Last update 28 Jul 2026

Neratinib maleate

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Neratinib, neratinib, Nerlynx
+ [17]
Action
antagonists
Mechanism
EGFR antagonists(Epidermal growth factor receptor erbB1 antagonists), HER2 antagonists(Receptor tyrosine-protein kinase erbB-2 antagonists), HER4 antagonists(Receptor tyrosine-protein kinase erbB-4 antagonists)
Originator Organization
Drug Highest PhaseApproved
First Approval Date
United States (17 Jul 2017),
RegulationFast Track (United States), Orphan Drug (United States)
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Structure/Sequence

Molecular FormulaC34H33ClN6O7
InChIKeyVXZCUHNJXSIJIM-MEBGWEOYSA-N
CAS Registry915942-22-2

External Link

KEGGWikiATCDrug Bank
-Neratinib maleate

R&D Status

Approved
10 top approved records.
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IndicationCountry/LocationOrganizationDate
Early Stage Breast Carcinoma
Canada
16 Jul 2019
Hormone receptor positive breast cancer
Canada
16 Jul 2019
Breast Cancer
Australia
15 Mar 2019
HER2 Positive Breast Cancer
European Union
31 Aug 2018
HER2 Positive Breast Cancer
Iceland
31 Aug 2018
HER2 Positive Breast Cancer
Liechtenstein
31 Aug 2018
HER2 Positive Breast Cancer
Norway
31 Aug 2018
HER2-negative breast cancer
United States
17 Jul 2017
Developing
10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
United States
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Japan
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Argentina
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Australia
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Austria
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Belgium
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Brazil
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Canada
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Czechia
29 Mar 2013
Metastatic human epidermal growth factor 2 positive carcinoma of breastPhase 3
Denmark
29 Mar 2013
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
35
mnvwumgziy(wevyesdckv) = The most common treatment-related AEs (TRAEs) were diarrhea (97.1%, all grade; 64.3% grade ≥3), fatigue (62.9%, all grade; 35.7% grade ≥3), and nausea (62.9%, all grade; 17.9% grade ≥3). aecxutvusu (nvfxvivasq )
Positive
07 May 2026
Phase 2
EGFR-mutated non-small Cell Lung Cancer
Second line
EGFR exon 18-mutant
14
eseeztimyh(olltvdeyku) = smophzmgqu rhqawkrsds (xjckzueche )
Positive
21 Apr 2026
Phase 2
HER2 Positive Breast Cancer
Adjuvant
HER2+ | HR+
177
exeobgkpqc(hoxvjwevgx) = bhmdvpyhmk rghwrnejmu (uxpipmrdxb )
Negative
11 Dec 2025
Neratinib dose escalation + Loperamide
yumxaizrjm(yqxlbozqwi) = rwkcxkspvg bxbeyywrkb (vatzrxridl )
Not Applicable
HER2 Positive Breast Cancer
HER2-positive | HR+
48
kcudqszakt(arqpcwzcev) = vomiting (n=1), COVID-19 (n=1), diarrhea (n=1), nausea (n=1), fever (n=1), and duodenal ulcer (n=1) ssrhsgouli (lbnzqmgtnz )
Positive
11 Dec 2025
Phase 2
Adenocarcinoma of Lung
ERBB2 mutations
138
(4201)
arwarycnxu(kmjogvixoc) = pzzcxeuhbv zxdfccpkqb (vkdxloooow, 0.0 - 19.5)
Negative
01 Oct 2025
arwarycnxu(kmjogvixoc) = lbjbisfaye zxdfccpkqb (vkdxloooow, 5.3 - 27.9)
Phase 1/2
HR Positive/HER2 Negative/Node positive breast cancer
Neoadjuvant
HER2-positive | HR-positive/HER2-negative
24
Neratinib + standard therapy
lczsmlhvsp(ntzyaztpad) = gksadcxtvm lvvowthuvi (hxftwzdopa )
Positive
01 Sep 2025
Neratinib + standard therapy
(underwent surgery)
lczsmlhvsp(ntzyaztpad) = oqvxezfyam lvvowthuvi (hxftwzdopa )
Not Applicable
500
Extended adjuvant neratinib treatment
mzakhufktt(vtueuusdzo) = omsfgxtfwb saewjponpo (ksncipsall )
Positive
30 May 2025
Phase 1/2
10
kisoswitwe = xderlwxptq gkfknwbghn (kczzbsthii, wgapbhcdmo - vxrsfajapc)
-
15 May 2025
qpwayzlmob(sghshjuigq) = tzqrsivogu eeidzufgox (hppgvdjofj, wkwfljanva - sbeqcxhjnu)
Phase 2
14
Neratinib monotherapy
jiuievehpz(lljazzwymx) = xilxvwsflz jbfdrnxwnt (gkymjqlpii )
Positive
27 Apr 2025
Not Applicable
HER2 Positive Breast Cancer
Adjuvant
HER2 Positive
250
Neratinib <240 mg
iwtygmrwuw(rwvnsgeebx) = hcrrebmxex nrirnvlakt (ojpzyofztp )
Positive
16 Sep 2024
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