ Metastatic Breast Cancer Who Have Received Two or More Prior HER2 Directed Regimens in the Metastatic SettingPhase 3Completed621 (actual)28 Sep 2018 (actual) Yes First posted Results on ClinicalTrials.gov for NCT01808573 (opens in a new tab)

Posted results on ClinicalTrials.gov for NALA

  • Centrally Assessed Progression Free Survival (months)
    • Neratinib Plus Capecitabine vs Lapatinib Plus Capecitabine: Hazard Ratio (HR) 0.762 (95% CI 0.626 to 0.926), p-value 0.0059, Log Rank, superiority
  • Overall Survival (months)
    • Neratinib Plus Capecitabine vs Lapatinib Plus Capecitabine: Hazard Ratio (HR) 0.881 (95% CI 0.723 to 1.073), p-value 0.2086, Log Rank, superiority

Serious adverse events (From time of first dose, through 28 days after last dose, assessed up to 41 months.): Neratinib Plus Capecitabine 103 of 303; Lapatinib Plus Capecitabine 93 of 311

Source: ClinicalTrials.gov results for NCT01808573 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing NALA (2), newest first

  1. Analysis of the pan-Asian subgroup of patients in the NALA Trial: a randomized phase III NALA Trial comparing neratinib+capecitabine (N+C) vs lapatinib+capecitabine (L+C) in patients with HER2+metastatic breast cancer (mBC) previously treated with two or more HER2-directed regimens.

    Breast cancer research and treatment · 2021 Oct

  2. Neratinib Plus Capecitabine Versus Lapatinib Plus Capecitabine in HER2-Positive Metastatic Breast Cancer Previously Treated With ≥ 2 HER2-Directed Regimens: Phase III NALA Trial.

    Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020 Sep 20

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

NCT00878709ClinicalTrials.gov record for NCT00878709 (opens in a new tab)ExteNETStudy Evaluating The Effects Of Neratinib After Adjuvant Trastuzumab In Women With Early Stage Breast CancerPhase 3Completed2,840 (actual)21 Aug 2014 (actual) Yes First posted Results on ClinicalTrials.gov for NCT00878709 (opens in a new tab)

Posted results on ClinicalTrials.gov for ExteNET

  • Invasive Disease-free Survival (iDFS) in Neratinib Arm Compared to Placebo Arm at Year 2 (percentage of participants with events)
    • Neratinib vs Placebo: Hazard Ratio (HR) 0.66 (95% CI 0.49 to 0.90), p-value 0.008, Log Rank, superiority

Serious adverse events (From first dose through 28 days after the last dose, up to two years.): Neratinib 103 of 1408; Placebo 85 of 1408

Source: ClinicalTrials.gov results for NCT00878709 (opens in a new tab)· imported

Posted results as ClinicalTrials.gov prints them: primary outcome analyses and serious adverse event totals only. Registry facts, not reviewed by HealthTrade and not investment advice; filing-derived results are listed separately.

Publications listing ExteNET (7), newest first

  1. Overall survival with neratinib after trastuzumab-based adjuvant therapy in HER2-positive breast cancer (ExteNET): A randomised, double-blind, placebo-controlled, phase 3 trial.

    European journal of cancer (Oxford, England : 1990) · 2023 May

  2. Neratinib after trastuzumab-based adjuvant therapy in patients from Asia with early stage HER2-positive breast cancer.

    Future oncology (London, England) · 2019 Jul

  3. Effects of neratinib on health-related quality of life in women with HER2-positive early-stage breast cancer: longitudinal analyses from the randomized phase III ExteNET trial.

    Annals of oncology : official journal of the European Society for Medical Oncology · 2019 Apr 1

  4. PIK3CA alterations and benefit with neratinib: analysis from the randomized, double-blind, placebo-controlled, phase III ExteNET trial.

    Breast cancer research : BCR · 2019 Mar 11

  5. Patterns of occurrence and implications of neratinib-associated diarrhea in patients with HER2-positive breast cancer: analyses from the randomized phase III ExteNET trial.

    Breast cancer research : BCR · 2019 Feb 27

All 7 publications for NCT00878709

Citations from PubMed, U.S. National Library of Medicine; abstracts are not stored. A publication lists this study’s NCT number and may be a review that cites many studies.

Source: ClinicalTrials.gov, U.S. National Library of Medicine. Posted results are shown as ClinicalTrials.gov prints them; results from company and journal sources are entered by editors and listed separately. Full result tables are on ClinicalTrials.gov.

Trial quality

About CT-VCA

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FDA actions

Original approvals and new-indication supplements for Neratinib, newest first
ApplicationActionDateOutcomeReviewSource
NDA208051Action letter for NDA208051 (opens in a new tab) Supplement 9 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208051Action letter for NDA208051 (opens in a new tab) Supplement 7 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208051Action letter for NDA208051 (opens in a new tab) Supplement 5 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208051Action letter for NDA208051 (opens in a new tab) Supplement 6 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208051Action letter for NDA208051 (opens in a new tab) Supplement 4 EfficacyApprovedstandardDrugs@FDA via openFDA (opens in a new tab)
NDA208051Action letter for NDA208051 (opens in a new tab) Original 1 Type 1 - New Molecular EntityApprovedstandardDrugs@FDA via openFDA (opens in a new tab)

Data provided by the U.S. Food and Drug Administration.

FDA recalls load here.

FDA drug shortages load here.

Orange Book patents load here.

FAERS adverse event counts load here.

Papers and preprints load here.

Community discussion loads here.

EU status (EMA)

Authorised

Nerlynx (EMEA/H/C/004030)

Authorised
Therapeutic area
Breast Neoplasms
Marketing authorisation holder
Pierre Fabre Medicament
Active substance (INN)
neratinib
ATC code
L01EH02
Latest EMA decision

Matched by active substance: EMA's INN or active substance equals this drug's name.

Source: European Medicines Agency (EMA), medicines data download. Licence: EMA re-use with acknowledgement. EMA medicines report 2026-10-26.

Related news

No recent headlines mention this drug.

Sources

Record updated .

Dates come from company and FDA disclosures and can change. Nothing on this page is investment advice.