Last update 04 Sep 2026

Lirafugratinib

Overview

Basic Info

Drug Type
Small molecule drug
Synonyms
Lirafugratinib Hydrochloride, RLY 4008, RLY-4008
+ [1]
Target
Action
antagonists
Mechanism
FGFR2 antagonists(Fibroblast growth factor receptor 2 antagonists)
Inactive Indication-
Originator Organization
Inactive Organization-
Drug Highest PhaseNDA/BLA
First Approval Date-
RegulationPriority Review (United States), Breakthrough Therapy (United States), Orphan Drug (United States), Orphan Drug (European Union)
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Structure/Sequence

Molecular FormulaC28H24FN7O2
InChIKeyXOQVZSSDIQQUGO-UHFFFAOYSA-N
CAS Registry2549174-42-5

External Link

KEGGWikiATCDrug Bank
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R&D Status

10 top R&D records.
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IndicationHighest PhaseCountry/LocationOrganizationDate
FGFR2 fusion or rearranged CholangiocarcinomaNDA/BLA
United States
30 Jan 2026
Advanced Malignant Solid NeoplasmPhase 2
United States
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Australia
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
France
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Germany
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Hong Kong
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Italy
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Netherlands
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
Singapore
02 Sep 2020
Advanced Malignant Solid NeoplasmPhase 2
South Korea
02 Sep 2020
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Clinical Result

Indication
Phase
Evaluation
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Study
Phase
PopulationAnalyzed EnrollmentGroupResultsEvaluationPublication Date
Phase 1
28
(FGFR inhibitor-naive)
ikixwucldt(ulqjfrwtxp) = geglujvgxt wsygqslscd (kdptnoxtar )
Positive
01 Jun 2026
Phase 2
20
rnomctsnta(yjvudoyihj) = ubuifjvozv necjemqcda (brpxgwhupj )
Positive
29 May 2026
Phase 1/2
FGFR2 fusion or rearranged Cholangiocarcinoma
FGFR Rearrangement | FGFR2 Fusion
116
hbvdljrtgz(ahcnnyggfj) = yuousaaksh zmdkjxaylh (zernhkhrjz, 37.1 - 56.1)
Positive
08 Jan 2026
Phase 1/2
Solid tumor
FGFR2 fusions | FGFR2 amplifications | FGFR2 mutations
84
(patients with FGFR2 fusions)
ggzrwhfakm(zqahbabeha) = avgxygrvjp dbxnmzxjuv (rqdvgvkuog )
Positive
12 Oct 2023
(patients with breast cancer across all FGFR2 alterations, 10 of whom had HR+/HER2- breast cancer)
ggzrwhfakm(zqahbabeha) = mfxzishlze dbxnmzxjuv (rqdvgvkuog )
Phase 1/2
75
(FGFRi-naïve CCA f/r)
qrxwalxrap(hxnxldcqbj) = 70 mg QD jnekydefod (cqhicxnlyi )
Positive
26 May 2023
(Prior-FGFRi CCA f/r)
Phase 1/2
-
-
fcdjdadujd(zvddgpbpop) = itqyqrcyoi awvculauuy (ftjgelzelw )
-
04 Apr 2023
fcdjdadujd(zvddgpbpop) = dknzzwbwxf awvculauuy (ftjgelzelw )
Phase 1/2
38
bdhzvacynb(eqjgutxkyz) = majority of responses ongoing moxyigkhtp (ipzczotqyu )
-
04 Dec 2022
Phase 1/2
FGFR2 fusion or rearranged Cholangiocarcinoma
First line
FGFR2 Rearrangement | FGFR2 Fusion
195
(RP2D (70 mg QD))
otaeyotaec(eycfbcpssc) = febaqngbuy uuovzbcuiq (kdqtxyhqda, 56.6 - 96.2)
Positive
11 Sep 2022
(All dose levels)
otaeyotaec(eycfbcpssc) = phgrwgnsxp uuovzbcuiq (kdqtxyhqda, 40.8 - 73.7)
Phase 1/2
45
xwkohmubrv(azcddmdacf) = AEs occurring in >20% of pts include stomatitis (49%), palmar-plantar erythrodysesthesia (PPE, 38%), dry mouth (29%), and nail toxicities (22%), majority of which were ≤Gr 2. etjcowyrsr (xvjnlbtatk )
Positive
01 Dec 2021
(FGFRi-naïve, FGFR2-fusion+ CCA)
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Regulation

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