TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

NEXAVAR

SORAFENIB TOSYLATE Protein Kinase Inhibitors
Oncology Approved 2005-12-01

Nexavar (sorafenib tosylate) is a kinase inhibitor indicated for the treatment of specific types of liver, kidney, and thyroid cancers. It is used for patients with unresectable hepatocellular carcinoma and those with advanced renal cell carcinoma. The medication is also approved for patients with locally recurrent or metastatic, progressive, differentiated thyroid carcinoma that is refractory to radioactive iodine treatment.

Source: FDA Label • Bayer • Kinase Inhibitor

How NEXAVAR Works

Sorafenib acts by inhibiting multiple intracellular and cell surface kinases, including RAF, VEGFR, and PDGFR. These kinases are involved in critical biological processes such as tumor cell signaling, the development of new blood vessels, and programmed cell death. By blocking these targets, the drug decreases tumor cell proliferation and reduces tumor angiogenesis to inhibit cancer growth.

Source: FDA Label
4
Indications
--
Phase 3 Trials
3
Priority Reviews
20
Years on Market

Details

Status
Prescription
First Approved
2005-12-01
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: SORAFENIB TOSYLATE

NEXAVAR Approval History

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What NEXAVAR Treats

3 indications

NEXAVAR is approved for 3 conditions since its original approval in 2005. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Unresectable hepatocellular carcinoma
  • Advanced renal cell carcinoma
  • Locally recurrent or metastatic, progressive, differentiated thyroid carcinoma refractory to radioactive iodine treatment
Source: FDA Label

NEXAVAR Target & Pathway

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Target

VEGFR (Vascular Endothelial Growth Factor Receptor) Growth Factor Receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Pathway Context

VEGFR on blood vessels is activated by VEGF to promote angiogenesis

VEGF (Vascular Endothelial Growth Factor) ligand

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

NEXAVAR Competitors

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2 other drugs also target VEGFR. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (VEGFR). Earlier expiry dates signal biosimilar/generic opportunities.

Drugs Similar to NEXAVAR

FDA-approved drugs for similar conditions. Compare mechanisms and indications to understand treatment alternatives.

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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

NEXAVAR FDA Label Details

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Indications & Usage

FDA Label (PDF)

NEXAVAR is a kinase inhibitor indicated for the treatment of • Unresectable hepatocellular carcinoma • Advanced renal cell carcinoma • Locally recurrent or metastatic, progressive, differentiated thyroid carcinoma (DTC) refractory to radioactive iodine treatment 1.1 Hepatocellular Carcinoma NEXAVAR ® is indicated for the treatment of patients with unresectable hepatocellular carcinoma (HCC). 1.2 Renal Cell Carcinoma NEXAVAR is indicated for the treatment of patients with advanced renal cell carcinoma (RCC). 1.3 Differentiated Thyroid Carcinoma NEXAVAR is indicated for the treatment of patients...

NEXAVAR Patents & Exclusivity

Latest Patent: Sep 2028

Patents (4 active)

US9737488 Expires Sep 10, 2028
US8877933 Expires Dec 24, 2027
Source: FDA Orange Book

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.