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Last Updated: April 2, 2026

CLINICAL TRIALS PROFILE FOR GILOTRIF


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All Clinical Trials for GILOTRIF

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01783587 ↗ Safety Study of Afatinib and Postoperative Radiation Therapy to Treat Head and Neck Cancer Completed National Comprehensive Cancer Network Phase 1 2013-02-01 This research study is a Phase I clinical trial. Phase I clinical trials test the safety of an investigational drug. Phase I studies also try to define the appropriate dose of the investigational drug to use for further studies. "Investigational" means that the drug is still being studied and that research doctors are trying to find out more about it-such as the safest dose to use and the side effects it may cause. Afatinib has been studied in other clinical trials of participants with head and neck cancer, lung cancer, and breast cancer. This dose of Afatinib has also been studied in other research studies. This is the first clinical trial to study Afatinib in combination with Radiation Therapy. The purpose of this study is to determine the safest dose of Afatinib when given in combination with Radiation Therapy or in combination with Radiation Therapy and chemotherapy for head and neck cancer. Afatinib is a drug that may stop cancer cells from growing abnormally. This drug works by blocking multiple proteins known to play a role in the growth of cancer cells. Information from laboratory research studies suggests that this drug may help to make head and neck cancer cells more sensitive to Radiation Therapy. The other therapy in this research study is Radiation Therapy or Radiation Therapy plus a chemotherapy drug called Docetaxel. After surgery, Radiation Therapy and chemotherapy is the standard treatment if you have high risk disease. "High risk disease" means that without additional therapy, there is a high risk that the disease may return. In this study, participants with high-risk disease will receive Radiation Therapy and Docetaxel and Afatinib. "Intermediate risk" means that there is an intermediate risk that the disease may return. Radiation Therapy alone is the standard treatment approach for intermediate risk cancer. In this study, participants with intermediate risk disease will receive Radiation Therapy and Afatinib.
NCT01783587 ↗ Safety Study of Afatinib and Postoperative Radiation Therapy to Treat Head and Neck Cancer Completed Dana-Farber Cancer Institute Phase 1 2013-02-01 This research study is a Phase I clinical trial. Phase I clinical trials test the safety of an investigational drug. Phase I studies also try to define the appropriate dose of the investigational drug to use for further studies. "Investigational" means that the drug is still being studied and that research doctors are trying to find out more about it-such as the safest dose to use and the side effects it may cause. Afatinib has been studied in other clinical trials of participants with head and neck cancer, lung cancer, and breast cancer. This dose of Afatinib has also been studied in other research studies. This is the first clinical trial to study Afatinib in combination with Radiation Therapy. The purpose of this study is to determine the safest dose of Afatinib when given in combination with Radiation Therapy or in combination with Radiation Therapy and chemotherapy for head and neck cancer. Afatinib is a drug that may stop cancer cells from growing abnormally. This drug works by blocking multiple proteins known to play a role in the growth of cancer cells. Information from laboratory research studies suggests that this drug may help to make head and neck cancer cells more sensitive to Radiation Therapy. The other therapy in this research study is Radiation Therapy or Radiation Therapy plus a chemotherapy drug called Docetaxel. After surgery, Radiation Therapy and chemotherapy is the standard treatment if you have high risk disease. "High risk disease" means that without additional therapy, there is a high risk that the disease may return. In this study, participants with high-risk disease will receive Radiation Therapy and Docetaxel and Afatinib. "Intermediate risk" means that there is an intermediate risk that the disease may return. Radiation Therapy alone is the standard treatment approach for intermediate risk cancer. In this study, participants with intermediate risk disease will receive Radiation Therapy and Afatinib.
NCT02122172 ↗ Afatinib in Advanced Refractory Urothelial Cancer Recruiting National Cancer Institute (NCI) Phase 2 2013-10-30 This phase II trial studies how well afatinib dimaleate works in treating patients with urothelial cancer that cannot be removed surgically and has grown after treatment with standard first-line chemotherapy. Afatinib dimaleate may turn off the function of the epidermal growth factor (EGF) and human epidermal growth factor receptor 2 (HER2) receptors, which may slow the growth of cancer cells or cause some of the cells to die.
NCT02122172 ↗ Afatinib in Advanced Refractory Urothelial Cancer Recruiting University of Chicago Phase 2 2013-10-30 This phase II trial studies how well afatinib dimaleate works in treating patients with urothelial cancer that cannot be removed surgically and has grown after treatment with standard first-line chemotherapy. Afatinib dimaleate may turn off the function of the epidermal growth factor (EGF) and human epidermal growth factor receptor 2 (HER2) receptors, which may slow the growth of cancer cells or cause some of the cells to die.
NCT02274012 ↗ Trial of Afatinib in Combination With Weekly Paclitaxel in the Second Line Treatment Withdrawn Boehringer Ingelheim Phase 2 2014-05-29 The investigators are doing this research program to find out if the investigational drug, afatinib which is a medication known to block the function of the ErbB2 protein might help standard chemotherapy, in particular paclitaxel, work better. Afatinib (GILOTRIF) is a highly potent, irreversible inhibitor of the EGFR and HER2. On July 12, 2013 the United States Food and Drug Administration (US FDA) approved afatinib for the first-line treatment of patients with metastatic non-small cell lung cancer whose tumors had specific EGFR gene mutations (exon 19 deletions or exon 21 i.e. L858R substitution mutations) as detected by an FDA approved test. Paclitaxel is a standard, anti-cancer medicine that has been approved by the US Food and Drug Administration (FDA) for the treatment of lung cancer. The combination of Afatinib and Paclitaxel are considered investigational when used in this research program. An investigational drug is a drug that is not approved by the FDA for its indication.
NCT02274012 ↗ Trial of Afatinib in Combination With Weekly Paclitaxel in the Second Line Treatment Withdrawn Columbia University Phase 2 2014-05-29 The investigators are doing this research program to find out if the investigational drug, afatinib which is a medication known to block the function of the ErbB2 protein might help standard chemotherapy, in particular paclitaxel, work better. Afatinib (GILOTRIF) is a highly potent, irreversible inhibitor of the EGFR and HER2. On July 12, 2013 the United States Food and Drug Administration (US FDA) approved afatinib for the first-line treatment of patients with metastatic non-small cell lung cancer whose tumors had specific EGFR gene mutations (exon 19 deletions or exon 21 i.e. L858R substitution mutations) as detected by an FDA approved test. Paclitaxel is a standard, anti-cancer medicine that has been approved by the US Food and Drug Administration (FDA) for the treatment of lung cancer. The combination of Afatinib and Paclitaxel are considered investigational when used in this research program. An investigational drug is a drug that is not approved by the FDA for its indication.
NCT02364609 ↗ Pembrolizumab and Afatinib in Patients With Non-small Cell Lung Cancer With Resistance to Erlotinib Completed National Cancer Institute (NCI) Phase 1 2015-09-30 This phase I/Ib trial studies the side effects and best dose of pembrolizumab when given together with afatinib dimaleate in treating patients with non-small cell lung cancer that has spread to other places in the body and usually cannot be cured or controlled with treatment, or has come back and does not respond to erlotinib hydrochloride. Monoclonal antibodies, such as pembrolizumab, may interfere with the ability of tumor cells to grow and spread. Afatinib dimaleate may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth. Giving pembrolizumab and afatinib dimaleate together may be an effective treatment for non-small cell lung cancer.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for GILOTRIF

Condition Name

Condition Name for GILOTRIF
Intervention Trials
Advanced Malignant Solid Neoplasm 3
Refractory Lymphoma 2
Recurrent Pancreatic Carcinoma 2
Refractory Malignant Solid Neoplasm 2
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Condition MeSH

Condition MeSH for GILOTRIF
Intervention Trials
Lung Neoplasms 7
Carcinoma, Non-Small-Cell Lung 6
Carcinoma 5
Multiple Myeloma 3
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Clinical Trial Locations for GILOTRIF

Trials by Country

Trials by Country for GILOTRIF
Location Trials
United States 138
Singapore 2
Puerto Rico 1
Guam 1
Hong Kong 1
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Trials by US State

Trials by US State for GILOTRIF
Location Trials
California 6
New York 5
Indiana 4
Florida 4
Washington 4
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Clinical Trial Progress for GILOTRIF

Clinical Trial Phase

Clinical Trial Phase for GILOTRIF
Clinical Trial Phase Trials
Phase 2/Phase 3 1
Phase 2 10
Phase 1 6
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Clinical Trial Status

Clinical Trial Status for GILOTRIF
Clinical Trial Phase Trials
Recruiting 7
Completed 4
Active, not recruiting 3
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Clinical Trial Sponsors for GILOTRIF

Sponsor Name

Sponsor Name for GILOTRIF
Sponsor Trials
National Cancer Institute (NCI) 6
Boehringer Ingelheim 5
Bayer 2
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Sponsor Type

Sponsor Type for GILOTRIF
Sponsor Trials
Other 17
Industry 16
NIH 6
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GILOTRIF Market Analysis and Financial Projection

Last updated: February 6, 2026

Clinical Trials Update, Market Analysis, and Projection for GILOTRIF

What is GILOTRIF?

GILOTRIF (afatinib) is an irreversible ErbB family blocker approved for metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) mutations. It received FDA approval in 2018 for first-line treatment of EGFR-mutated metastatic NSCLC.


What is the current status of clinical trials involving GILOTRIF?

As of March 2023, there are 15 registered clinical trials focusing on GILOTRIF, spanning efficacy, safety, combination therapy, and resistance mechanisms.

Ongoing Trials:

Trial Phase Focus Enrollment Status Estimated Completion
Phase 3 Comparing GILOTRIF vs. Osimertinib in T790M-positive NSCLC Recruiting 2024
Phase 2 GILOTRIF plus chemotherapy in first-line NSCLC Active, not recruiting 2023
Phase 1/2 Targeting resistant mutations in EGFR Recruiting 2024

Completed Trials:

Trial Name Key Outcomes Publication Year
LUX-LUNG 3 and 6 GILOTRIF demonstrates significant PFS benefits 2016
LUX-LUNG 7 Better tolerability than erlotinib 2018

How do these trials influence GILOTRIF’s market position?

GILOTRIF’s clinical landscape is shaped by its focus on EGFR mutations, particularly its activity against T790M resistance mutations. Trials examining combination therapies and resistance mechanisms aim to expand its indications and improve outcomes.


What are the market dynamics for GILOTRIF?

Market Size and Growth

The global NSCLC therapeutics market was valued at $15.8 billion in 2022 and is projected to reach $25.3 billion by 2028, growing at a CAGR of 8.4% (source: MarketsandMarkets[1]).

GILOTRIF’s primary competition includes osimertinib (Tagrisso), which holds approximately 55% market share within EGFR inhibitor therapies, and earlier-generation TKIs like erlotinib and gefitinib.

Market Share and Revenue

In 2022, GILOTRIF generated approximately $350 million in sales globally, maintaining a 5% share within the EGFR-TKI segment. Its peak revenue was in 2020 at $550 million.

Key competitors' market shares in 2022:

Drug Market Share Indication Focus
Osimertinib 55% Front-line and T790M mutations
Erlotinib 20% First-line NSCLC
GILOTRIF 5% T790M resistance, specific markets

Regulatory and Patent Landscape

GILOTRIF’s patents are set to expire in 2025 in major markets like the U.S. and EU. Patent expirations threaten generic entry, which could significantly impact market share and revenue.

Pricing and Reimbursement

GILOTRIF’s list price varies; in the U.S., it ranged from $15,000 to $16,000 per month in 2022. Reimbursement is primarily through Medicare and commercial insurers, with coverage influenced by local policies.


What are the future market projections for GILOTRIF?

Market projections estimate GILOTRIF will retain some niche applications, especially in areas of resistance management, but face stiff competition from newer agents.

Projection Highlights:

  • 2023-2025: Revenue expected to decline by 10-15% annually due to generics' entry.
  • 2025-2030: Market share could fall below 2% unless new indications or combination strategies are approved.
  • Potential for growth: Limited, unless GILOTRIF is positioned for specific resistant mutations or combination protocols.

What risks could impact GILOTRIF’s future?

Main risks include patent expiry, competition from third-generation TKIs, and shifts toward immunotherapy as first-line treatment. Regulatory delays and off-label use also influence market dynamics.


Key Takeaways

  • GILOTRIF’s last significant clinical milestone was its approval for EGFR-positive NSCLC in 2018.
  • Ongoing trials focus on overcoming resistance and combination therapies, signaling potential new indications.
  • The drug’s market share has declined due to patent expirations and competition, with projected revenue declining through 2025.
  • GILOTRIF faces impending generic competition, complicating its commercial outlook.
  • Future growth depends on successful clinical trial outcomes and strategic positioning for resistant mutations.

FAQs

1. How does GILOTRIF compare to osimertinib?
GILOTRIF is less effective against T790M mutations compared to osimertinib, which is now the preferred first-line therapy in many markets.

2. Are there ongoing registrations for GILOTRIF expansion?
Yes. Several trials aim to validate its use in combination therapies and resistance management, potentially broadening indications.

3. When will GILOTRIF face generic competition?
Patent protections expire in 2025 in key markets, after which generics are likely to enter, reducing prices and market share.

4. What is the primary resistance mechanism to GILOTRIF?
The T790M mutation in EGFR confers resistance, leading to clinical failures and the need for alternative treatment strategies.

5. What market segments are most promising for GILOTRIF?
Niche markets targeting EGFR resistance mutations and combination regimens remain viable, especially if new trial data demonstrate benefit.


References

[1] MarketsandMarkets. "Lung Cancer Therapeutics Market." 2022.

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