U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of GEFITINIB

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)

HIDE SMILES / InChI

Description
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

Curator's Comment: low penetration in humans

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.0 nM [IC50]
19.27 µM [IC50]
1.23 µM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Iressa

Approved Use

IRESSA 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 Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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
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
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

AUC

ValueDoseCo-administeredAnalytePopulation
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
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
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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
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
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

Funbound

ValueDoseCo-administeredAnalytePopulation
9%
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

Doses

DosePopulationAdverse 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
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
Disc. AE: Acne, Rash...
AEs leading to
discontinuation/dose reduction:
Acne (grade 3, 2 patients)
Rash (grade 2-3, 2 patients)
Diarrhea (1 patient)
Abdominal pain (1 patient)
Headache (1 patient)
Epistaxis (1 patient)
Pruritus (1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
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
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
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
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
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
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
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
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
Overview

OverviewOther

Other InhibitorOther SubstrateOther Inducer






Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: itraconazole increased auc of gefitinib by 80%
major
yes (pharmacogenomic study)
Comment: CYP2D6 PMs have approximately 2-fold higher exposure to gefitinib than CYP2D6 EM
Page: 21.0
minor
no (pharmacogenomic study)
Comment: CYP3A5 genotype did not appear to impact gefitinib PK
Page: 21.0
yes
Tox targets

Tox targets

PubMed

PubMed

TitleDatePubMed
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
Patents

Sample Use Guides

250 mg orally once a day
Route of Administration: Oral
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
Name Type Language
GEFITINIB
EMA EPAR   INN   JAN   MART.   MI   ORANGE BOOK   USAN   VANDF   WHO-DD  
USAN   INN  
Official Name English
gefitinib [INN]
Common Name English
GEFITINIB [USAN]
Common Name English
NSC-759856
Code English
4-QUINAZOLINAMINE, N-(3-CHLORO-4-FLUOROPHENYL)-7-METHOXY-6-(3-4-MORPHOLIN)PROPOXY)-
Common Name English
GEFITINIB [EMA EPAR]
Common Name English
ZD-1839
Code English
GEFITINIB [VANDF]
Common Name English
IRESSA
Brand Name English
Gefitinib [WHO-DD]
Common Name English
GEFITINIB [JAN]
Common Name English
GEFITINIB [EP MONOGRAPH]
Common Name English
GEFITINIB [ORANGE BOOK]
Common Name English
GEFITINIB [MART.]
Common Name English
GEFITINIB [MI]
Common Name English
ZD1839
Code English
Classification Tree Code System Code
EU-Orphan Drug EU/3/18/2075
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
WHO-ATC L01XE02
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
NCI_THESAURUS C129825
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
WHO-VATC QL01XE02
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
EMA ASSESSMENT REPORTS IRESSA (AUTHORIZED: CARCINOMA, NON-SMALL-CELL LUNG)
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
NDF-RT N0000175605
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
NDF-RT N0000175076
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
NCI_THESAURUS C1967
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
FDA ORPHAN DRUG 443014
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
LIVERTOX NBK548839
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
Code System Code Type Description
SMS_ID
100000091738
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
WIKIPEDIA
GEFITINIB
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
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ChEMBL
CHEMBL939
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PRIMARY
DAILYMED
S65743JHBS
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
EVMPD
SUB20637
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PRIMARY
DRUG BANK
DB00317
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PRIMARY
EPA CompTox
DTXSID8041034
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PRIMARY
FDA UNII
S65743JHBS
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
NCI_THESAURUS
C1855
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
MERCK INDEX
m5682
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY Merck Index
MESH
C419708
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PRIMARY
INN
8204
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PRIMARY
RXCUI
328134
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PRIMARY RxNorm
IUPHAR
4941
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
CHEBI
49668
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
USAN
NN-73
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
CAS
184475-35-2
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
NSC
759856
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
PUBCHEM
123631
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
DRUG CENTRAL
1282
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY
LACTMED
Gefitinib
Created by admin on Fri Dec 15 15:42:15 GMT 2023 , Edited by admin on Fri Dec 15 15:42:15 GMT 2023
PRIMARY