Details
Stereochemistry | ACHIRAL |
Molecular Formula | C22H24ClFN4O3 |
Molecular Weight | 446.902 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=C(OCCCN2CCOCC2)C=C3C(NC4=CC(Cl)=C(F)C=C4)=NC=NC3=C1
InChI
InChIKey=XGALLCVXEZPNRQ-UHFFFAOYSA-N
InChI=1S/C22H24ClFN4O3/c1-29-20-13-19-16(12-21(20)31-8-2-5-28-6-9-30-10-7-28)22(26-14-25-19)27-15-3-4-18(24)17(23)11-15/h3-4,11-14H,2,5-10H2,1H3,(H,25,26,27)
DescriptionSources: http://www.drugbank.ca/drugs/DB00317Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/gefitinib.html
Sources: http://www.drugbank.ca/drugs/DB00317
Curator's Comment: Description was created based on several sources, including
https://www.drugs.com/cdi/gefitinib.html
Gefitinib is an anilinoquinazoline with antineoplastic activity. Gefitinib inhibits the epidermal growth factor receptor (EGFR) tyrosine kinase by binding to the adenosine triphosphate (ATP)-binding site of the enzyme. Thus the function of the EGFR tyrosine kinase in activating the Ras signal transduction cascade is inhibited; and malignant cells are inhibited. Gefitinib is the first selective inhibitor of the EGFR tyrosine kinase which is also referred to as Her1 or ErbB-1. EGFR is overexpressed in the cells of certain types of human carcinomas - for example in lung and breast cancers. Overexpression leads to inappropriate activation of the apoptotic Ras signal transduction cascade, eventually leading to uncontrolled cell proliferation. Gefitinib is used for the continued treatment of patients with locally advanced or metastatic non-small cell lung cancer after failure of either platinum-based or docetaxel chemotherapies.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22846582
Curator's Comment: low penetration in humans
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL203 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21334203 |
1.0 nM [IC50] | ||
Target ID: CHEMBL614526 Sources: https://www.ncbi.nlm.nih.gov/pubmed/26703559 |
19.27 µM [IC50] | ||
Target ID: CHEMBL614348 Sources: https://www.ncbi.nlm.nih.gov/pubmed/27118497 |
1.23 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Iressa Approved UseIRESSA is indicated as monotherapy for the continued treatment of patients with locally advanced or metastatic non-small cell lung cancer after failure of both platinum-based and docetaxel chemotherapies who are benefiting or have benefited from IRESSA. Launch Date2003 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
57.45 ng/mL |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
724 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28579188 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
57.5 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21487718 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
579 ng/mL |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
178 ng/mL |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2160 ng/mL |
700 mg 1 times / day multiple, oral dose: 700 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
213 ng/mL |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB unknown | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
2210 ng/mL |
400 mg/m² 1 times / day multiple, oral dose: 400 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1415 ng × h/mL |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
13103 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28579188 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1415 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21487718 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
10026 ng × h/mL |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2985 ng × h/mL |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
42314 ng × h/mL |
700 mg 1 times / day multiple, oral dose: 700 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
6181 ng × h/mL |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB unknown | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
29.3 μg × h/mL |
400 mg/m² 1 times / day multiple, oral dose: 400 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.83 h |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
25 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28579188 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
21.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21487718 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
38.1 h |
400 mg 1 times / day multiple, oral dose: 400 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
55.2 h |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
72.9 h |
700 mg 1 times / day multiple, oral dose: 700 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
28.2 h |
500 mg single, oral dose: 500 mg route of administration: Oral experiment type: SINGLE co-administered: |
GEFITINIB unknown | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
11.9 h |
400 mg/m² 1 times / day multiple, oral dose: 400 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: |
GEFITINIB plasma | Homo sapiens population: UNHEALTHY age: CHILD sex: FEMALE / MALE food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
9% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21487718 |
250 mg 1 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
GEFITINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
10% |
GEFITINIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1000 mg 1 times / day steady, oral Dose: 1000 mg, 1 times / day Route: oral Route: steady Dose: 1000 mg, 1 times / day Sources: |
unhealthy, 51 years (range: 46 – 72 years) n = 4 Health Status: unhealthy Condition: NSCLC Age Group: 51 years (range: 46 – 72 years) Sex: M+F Population Size: 4 Sources: |
DLT: Toxic epidermal necrolysis... Dose limiting toxicities: Toxic epidermal necrolysis (grade 4, 1 patient) Sources: |
1250 mg 1 times / day steady, oral Dose: 1250 mg, 1 times / day Route: oral Route: steady Dose: 1250 mg, 1 times / day Sources: |
unhealthy, 51 years (range: 46 – 72 years) n = 3 Health Status: unhealthy Condition: NSCLC Age Group: 51 years (range: 46 – 72 years) Sex: M+F Population Size: 3 Sources: |
|
250 mg 1 times / day steady, oral Recommended Dose: 250 mg, 1 times / day Route: oral Route: steady Dose: 250 mg, 1 times / day Sources: |
unhealthy n = 102 Health Status: unhealthy Population Size: 102 Sources: |
Disc. AE: Asthenia... AEs leading to discontinuation/dose reduction: Asthenia (grade 4, 1 patient) Sources: |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Disc. AE: Acne, Rash... AEs leading to discontinuation/dose reduction: Acne (grade 3, 2 patients) Sources: Rash (grade 2-3, 2 patients) Diarrhea (1 patient) Abdominal pain (1 patient) Headache (1 patient) Epistaxis (1 patient) Pruritus (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Toxic epidermal necrolysis | grade 4, 1 patient DLT |
1000 mg 1 times / day steady, oral Dose: 1000 mg, 1 times / day Route: oral Route: steady Dose: 1000 mg, 1 times / day Sources: |
unhealthy, 51 years (range: 46 – 72 years) n = 4 Health Status: unhealthy Condition: NSCLC Age Group: 51 years (range: 46 – 72 years) Sex: M+F Population Size: 4 Sources: |
Asthenia | grade 4, 1 patient Disc. AE |
250 mg 1 times / day steady, oral Recommended Dose: 250 mg, 1 times / day Route: oral Route: steady Dose: 250 mg, 1 times / day Sources: |
unhealthy n = 102 Health Status: unhealthy Population Size: 102 Sources: |
Abdominal pain | 1 patient Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Diarrhea | 1 patient Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Epistaxis | 1 patient Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Headache | 1 patient Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Pruritus | 1 patient Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Rash | grade 2-3, 2 patients Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Acne | grade 3, 2 patients Disc. AE |
500 mg 1 times / day steady, oral Dose: 500 mg, 1 times / day Route: oral Route: steady Dose: 500 mg, 1 times / day Sources: |
unhealthy n = 114 Health Status: unhealthy Population Size: 114 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [Inhibition 11.2 uM] | yes (co-administration study) Comment: gefitinib increased auc of metoprolol by 35% |
|||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: itraconazole increased auc of gefitinib by 80% |
|||
Page: 21.0 |
major | yes (pharmacogenomic study) Comment: CYP2D6 PMs have approximately 2-fold higher exposure to gefitinib than CYP2D6 EM Page: 21.0 |
||
Page: 21.0 |
minor | no (pharmacogenomic study) Comment: CYP3A5 genotype did not appear to impact gefitinib PK Page: 21.0 |
||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
New drugs in gynecologic cancer. | 2001 Apr |
|
Scoring a bull's-eye against cancer genome targets. | 2001 Aug |
|
High levels of HER-2 expression alter the ability of epidermal growth factor receptor (EGFR) family tyrosine kinase inhibitors to inhibit EGFR phosphorylation in vivo. | 2001 Dec |
|
ZD1839 (Iressa), a novel epidermal growth factor receptor (EGFR) tyrosine kinase inhibitor, potently inhibits the growth of EGFR-positive cancer cell lines with or without erbB2 overexpression. | 2001 Dec 15 |
|
OSI Pharmaceuticals, Genentech and Roche announce data from clinical studies of Tarceva. | 2001 Jun |
|
ZD-1839 (AstraZeneca). | 2001 Mar |
|
Targeted Therapies in the Treatment of Breast Cancer. Proceedings of a meeting. Kailua-Kona, Hawaii, July 19-23, 2000. | 2001 Oct |
|
Anticancer therapy targeting the erbB family of receptor tyrosine kinases. | 2001 Oct |
|
Pharmacodynamic studies with the epidermal growth factor receptor tyrosine kinase inhibitor ZD1839. | 2001 Oct |
|
The tyrosine kinase inhibitor ZD1839 ("Iressa") inhibits HER2-driven signaling and suppresses the growth of HER2-overexpressing tumor cells. | 2001 Oct 1 |
|
HER-targeted tyrosine-kinase inhibitors. | 2002 |
|
Gefitinib. | 2002 |
|
ZD1839 (Iressa): what's in it for the patient? | 2002 |
|
Finding the needle in the haystack: why high-throughput screening is good for your health. | 2002 |
|
ZD1839 ('Iressa'), a specific oral epidermal growth factor receptor-tyrosine kinase inhibitor, potentiates radiotherapy in a human colorectal cancer xenograft model. | 2002 Apr 8 |
|
[Molecular target-based cancer therapy: epidermal growth factor receptor inhibitors]. | 2002 Feb |
|
Combined anti-EGF receptor and anti-HER2 receptor therapy in breast cancer: a promising strategy ready for clinical testing. | 2002 Jan |
|
ZD1839 (Iressa): preclinical studies and pharmacology. | 2002 Jan-Feb |
|
Second/third/fourth line therapy with tyrosine kinase inhibitors in NSCLC. | 2002 Jul-Aug |
|
Tyrosine kinase signal transduction inhibitors. Clinical trials. | 2002 Jul-Aug |
|
The rational basis of using novel targeted biological agents in non-small cell lung cancer. | 2002 Jul-Aug |
|
Gateways to Clinical Trials. June 2002. | 2002 Jun |
|
Molecular mechanisms in signal transduction: new targets for the therapy of gynecologic malignancies. | 2002 Jun |
|
[Progress in diagnosis and treatment of lung cancer]. | 2002 Mar 20 |
|
ZD1839 (IRESSA), an EGFR-selective tyrosine kinase inhibitor, enhances taxane activity in bcl-2 overexpressing, multidrug-resistant MCF-7 ADR human breast cancer cells. | 2002 Mar 20 |
|
Sequence-dependent effects of ZD1839 ('Iressa') in combination with cytotoxic treatment in human head and neck cancer. | 2002 Mar 4 |
|
Despite concerns, FDA panel backs EGFR inhibitor. | 2002 Nov 6 |
|
Enhancement of antitumor activity of ionizing radiation by combined treatment with the selective epidermal growth factor receptor-tyrosine kinase inhibitor ZD1839 (Iressa). | 2002 Oct |
|
Surprise phase III failure for ZD1839. | 2002 Oct |
|
Follicular and epidermal alterations in patients treated with ZD1839 (Iressa), an inhibitor of the epidermal growth factor receptor. | 2002 Sep |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/gefitinib.html
250 mg orally once a day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24740895
Gefitinib could inhibit highly expressed EGFR cell growth in a dose-dependent manner in the range of dose from 0.10 to 102.4 uM
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Classification Tree | Code System | Code | ||
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EU-Orphan Drug |
EU/3/18/2075
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WHO-ATC |
L01XE02
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NCI_THESAURUS |
C129825
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WHO-VATC |
QL01XE02
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EMA ASSESSMENT REPORTS |
IRESSA (AUTHORIZED: CARCINOMA, NON-SMALL-CELL LUNG)
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NDF-RT |
N0000175605
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NDF-RT |
N0000175076
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NCI_THESAURUS |
C1967
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FDA ORPHAN DRUG |
443014
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LIVERTOX |
NBK548839
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100000091738
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GEFITINIB
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CHEMBL939
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SUB20637
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DB00317
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DTXSID8041034
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S65743JHBS
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C1855
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m5682
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C419708
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8204
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328134
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4941
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49668
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NN-73
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184475-35-2
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759856
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123631
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1282
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Gefitinib
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ACTIVE MOIETY
METABOLITE (PARENT)