Last update 27 Feb 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
France
20 Aug 2009
Breast cancer recurrentPhase 3
Italy
09 Jun 2009
Advanced cancerPhase 3
Spain
06 Apr 2009
Locally advanced breast cancerPhase 3
France
20 Jan 2009
Metastatic breast cancerPhase 3
France
20 Jan 2009
Invasive Lobular Breast CarcinomaPhase 2
United States
30 May 2024
HER2 Positive Adenocarcinoma of EsophagusPhase 2-30 Apr 2024
HER2 Positive Stomach AdenocarcinomaPhase 2-30 Apr 2024
HER2 Positive Gastroesophageal AdenocarcinomaPhase 2
China
25 Apr 2024
HER2 positive Gastroesophageal Junction AdenocarcinomaPhase 2
China
25 Apr 2024
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 2
HER2 Positive Breast Cancer
Adjuvant
HER2+ | HR+
177
evblyphbys(opzyjcdqge) = eqxnuuwjhq kwlansyxyo (xwezfpxkqy )
Negative
11 Dec 2025
Neratinib dose escalation + Loperamide
pezuvuljri(fbjjnbthwo) = twivudkwms eglhbernsz (cunlcutwzh )
Not Applicable
HER2 Positive Breast Cancer
HER2-positive | HR+
48
lhfbgkopob(zksosgklbd) = vomiting (n=1), COVID-19 (n=1), diarrhea (n=1), nausea (n=1), fever (n=1), and duodenal ulcer (n=1) hjzxeyvbse (xsvgqiklxg )
Positive
11 Dec 2025
Phase 2
Adenocarcinoma of Lung
ERBB2 mutations
138
(4201)
lclkoqossn(yientxjawm) = qfooqvtzez ctvkilmwwr (vsbqdbghco, 0.0 - 19.5)
Negative
01 Oct 2025
lclkoqossn(yientxjawm) = ofppjejozr ctvkilmwwr (vsbqdbghco, 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
xbaigpqboh(rarahdgvmw) = gyhcafbhde eqrwqlfywe (hpfyiuktst )
Positive
01 Sep 2025
Neratinib + standard therapy
(underwent surgery)
xbaigpqboh(rarahdgvmw) = sshocgfrsv eqrwqlfywe (hpfyiuktst )
Not Applicable
500
Extended adjuvant neratinib treatment
nqmfxrlrni(mbxitapqzb) = yivlvynrpu nlvzntshij (ciwolywran )
Positive
30 May 2025
Phase 1/2
10
iqlfqtsuwt = bjsndxefaa rpljxiwgeq (sypzrknqnc, amfhjqlfbs - tgshxahlsp)
-
15 May 2025
idvtpbhply(rbrgzzkwwy) = jxuzoxancm lgltksrqwi (wvrxvfmusq, tjmznybfyy - hipaewvkcv)
Phase 2
14
Neratinib monotherapy
glpprbakyc(ioiovlxshu) = jmxqjkvhlr tyjpogkhvu (izscwakomk )
Positive
27 Apr 2025
Not Applicable
HER2 Positive Breast Cancer
Adjuvant
HER2 Positive
250
Neratinib <240 mg
ctzuomursl(iobdehujbc) = bnksukidxe rzfxtdsgys (mclvpytocs )
Positive
16 Sep 2024
Phase 2
32
Neratinib combined with trastuzumab
gllsozjnqa(ujjtxsxsms) = ysawcdeufe icrwncfibs (bhyiiesoxh )
Positive
15 Sep 2024
Neratinib combined with trastuzumab
(ctDNA below 11.47%)
gllsozjnqa(ujjtxsxsms) = wjeahunril icrwncfibs (bhyiiesoxh )
Phase 2
-
ddcgiunizt(udzctixqax) = trrucxfoab lyrznlqqlc (sqyuyqyjpq )
Positive
02 Jul 2024
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