Neratinib

Evidence Level: N/A Predicted Indications: 0

Table of Contents

  1. Neratinib
    1. Pharmacist Assessment Report
    2. Neratinib: Known uses and market status in Canada
    3. Summary
    4. Quick overview
    5. Known uses among the model’s candidates
      1. Approved (supported by a licence or label)
      2. Related to an approved indication (same disease category)
      3. Relations recorded in the knowledge graph (no approval found)
    6. Canada Market Information
    7. Cytotoxicity
    8. Safety Considerations
    9. Disclaimer

Pharmacist Assessment Report

Neratinib: Known uses and market status in Canada

Summary

The TxGNN deep-learning model (score ≥ 0.99) produced candidates for Neratinib, but every candidate that can be traced to a source is already a known use. There is therefore currently no new predicted indication for this drug. The four known uses below are in the same disease category as an approved indication (breast cancer).

Quick overview

Item Content
New predicted indications None (all traceable model candidates are known uses)
Known uses among model candidates 4
Evidence level Not applicable
Canada Market Status Marketed (marketed DINs: 1 of 1)
Number of DINs 1 (marketed: 1)

Known uses among the model’s candidates

Approved (supported by a licence or label)

Indication Source
none none
Indication Approved category
progesterone-receptor positive breast cancer breast cancer
normal breast-like subtype of breast carcinoma breast cancer
progesterone-receptor negative breast cancer breast cancer
breast tumor luminal A or B breast cancer

Relations recorded in the knowledge graph (no approval found)

Indication
none

Canada Market Information

Licence Product Dosage form Status
02490536 NERLYNX   Valid

Cytotoxicity

Item Content
Cytotoxicity Classification Targeted therapy (irreversible pan-HER tyrosine kinase inhibitor)
Myelosuppression Risk Please refer to the package insert warnings and precautions
Emetogenicity Classification Please refer to the package insert warnings and precautions
Monitoring Items Please refer to the package insert; the literature highlights gastrointestinal tolerability as a key concern
Handling Protection Please refer to the package insert warnings and precautions

Safety Considerations

  • Drug Interactions: The interaction query returned 100 records; the first 20 reviewed include many Major-level interactions, notably with:
    • Acid-reducing agents: famotidine, ranitidine, cimetidine, and proton pump inhibitors (omeprazole, esomeprazole, lansoprazole, dexlansoprazole, rabeprazole)
    • Aprepitant
    • Dexamethasone
    • Clarithromycin
    • Clotrimazole
  • Moderate interactions include loperamide, antacids (magnesium oxide, aluminum hydroxide, calcium carbonate), empagliflozin and naldemedine.
  • Literature notes that significant gastrointestinal side effects often lead to treatment discontinuation (PMID 39153126).

Please refer to the package insert for warnings and contraindications.


Disclaimer

This content is for research purposes only and does not constitute medical advice. Clinical validation is required before any clinical application.



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