drugs
Treatments & tests
Approved and pipeline products, with what they hit and who makes them.
530 drugs
| Targets | Cancers | Companies | ||||
|---|---|---|---|---|---|---|
5-Aminolevulinic acid (oral, for glioma surgery) Gleolan / Gliolan A drink taken before brain surgery that makes high-grade glioma glow under blue light, letting surgeons remove more tumour safely. | Approved2007🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Fluorescence-guided surgery agent (protoporphyrin IX precursor) | none | Glioma & glioblastoma | none | 2007–2017 |
Abemaciclib Verzenio Abemaciclib was the first CDK4/6 inhibitor approved after surgery for high-risk hormone-positive breast cancer. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | CDK4/6 | HR-positive / HER2-negative breast cancer | Eli Lilly | 2017–2021 |
Abiraterone acetate Zytiga (generic) Abiraterone is a pill that shuts down testosterone production everywhere, including inside the tumour. Discovered at the Institute of Cancer Research, now generic and used from the first metastatic diagnosis. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Small molecule | Androgen receptor | Prostate cancer | Johnson & Johnson | 2011–2018 |
Acalabrutinib Calquence Acalabrutinib is a cleaner BTK blocker with fewer heart and bleeding problems than ibrutinib. In February 2026 it became half of the first all-oral, fixed-duration CLL regimen. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BTK | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | AstraZeneca | 2017–2026 |
Adagrasib Krazati Adagrasib was the second KRAS G12C inhibitor, with a long half-life and brain penetration, and is approved in lung and colorectal cancer. | Approved2022🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | KRAS | Non-small-cell lung cancer, Colorectal cancer | Bristol Myers Squibb | 2022–2024 |
Adebrelimab Arelili · SHR-1316 Adebrelimab is Hengrui's PD-L1 antibody, approved in China for first-line extensive-stage small cell lung cancer on the CAPSTONE-1 trial. | Approved2023🇨🇳 | Monoclonal antibody | PD-L1 | Small-cell lung cancer | Jiangsu Hengrui Pharmaceuticals | 2023 |
Afamitresgene autoleucel Tecelra · afami-cel Afamitresgene autoleucel was the first engineered T-cell receptor therapy approved for a solid tumour, synovial sarcoma. | Approved2024🇺🇸 | Cell therapy | MAGE-A4 | Sarcomas | Adaptimmune | 2024 |
Afatinib Gilotrif / Giotrif Afatinib (Gilotrif) is an irreversible EGFR pill for lung cancer, notable for activity against uncommon EGFR mutations (G719X, L861Q, S768I). | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | EGFR, HER2 | Non-small-cell lung cancer | Boehringer Ingelheim | 2013–2018 |
Aldesleukin (high-dose IL-2) Proleukin High-dose interleukin-2 was the first immunotherapy to cure a small fraction of patients with metastatic melanoma and kidney cancer, at the cost of ICU-level toxicity; today it mainly supports TIL therapy. | Approved1992🇺🇸🇪🇺🇬🇧🇦🇺 | Recombinant interleukin-2 (cytokine) | none | Renal cell carcinoma, Melanoma | none | 1992–1998 |
Alectinib Alecensa Alectinib is a well-tolerated ALK pill, standard first line for years and, since 2024, the first targeted therapy given after surgery for ALK-positive lung cancer. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | ALK | Non-small-cell lung cancer | Roche / Genentech | 2015–2024 |
Alemtuzumab Campath Alemtuzumab (Campath) is an antibody that wipes out lymphocytes carrying the CD52 marker. It is approved for chronic lymphocytic leukaemia and is supplied in the US through a restricted distribution programme. | Approved | Monoclonal antibody | CD52 | Chronic lymphocytic leukaemia | Sanofi | 2001 |
Alpelisib Piqray Alpelisib was the first PI3K drug for PIK3CA-mutant breast cancer (2019). It is effective, but high blood sugar and rash limited its use, and newer drugs are displacing it. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | PIK3CA / PI3K-alpha | HR-positive / HER2-negative breast cancer | Novartis | 2019 |
Amifostine Ethyol Amifostine (Ethyol) is an infusion given just before chemotherapy or radiotherapy to shield the kidneys from cisplatin and the salivary glands from radiation, reducing dry mouth after head and neck treatment. | Approved | Cytoprotective thiol prodrug | none | Ovarian cancer, Head and neck squamous cell carcinoma | none | 1995–1999 |
Aminolevulinic acid (topical, for photodynamic therapy) Levulan Kerastick / Ameluz Aminolevulinic acid is painted on sun-damaged skin and then activated with a lamp, destroying actinic keratoses before they can become skin cancer; in Europe the gel is also approved for superficial basal cell carcinoma. | Approved | Topical porphyrin precursor for photodynamic therapy | none | Cutaneous squamous cell carcinoma, Basal cell carcinoma | Biofrontera, Sun Pharmaceutical Industries | 1999–2016 |
Amivantamab Rybrevant A two-armed antibody that blocks EGFR and its escape partner MET, now first-line for EGFR-mutant lung cancer with lazertinib. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Bispecific antibody | EGFR, MET | Non-small-cell lung cancer | Johnson & Johnson | 2021–2024 |
Anagrelide Agrylin / Xagrid Anagrelide (Agrylin) is a capsule that lowers dangerously high platelet counts in essential thrombocythaemia and other myeloproliferative neoplasms, reducing the risk of clots and bleeding. | Approved | none | Myeloproliferative neoplasms | Takeda | 1997–2004 | |
Anlotinib Focus V · AL3818 Anlotinib is one of the most used cancer pills in China, first approved for lung cancer after other treatments have failed and then for several rarer tumours. | Approved2018🇨🇳 | Small molecule | VEGF / VEGFR, FGFR2, KIT | Non-small-cell lung cancer, Small-cell lung cancer, Sarcomas, Thyroid cancer | Sino Biopharmaceutical | 2018–2020 |
Apalutamide Erleada An AR blocker approved for prostate cancer that has spread and for high-risk disease before it shows on scans. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Androgen receptor | Prostate cancer | Johnson & Johnson | 2018–2019 |
Aprepitant (and fosaprepitant) Emend / Cinvanti Aprepitant (Emend) was the first of a new class of anti-sickness drugs. Taken with a 5-HT3 blocker and dexamethasone, it prevents the delayed nausea and vomiting that follow strongly emetogenic chemotherapy such as cisplatin. | Approved | Small molecule | none | none | Merck & Co., Heron Therapeutics | 2003–2008 |
Arsenic trioxide Trisenox An ancient poison turned cure: with retinoic acid it cures more than 95% of acute promyelocytic leukaemia without conventional chemotherapy. | Approved2000🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Inorganic arsenical (differentiation agent) | none | Acute myeloid leukaemia | none | 2000–2018 |
ArteraAI Breast An FDA-cleared AI test (May 2026) that reads breast cancer slides to estimate recurrence risk in early hormone-positive disease. | Approved2026🇺🇸 | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Artera | 2026 |
ArteraAI Prostate The first AI tool cleared by the FDA to predict both prognosis and treatment benefit from a routine biopsy slide, in prostate cancer. | Approved2025🇺🇸 | Diagnostic test | none | Prostate cancer | Artera | 2025 |
Asciminib Scemblix Asciminib is a BCR::ABL1 blocker that binds a different pocket from every other TKI, approved for all newly diagnosed chronic myeloid leukaemia in 2024 and now being tested in Ph-positive ALL. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BCR::ABL1 | Acute lymphoblastic leukaemia | Novartis | 2021–2024 |
Asparaginase (pegaspargase, calaspargase pegol, Erwinia asparaginase) Oncaspar / Asparlas / Rylaze / Erwinaze An enzyme that starves leukaemia cells of an amino acid they cannot make; a mainstay of childhood ALL therapy for 50 years, with new versions solving allergy and supply problems. | Approved1994🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Enzyme therapy | none | Acute lymphoblastic leukaemia, Peripheral T-cell lymphomas | Servier, Jazz Pharmaceuticals | 1994–2021 |
Atezolizumab Tecentriq / Tecentriq Hybreza (SC) A PD-L1 blocker used in lung, liver, and bladder cancer. In 2026 it became the first drug approved based on a blood test showing leftover cancer after bladder surgery. | Approved2016🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-L1 | Non-small-cell lung cancer, Small-cell lung cancer, Hepatocellular carcinoma, Bladder & urothelial cancer, Triple-negative breast cancer | Roche / Genentech | 2016–2026 |
Aumolertinib Ameile · HS-10296, almonertinib Aumolertinib is Hansoh's third-generation lung cancer pill, the first China-developed drug of its class, approved for first-line EGFR-mutant lung cancer on the AENEAS trial. | Approved2020🇪🇺🇨🇳 | Small molecule | EGFR | Non-small-cell lung cancer | Hansoh Pharmaceutical Group, Hansoh Pharmaceutical | 2020–2026 |
Avapritinib Ayvakit Avapritinib is the first drug for GIST driven by the PDGFRA D842V mutation, which resists every other kinase inhibitor; it is also approved for systemic mastocytosis. | Approved2020🇺🇸🇪🇺🇬🇧🇨🇳🇦🇺 | Small molecule | KIT | Sarcomas, Systemic mastocytosis | Sanofi | 2020–2021 |
Avelumab Bavencio Avelumab is a PD-L1 blocker given as maintenance after chemotherapy for advanced bladder cancer, which lengthened survival by about seven months. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-L1 | Bladder & urothelial cancer, Renal cell carcinoma | Pfizer | 2017–2020 |
Avutometinib + defactinib Avmapki Fakzynja Co-Pack · VS-6766 + VS-6063 Avutometinib plus defactinib is the first treatment approved specifically for low-grade serous ovarian cancer, a slow-growing type driven by the RAS pathway. | Approved2025🇺🇸 | Small molecule | KRAS | Ovarian cancer | Verastem Oncology | 2025 |
Axicabtagene ciloleucel Yescarta · axi-cel A CD19 CAR-T that cures about 40% of patients with large B-cell lymphoma who had failed everything, and beat transplant in second line. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Cell therapy | CD19 | Diffuse large B-cell lymphoma | Gilead Sciences | 2017–2022 |
Axitinib Inlyta Axitinib is a selective VEGF-receptor pill, now given mainly with pembrolizumab or avelumab as first-line kidney cancer treatment. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR | Renal cell carcinoma | Pfizer | 2012–2019 |
Azacitidine Vidaza / Onureg (oral) A gentle chemotherapy that switches silenced genes back on. With venetoclax it became the standard for older people with AML who cannot take intensive treatment. | Approved2004🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Acute myeloid leukaemia | Bristol Myers Squibb | 2004–2020 |
Belantamab mafodotin Blenrep A myeloma ADC that was withdrawn in 2022 then came back in 2025 after strong trials in earlier lines. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳 | ADC | BCMA | Multiple myeloma | GSK | 2020–2025 |
Belinostat Beleodaq Belinostat is an HDAC inhibitor for relapsed peripheral T-cell lymphoma; about a quarter of patients respond, and it can be used in patients with low platelets. | Approved2014🇺🇸 | Small molecule | none | Peripheral T-cell lymphomas | none | 2014 |
Belumosudil Rezurock Belumosudil is a pill for chronic graft-versus-host disease, the long-term immune complication of donor stem-cell transplants used to cure blood cancers. | Approved2021🇺🇸🇬🇧🇯🇵 | Small molecule | none | Acute myeloid leukaemia, Acute lymphoblastic leukaemia, Myelodysplastic syndromes / neoplasms | Sanofi | 2021 |
Belzutifan Welireg Belzutifan is the first HIF-2α inhibitor, born from Nobel-winning biology, and is now approved after kidney cancer surgery with pembrolizumab. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | HIF-2α | Renal cell carcinoma | Merck & Co. | 2021–2026 |
Bendamustine Treanda / Bendeka / Belrapzo An East German chemotherapy rediscovered in the 2000s that became the backbone partner for rituximab in follicular, mantle cell and Waldenström lymphomas. | Approved2008🇺🇸🇪🇺🇬🇧🇯🇵 | Alkylating agent (nitrogen mustard-purine hybrid) | none | Follicular lymphoma, Mantle cell lymphoma, Waldenström macroglobulinaemia, Chronic lymphocytic leukaemia | none | 2008–2010 |
Bevacizumab Avastin (and biosimilars) The first drug to starve tumours of blood vessels. Approved in 2004 for bowel cancer, it remains a standard partner for chemotherapy in many cancers and is the add-on that makes late-line pills work better. | Approved2004🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Monoclonal antibody | VEGF / VEGFR | Colorectal cancer, Ovarian cancer, Non-small-cell lung cancer, Renal cell carcinoma, Hepatocellular carcinoma, Cervical cancer, Glioma & glioblastoma | Roche / Genentech, Hetero Drugs | 2004–2023 |
Bevacizumab (glioblastoma use) Avastin A blood-vessel-blocking antibody that shrinks glioblastoma on scans and reduces swelling, but has never been shown to help patients live longer. | Approved2009🇺🇸🇯🇵🇦🇺 | Monoclonal antibody | VEGF / VEGFR | Glioma & glioblastoma | Roche / Genentech | 2009 |
Bexarotene Targretin Bexarotene (Targretin) is a vitamin A-like capsule and gel for the skin disease of cutaneous T-cell lymphoma when other treatments have stopped working. | Approved | Retinoid X receptor | none | Bausch Health | 1999–2001 | |
Bicalutamide Casodex The old antiandrogen pill used to block the testosterone flare from GnRH agonists and in combined androgen blockade; superseded by enzalutamide-class drugs. | Approved1995🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Oral first-generation non-steroidal antiandrogen | Androgen receptor | Prostate cancer | AstraZeneca | 1995 |
Binimetinib Mektovi Binimetinib is the MEK inhibitor partnered with encorafenib; blocking the next step in the same relay stops the tumour rerouting around the BRAF block. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | BRAF | Melanoma, Non-small-cell lung cancer | Pfizer | 2018–2023 |
Bleomycin Blenoxane Bleomycin is the 'B' in BEP for testicular cancer and ABVD for Hodgkin lymphoma; its unique danger is scarring of the lungs, so lung function is monitored and it is often dropped when safe. | Approved1973🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Glycopeptide antibiotic (DNA-cleaving) | none | Testicular germ cell tumours, Hodgkin lymphoma, Kaposi sarcoma | none | 1973 |
Blinatumomab Blincyto Blinatumomab was the first T-cell engager (2014), and is now given to children and adults with leukaemia even when in remission, because it improves survival. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | T-cell engager | CD19, CD3 | Acute lymphoblastic leukaemia | Amgen | 2014–2024 |
Bortezomib Velcade Bortezomib was the first proteasome inhibitor: it jams the cell's protein-recycling machine, which antibody-factory plasma cells cannot tolerate. | Approved2003🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Multiple myeloma | Takeda, Johnson & Johnson | 2003–2008 |
Bosutinib Bosulif Bosutinib is a CML pill with less cardiovascular and pleural toxicity than its rivals; its main side effect is diarrhoea. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | BCR::ABL1 | Chronic myeloid leukaemia | Pfizer | 2012–2017 |
BRACAnalysis CDx BRACAnalysis CDx The inherited BRCA test that decides who can have PARP inhibitor pills for ovarian, breast, pancreatic and prostate cancer. | Approved | Diagnostic test | BRCA1 / BRCA2, PARP | Ovarian cancer, HR-positive / HER2-negative breast cancer, Triple-negative breast cancer, Pancreatic ductal adenocarcinoma, Prostate cancer | Myriad Genetics | 2014–2020 |
Brentuximab vedotin Adcetris The ADC that made the modern field credible (2011), for Hodgkin lymphoma and CD30+ lymphomas. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | none | Hodgkin lymphoma | Pfizer, Takeda | 2011–2018 |
Brexucabtagene autoleucel Tecartus Brexucabtagene autoleucel is the CAR-T therapy for mantle cell lymphoma and adult acute lymphoblastic leukaemia, giving long remissions after BTK inhibitors fail. | Approved2020🇺🇸🇪🇺🇬🇧🇦🇺 | Cell therapy | CD19 | Mantle cell lymphoma, Acute lymphoblastic leukaemia | Gilead Sciences | 2020–2021 |
Brigatinib Alunbrig Brigatinib is an ALK pill with strong brain activity, approved first after crizotinib and then first line after beating it in ALTA-1L. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | ALK | Non-small-cell lung cancer | Takeda | 2017–2020 |
Busulfan Myleran / Busulfex Busulfan is one of the oldest cancer drugs. As a tablet it controlled chronic myeloid leukaemia before imatinib; as an infusion it is used to clear the bone marrow before a stem cell transplant. | Approved | Alkylating agent (alkyl sulfonate) | none | Chronic myeloid leukaemia | Otsuka Pharmaceutical | 1954–2003 |
Cabazitaxel Jevtana A second taxane that works after docetaxel and beat a second hormone pill head-to-head (CARD). | Approved2010🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Prostate cancer | Sanofi | 2010 |
Cabozantinib Cabometyx A pill that blocks both blood-vessel growth and the MET escape pathway, used in kidney, liver, thyroid and, since 2025, neuroendocrine cancers. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | MET, VEGF / VEGFR, RET | Hepatocellular carcinoma, Renal cell carcinoma, Neuroendocrine tumours, Thyroid cancer | Exelixis, Ipsen | 2012–2025 |
Cadonilimab Kaitanni · AK104 A Chinese two-armed antibody that blocks PD-1 and CTLA-4 together, approved in China for cervical cancer and extending survival even in PD-L1-negative tumours. | Approved2022🇨🇳 | Bispecific antibody | PD-1, CTLA-4 | Cervical cancer, Gastric & gastro-oesophageal junction cancer | Akeso | 2022–2024 |
Camizestrant Etcamah · AZD9833 Camizestrant is an oral oestrogen-receptor degrader approved in September 2026 for a new kind of decision: switching treatment when a blood test shows resistance developing, before the cancer visibly grows. | Approved2026🇺🇸🇪🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | AstraZeneca | 2026 |
Camrelizumab AiRuiKa · SHR-1210 One of China's most widely used PD-1 blockers, approved there for oesophageal, liver, lung, and other cancers; not approved in the US. | Approved2019🇨🇳 | Monoclonal antibody | PD-1 | Oesophageal cancer, Hepatocellular carcinoma, Non-small-cell lung cancer | none | 2019 |
Capecitabine Xeloda Capecitabine (Xeloda) is a tablet form of the chemotherapy fluorouracil. It is a backbone of treatment for bowel cancer and a standard option in advanced breast cancer. | Approved | Oral fluoropyrimidine prodrug (antimetabolite) | none | Colorectal cancer, HR-positive / HER2-negative breast cancer, Triple-negative breast cancer, HER2-positive breast cancer, Gastric & gastro-oesophageal junction cancer | Roche / Genentech | 1998–2001 |
Capivasertib Truqap Capivasertib (Truqap) is the first AKT inhibitor, for breast cancer with PI3K-pathway mutations and, since 2026, for prostate cancer with PTEN loss. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | AKT, PIK3CA / PI3K-alpha | HR-positive / HER2-negative breast cancer, Prostate cancer | AstraZeneca | 2023–2026 |
Capmatinib & tepotinib Tabrecta / Tepmetko Capmatinib and tepotinib are two pills for the roughly 3% of lung cancers with a MET exon 14 skipping mutation. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | MET | Non-small-cell lung cancer | Novartis, Merck & Co. | 2020 |
Carboplatin Carboplatin is a platinum chemotherapy that crosslinks DNA; it is part of the standard pre-surgery regimen for triple-negative breast cancer. | Approved1986🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Triple-negative breast cancer, Ovarian cancer, Non-small-cell lung cancer, Small-cell lung cancer | none | 1989 |
Carfilzomib Kyprolis Carfilzomib is a second-generation proteasome inhibitor with less nerve damage but more heart and blood-pressure effects. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | none | Multiple myeloma | Amgen | 2012–2015 | |
Carmustine BiCNU / Gliadel Wafer Carmustine is a chemotherapy that reaches the brain. It is given by infusion for brain tumours, lymphoma and myeloma, and as a slow-release wafer left in the cavity after a brain tumour is removed. | Approved | Alkylating agent (nitrosourea); intravenous and implantable wafer | none | Glioma & glioblastoma, Medulloblastoma, Multiple myeloma, Hodgkin lymphoma, Diffuse large B-cell lymphoma | none | 1977–1996 |
Catumaxomab Korjuny Catumaxomab (Korjuny) is an antibody infused into the abdominal cavity to control malignant ascites, the build-up of fluid caused by cancers such as ovarian and stomach cancer, in people who have run out of other treatments. | Approved | Bispecific antibody | EpCAM, CD3 | Ovarian cancer, Gastric & gastro-oesophageal junction cancer, Pancreatic ductal adenocarcinoma, Colorectal cancer | none | 2009–2025 |
Cemiplimab Libtayo A PD-1 blocker that is the standard for advanced skin squamous cell carcinoma, and in 2025 became the first adjuvant immunotherapy for it. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Monoclonal antibody | PD-1 | Non-small-cell lung cancer, Melanoma | Regeneron | 2018–2025 |
Ceritinib Zykadia Ceritinib is a second-generation ALK pill for lung cancer, effective after crizotinib but with gastrointestinal toxicity that limited uptake. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | ALK | Non-small-cell lung cancer | Novartis | 2014–2017 |
CERVAVAC (quadrivalent HPV vaccine, India) CERVAVAC India's first home-made HPV vaccine, protecting against the two virus types that cause most cervical cancers and the two that cause genital warts, at a price meant for a national programme. | Approved2022🇮🇳 | Vaccine | none | Cervical cancer, Head and neck squamous cell carcinoma | Serum Institute of India | 2022 |
Cetuximab Erbitux An antibody that blocks the EGFR growth receptor. It works in bowel cancers with a normal RAS gene, especially left-sided ones, and is a key partner in the BRAF combination. | Approved2004🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | EGFR | Colorectal cancer, Head and neck squamous cell carcinoma | Eli Lilly, Merck & Co. | 2004–2024 |
Cetuximab sarotalocan Akalux · ASP-1929, RM-1929 Cetuximab sarotalocan is an EGFR antibody carrying a light-activated dye: after infusion, a red laser is shone on the tumour and the cells burst. It has been approved in Japan since 2020. | Approved2020🇯🇵 | Photoimmunotherapy conjugate (anti-EGFR antibody–IR700 dye) | EGFR | Head and neck squamous cell carcinoma | none | 2020 |
Chlorambucil Leukeran Chlorambucil (Leukeran) is a gentle oral chemotherapy tablet used for decades in chronic lymphocytic leukaemia and low-grade lymphomas, mainly in older patients. | Approved | Alkylating agent (nitrogen mustard) | none | Chronic lymphocytic leukaemia, Hodgkin lymphoma, Follicular lymphoma | none | 1957 |
Ciltacabtagene autoleucel Carvykti · cilta-cel Ciltacabtagene autoleucel is a one-time BCMA CAR-T for myeloma that, in CARTITUDE-4, cut the risk of death by about 45% compared with standard regimens. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Cell therapy | BCMA | Multiple myeloma | Legend Biotech, Johnson & Johnson | 2022–2024 |
Cisplatin Platinol (generic) Cisplatin is the original platinum chemotherapy, discovered by accident in 1965; it cures testicular cancer and makes radiation work better in cervical and head and neck cancer. | Approved1978🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Cervical cancer, Head and neck squamous cell carcinoma, Bladder & urothelial cancer, Non-small-cell lung cancer, Ovarian cancer | none | 1978 |
Cladribine Leustatin / Litak A one-week infusion that puts most people with hairy cell leukaemia into remission for years; also used in multiple sclerosis in tablet form. | Approved1993🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Purine nucleoside analogue | none | Hairy cell leukaemia, Waldenström macroglobulinaemia | none | 1993–2004 |
Clofarabine Clolar Clofarabine (Clolar) is an infusion for children and young adults whose acute lymphoblastic leukaemia has come back after at least two other treatments. | Approved | Purine nucleoside analogue (antimetabolite) | none | Acute lymphoblastic leukaemia | Sanofi | 2004–2006 |
clonoSEQ clonoSEQ A DNA test that counts leftover leukaemia, myeloma or lymphoma cells down to one in a million, used to decide whether treatment has really worked. | Approved | Diagnostic test | none | Acute lymphoblastic leukaemia, Multiple myeloma, Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma, Mantle cell lymphoma | Adaptive Biotechnologies | 2018–2020 |
cobas EGFR Mutation Test v2 cobas EGFR Mutation Test The lung cancer gene test that became the first blood-based companion diagnostic the FDA ever approved. | Approved | Diagnostic test | EGFR | Non-small-cell lung cancer | Roche / Genentech | 2013–2016 |
Cobimetinib Cotellic Cobimetinib is the MEK partner for vemurafenib, and the first drug approved for histiocytic neoplasms. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | BRAF | Melanoma | Roche / Genentech | 2015–2022 |
Cologuard Cologuard A home stool test done every three years that looks for cancer DNA and hidden blood; a positive result means you need a colonoscopy. | Approved | Diagnostic test | none | Colorectal cancer | Exact Sciences | 2014 |
Cologuard Plus Cologuard Plus The updated Cologuard, approved in 2024, which keeps the high cancer detection rate while causing fewer false alarms. | Approved | Diagnostic test | none | Colorectal cancer | Exact Sciences | 2024 |
Cosibelimab Unloxcyt Cosibelimab is a PD-L1 antibody approved in December 2024 for advanced cutaneous squamous cell carcinoma, offering a third immunotherapy choice. | Approved2024🇺🇸 | Monoclonal antibody | PD-L1 | Cutaneous squamous cell carcinoma | none | 2024 |
CPX-351 (liposomal daunorubicin-cytarabine) Vyxeos The two old chemotherapy drugs packed together into tiny fat bubbles at a fixed ratio, which doubled five-year survival in older adults with high-risk AML. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Chemotherapy | none | Acute myeloid leukaemia | Jazz Pharmaceuticals | 2017–2021 |
Crizotinib Xalkori Crizotinib was the first ALK inhibitor, approved four years after ALK fusions were found in lung cancer; it was also the first drug for ROS1 lung cancer and for ALK-positive lymphoma and inflammatory myofibroblastic tumour in children. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | ALK, ROS1, MET | Non-small-cell lung cancer, Peripheral T-cell lymphomas, Sarcomas | Pfizer | 2011–2022 |
Cyclophosphamide Cytoxan / Endoxan One of the most widely used chemotherapy drugs: part of CHOP for lymphoma, AC for breast cancer, VAC for childhood sarcomas, and used to prepare patients for CAR-T and transplant. | Approved1959🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Alkylating agent (oxazaphosphorine prodrug) | none | Diffuse large B-cell lymphoma, HR-positive / HER2-negative breast cancer, Triple-negative breast cancer, Ewing sarcoma, Rhabdomyosarcoma, Neuroblastoma, Acute lymphoblastic leukaemia, Multiple myeloma | none | 1959 |
Cytarabine Cytosar-U (historic) Cytarabine is the core chemotherapy for acute myeloid leukaemia, given with an anthracycline as the classic 7+3 induction and at high doses for consolidation; it is also injected into the spinal fluid to treat or prevent leukaemia in the brain. | Approved | Pyrimidine nucleoside analogue (antimetabolite) | none | Acute myeloid leukaemia, Acute lymphoblastic leukaemia, Chronic myeloid leukaemia | none | 1969 |
Dabrafenib Tafinlar Dabrafenib (Tafinlar) is a capsule that switches off the faulty BRAF protein driving some melanomas, lung, thyroid and other cancers. It is almost always paired with trametinib. | Approved | Small molecule | BRAF | Melanoma, Non-small-cell lung cancer, Thyroid cancer | Novartis | 2013–2014 |
Dabrafenib + trametinib Tafinlar + Mekinist Dabrafenib plus trametinib is the BRAF-plus-MEK pill combination, approved for BRAF V600E lung cancer and, since 2022, for any solid tumour with that mutation. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BRAF | Non-small-cell lung cancer, Melanoma, Thyroid cancer | Novartis | 2017–2022 |
Dacarbazine DTIC-Dome (historic) Dacarbazine is an older chemotherapy infusion. It was the standard treatment for advanced melanoma for decades and is the D in the ABVD regimen that cures most Hodgkin lymphoma. | Approved | Alkylating agent (triazene) | none | Melanoma, Hodgkin lymphoma | none | 1975 |
Dacomitinib Vizimpro A second-generation EGFR pill that beat gefitinib on survival in EGFR-mutant lung cancer but was quickly overshadowed by osimertinib. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | EGFR | Non-small-cell lung cancer | Pfizer | 2018–2019 |
Dactinomycin (actinomycin D) Cosmegen The first antibiotic used as an anticancer drug (1954) and still the core of chemotherapy for Wilms tumour, rhabdomyosarcoma and gestational trophoblastic disease. | Approved1964🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Wilms tumour, Rhabdomyosarcoma, Gestational trophoblastic neoplasia, Ewing sarcoma, Testicular germ cell tumours | none | 1964 |
Dalpiciclib Airuikang · SHR6390 Dalpiciclib is Hengrui's CDK4/6 inhibitor, the first China-developed drug of the class, approved for hormone-driven advanced breast cancer on the DAWNA trials. | Approved2021🇨🇳 | Small molecule | CDK4/6 | HR-positive / HER2-negative breast cancer | Jiangsu Hengrui Pharmaceuticals | 2021–2023 |
Daratumumab Darzalex / Darzalex Faspro (SC) The CD38 antibody that turned triplets into quadruplets: adding it to standard induction roughly halves the risk of myeloma progressing. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | CD38 | Multiple myeloma | Johnson & Johnson, Genmab | 2015–2026 |
Daraxonrasib Rasonque · RMC-6236 The first drug that blocks all active RAS variants, approved by the FDA in August 2026 for metastatic pancreatic cancer, where KRAS drives 90% of tumours. | Approved | Small molecule | KRAS | Pancreatic ductal adenocarcinoma, Non-small-cell lung cancer, Colorectal cancer | Revolution Medicines | 2026 |
Darbepoetin alfa Aranesp Darbepoetin alfa (Aranesp) is a longer-acting version of erythropoietin given every one to three weeks to treat anaemia caused by chemotherapy, reducing transfusions but with the same warnings about clots and tumour growth as epoetin. | Approved | Hyperglycosylated recombinant erythropoietin (erythropoiesis-stimulating agent) | none | none | Amgen | 2001–2002 |
Darolutamide Nubeqa Darolutamide is an AR blocker that barely enters the brain, so it causes fewer falls and cognitive side effects; it is approved with and without chemotherapy. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Androgen receptor | Prostate cancer | Bayer | 2019–2025 |
Dasatinib Sprycel Dasatinib is a second-generation BCR::ABL1 pill that, combined with the immunotherapy blinatumomab, can put Ph-positive ALL into deep remission with no chemotherapy at all. | Approved2006🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BCR::ABL1 | Acute lymphoblastic leukaemia | Bristol Myers Squibb | 2006–2018 |
Datopotamab deruxtecan Datroway · Dato-DXd, DS-1062 Datopotamab deruxtecan (Datroway) is the second TROP2 ADC and shares Enhertu's payload. In 2026 it became a first-line option for triple-negative breast cancer patients who cannot receive immunotherapy. | Approved2024🇺🇸🇪🇺🇬🇧🇯🇵 | ADC | TROP2 | Triple-negative breast cancer, HR-positive / HER2-negative breast cancer, Non-small-cell lung cancer | Daiichi Sankyo, AstraZeneca | 2025–2026 |
Daunorubicin Cerubidine (historic) Daunorubicin is the anthracycline most often combined with cytarabine to bring acute myeloid leukaemia into remission; it is also part of induction for acute lymphoblastic leukaemia. | Approved | Small molecule | none | Acute myeloid leukaemia, Acute lymphoblastic leukaemia | none | 1979 |
Decitabine Dacogen Decitabine (Dacogen) is an infusion that loosens the chemical silencing of genes in myelodysplastic syndromes and acute myeloid leukaemia, helping the bone marrow work again. An oral version combined with cedazuridine has its own record. | Approved | Small molecule | none | Myelodysplastic syndromes / neoplasms, Acute myeloid leukaemia | Otsuka Pharmaceutical | 2006–2012 |
Decitabine + cedazuridine (oral) Inqovi Oral decitabine-cedazuridine is a pill version of the hypomethylating chemotherapy that, since May 2026, lets older AML patients take their whole venetoclax regimen at home. | Approved2020🇺🇸🇪🇺🇬🇧🇦🇺 | Oral hypomethylating agent | none | Acute myeloid leukaemia | Taiho Oncology | 2020–2026 |
Defibrotide Defitelio Defibrotide (Defitelio) is the only approved treatment for hepatic veno-occlusive disease, a life-threatening liver complication of high-dose chemotherapy before stem cell transplant, in patients whose kidneys or lungs are also failing. | Approved | Polydisperse oligonucleotide mixture (endothelial protectant) | none | none | Jazz Pharmaceuticals | 2013–2016 |
Degarelix Firmagon An injectable hormone blocker for prostate cancer that lowers testosterone within days without the initial surge caused by agonists. | Approved2008🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Androgen receptor | Prostate cancer | Ferring Pharmaceuticals | 2008–2009 |
Denileukin diftitox Lymphir Denileukin diftitox (Lymphir) is an infusion that uses the interleukin-2 signal as a homing device to deliver a bacterial toxin into cutaneous T-cell lymphoma cells. It was withdrawn in 2014 and returned in an improved form in 2024. | Approved | CD25 | none | Citius Pharmaceuticals, Eisai | 1999–2024 | |
Denosumab Xgeva / Prolia Denosumab is an injection under the skin that blocks the signal driving bone breakdown. As Xgeva it prevents fractures and other bone complications in people whose cancer has spread to bone or who have myeloma; as Prolia it treats osteoporosis, including bone loss caused by hormone therapy for breast and prostate cancer. | Approved | Monoclonal antibody | RANK ligand | HR-positive / HER2-negative breast cancer, Prostate cancer, Multiple myeloma, Non-small-cell lung cancer, Osteosarcoma | Amgen | 2010–2013 |
Dexamethasone Decadron (historic) / Hemady / Neofordex Dexamethasone is a powerful steroid tablet or injection. In cancer it kills lymphoid tumour cells as part of myeloma, leukaemia and lymphoma regimens, and it is the single most used drug for preventing chemotherapy sickness and reducing brain swelling. | Approved | Glucocorticoid | none | Multiple myeloma, Acute lymphoblastic leukaemia, Diffuse large B-cell lymphoma, Hodgkin lymphoma | none | 1958–2019 |
Dexrazoxane Zinecard / Totect Dexrazoxane protects the heart from the cumulative damage of doxorubicin in women with metastatic breast cancer who need to keep receiving it, and, as Totect, limits tissue destruction when an anthracycline leaks out of a vein. | Approved | Cardioprotectant and extravasation antidote (bisdioxopiperazine) | none | HR-positive / HER2-negative breast cancer, Acute lymphoblastic leukaemia | none | 1995–2007 |
Dinutuximab (ch14.18) / dinutuximab beta Unituxin / Qarziba (EU) The antibody that raised cure rates in high-risk childhood neuroblastoma by about 20 points when given after transplant with immune boosters and retinoid. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Monoclonal antibody | GD2 | Neuroblastoma | none | 2015–2017 |
Disitamab vedotin RC48 Disitamab vedotin is a Chinese HER2 ADC approved for gastric and bladder cancer, now in global trials with Pfizer. | Approved2021🇨🇳 | ADC | HER2 | Gastric & gastro-oesophageal junction cancer, Bladder & urothelial cancer | RemeGen, Pfizer | 2021 |
Docetaxel Taxotere (generic) The first chemotherapy to extend life in prostate cancer (2004), now part of triplet therapy at first metastatic diagnosis. | Approved1995🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Prostate cancer, Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer, Gastric & gastro-oesophageal junction cancer, Head and neck squamous cell carcinoma | Sanofi | 2004 |
Donafenib Zepsun · CM4307 Donafenib is a Chinese redesign of sorafenib that lived longer than the original in a head-to-head liver cancer trial and is approved in China as a first-line option. | Approved2021🇨🇳 | Small molecule | VEGF / VEGFR, BRAF | Hepatocellular carcinoma, Thyroid cancer | Suzhou Zelgen Biopharmaceuticals | 2021–2022 |
Dordaviprone Modeyso · ONC201 Dordaviprone is the first drug ever approved for a lethal childhood and young-adult brain tumour, diffuse midline glioma with the H3 K27M mutation (August 2025). | Approved2025🇺🇸 | none | Glioma & glioblastoma | Jazz Pharmaceuticals | 2025 | |
Dorocubicel (UM171-expanded cord blood) Zemcelpro Zemcelpro is a laboratory-expanded umbilical cord blood transplant for adults with blood cancers who need a donor stem cell transplant but have no suitable matched donor; expanding the cells lets a single small cord blood unit be enough. | Approved | Allogeneic expanded cord blood cell therapy (ATMP) | none | Acute myeloid leukaemia, Acute lymphoblastic leukaemia, Myelodysplastic syndromes / neoplasms | none | 2025 |
Dostarlimab Jemperli Dostarlimab is a PD-1 blocker famous for making rectal cancer disappear without surgery in every patient with a mismatch-repair-deficient tumour. | Approved2021🇺🇸🇪🇺🇬🇧🇦🇺 | Monoclonal antibody | PD-1 | Endometrial cancer, Colorectal cancer | GSK | 2021–2024 |
Doxorubicin Adriamycin The red chemotherapy drug from a soil bacterium that is still the backbone of treatment for sarcoma, lymphoma and breast cancer, limited by cumulative heart damage. | Approved1971🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Sarcomas, Diffuse large B-cell lymphoma, Hodgkin lymphoma, Triple-negative breast cancer, HR-positive / HER2-negative breast cancer | none | 1974 |
Durvalumab Imfinzi A PD-L1 blocker that became standard after chemoradiation for stage III lung cancer, and now in bladder, biliary, and gastric cancers. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-L1 | Non-small-cell lung cancer, Small-cell lung cancer, Biliary tract cancer, Hepatocellular carcinoma, Bladder & urothelial cancer, Gastric & gastro-oesophageal junction cancer, Triple-negative breast cancer | AstraZeneca | 2018–2026 |
Duvelisib Copiktra A dual PI3K inhibitor for relapsed CLL whose survival data raised FDA concern; use is now limited to late lines. | Approved2018🇺🇸 | Small molecule | PIK3CA / PI3K-alpha | Chronic lymphocytic leukaemia, Peripheral T-cell lymphomas | none | 2018–2021 |
Efbemalenograstim alfa Ryzneuta Efbemalenograstim alfa (Ryzneuta) is a once-per-cycle white cell booster, an alternative to pegfilgrastim, that reduces the risk of febrile infections after chemotherapy. | Approved | Long-acting recombinant G-CSF dimer (Fc fusion) | none | none | Evive Biotech | 2023–2024 |
Eflornithine (DFMO) Iwilfin Eflornithine (DFMO) is an old sleeping-sickness drug repurposed as the first oral maintenance therapy for high-risk neuroblastoma, approved in December 2023 to reduce relapse after immunotherapy. | Approved2023🇺🇸 | none | Neuroblastoma | US WorldMeds | 2023 | |
Elacestrant Orserdu Elacestrant was the first oral oestrogen-receptor degrader (2023), for ESR1-mutant breast cancer detected by blood test. | Approved2023🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | Menarini / Stemline | 2023 |
Elotuzumab Empliciti An immune-stimulating antibody for myeloma that works only in combination, adding benefit to lenalidomide or pomalidomide. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Monoclonal antibody | none | Multiple myeloma | Bristol Myers Squibb | 2015–2018 |
Elranatamab Elrexfio Elranatamab is Pfizer's BCMA bispecific, given under the skin every week then every two weeks, for myeloma after four prior lines. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | T-cell engager | BCMA, CD3 | Multiple myeloma | Pfizer | 2023 |
Enasidenib Idhifa Enasidenib is the IDH2 counterpart of ivosidenib, approved in the US for relapsed disease but never approved in Europe after it failed to extend survival in a confirmatory trial. | Approved2017🇺🇸 | Small molecule | IDH1 / IDH2 | Acute myeloid leukaemia | Bristol Myers Squibb | 2017 |
Encorafenib Braftovi Encorafenib is a BRAF inhibitor that, with cetuximab and chemotherapy, became first-line standard for BRAF-mutant colorectal cancer in 2026. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BRAF, EGFR | Colorectal cancer, Melanoma, Non-small-cell lung cancer | Pfizer | 2018–2026 |
Enfortumab vedotin Padcev Enfortumab vedotin is an ADC against Nectin-4 that, combined with pembrolizumab, nearly doubled survival in advanced bladder cancer. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | ADC | Nectin-4 | Bladder & urothelial cancer | Astellas, Pfizer | 2019–2023 |
Ensartinib Ensacove A Chinese-developed ALK pill approved in the US in December 2024 for first-line ALK-positive lung cancer. | Approved2020🇺🇸🇨🇳 | Small molecule | ALK | Non-small-cell lung cancer | none | 2020–2024 |
Entrectinib Rozlytrek Entrectinib (Rozlytrek) is a pill for NTRK-fusion cancers and ROS1 lung cancer that reaches brain metastases. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | NTRK, ROS1, ALK | Non-small-cell lung cancer, Salivary gland cancers, Sarcomas, Colorectal cancer | Roche / Genentech | 2019–2020 |
Envafolimab Enweida · KN035 Envafolimab is the first PD-L1 antibody given as a quick injection under the skin rather than an infusion, approved in China for advanced tumours with mismatch-repair deficiency. | Approved2021🇨🇳 | Single-domain antibody (anti-PD-L1, subcutaneous) | PD-L1 | Colorectal cancer, Cancer of unknown primary | Alphamab Oncology | 2021 |
Enzalutamide Xtandi The most widely used androgen-receptor blocker, approved across every stage of advanced prostate cancer, including rising PSA after surgery. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Androgen receptor | Prostate cancer | Astellas, Pfizer, Zydus Lifesciences | 2012–2023 |
Epcoritamab Epkinly Epcoritamab is an under-the-skin injection that pulls T cells onto lymphoma cells; it is approved for relapsed large B-cell and follicular lymphoma, and moving toward first line. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | T-cell engager | CD20, CD3 | Diffuse large B-cell lymphoma | Genmab, AbbVie | 2023–2024 |
Epirubicin Ellence Epirubicin (Ellence) is a close relative of doxorubicin used mainly after breast cancer surgery when lymph nodes are involved, and in stomach cancer regimens; it is a little kinder to the heart. | Approved | Small molecule | none | HR-positive / HER2-negative breast cancer, HER2-positive breast cancer, Triple-negative breast cancer, Gastric & gastro-oesophageal junction cancer | Pfizer | 1999 |
Epoetin alfa Epogen / Procrit Epoetin alfa is a manufactured version of the kidney hormone that tells the bone marrow to make red blood cells. In cancer it treats anaemia caused by chemotherapy and reduces the need for transfusions, but it is used cautiously because it can shorten survival and cause clots. | Approved | Recombinant erythropoietin (erythropoiesis-stimulating agent) | none | none | Amgen, Johnson & Johnson, Pfizer | 1989–2007 |
Equecabtagene autoleucel Fucaso · eque-cel, CT103A Eque-cel is a Chinese CAR-T for multiple myeloma that has returned after at least three treatments, approved in 2023 and notable for durable responses in a large single-arm trial. | Approved2023🇨🇳 | Cell therapy | BCMA | Multiple myeloma | IASO Biotherapeutics, Innovent Biologics | 2023 |
Erdafitinib Balversa The first targeted pill for bladder cancer, for the roughly 20% of tumours with FGFR3 alterations, used after immunotherapy. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | FGFR2 | Bladder & urothelial cancer | Johnson & Johnson | 2019–2024 |
Eribulin Halaven A sea-sponge-derived chemotherapy that extended survival in heavily pretreated breast cancer and in liposarcoma, where almost nothing else had. | Approved2010🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer, Sarcomas | Eisai | 2010–2016 |
Erlotinib Tarceva Erlotinib was one of the first EGFR pills for lung cancer; it was approved before anyone knew EGFR mutations predicted who would respond, then redefined by them. | Approved2004🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | EGFR | Non-small-cell lung cancer, Pancreatic ductal adenocarcinoma | Roche / Genentech, Astellas | 2004–2013 |
Etoposide VePesid / Etopophos / Toposar Etoposide is a chemotherapy from the mayapple plant, essential to curing testicular cancer (BEP), treating small-cell lung cancer, lymphomas, childhood sarcomas and leukaemias, and used in transplant conditioning. | Approved1983🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | KMT2A (MLL) rearrangement | Testicular germ cell tumours, Small-cell lung cancer, Ewing sarcoma, Diffuse large B-cell lymphoma, Neuroendocrine tumours, Wilms tumour, Retinoblastoma, Gestational trophoblastic neoplasia, Adrenocortical carcinoma, Acute myeloid leukaemia | none | 1983 |
Everolimus Afinitor An mTOR-blocking pill that doubled progression-free time with exemestane in 2012 and is now paired with the oral SERD giredestrant. | Approved2009🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | PIK3CA / PI3K-alpha, AKT | HR-positive / HER2-negative breast cancer, Renal cell carcinoma, Neuroendocrine tumours | Novartis | 2009–2016 |
Exemestane Aromasin Exemestane is a steroidal aromatase inhibitor, the partner of everolimus and the agent tested with ovarian suppression in young women. | Approved1999🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | none | 1999–2005 |
Fedratinib Inrebic A second JAK inhibitor for myelofibrosis that works after ruxolitinib fails; it carries a boxed warning for a rare brain toxicity (Wernicke encephalopathy) so thiamine is checked. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | JAK2, FLT3 | Myeloproliferative neoplasms | Bristol Myers Squibb | 2019–2021 |
Filgrastim (G-CSF) Neupogen Filgrastim (Neupogen and its biosimilars) is a daily injection that speeds the recovery of infection-fighting white cells after chemotherapy, lets doctors give chemotherapy on schedule and mobilises stem cells for transplant. | Approved | Recombinant granulocyte colony-stimulating factor | none | none | Amgen, Sandoz, Teva Pharmaceuticals | 1991–2015 |
Flotufolastat F-18 Posluma · 18F-rhPSMA-7.3 Flotufolastat is a third PSMA PET tracer, with a radiohybrid chemistry designed to be reused for therapy. | Approved2023🇺🇸 | Imaging agent | PSMA | Prostate cancer | Blue Earth Diagnostics | 2023 |
Fluciclovine F-18 Axumin Fluciclovine F-18 was the first PET tracer approved for finding recurrent prostate cancer after treatment (2016), and has been largely superseded since 2020 by PSMA PET. | Approved2016🇺🇸🇪🇺🇬🇧🇯🇵 | PET radiotracer (synthetic amino acid) | none | Prostate cancer, Glioma & glioblastoma | Blue Earth Diagnostics | 2016–2017 |
Fludarabine Fludara (historic) Fludarabine is a chemotherapy infusion for chronic lymphocytic leukaemia. It anchored the FCR regimen that was the first to give long remissions, and today it is used above all to prepare patients for CAR-T cells and transplants. | Approved | Purine nucleotide analogue (antimetabolite) | none | Chronic lymphocytic leukaemia | none | 1991 |
Fludeoxyglucose F-18 (FDG) FDG (multiple manufacturers) The radioactive sugar used in almost every cancer PET scan, approved in the 1990s and made fresh each day by regional cyclotrons. | Approved | Imaging agent | none | none | PETNET Solutions, Cardinal Health Nuclear & Precision Health Solutions, SOFIE Biosciences | 1994–2000 |
Fluoroestradiol F-18 (FES PET) Cerianna A PET scan that shows which breast cancer deposits still have oestrogen receptors, helping decide whether hormone therapy will work when biopsy is impractical. | Approved2020🇺🇸 | PET radiotracer (oestrogen receptor ligand) | Estrogen receptor | HR-positive / HER2-negative breast cancer | GE HealthCare | 2020 |
Fluorouracil (5-FU) Adrucil / Efudex The 1957 chemotherapy that remains the backbone of treatment for bowel, stomach, pancreatic, anal, head and neck and breast cancers, and as a cream for skin precancers. | Approved1962🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Fluoropyrimidine antimetabolite | none | Colorectal cancer, Gastric & gastro-oesophageal junction cancer, Pancreatic ductal adenocarcinoma, Anal cancer, Oesophageal cancer, Head and neck squamous cell carcinoma, Basal cell carcinoma, Hepatoblastoma | none | 1962–1970 |
Flutamide Eulexin (historic) Flutamide was the first tablet to block testosterone at the prostate cancer cell. It is taken with an injection that stops testosterone production, but newer drugs have largely replaced it. | Approved | Non-steroidal antiandrogen (first generation) | Androgen receptor | Prostate cancer | none | 1989 |
FoundationOne CDx / Liquid CDx The FDA-approved tissue (324 genes) and blood genomic tests that serve as companion diagnostics for dozens of drugs. | Approved2017🇺🇸🇯🇵🇪🇺 | Diagnostic test | none | none | Foundation Medicine | 2017 |
Fruquintinib Fruzaqla A Chinese-discovered pill that blocks the blood-vessel receptors, approved in 2023 for bowel cancer after all standard treatments. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR | Colorectal cancer | Takeda | 2018–2023 |
Fulvestrant Faslodex Fulvestrant is a monthly injection that destroys the oestrogen receptor; it is the standard partner for many targeted drugs after hormone therapy stops working. | Approved2002🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | none | 2002–2017 |
Fulzerasib Dupert · GFH925, IBI351 Fulzerasib was the first KRAS G12C-blocking pill approved in China, for lung cancers carrying that mutation after earlier treatment. | Approved2024🇨🇳 | Small molecule | KRAS | Non-small-cell lung cancer | GenFleet Therapeutics, Innovent Biologics | 2024 |
Furmonertinib Ivesa · AST2818, alflutinib Furmonertinib is a Chinese lung cancer pill of the same class as osimertinib, which more than doubled the time before cancer grew compared with gefitinib in the FURLONG trial. | Approved2021🇨🇳 | Small molecule | EGFR | Non-small-cell lung cancer | Shanghai Allist Pharmaceuticals | 2021–2022 |
Futibatinib Lytgobi Futibatinib is a covalent FGFR inhibitor for FGFR2-fusion bile duct cancer, with the highest response rate of the first-generation drugs. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵 | Small molecule | FGFR2 | Biliary tract cancer | Taiho Pharmaceutical | 2022–2023 |
Gallium-68 DOTATATE (and Cu-64 DOTATATE) Netspot / Detectnet The PET scan for neuroendocrine tumours that finds far more disease than older scans and confirms eligibility for lutetium radioligand therapy (the theranostic pair). | Approved2016🇺🇸🇪🇺🇬🇧 | PET radiotracer (somatostatin receptor ligand) | Somatostatin receptor 2 | Neuroendocrine tumours | Novartis, Curium | 2016–2020 |
Gallium-68 gozetotide (PSMA-11) Illuccix / Gozellix / Locametz Gallium-68 PSMA-11 was the first PSMA PET tracer approved in the US (2020), and is made on site from a generator or cyclotron. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Imaging agent | PSMA | Prostate cancer | Telix Pharmaceuticals, Novartis | 2020 |
Garsorasib D-1553 Garsorasib is InventisBio's KRAS G12C-blocking pill, approved in China in 2024 for previously treated lung cancer with that mutation. | Approved2024🇨🇳 | Small molecule | KRAS | Non-small-cell lung cancer | InventisBio | 2024 |
Gedatolisib Revtorpyk An intravenous drug that blocks the whole PI3K/mTOR pathway, approved in July 2026 for hormone-positive breast cancer. | Approved2026🇺🇸 | Small molecule | PIK3CA / PI3K-alpha, AKT | HR-positive / HER2-negative breast cancer | Celcuity | 2026 |
Gefitinib Iressa The lung-cancer pill whose dramatic responses in a few patients led to the discovery of EGFR mutations in 2004. | Approved2002🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | EGFR | Non-small-cell lung cancer | AstraZeneca | 2003–2015 |
Gemcitabine Gemzar / Infugem A versatile chemotherapy used in pancreatic, bladder, lung, ovarian, breast and biliary cancers, in nasopharyngeal cancer, and as a bladder instillation. | Approved1996🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Nucleoside analogue (deoxycytidine) | none | Pancreatic ductal adenocarcinoma, Bladder & urothelial cancer, Non-small-cell lung cancer, Ovarian cancer, Biliary tract cancer, Nasopharyngeal carcinoma, Sarcomas | Eli Lilly | 1996–2006 |
Gemcitabine intravesical system (TAR-200) Inlexzo · TAR-200 TAR-200 is a small pretzel-shaped device placed in the bladder that releases gemcitabine for three weeks at a time. It was approved in 2025 for early bladder cancer that no longer responds to BCG. | Approved2025🇺🇸 | Device | none | Bladder & urothelial cancer | Johnson & Johnson | 2025 |
Gemtuzumab ozogamicin Mylotarg Gemtuzumab ozogamicin (Mylotarg) was the very first ADC: approved in 2000, withdrawn in 2010 for toxicity, and re-approved in 2017 at a lower fractionated dose. Its history is cautionary and instructive. | Approved2000🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | ADC | CD33 | Acute myeloid leukaemia | Pfizer | 2000–2017 |
Gilteritinib Xospata A single pill that beats salvage chemotherapy for relapsed FLT3-mutated AML, and the backbone of the triplets now being tested in frontline disease. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | FLT3 | Acute myeloid leukaemia | Astellas | 2018 |
Glasdegib Daurismo Glasdegib is a hedgehog-pathway pill that, with low-dose chemotherapy, extends survival in older AML patients who cannot have intensive treatment; it has largely been displaced by venetoclax combinations. | Approved2018🇺🇸🇪🇺🇬🇧 | Small molecule | Smoothened | Acute myeloid leukaemia | Pfizer | 2018–2020 |
Glofitamab Columvi Glofitamab is a fixed-duration bispecific for large B-cell lymphoma, with OS benefit when combined with chemotherapy. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | T-cell engager | CD20, CD3 | Diffuse large B-cell lymphoma | Roche / Genentech | 2023 |
Glucarpidase Voraxaze Glucarpidase (Voraxaze) is a single emergency injection that chops up methotrexate in the blood when a patient's kidneys have failed to clear a high dose, preventing potentially fatal toxicity. | Approved | none | none | SERB Pharmaceuticals | 2012 | |
Goserelin / leuprolide (ovarian function suppression) Zoladex; Lupron Monthly or 3-monthly injections that switch off the ovaries, letting premenopausal women use aromatase inhibitors and lowering recurrence in higher-risk cases. | Approved1987🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | GnRH agonist | Estrogen receptor | HR-positive / HER2-negative breast cancer | none | 1989 |
Granisetron Kytril (historic) / Sancuso / Sustol Granisetron is an anti-sickness medicine for chemotherapy given as a tablet, an injection, a week-long skin patch (Sancuso) or a slow-release injection that lasts several days (Sustol). | Approved | Small molecule | none | none | Heron Therapeutics | 1993–2016 |
Guardant360 CDx Guardant360 CDx A blood test that reads a tumour's mutations without a tissue biopsy and is the FDA-approved gateway to several targeted drugs. | Approved | Diagnostic test | EGFR, KRAS, Estrogen receptor, MET, ALK, RET, BRAF | Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer | Guardant Health | 2020–2023 |
HER2 IHC and ISH companion assays (HercepTest, PATHWAY 4B5, HER2 Dual ISH) HercepTest / PATHWAY anti-HER2 (4B5) / INFORM HER2 Dual ISH The tests that grade a breast or stomach cancer's HER2 level, from the original trastuzumab test in 1998 to the new 'HER2-low' and 'ultralow' cut-offs. | Approved | Diagnostic test | HER2 | HER2-positive breast cancer, HR-positive / HER2-negative breast cancer, Gastric & gastro-oesophageal junction cancer | Agilent Technologies, Roche / Genentech | 1998–2025 |
Histamine dihydrochloride Ceplene Ceplene is a twice-daily injection of histamine given alongside low-dose interleukin-2 as maintenance treatment for adults with acute myeloid leukaemia in first remission, to help immune cells prevent relapse. It is authorised in Europe only. | Approved | Immunomodulator (H2 receptor agonist) given with interleukin-2 | none | Acute myeloid leukaemia | none | 2008 |
HPV bivalent vaccine (types 16 and 18) Cervarix Cervarix is a vaccine against the two HPV types that cause most cervical cancers. It is no longer sold in the United States, where Gardasil 9 is used, but remains in use in many other countries. | Approved | Vaccine | none | Cervical cancer | GSK | 2007–2009 |
HPV quadrivalent vaccine (types 6, 11, 16 and 18) Gardasil Gardasil was the first HPV vaccine, licensed in 2006 to prevent cervical and other genital cancers and genital warts. It has been replaced in most countries by the nine-type version, Gardasil 9. | Approved | Vaccine | none | Cervical cancer, Vulvar cancer, Anal cancer | Merck & Co. | 2006 |
Hydroxyurea (hydroxycarbamide) Hydrea / Droxia / Siklos Hydroxyurea is a cheap, decades-old pill that lowers high blood counts in polycythaemia vera and essential thrombocythaemia and is also the main drug for sickle cell disease. | Approved1967🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Myeloproliferative neoplasms, Chronic myeloid leukaemia | none | 1967–1998 |
Ibandronic acid Bondronat Ibandronic acid (Bondronat) is a bisphosphonate available in Europe as a monthly infusion or daily tablet to prevent fractures and other bone complications in women with breast cancer that has spread to bone, and to treat cancer-related high calcium. | Approved | Nitrogen-containing bisphosphonate (intravenous and oral) | none | HR-positive / HER2-negative breast cancer | Roche / Genentech | 1996 |
Ibritumomab tiuxetan Zevalin Zevalin is an antibody carrying a radioactive isotope that seeks out CD20 on lymphoma cells. It treats follicular lymphoma that has relapsed and is given as a one-off consolidation after chemotherapy. | Approved | Radioimmunotherapy (yttrium-90 labelled anti-CD20 antibody) | CD20 | Follicular lymphoma | Acrotech Biopharma | 2002–2009 |
Ibrutinib Imbruvica The pill that ended chemotherapy for most CLL. It blocks the survival signal B cells depend on, and it was the first drug to beat chemoimmunotherapy in nearly every CLL setting. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BTK | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | AbbVie, Johnson & Johnson | 2014–2022 |
Icotinib Conmana · BPI-2009H Icotinib, approved in 2011, was the first cancer drug invented and developed in China, and it showed that a domestic lung cancer pill could match a Western one head to head. | Approved2011🇨🇳 | Small molecule | EGFR | Non-small-cell lung cancer | Betta Pharmaceuticals | 2011–2021 |
Idarubicin Idamycin PFS Idarubicin is the anthracycline many centres prefer with cytarabine to induce remission in adult acute myeloid leukaemia. | Approved | Small molecule | none | Acute myeloid leukaemia | Pfizer | 1990 |
Idecabtagene vicleucel Abecma · ide-cel Idecabtagene vicleucel was the first myeloma CAR-T (2021) and is now approved after two prior lines based on KarMMa-3. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Cell therapy | BCMA | Multiple myeloma | Bristol Myers Squibb | 2021–2024 |
Idelalisib Zydelig Idelalisib was the first PI3K inhibitor for blood cancers; it is effective in CLL with rituximab but so toxic (colitis, hepatitis, pneumonitis, infections) that the class has largely been abandoned. | Approved2014🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | PIK3CA / PI3K-alpha | Chronic lymphocytic leukaemia, Follicular lymphoma | Gilead Sciences | 2014 |
Ifosfamide Ifex Ifosfamide is an alkylating chemotherapy partnered with doxorubicin in sarcoma and with etoposide in Ewing sarcoma, given with a bladder-protecting drug. | Approved1980🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Sarcomas | none | 1988 |
Illuccix (kit for Ga-68 gozetotide) Illuccix / Gozellix Telix's ready-to-label kit that lets any nuclear medicine department make the gallium PSMA scan for prostate cancer. | Approved | Imaging agent | PSMA | Prostate cancer | Telix Pharmaceuticals | 2021–2025 |
Imatinib Gleevec The drug that started the targeted therapy era in 2001, turning chronic myeloid leukaemia into a manageable condition with near-normal life expectancy. | Approved2001🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Small molecule | KIT | Sarcomas, Chronic lymphocytic leukaemia | Novartis, Natco Pharma | 2001–2002 |
Imetelstat Rytelo Imetelstat is the first telomerase-blocking drug approved for any cancer; it frees many lower-risk MDS patients from transfusions after growth factors have failed. | Approved2024🇺🇸🇪🇺 | Small molecule | none | Myelodysplastic syndromes / neoplasms, Myeloproliferative neoplasms | none | 2024–2025 |
Imiquimod Aldara / Zyclara Imiquimod (Aldara) is a cream that provokes the skin's own immune system to clear superficial basal cell carcinomas and the sun-damage patches (actinic keratoses) that can turn into skin cancer. | Approved | Topical immune response modifier (TLR7 agonist) | none | Basal cell carcinoma, Cutaneous squamous cell carcinoma | Bausch Health | 1997–2004 |
Imlunestrant Inluriyo · LY3484356 Imlunestrant is Lilly's oral oestrogen-receptor degrader, approved in 2025 for ESR1-mutant breast cancer and shown to work with abemaciclib regardless of mutation. | Approved2025🇺🇸🇪🇺🇬🇧🇯🇵 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | Eli Lilly | 2025 |
Inaticabtagene autoleucel Yuanruida · inati-cel, CNCT19 Inati-cel is a Chinese CAR-T for adults with acute lymphoblastic leukaemia that has come back or stopped responding, approved in 2023. | Approved2023🇨🇳 | Cell therapy | CD19 | Acute lymphoblastic leukaemia | none | 2023 |
Inavolisib Itovebi Inavolisib is a PI3K drug that also destroys the mutant protein, approved in 2024 with palbociclib and fulvestrant for PIK3CA-mutant breast cancer. | Approved2024🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳 | Degrader | PIK3CA / PI3K-alpha | HR-positive / HER2-negative breast cancer | Roche / Genentech | 2024 |
Inotuzumab ozogamicin Besponsa Inotuzumab ozogamicin is an antibody carrying a DNA-cutting toxin to CD22 on leukaemia cells. It gets far more relapsed ALL patients into remission than chemotherapy and bridges them to transplant. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | CD22 | Acute lymphoblastic leukaemia | Pfizer | 2017–2024 |
Ipilimumab Yervoy Ipilimumab was the first checkpoint inhibitor (2011), and proved the immune system could be unleashed against cancer. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | CTLA-4 | Melanoma, Renal cell carcinoma, Colorectal cancer, Hepatocellular carcinoma, Mesothelioma | Bristol Myers Squibb | 2011 |
Irinotecan (and liposomal irinotecan) Camptosar / Onivyde Irinotecan is a topoisomerase-blocking chemotherapy central to bowel and pancreatic cancer regimens (FOLFIRI, FOLFIRINOX, NALIRIFOX) and to salvage therapy in childhood sarcomas; it carries the same warhead as the deruxtecan ADC payloads. | Approved1994🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Colorectal cancer, Pancreatic ductal adenocarcinoma, Ewing sarcoma, Rhabdomyosarcoma, Neuroblastoma, Small-cell lung cancer, Medulloblastoma | Pfizer, Ipsen | 1996–2024 |
Isatuximab Sarclisa / Sarclisa Escena (SC) Isatuximab is Sanofi's CD38 antibody, approved in frontline transplant-ineligible myeloma (IMROZ) and, from July 2026, as an under-the-skin injection. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | CD38 | Multiple myeloma | Sanofi | 2020–2026 |
Ivosidenib Tibsovo Ivosidenib is a pill that blocks the mutant IDH1 enzyme, approved in bile duct cancer and in leukaemia. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | IDH1 / IDH2 | Biliary tract cancer, Acute myeloid leukaemia | Servier | 2018–2023 |
Ixabepilone Ixempra Ixabepilone (Ixempra) is a chemotherapy infusion for breast cancer that has stopped responding to anthracyclines, taxanes and capecitabine. | Approved | Epothilone B analogue (microtubule stabiliser) | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer | Bristol Myers Squibb | 2007 |
Ixazomib Ninlaro Ixazomib (Ninlaro) is the first oral proteasome inhibitor for multiple myeloma, enabling an all-oral triplet with lenalidomide and dexamethasone. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Multiple myeloma | Takeda | 2015–2016 |
Lapatinib Tykerb Lapatinib was the first HER2-blocking pill (2007) and is now mostly a comparator arm and a late-line option, displaced by tucatinib and ADCs. | Approved2007🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | HER2, EGFR | HER2-positive breast cancer | Novartis | 2007–2010 |
Larotrectinib Vitrakvi The first drug approved for a gene fusion regardless of where the cancer started; it works in about 75% of NTRK-fusion cancers, from infant fibrosarcoma to salivary and thyroid cancers. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | NTRK | Salivary gland cancers, Thyroid cancer, Colorectal cancer, Non-small-cell lung cancer, Sarcomas | Bayer | 2018–2019 |
Lazertinib Lazcluze A third-generation EGFR pill used together with amivantamab as the first regimen to beat osimertinib in EGFR-mutant lung cancer. | Approved2024🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳 | Small molecule | EGFR | Non-small-cell lung cancer | Johnson & Johnson | 2024 |
Lenalidomide Revlimid A thalidomide descendant that switches on the cell's protein-disposal system against two myeloma survival factors, and is the backbone of myeloma maintenance and many lymphoma regimens. | Approved2005🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Immunomodulatory drug (cereblon E3 ligase modulator) | none | Multiple myeloma, Diffuse large B-cell lymphoma | Bristol Myers Squibb, Natco Pharma | 2006–2017 |
Lenvatinib Lenvima An oral anti-angiogenic pill that matched sorafenib in liver cancer with higher response rates, and partners with pembrolizumab in kidney and endometrial cancer. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR, FGFR2, RET, KIT | Hepatocellular carcinoma, Thyroid cancer, Renal cell carcinoma, Endometrial cancer | Eisai, Merck & Co. | 2015–2021 |
Letrozole (and other aromatase inhibitors) Femara; anastrozole (Arimidex); exemestane (Aromasin) Daily pills that stop the body making oestrogen after menopause, the backbone of hormone therapy for most breast cancers. | Approved1996🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer, Ovarian cancer, Endometrial cancer | none | 1997–2005 |
Leuprolide (leuprorelin) and GnRH agonists Lupron / Eligard / Camcevi Leuprolide is the injectable that shuts off testosterone production, the foundation of hormone therapy for prostate cancer since the 1980s; it is also used for ovarian suppression in premenopausal breast cancer. | Approved1985🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | GnRH agonist depot | Androgen receptor | Prostate cancer, HR-positive / HER2-negative breast cancer | AbbVie, Takeda | 1985–1989 |
Lifileucel Amtagvi Lifileucel was the first approved TIL therapy: the patient's own tumour-fighting immune cells are expanded to billions and given back. | Approved2024🇺🇸 | Cell therapy | none | Melanoma, Non-small-cell lung cancer | Iovance Biotherapeutics | 2024 |
Linvoseltamab Lynozyfic Linvoseltamab is Regeneron's BCMA bispecific, approved in July 2025 with the highest complete-response rate of the class in its pivotal study. | Approved2025🇺🇸🇪🇺🇬🇧 | T-cell engager | BCMA, CD3 | Multiple myeloma | Regeneron | 2025 |
Lipegfilgrastim Lonquex Lipegfilgrastim (Lonquex) is a once-per-chemotherapy-cycle white cell booster used in Europe, similar to pegfilgrastim, for adults and children from two years old. | Approved | Glycopegylated recombinant G-CSF | none | none | Teva Pharmaceuticals | 2013 |
Lisocabtagene maraleucel Breyanzi · liso-cel Lisocabtagene maraleucel is the only CAR-T approved for chronic lymphocytic leukaemia, for patients whose disease has outrun both BTK and BCL-2 inhibitors. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Cell therapy | CD19 | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | Bristol Myers Squibb | 2021–2024 |
Locametz (kit for Ga-68 gozetotide) Locametz Novartis' gallium PSMA scan kit, approved the same day as Pluvicto as the test that qualifies men for that radioactive drug. | Approved | Imaging agent | PSMA | Prostate cancer | Novartis, Advanced Accelerator Applications | 2022 |
Loncastuximab tesirine Zynlonta Loncastuximab tesirine (Zynlonta) is a CD19 ADC with a DNA-crosslinking payload for relapsed large B-cell lymphoma. | Approved2021🇺🇸🇪🇺🇬🇧🇨🇳 | ADC | CD19 | Diffuse large B-cell lymphoma | ADC Therapeutics | 2021 |
Lorlatinib Lorbrena An ALK inhibitor with the longest disease control ever recorded for a targeted lung cancer pill: 60% progression-free at five years. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | ALK | Non-small-cell lung cancer | Pfizer | 2018–2021 |
Lunit INSIGHT MMG Lunit INSIGHT MMG A Korean AI mammography reader used in screening programmes in Sweden and Australia and cleared in the US and Europe. | Approved | Diagnostic test | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer | Lunit | 2019–2021 |
Lurbinectedin Zepzelca · PM01183 A marine-derived chemotherapy that jams cancer's gene-reading machinery, approved for relapsed small-cell lung cancer and, since 2025, as first-line maintenance with atezolizumab. | Approved2020🇺🇸🇪🇺🇦🇺 | Chemotherapy | none | Small-cell lung cancer | Jazz Pharmaceuticals, PharmaMar | 2020–2025 |
Luspatercept Reblozyl An injection that helps the marrow finish making red cells, reducing or removing the need for transfusions in lower-risk MDS and beta-thalassaemia. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Erythroid maturation agent (activin receptor IIB ligand trap, Fc fusion) | none | Myelodysplastic syndromes / neoplasms, Myeloproliferative neoplasms | Bristol Myers Squibb | 2019–2023 |
Lutetium-177 dotatate Lutathera · 177Lu-DOTATATE Lutetium-177 dotatate was the first modern radioligand therapy (2018), for neuroendocrine tumours, and is now used in first line. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Radiopharmaceutical | Somatostatin receptor 2 | Neuroendocrine tumours | Novartis | 2018–2024 |
Lutetium-177 vipivotide tetraxetan Pluvicto · 177Lu-PSMA-617 A radioactive drug that seeks out PSMA on prostate cancer cells; the best-selling radiopharmaceutical ever. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Radiopharmaceutical | PSMA | Prostate cancer | Novartis | 2022–2026 |
Margetuximab Margenza A trastuzumab look-alike with an engineered tail that binds immune cells more tightly; approved in 2020 but rarely used after ADCs arrived. | Approved2020🇺🇸🇨🇳 | Monoclonal antibody | HER2 | HER2-positive breast cancer | MacroGenics | 2020 |
Mechlorethamine (chlormethine) Mustargen (historic) / Valchlor gel Mechlorethamine, or nitrogen mustard, was the first chemotherapy ever used, in 1940s Hodgkin lymphoma. Today its main use is as a skin gel (Valchlor in the US, Ledaga in Europe) for early cutaneous T-cell lymphoma. | Approved | Alkylating agent (nitrogen mustard); intravenous and topical gel | none | Hodgkin lymphoma | Helsinn, Recordati | 1949–2017 |
Megestrol acetate Megace Megestrol acetate is a hormone tablet used to ease advanced breast and womb cancer, and as a liquid to improve appetite and weight in people with cancer or AIDS-related wasting. | Approved | Synthetic progestin (hormonal) | none | HR-positive / HER2-negative breast cancer, Endometrial cancer | none | 1971–1993 |
Melphalan (including hepatic delivery system) Alkeran / Evomela / Hepzato Kit The myeloma chemotherapy that is also the standard high-dose conditioning before autologous transplant, and, delivered directly into the liver's blood supply or the eye, treats uveal melanoma metastases and retinoblastoma. | Approved1964🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Alkylating agent (nitrogen mustard) | none | Multiple myeloma, Uveal melanoma, Retinoblastoma, Ovarian cancer | none | 1964–2023 |
Mercaptopurine Purinethol / Purixan Mercaptopurine is a daily tablet, or a liquid for children, that keeps acute lymphoblastic leukaemia in remission during the long maintenance phase of treatment. | Approved | Thiopurine antimetabolite | none | Acute lymphoblastic leukaemia | none | 1953–2014 |
Mesna Mesnex Mesna is given with the chemotherapy ifosfamide (and high-dose cyclophosphamide) to stop its breakdown products from burning the bladder lining and causing bleeding. | Approved | none | none | Baxter International | 1988 | |
Methotrexate Trexall / Otrexup / Xatmep The 1948 antifolate that produced the first chemotherapy remissions in childhood leukaemia and the first cure of a solid tumour; still essential in ALL, lymphoma, osteosarcoma and CNS lymphoma. | Approved1953🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Acute lymphoblastic leukaemia, Osteosarcoma, Primary CNS lymphoma, Gestational trophoblastic neoplasia, Diffuse large B-cell lymphoma, Bladder & urothelial cancer, Head and neck squamous cell carcinoma | none | 1953 |
Methylnaltrexone Relistor Methylnaltrexone (Relistor) is an injection or tablet that relieves the severe constipation caused by strong painkillers in people with advanced cancer, without blocking the pain relief itself. | Approved | Small molecule | none | none | Bausch Health | 2008 |
MI Cancer Seek MI Cancer Seek The first FDA-approved test that sequences all of a tumour's genes and gene activity at once, used to match patients to several targeted drugs. | Approved | Diagnostic test | none | Colorectal cancer, Non-small-cell lung cancer, Melanoma, HR-positive / HER2-negative breast cancer | Caris Life Sciences | 2024 |
Midostaurin Rydapt The first drug to improve survival in FLT3-mutated AML, added to standard chemotherapy: median survival went from about two years to more than six. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | FLT3, KIT | Acute myeloid leukaemia, Systemic mastocytosis | Novartis | 2017 |
Mifamurtide Mepact An immune-activating drug approved in Europe for osteosarcoma after a trial suggested it improved survival; the FDA never approved it, and it remains one of oncology's transatlantic disagreements. | Approved2009🇪🇺🇬🇧 | Liposomal muramyl tripeptide (macrophage activator) | none | Osteosarcoma | Takeda | 2009 |
Mirdametinib Gomekli / Ezmekly Mirdametinib (Gomekli in the US, Ezmekly in Europe) is a MEK-blocking capsule or dispersible tablet for adults and children with neurofibromatosis type 1 whose plexiform neurofibromas cannot be removed surgically; it is the first such drug approved for adults. | Approved | Small molecule | MEK1/2 | none | SpringWorks Therapeutics | 2025 |
Mirvetuximab soravtansine Elahere Mirvetuximab soravtansine (Elahere) is the first ADC for ovarian cancer, for tumours with high folate receptor alpha. | Approved2022🇺🇸🇪🇺🇬🇧 | ADC | Folate receptor alpha | Ovarian cancer | AbbVie | 2022 |
Mitomycin C Mutamycin / Jelmyto / Zusduri The chemotherapy given with radiation to cure anal cancer without surgery, used as a bladder instillation after tumour resection, and since 2020-25 in gel form for upper-tract and recurrent bladder cancers. | Approved1974🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Alkylating antibiotic (bioreductive) | none | Anal cancer, Bladder & urothelial cancer, Appendiceal cancer and pseudomyxoma peritonei, Gastric & gastro-oesophageal junction cancer | none | 1974–2025 |
Mitotane Lysodren A relative of the insecticide DDT that is the only drug specific to adrenal cortex cancer; it needs blood-level monitoring and permanent steroid replacement. | Approved1970🇺🇸🇪🇺🇬🇧🇯🇵 | Adrenolytic agent (DDD derivative) | none | Adrenocortical carcinoma | none | 1970–2004 |
Mitoxantrone Novantrone (historic) Mitoxantrone is a blue chemotherapy infusion used with cytarabine for acute myeloid leukaemia and, historically, to relieve pain in advanced prostate cancer; it is also licensed for multiple sclerosis. | Approved | Small molecule | none | Acute myeloid leukaemia, Prostate cancer | none | 1987 |
Mogamulizumab Poteligeo Mogamulizumab is an antibody that clears cancerous T cells from the blood in mycosis fungoides and Sézary syndrome, the leukaemic form of skin lymphoma. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵 | Monoclonal antibody | CCR4 | Peripheral T-cell lymphomas | none | 2012–2018 |
Momelotinib Ojjaara / Omjjara Momelotinib is the JAK inhibitor designed for anaemic myelofibrosis patients: it can improve haemoglobin while shrinking the spleen. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵 | Small molecule | JAK2 | Myeloproliferative neoplasms | GSK | 2023–2024 |
Mosunetuzumab Lunsumio Mosunetuzumab is a fixed-duration CD20 bispecific approved for follicular lymphoma and studied with polatuzumab in large B-cell lymphoma. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | T-cell engager | CD20, CD3 | Diffuse large B-cell lymphoma | Roche / Genentech | 2022 |
myChoice CDx myChoice CDx A tumour test that measures DNA-repair scarring so that women with ovarian cancer beyond BRCA carriers can benefit from PARP inhibitors. | Approved | Diagnostic test | BRCA1 / BRCA2, PARP | Ovarian cancer | Myriad Genetics | 2019–2020 |
Nadofaragene firadenovec Adstiladrin Nadofaragene firadenovec is the first gene therapy for bladder cancer: a virus that makes bladder cells produce interferon for weeks, given once every three months. | Approved2022🇺🇸🇪🇺 | Non-replicating adenoviral gene therapy (intravesical) | none | Bladder & urothelial cancer | Ferring Pharmaceuticals | 2022 |
NALIRIFOX (liposomal irinotecan + oxaliplatin + 5-FU/LV) Onivyde regimen NALIRIFOX is a version of FOLFIRINOX using a liposome-wrapped irinotecan, approved in 2024 as a first-line option for metastatic pancreatic cancer. | Approved2016🇺🇸🇪🇺🇬🇧🇦🇺 | Chemotherapy | none | Pancreatic ductal adenocarcinoma | Ipsen | 2024 |
Naxitamab Danyelza Naxitamab is a humanised anti-GD2 antibody from Memorial Sloan Kettering, given as an outpatient with GM-CSF for relapsed neuroblastoma in bone or marrow. | Approved2020🇺🇸🇨🇳 | Monoclonal antibody | GD2 | Neuroblastoma | Y-mAbs Therapeutics | 2020 |
Necitumumab Portrazza Necitumumab (Portrazza) is an antibody added to gemcitabine and cisplatin as first treatment for squamous non-small cell lung cancer that has spread; the benefit is modest and it is little used. | Approved | Monoclonal antibody | EGFR | Non-small-cell lung cancer | Eli Lilly | 2015–2016 |
Nelarabine Arranon Nelarabine (Arranon) is an infusion for T-cell acute lymphoblastic leukaemia and lymphoma that has come back after at least two other treatments; it is now also added to first-line therapy for children with T-cell leukaemia. | Approved | Purine nucleoside prodrug (antimetabolite) | none | Acute lymphoblastic leukaemia | Novartis, Sandoz | 2005–2007 |
Neratinib Nerlynx A pill taken for a year after trastuzumab to further reduce recurrence in HER2-positive, hormone-positive breast cancer, limited by severe diarrhoea. | Approved2017🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | HER2, EGFR | HER2-positive breast cancer | Puma Biotechnology | 2017–2020 |
Netupitant and palonosetron Akynzeo Akynzeo combines two anti-sickness drugs in one capsule or infusion taken once before chemotherapy, so a single dose plus dexamethasone protects against both immediate and delayed vomiting. | Approved | Small molecule | none | none | Helsinn | 2014–2015 |
Nilotinib Tasigna Nilotinib is a second-generation CML pill that produces deeper responses faster than imatinib, at the cost of cardiovascular and metabolic side effects. | Approved2007🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BCR::ABL1, KIT | Chronic myeloid leukaemia | Novartis | 2007–2010 |
Nilutamide Nilandron Nilutamide (Nilandron) is an older antiandrogen tablet started on the day of surgical castration for metastatic prostate cancer; it is rarely used now because of lung and eye side effects. | Approved | Non-steroidal antiandrogen (first generation) | Androgen receptor | Prostate cancer | none | 1996 |
Niraparib Zejula Niraparib is a PARP inhibitor approved as maintenance for ovarian cancer regardless of BRCA status, and in prostate cancer with abiraterone. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | PARP | Ovarian cancer, Prostate cancer | GSK | 2017–2020 |
Nirogacestat Ogsiveo Nirogacestat is the first approved medicine for desmoid tumours, locally invasive growths that do not spread but can be crippling; it works by blocking Notch signalling. | Approved2023🇺🇸🇪🇺🇬🇧 | Small molecule | none | Sarcomas, Desmoid tumour | SpringWorks Therapeutics | 2023–2025 |
Nivolumab Opdivo / Opdivo Qvantig (SC) Nivolumab was the second PD-1 blocker and is often combined with ipilimumab. Long-term data show about half of advanced melanoma patients alive at 10 years on the combination. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-1 | Melanoma, Non-small-cell lung cancer, Renal cell carcinoma, Hodgkin lymphoma, Colorectal cancer, Gastric & gastro-oesophageal junction cancer, Hepatocellular carcinoma, Mesothelioma, Bladder & urothelial cancer | Bristol Myers Squibb | 2014–2026 |
Nogapendekin alfa inbakicept Anktiva · N-803 Nogapendekin alfa inbakicept is an engineered version of the immune-boosting protein IL-15, given with BCG into the bladder, approved in 2024 for early bladder cancer that BCG alone no longer controls. | Approved2024🇺🇸🇪🇺🇬🇧 | IL-15 superagonist (intravesical, with BCG) | none | Bladder & urothelial cancer | ImmunityBio | 2024 |
Nonavalent HPV vaccine Gardasil 9 A vaccine against nine HPV types that prevents about 90% of cervical cancers, and now works with a single dose. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Vaccine | none | Cervical cancer, Head and neck squamous cell carcinoma | Merck & Co. | 2014–2022 |
Obecabtagene autoleucel Aucatzyl · obe-cel, AUTO1 A CD19 CAR-T built to grip and release quickly, which cut severe side effects and gave adults with relapsed ALL a real chance at durable remission. | Approved2024🇺🇸🇪🇺🇬🇧 | Cell therapy | CD19 | Acute lymphoblastic leukaemia | Autolus Therapeutics | 2024–2025 |
Obinutuzumab Gazyva Obinutuzumab is a supercharged CD20 antibody that, paired with venetoclax for one year, gives many CLL patients years off all treatment. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | CD20 | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | Roche / Genentech | 2013–2019 |
Odronextamab Lynozyfic (EU: Ordspono) Odronextamab is Regeneron's CD20 bispecific, approved in Europe for lymphoma and in the US for follicular lymphoma after earlier FDA rejections over confirmatory-trial enrolment. | Approved2024🇺🇸🇪🇺🇬🇧 | T-cell engager | CD20, CD3 | Diffuse large B-cell lymphoma | Regeneron | 2024–2025 |
Ofatumumab Arzerra Ofatumumab (Arzerra) is a fully human anti-CD20 antibody for chronic lymphocytic leukaemia, used with chlorambucil in untreated patients or alone after other drugs have failed; the same molecule is sold as Kesimpta for multiple sclerosis. | Approved | Monoclonal antibody | CD20 | Chronic lymphocytic leukaemia | Novartis, Genmab | 2009–2014 |
Olaparib Lynparza Olaparib was the first PARP inhibitor, and turned an inherited BRCA mutation from a risk factor into a drug target, including after surgery in breast cancer. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | PARP, BRCA1 / BRCA2 | Ovarian cancer, Triple-negative breast cancer, HR-positive / HER2-negative breast cancer, Prostate cancer, Pancreatic ductal adenocarcinoma | AstraZeneca, Merck & Co. | 2014–2022 |
Olutasidenib Rezlidhia Olutasidenib is a second IDH1 inhibitor for relapsed AML, with a higher response rate in its pivotal cohort than ivosidenib had in its own. | Approved2022🇺🇸 | Small molecule | IDH1 / IDH2 | Acute myeloid leukaemia | Rigel Pharmaceuticals | 2022 |
Omacetaxine mepesuccinate Synribo Omacetaxine (Synribo) is a twice-daily injection under the skin for chronic myeloid leukaemia that has stopped responding to at least two tyrosine kinase inhibitor pills. | Approved | BCR::ABL1 | Chronic myeloid leukaemia | Teva Pharmaceuticals | 2012 | |
Oncomine Dx Target Test Oncomine Dx Target Test The first FDA-approved gene panel that could match one biopsy to several different lung cancer drugs at once. | Approved | Diagnostic test | EGFR, BRAF, ROS1, RET, IDH1 / IDH2 | Non-small-cell lung cancer, Biliary tract cancer | Thermo Fisher Scientific | 2017–2021 |
Ondansetron Zofran Ondansetron (Zofran) was the drug that made cisplatin-type chemotherapy bearable. It blocks the serotonin signal that triggers vomiting and is now a cheap generic tablet, dissolving wafer or injection used across cancer care. | Approved | Small molecule | none | none | none | 1991 |
Optellum Virtual Nodule Clinic Virtual Nodule Clinic The first AI cleared to estimate how likely a lung nodule on a CT scan is to be cancer, helping doctors decide who needs a biopsy and who can wait. | Approved | AI lung nodule malignancy prediction software (CT) | none | Non-small-cell lung cancer | Optellum | 2020–2021 |
Optune / Optune Pax (TTFields) Optune Optune is a wearable device delivering electric fields that disrupt cell division. It is approved for glioblastoma and, in 2026, pancreatic cancer. | Approved2011🇺🇸🇪🇺🇯🇵🇨🇳 | Device | none | Glioma & glioblastoma, Pancreatic ductal adenocarcinoma, Non-small-cell lung cancer, Mesothelioma | Novocure | 2011–2026 |
Orelabrutinib Yinuokai · ICP-022 Orelabrutinib is InnoCare's BTK-blocking pill for chronic lymphocytic leukaemia and mantle cell lymphoma, approved in China in 2020. | Approved2020🇨🇳 | Small molecule | BTK | Chronic lymphocytic leukaemia, Mantle cell lymphoma | InnoCare Pharma | 2020–2023 |
Osimertinib Tagrisso Osimertinib (Tagrisso) is the standard pill for EGFR-mutant lung cancer, now also given after surgery and with chemotherapy or after chemoradiation. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | EGFR | Non-small-cell lung cancer | AstraZeneca | 2015–2020 |
Oxaliplatin Eloxatin The platinum drug that works in bowel cancer where cisplatin does not, the 'OX' in FOLFOX and CAPOX; its cost is nerve damage in hands and feet. | Approved1996🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Third-generation platinum (DACH-platinum) | none | Colorectal cancer, Gastric & gastro-oesophageal junction cancer, Oesophageal cancer, Pancreatic ductal adenocarcinoma, Appendiceal cancer and pseudomyxoma peritonei | Sanofi | 1996–2004 |
Paclitaxel / nab-paclitaxel Taxol / Abraxane A microtubule poison discovered in the Pacific yew tree, among the most used chemotherapies in breast, lung, and ovarian cancer. | Approved1992🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Triple-negative breast cancer, HR-positive / HER2-negative breast cancer, Non-small-cell lung cancer, Ovarian cancer, Pancreatic ductal adenocarcinoma | CSPC Pharmaceutical Group | 1992 |
Pacritinib Vonjo The JAK inhibitor for myelofibrosis patients whose platelet counts are too low for ruxolitinib. | Approved2022🇺🇸 | Small molecule | JAK2, FLT3 | Myeloproliferative neoplasms | none | 2022 |
Padeliporfin Tookad Tookad is a light-activated drug for men with low-risk prostate cancer in one side of the prostate. It is infused and then switched on with laser fibres placed in the gland, destroying the cancer-bearing tissue as an alternative to watchful waiting. | Approved | Intravenous photosensitiser for vascular-targeted photodynamic therapy | none | Prostate cancer | none | 2017 |
Pafolacianine Cytalux An injected dye that makes ovarian and lung cancer deposits glow during surgery so surgeons can find lesions they would otherwise miss. | Approved2021🇺🇸 | Imaging agent | Folate receptor alpha | Ovarian cancer, Non-small-cell lung cancer | On Target Laboratories | 2021–2022 |
Paige Prostate Detect Paige Prostate The first AI for reading biopsy slides authorised by the FDA, which points pathologists to prostate cancer they might otherwise miss. | Approved | Diagnostic test | none | Prostate cancer | Paige AI | 2019–2021 |
Palbociclib Ibrance Palbociclib was the first CDK4/6 inhibitor (2015), and in 2026 became the first approved as maintenance in HER2-positive, hormone-positive breast cancer. | Approved2015🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | CDK4/6 | HR-positive / HER2-negative breast cancer, HER2-positive breast cancer | Pfizer | 2015–2026 |
Palifermin Kepivance Palifermin (Kepivance) is a growth factor injected for three days before and after high-dose chemotherapy and stem cell rescue to reduce the severe mouth ulcers (mucositis) that this treatment causes in people with blood cancers. | Approved | Recombinant human keratinocyte growth factor | none | Multiple myeloma, Diffuse large B-cell lymphoma, Hodgkin lymphoma | Sobi | 2004–2005 |
Palonosetron Aloxi Palonosetron (Aloxi) is a long-acting anti-sickness injection given once before chemotherapy; a single dose covers both the first day and the delayed nausea that follows. | Approved | Small molecule | none | none | Helsinn, Eisai | 2003–2005 |
Pamidronate Aredia (historic) Pamidronate (Aredia) was the first bisphosphonate infusion widely used in cancer, for high calcium levels and for bone damage from myeloma and breast cancer; zoledronic acid has largely replaced it because it is quicker to give. | Approved | Nitrogen-containing bisphosphonate (intravenous) | none | Multiple myeloma, HR-positive / HER2-negative breast cancer | Novartis | 1991–1995 |
Panitumumab Vectibix Panitumumab is a fully human EGFR antibody, the preferred first-line partner for chemotherapy in left-sided, RAS-normal bowel cancer after the PARADIGM trial. | Approved2006🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | EGFR | Colorectal cancer | Amgen | 2006–2025 |
Pazopanib Votrient Pazopanib is the only multi-kinase inhibitor approved for soft-tissue sarcoma (excluding fat-derived tumours), used after chemotherapy fails. | Approved2009🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR, KIT | Sarcomas, Renal cell carcinoma | Novartis | 2009–2012 |
PD-L1 IHC 22C3 pharmDx PD-L1 IHC 22C3 pharmDx The PD-L1 test tied to pembrolizumab, and the source of the 'CPS' number that decides immunotherapy in many cancers. | Approved | Diagnostic test | PD-L1 | Non-small-cell lung cancer, Gastric & gastro-oesophageal junction cancer, Cervical cancer, Head and neck squamous cell carcinoma, Oesophageal cancer, Triple-negative breast cancer | Agilent Technologies | 2015–2020 |
Pegfilgrastim Neulasta Pegfilgrastim (Neulasta) is a once-per-chemotherapy-cycle injection that boosts white cell recovery and prevents febrile infections; many biosimilar copies now exist and an on-body device can deliver it automatically the day after chemotherapy. | Approved | Pegylated recombinant granulocyte colony-stimulating factor | none | none | Amgen, Sandoz | 2002–2018 |
Pegulicianine Lumisight A cavity-imaging dye used during breast lumpectomy to spot leftover tumour before the operation ends, reducing second surgeries. | Approved2024🇺🇸 | Imaging agent | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer, HER2-positive breast cancer | Lumicell | 2024 |
Pegylated liposomal doxorubicin Doxil / Caelyx · PLD Doxorubicin wrapped in a fatty bubble so it reaches tumours with less heart damage; a workhorse of relapsed ovarian cancer. | Approved1995🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Ovarian cancer, Multiple myeloma, Sarcomas | CSPC Pharmaceutical Group | 1999 |
Pembrolizumab Keytruda / Keytruda Qlex (SC) The most widely used cancer immunotherapy, approved in more than 40 settings, including before and after surgery for triple-negative breast cancer. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-1 | Triple-negative breast cancer, Non-small-cell lung cancer, Melanoma, Head and neck squamous cell carcinoma, Bladder & urothelial cancer, Colorectal cancer, Gastric & gastro-oesophageal junction cancer, Cervical cancer, Hepatocellular carcinoma, Renal cell carcinoma, Endometrial cancer, Hodgkin lymphoma, Ovarian cancer | Merck & Co. | 2014–2026 |
Pemetrexed Alimta (and generics) Pemetrexed is the chemotherapy that, with a platinum drug, became the first approved treatment for mesothelioma in 2004, and is still the backbone today. | Approved2004🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Mesothelioma, Non-small-cell lung cancer | none | 2004–2008 |
Pemigatinib Pemazyre Pemigatinib was the first targeted therapy for bile duct cancer, for tumours with an FGFR2 gene fusion. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | FGFR2 | Biliary tract cancer | Incyte | 2020–2021 |
Penpulimab Penpulimab-kcqx Penpulimab is a Chinese PD-1 antibody approved in the US in 2025 for nasopharyngeal carcinoma, the second after toripalimab. | Approved2021🇺🇸🇨🇳 | Monoclonal antibody | PD-1 | Nasopharyngeal carcinoma, Hodgkin lymphoma | Akeso | 2021–2025 |
Pertuzumab Perjeta; Phesgo (with trastuzumab, subcutaneous) A second HER2 antibody that binds a different spot from trastuzumab, blocking HER2 from pairing with HER3; together they extended survival by 16 months in CLEOPATRA. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | HER2, HER3 | HER2-positive breast cancer | Roche / Genentech | 2012–2020 |
Pexidartinib Turalio Pexidartinib is the first drug for tenosynovial giant cell tumour, a benign but destructive joint tumour; it is effective but has liver toxicity that requires a restricted programme. | Approved2019🇺🇸 | Small molecule | CSF1R, KIT | Sarcomas, Tenosynovial giant cell tumour | Daiichi Sankyo | 2019 |
Piflufolastat F-18 / Pylarify TruVu Pylarify · 18F-DCFPyL Piflufolastat F-18 (Pylarify) is the leading PSMA PET tracer for prostate cancer, with a new formulation approved in March 2026. | Approved2021🇺🇸🇪🇺🇬🇧 | Imaging agent | PSMA | Prostate cancer | Lantheus | 2021–2026 |
Pirtobrutinib Jaypirca A BTK blocker that works after the older ones stop, because it grips a different part of the enzyme. Fully approved for CLL in December 2025. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵 | Small molecule | BTK | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | Eli Lilly | 2023–2025 |
Pivekimab sunirine Decnupaz · IMGN632 Pivekimab sunirine is an antibody-drug conjugate against CD123, approved in 2026 for blastic plasmacytoid dendritic cell neoplasm as the second targeted drug for this rare cancer. | Approved2026🇺🇸 | ADC | CD123 | Blastic plasmacytoid dendritic cell neoplasm, Acute myeloid leukaemia | AbbVie | 2026 |
Plerixafor Mozobil Plerixafor (Mozobil) is an injection given with G-CSF to flush stem cells out of the bone marrow into the blood so that enough can be collected for an autologous transplant in myeloma or lymphoma. | Approved | Small molecule | CXCR4 | Multiple myeloma, Diffuse large B-cell lymphoma, Follicular lymphoma, Mantle cell lymphoma | Sanofi | 2008–2009 |
Polatuzumab vedotin Polivy Polatuzumab vedotin is an ADC against CD79b that, swapped into the classic R-CHOP regimen, became the first improvement on frontline lymphoma therapy in twenty years. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | none | Diffuse large B-cell lymphoma | Roche / Genentech | 2019–2023 |
Pomalidomide Pomalyst / Imnovid The third-generation thalidomide analogue for myeloma that has failed lenalidomide, and since 2020 the first new drug for Kaposi sarcoma in two decades. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Oral cereblon E3 ligase modulator (IMiD) | none | Multiple myeloma, Kaposi sarcoma | Bristol Myers Squibb, Natco Pharma | 2013–2020 |
Ponatinib Iclusig Ponatinib is the only BCR::ABL1 inhibitor that covers the T315I resistance mutation. In 2024 it became the preferred pill for newly diagnosed Ph-positive ALL. | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | BCR::ABL1 | Acute lymphoblastic leukaemia | Takeda | 2012–2024 |
Pralatrexate Folotyn Pralatrexate was the first drug approved specifically for relapsed peripheral T-cell lymphoma; about a third of patients respond. | Approved2009🇺🇸🇯🇵 | Small molecule | none | Peripheral T-cell lymphomas | none | 2009 |
Pralsetinib Gavreto Pralsetinib is the second selective RET pill for lung cancer, less used than selpercatinib after a change of owner and label. | Approved2020🇺🇸🇬🇧🇨🇳🇦🇺 | Small molecule | RET | Non-small-cell lung cancer | none | 2020 |
Prednisone Deltasone (historic) / Rayos Prednisone is the everyday steroid tablet in cancer care. It is the P in CHOP and MOPP for lymphoma, part of childhood leukaemia treatment, and taken with abiraterone in prostate cancer. | Approved | none | Diffuse large B-cell lymphoma, Hodgkin lymphoma, Acute lymphoblastic leukaemia, Chronic lymphocytic leukaemia, Prostate cancer | none | 1955 | |
Procarbazine Matulane Procarbazine (Matulane) is an old chemotherapy capsule from the MOPP regimen for Hodgkin lymphoma; it is now used mainly in the PCV combination for certain brain tumours. | Approved | Alkylating-like methylhydrazine derivative | none | Hodgkin lymphoma, Glioma & glioblastoma | Leadiant Biosciences | 1969 |
ProFound AI (iCAD) ProFound Detection The first AI cleared for 3D mammography in the US, now part of RadNet's imaging network. | Approved | Diagnostic test | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer | iCAD | 2018–2019 |
Progestins (megestrol acetate, medroxyprogesterone, levonorgestrel IUD) Megace; Mirena (IUD) Progesterone-like hormones that can reverse early endometrial cancer in women who want to keep their uterus, and control advanced hormone-sensitive disease. | Approved1970🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Hormonal therapy (progestin) | Estrogen receptor | Endometrial cancer | none | 1971 |
Prosigna (PAM50) Prosigna A 50-gene test run in local hospital laboratories that estimates the ten-year risk of a hormone-positive breast cancer coming back. | Approved | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Veracyte | 2012–2013 |
Pyrotinib Airuini Pyrotinib is China's HER2 pill, widely used there with capecitabine and as a comparator for the new Chinese HER2 ADCs. | Approved2018🇨🇳 | Small molecule | HER2, EGFR | HER2-positive breast cancer | Jiangsu Hengrui Pharmaceuticals | 2018 |
Quizartinib Vanflyta Quizartinib is a more selective FLT3 blocker that, added to chemotherapy, roughly doubled median survival in the highest-risk FLT3 subtype. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳 | Small molecule | FLT3 | Acute myeloid leukaemia | Daiichi Sankyo | 2019–2023 |
Radioactive iodine (I-131) Sodium iodide I-131 The original targeted radiotherapy: thyroid cells soak up iodine, so radioactive iodine destroys leftover thyroid tissue and metastases while sparing everything else. | Approved1951🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Radiopharmaceutical (beta/gamma emitter, natural uptake) | Somatostatin receptor 2 | Thyroid cancer | none | 1951 |
Radium-223 dichloride Xofigo Radium-223 was the first alpha-emitting drug ever approved (2013). It homes to bone like calcium and treats prostate cancer that has spread only to bone. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Radiopharmaceutical | none | Prostate cancer | Bayer | 2013 |
Raloxifene Evista Raloxifene (Evista) is an osteoporosis tablet that also lowers the chance of developing invasive breast cancer in postmenopausal women at higher risk, with fewer womb-cancer problems than tamoxifen. | Approved | Selective oestrogen receptor modulator (benzothiophene) | Estrogen receptor | HR-positive / HER2-negative breast cancer | Eli Lilly | 1997–2007 |
Ramucirumab Cyramza An antibody that blocks the VEGF receptor, approved in liver cancer only for patients with a high AFP blood level, the first biomarker-selected HCC drug. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | VEGF / VEGFR | Hepatocellular carcinoma, Gastric & gastro-oesophageal junction cancer, Non-small-cell lung cancer, Colorectal cancer | Eli Lilly | 2014–2019 |
Rasburicase Elitek Rasburicase (Elitek) is an enzyme infusion that rapidly dissolves the uric acid released when large numbers of leukaemia or lymphoma cells die at the start of treatment, protecting the kidneys from tumour lysis syndrome. | Approved | none | Acute lymphoblastic leukaemia, Acute myeloid leukaemia, Diffuse large B-cell lymphoma, Chronic lymphocytic leukaemia | Sanofi | 2001–2002 | |
Regorafenib Stivarga A sorafenib successor that became the first second-line drug proven to prolong life in liver cancer (2017). | Approved2012🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR, KIT, RET | Hepatocellular carcinoma, Colorectal cancer, Sarcomas | Bayer | 2012–2017 |
Relacorilant Lifyorli A first-in-class drug that blocks cortisol signalling in tumour cells, approved in 2026 for platinum-resistant ovarian cancer with chemotherapy. | Approved2026🇺🇸 | Small molecule | none | Ovarian cancer | Corcept Therapeutics | 2026 |
Relatlimab + nivolumab Opdualag Opdualag combines relatlimab, the first drug targeting the LAG-3 immune brake, with nivolumab for melanoma. | Approved2022🇺🇸🇪🇺🇬🇧🇦🇺 | Bispecific antibody | LAG-3, PD-1 | Melanoma | Bristol Myers Squibb | 2022 |
Relmacabtagene autoleucel Carteyva · relma-cel, JWCAR029 Relma-cel was the first CAR-T therapy developed and made in China to be approved, for large B-cell lymphoma that has come back after two treatments. | Approved2021🇨🇳 | Cell therapy | CD19 | Diffuse large B-cell lymphoma, Follicular lymphoma | JW Therapeutics, WuXi AppTec | 2021–2022 |
Relugolix Orgovyx Relugolix is the first hormone-suppressing pill for prostate cancer, working within days and wearing off quickly when stopped. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | none | Prostate cancer | Sumitomo Pharma | 2020 |
Repotrectinib Augtyro A ROS1 and NTRK pill that also works after other ROS1 drugs fail, with dizziness as its signature side effect. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳 | Small molecule | ROS1, NTRK | Non-small-cell lung cancer | Bristol Myers Squibb | 2023–2024 |
Resolution ctDx FIRST Resolution ctDx FIRST A blood test approved with adagrasib to find the KRAS G12C mutation in lung cancer when a tissue biopsy is not possible. | Approved | Diagnostic test | KRAS | Non-small-cell lung cancer | Agilent Technologies | 2022 |
Retifanlimab Zynyz Retifanlimab is a PD-1 antibody approved for Merkel cell carcinoma and, with chemotherapy, as the first immunotherapy standard for advanced anal cancer. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵 | Monoclonal antibody | PD-1 | Merkel cell carcinoma, Anal cancer | Incyte | 2023–2025 |
Revumenib Revuforj Revumenib (Revuforj) is the first menin inhibitor (2024), for acute leukaemias with KMT2A rearrangements or NPM1 mutations. | Approved2024🇺🇸 | Small molecule | Menin | Acute myeloid leukaemia, Acute lymphoblastic leukaemia | Syndax Pharmaceuticals | 2024–2025 |
Ribociclib Kisqali Ribociclib is the CDK4/6 inhibitor with the most consistent survival benefit, approved for a broad population of early breast cancer patients since 2024. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | CDK4/6 | HR-positive / HER2-negative breast cancer | Novartis | 2017–2024 |
Ripretinib Qinlock A fourth-line GIST drug that locks KIT in an off state regardless of which resistance mutation the tumour has acquired. | Approved2020🇺🇸🇪🇺🇬🇧🇨🇳🇦🇺 | Small molecule | KIT | Sarcomas | Deciphera Pharmaceuticals | 2020 |
Rituximab Rituxan / MabThera (and biosimilars) Rituximab was the first antibody ever approved for cancer (1997). It made chemoimmunotherapy the CLL standard for a decade, and biosimilars keep it cheap and everywhere. | Approved1997🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Monoclonal antibody | CD20 | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | Roche / Genentech, Hetero Drugs | 1997–2010 |
Rivoceranib (apatinib) Aitan · apatinib, YN968D1 Apatinib, sold as rivoceranib outside China, was the first pill of its kind approved for stomach cancer and is now the partner of camrelizumab in first-line liver cancer. | Approved2014🇨🇳 | Small molecule | VEGF / VEGFR | Gastric & gastro-oesophageal junction cancer, Hepatocellular carcinoma | Jiangsu Hengrui Pharmaceuticals | 2014–2023 |
Rolapitant Varubi Rolapitant (Varubi) is a long-lasting anti-sickness tablet taken once before chemotherapy, alongside a 5-HT3 blocker and dexamethasone, to prevent nausea and vomiting in the days after treatment. | Approved | Small molecule | none | none | TerSera Therapeutics | 2015 |
Romidepsin Istodax Romidepsin is an epigenetic drug for T-cell lymphomas of the skin and lymph nodes; its US lymph-node indication was withdrawn when a confirmatory trial failed. | Approved2009🇺🇸🇯🇵 | Small molecule | none | Peripheral T-cell lymphomas | none | 2009–2011 |
Ropeginterferon alfa-2b Besremi Ropeginterferon alfa-2b is a long-acting interferon for polycythaemia vera that, unlike hydroxyurea, can shrink the mutant clone over years. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵 | Long-acting mono-pegylated interferon alfa | JAK2 | Myeloproliferative neoplasms | none | 2019–2021 |
Rucaparib Rubraca A PARP inhibitor for BRCA-mutated ovarian and prostate cancer whose original maker went bankrupt; still available, with a narrowed label. | Approved2016🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | PARP, BRCA1 / BRCA2 | Ovarian cancer, Prostate cancer | none | 2016–2020 |
Rusfertide Mimrylo Rusfertide is the first drug to control polycythaemia vera's excess red cells by restricting iron, sparing patients repeated blood removal. | Approved2026🇺🇸 | Hepcidin mimetic peptide | none | Myeloproliferative neoplasms | Takeda | 2026 |
Ruxolitinib Jakafi / Jakavi Ruxolitinib was the first JAK inhibitor: it shrinks the spleen and relieves symptoms in myelofibrosis and controls blood counts in polycythaemia vera, without eliminating the disease clone. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | JAK2 | Myeloproliferative neoplasms | Incyte, Novartis | 2011–2021 |
Sacituzumab govitecan Trodelvy · IMMU-132 The first TROP2-targeted ADC. It delivers a strong chemotherapy directly to breast and bladder cancer cells and is now a first-line option in triple-negative breast cancer. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | TROP2 | Triple-negative breast cancer, HR-positive / HER2-negative breast cancer, Bladder & urothelial cancer | Gilead Sciences | 2020–2026 |
Samarium-153 lexidronam Quadramet Quadramet is a radioactive injection that travels to painful bone metastases and irradiates them from inside, relieving pain from prostate, breast and other cancers that have spread widely to bone. | Approved | Bone-seeking therapeutic radiopharmaceutical (beta emitter) | none | Prostate cancer, HR-positive / HER2-negative breast cancer, Non-small-cell lung cancer | Lantheus, Curium | 1997–1998 |
Satricabtagene autoleucel satri-cel, CT041 Satricabtagene autoleucel (satri-cel) is the first CAR-T therapy approved for a solid tumour (gastric cancer), in China. | Approved2025🇨🇳 | Cell therapy | Claudin 18.2 | Gastric & gastro-oesophageal junction cancer, Pancreatic ductal adenocarcinoma | CARsgen Therapeutics | 2025 |
Savolitinib Orpathys · HMPL-504, AZD6094, volitinib Savolitinib is a Chinese-discovered pill that blocks the MET growth signal, approved in China for lung cancers with a MET exon 14 mutation and being tested worldwide with osimertinib. | Approved2021🇨🇳 | Small molecule | MET, EGFR | Non-small-cell lung cancer, Renal cell carcinoma, Gastric & gastro-oesophageal junction cancer | Hutchmed, AstraZeneca | 2021–2025 |
Selinexor Xpovio · KPT-330 Selinexor is a first-in-class pill that traps tumour-suppressor proteins inside the nucleus; approved in myeloma, it failed its endometrial cancer test in 2026. | Approved2019🇺🇸🇪🇺🇬🇧🇨🇳🇦🇺 | Small molecule | TP53 | Endometrial cancer, Multiple myeloma, Diffuse large B-cell lymphoma | Karyopharm Therapeutics | 2019–2020 |
Selpercatinib Retevmo Selpercatinib is a selective RET inhibitor approved for any tumour with a RET fusion, with a further label update in July 2026. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | RET | Thyroid cancer, Non-small-cell lung cancer | Eli Lilly | 2020–2026 |
Selumetinib Koselugo Selumetinib (Koselugo) is the first medicine for children and adults with neurofibromatosis type 1 whose plexiform neurofibromas, benign but disfiguring and painful nerve tumours, cannot be removed by surgery. | Approved | Small molecule | MEK1/2 | none | AstraZeneca, Merck & Co. | 2020–2021 |
Serplulimab Hansizhuang / Hetronifly · HLX10 Serplulimab is a Chinese PD-1 antibody with the largest survival gain of any first-line small-cell lung cancer immunotherapy trial, approved in China, Europe, and the UK but not yet the US. | Approved2022🇪🇺🇬🇧🇨🇳 | Monoclonal antibody | PD-1 | Small-cell lung cancer | Shanghai Henlius Biotech | 2022–2025 |
Sevabertinib Hyrnuo · BAY 2927088 Sevabertinib is an oral HER2 inhibitor for lung cancers with HER2 mutations, approved in November 2025 as an alternative to Enhertu and zongertinib. | Approved2025🇺🇸🇬🇧 | Small molecule | HER2 | Non-small-cell lung cancer | Bayer | 2025 |
Shield The first FDA-approved blood test for colorectal cancer screening (2024), now optionally reporting other cancers too. | Approved2024🇺🇸 | Diagnostic test | none | Colorectal cancer | Guardant Health | 2024 |
Siltuximab Sylvant Siltuximab (Sylvant) is an antibody that neutralises the inflammatory messenger interleukin-6. It is the only approved treatment for multicentric Castleman disease, a rare lymph node disorder, in people without HIV or HHV-8 infection. | Approved | Monoclonal antibody | Interleukin-6 and IL-6 receptor | none | Recordati, Johnson & Johnson | 2014 |
SimpleScreen CRC SimpleScreen The second FDA-approved blood test for bowel cancer screening, from Freenome, sold by Abbott from late 2026. | Approved | Diagnostic test | none | Colorectal cancer | Freenome, Abbott Laboratories | 2026 |
Sintilimab Tyvyt · IBI308 Sintilimab is Innovent's PD-1 antibody, one of the most widely used cancer immunotherapies in China, with approvals across lung, liver, oesophageal and stomach cancer that rest on the ORIENT trials. | Approved2018🇨🇳 | Monoclonal antibody | PD-1 | Non-small-cell lung cancer, Hepatocellular carcinoma, Oesophageal cancer, Gastric & gastro-oesophageal junction cancer, Hodgkin lymphoma | Innovent Biologics, Eli Lilly | 2018–2023 |
Sipuleucel-T Provenge Sipuleucel-T was the first therapeutic cancer vaccine approved (2010): it lengthened survival in metastatic prostate cancer by about four months without shrinking tumours or lowering PSA. | Approved2010🇺🇸 | Vaccine | none | Prostate cancer | none | 2010–2013 |
Sirolimus protein-bound particles Fyarro Fyarro is an infusion of the transplant drug sirolimus packaged in albumin particles. It is the first approved treatment for malignant PEComa, a rare soft-tissue tumour driven by loss of the TSC genes. | Approved | Small molecule | mTOR | Sarcomas | none | 2021 |
Sodium thiosulfate (otoprotectant) Pedmark An old antidote proven in two paediatric trials to halve permanent hearing loss from cisplatin, and approved in 2022 as the first drug to prevent a chemotherapy side effect in children. | Approved2022🇺🇸🇪🇺🇬🇧 | Small molecule | none | Hepatoblastoma, Medulloblastoma, Osteosarcoma, Neuroblastoma | none | 2022–2023 |
Somatostatin analogues (octreotide, lanreotide) Sandostatin LAR, Somatuline Depot Monthly injections of a synthetic hormone that both quiets tumour hormone symptoms and slows tumour growth, the first treatment for most neuroendocrine tumours. | Approved1988🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Somatostatin receptor 2 | Neuroendocrine tumours | Novartis, Ipsen | 1988–2014 | |
Sonidegib Odomzo Sonidegib (Odomzo) is the second hedgehog inhibitor for locally advanced basal cell carcinoma, similar in effect and side effects to vismodegib. | Approved2015🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | Smoothened | Basal cell carcinoma | none | 2015 |
Sonrotoclax Beqalzi · BGB-11417 Sonrotoclax is a more potent, shorter-acting successor to venetoclax. It was approved for mantle cell lymphoma in May 2026 and is in late-stage trials with zanubrutinib for CLL. | Approved2025🇺🇸🇨🇳 | Small molecule | BCL-2 | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | BeOne Medicines | 2025–2026 |
Sorafenib Nexavar The first drug ever to extend life in advanced liver cancer (2007), now mostly a comparator arm that newer combinations are measured against. | Approved2005🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Small molecule | VEGF / VEGFR, BRAF | Hepatocellular carcinoma, Renal cell carcinoma, Thyroid cancer | Bayer, Natco Pharma | 2005–2013 |
Sotorasib Lumakras Sotorasib (Lumakras) was the first drug to hit KRAS, approved in 2021 after four decades of failure. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | KRAS | Non-small-cell lung cancer, Colorectal cancer | Amgen | 2021–2025 |
Sugemalimab Cejemly · CS1001 Sugemalimab is CStone's PD-L1 antibody, approved in China for first-line lung cancer with chemotherapy and after chemoradiotherapy in stage III disease, and the first China-developed PD-L1 antibody to win European approval. | Approved2021🇪🇺🇨🇳 | Monoclonal antibody | PD-L1 | Non-small-cell lung cancer, Peripheral T-cell lymphomas | CStone Pharmaceuticals, CStone Pharmaceuticals | 2021–2024 |
Sunitinib Sutent Sunitinib is an anti-angiogenic pill approved for pancreatic neuroendocrine tumours, kidney cancer and GIST. | Approved2006🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | VEGF / VEGFR, KIT | Neuroendocrine tumours, Renal cell carcinoma, Sarcomas | Pfizer | 2006–2017 |
Sunvozertinib Zegfrovy · DZD9008 An oral drug for EGFR exon 20 insertion lung cancer that succeeded where mobocertinib failed; approved in China (2023) and the US (2025). | Approved2023🇺🇸🇨🇳 | Small molecule | EGFR | Non-small-cell lung cancer | none | 2023–2025 |
Tafasitamab Monjuvi A CD19 antibody given with lenalidomide for lymphoma patients who cannot have a transplant; in 2026 it showed the first frontline gain over R-CHOP in high-risk disease. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Monoclonal antibody | CD19 | Diffuse large B-cell lymphoma | Incyte, MorphoSys | 2020–2025 |
Tagraxofusp Elzonris Tagraxofusp is a fusion of the growth factor IL-3 with a bacterial toxin that homes to CD123 on a rare, aggressive blood cancer. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵 | Recombinant cytotoxin (IL-3 fused to diphtheria toxin) | CD123 | Acute myeloid leukaemia | Menarini / Stemline | 2018 |
Talazoparib Talzenna Talazoparib is the most potent PARP trapper, approved in BRCA breast cancer and with enzalutamide in prostate cancer. | Approved2018🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | PARP, BRCA1 / BRCA2 | Triple-negative breast cancer, HR-positive / HER2-negative breast cancer, Prostate cancer | Pfizer | 2018–2023 |
Talc (intrapleural) Sclerosol / Sterile Talc Powder / Steritalc Sterile talc is puffed or instilled into the chest cavity after fluid is drained to make the lung stick to the chest wall, stopping cancer-related fluid (malignant pleural effusion) from building up again. | Approved | Sclerosing agent (intrapleural powder or aerosol) | none | Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer, Mesothelioma, Ovarian cancer | none | 1997 |
Taletrectinib Ibtrozi A ROS1 lung-cancer pill approved in 2025 that works in the brain and after crizotinib, with fewer dizziness-type side effects than repotrectinib. | Approved2025🇺🇸🇯🇵🇨🇳 | Small molecule | ROS1 | Non-small-cell lung cancer | none | 2025 |
Talicabtagene autoleucel NexCAR19 · NexCAR19 India's first home-grown CAR-T cell therapy, approved in 2023 for relapsed leukaemia and lymphoma, made in Mumbai for roughly a tenth of what the same kind of treatment costs in the US. | Approved2023🇮🇳 | Cell therapy | CD19 | Diffuse large B-cell lymphoma, Acute lymphoblastic leukaemia | ImmunoACT, Cipla | 2023 |
Talimogene laherparepvec Imlygic · T-VEC Talimogene laherparepvec (T-VEC, Imlygic) was the first approved oncolytic virus (2015), injected into melanoma skin lesions. | Approved2015🇺🇸🇪🇺🇬🇧🇦🇺 | Oncolytic virus | none | Melanoma | Amgen | 2015 |
Talquetamab Talvey Talquetamab is the first drug against GPRC5D, a second myeloma target used after BCMA therapies stop working; taste and skin side effects are its signature. | Approved2023🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | T-cell engager | GPRC5D, CD3 | Multiple myeloma | Johnson & Johnson | 2023 |
Tamoxifen Nolvadex The original targeted cancer drug (1977): a pill that blocks oestrogen's effect on breast cancer and halves recurrence, still essential for premenopausal women. | Approved1973🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | none | 1977–1998 |
Tarlatamab Imdelltra The first T-cell engager to improve survival in a common solid tumour, small-cell lung cancer. | Approved2024🇺🇸🇪🇺🇬🇧🇯🇵 | T-cell engager | DLL3, CD3 | Small-cell lung cancer | Amgen | 2024 |
Tasonermin Beromun Beromun is a recombinant form of the immune protein TNF-alpha, pumped with the chemotherapy melphalan through the isolated blood supply of an arm or leg to shrink soft-tissue sarcomas so that the limb can be saved rather than amputated. | Approved | Radiopharmaceutical | none | Sarcomas, Melanoma | none | 1999 |
Tebentafusp Kimmtrak The first drug to improve survival in metastatic uveal melanoma, and the first TCR-based bispecific. | Approved2022🇺🇸🇪🇺🇬🇧🇦🇺 | T-cell engager | gp100, CD3 | Melanoma | Immunocore | 2022 |
Technetium-99m tilmanocept Lymphoseek The purpose-built tracer for sentinel lymph node mapping in breast cancer, melanoma and oral cancer, replacing off-label sulfur colloid. | Approved2013🇺🇸🇬🇧 | Radiopharmaceutical lymphatic mapping agent | none | HR-positive / HER2-negative breast cancer, Melanoma, Head and neck squamous cell carcinoma | none | 2013–2014 |
Teclistamab Tecvayli Teclistamab was the first off-the-shelf bispecific for multiple myeloma, and is now approved after just one prior line of therapy. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | T-cell engager | BCMA, CD3 | Multiple myeloma | Johnson & Johnson | 2022–2026 |
Tegafur, gimeracil and oteracil (S-1) Teysuno Teysuno (S-1) is an oral chemotherapy combining a fluorouracil pro-drug with two protectors. It is a standard in Japan and approved in Europe for stomach cancer with cisplatin and for bowel cancer when other fluoropyrimidines cause hand-foot syndrome or heart problems. | Approved | Oral fluoropyrimidine combination (antimetabolite) | none | Gastric & gastro-oesophageal junction cancer, Colorectal cancer, Pancreatic ductal adenocarcinoma | Taiho Pharmaceutical | 1999–2011 |
Telisotuzumab vedotin Emrelis Telisotuzumab vedotin (Emrelis) is the first c-MET-directed ADC, approved in 2025 for lung cancer with high c-MET protein. | Approved2025🇺🇸 | ADC | MET | Non-small-cell lung cancer | AbbVie | 2025 |
Telotristat ethyl Xermelo Telotristat ethyl (Xermelo) is a tablet that cuts the serotonin that neuroendocrine tumours pour out, easing the relentless diarrhoea of carcinoid syndrome when somatostatin analogue injections are not enough. | Approved | none | Neuroendocrine tumours | TerSera Therapeutics, SERB Pharmaceuticals | 2017 | |
Temoporfin Foscan Foscan is a light-activated drug used in Europe to shrink advanced head and neck cancers that have failed other treatments and cannot be operated on, irradiated or given chemotherapy, to relieve symptoms. | Approved | none | Head and neck squamous cell carcinoma | biolitec | 2001 | |
Tempus xT CDx xT CDx Tempus's tumour-and-normal gene panel, FDA-approved in 2023 as a companion test for EGFR antibodies in bowel cancer. | Approved | Diagnostic test | KRAS, EGFR | Colorectal cancer | Tempus AI | 2023 |
Temsirolimus Torisel A weekly infusion that was the first drug to extend survival in poor-risk kidney cancer (2007), and in 2024 the first targeted drug to improve outcomes in childhood rhabdomyosarcoma. | Approved2007🇺🇸🇪🇺🇬🇧🇯🇵 | Small molecule | none | Renal cell carcinoma, Rhabdomyosarcoma, Mantle cell lymphoma | Pfizer | 2007–2009 |
Thalidomide Thalomid Thalidomide is the drug behind the 1960s birth-defect tragedy, rehabilitated as the first immunomodulatory myeloma drug and the parent of lenalidomide and pomalidomide. | Approved1998🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Oral cereblon modulator (first IMiD) | none | Multiple myeloma | Bristol Myers Squibb | 1998–2008 |
therascreen companion diagnostic kits (KRAS, EGFR, PIK3CA, FGFR, BRAF) therascreen A family of quick single-gene tests that decide who can have several bowel, lung, breast and bladder cancer drugs. | Approved | Diagnostic test | KRAS, EGFR, PIK3CA / PI3K-alpha, FGFR2, BRAF | Colorectal cancer, Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer, Bladder & urothelial cancer | QIAGEN | 2012–2020 |
Thioguanine Tabloid Thioguanine (Tabloid) is an oral chemotherapy tablet used in some regimens to induce and consolidate remission in acute myeloid leukaemia; long-term use is avoided because it damages the liver. | Approved | Thiopurine antimetabolite | none | Acute myeloid leukaemia | none | 1966 |
Thiotepa Tepadina Thiotepa is an old chemotherapy with a modern job: at high doses it prepares patients for stem cell transplants, and it is still instilled into the bladder or body cavities for superficial bladder cancer and malignant effusions. | Approved | Alkylating agent (ethylenimine) | none | Bladder & urothelial cancer, HR-positive / HER2-negative breast cancer, Ovarian cancer, Primary CNS lymphoma | Adienne Pharma & Biotech | 1959–2017 |
Thyrotropin alfa Thyrogen Thyrogen is an injected version of thyroid-stimulating hormone that lets people with thyroid cancer have radioiodine treatment and follow-up blood tests without stopping their thyroid hormone tablets and suffering weeks of hypothyroidism. | Approved | Recombinant human thyroid-stimulating hormone | none | Thyroid cancer | Sanofi | 1998–2000 |
Tisagenlecleucel Kymriah · CTL019 Tisagenlecleucel was the first CAR-T therapy ever approved (2017), for children and young adults whose leukaemia had come back after everything else. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Cell therapy | CD19 | Acute lymphoblastic leukaemia, Diffuse large B-cell lymphoma | Novartis | 2017–2022 |
Tislelizumab Tevimbra · BGB-A317 A Chinese-developed PD-1 blocker, engineered to avoid a side-channel that may blunt other PD-1 drugs, now approved in the US and EU for oesophageal and stomach cancer. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | PD-1 | Oesophageal cancer, Gastric & gastro-oesophageal junction cancer, Non-small-cell lung cancer, Hepatocellular carcinoma | BeOne Medicines | 2019–2025 |
Tisotumab vedotin Tivdak Tisotumab vedotin is an ADC against tissue factor, the first to show a survival benefit in recurrent cervical cancer. | Approved2021🇺🇸🇪🇺🇬🇧🇯🇵 | ADC | Tissue factor | Cervical cancer | Pfizer, Genmab | 2021 |
Tivozanib Fotivda Tivozanib is a highly selective VEGF-receptor pill for kidney cancer after two or more prior treatments, notable for its tolerability and for a trial that closed the door on immunotherapy rechallenge. | Approved2017🇺🇸🇪🇺🇬🇧 | Small molecule | VEGF / VEGFR | Renal cell carcinoma | AVEO Oncology | 2021 |
Tocilizumab Actemra Tocilizumab (Actemra) is a rheumatoid arthritis antibody that has become the rescue drug for cytokine release syndrome, the fever and blood-pressure crash that CAR-T cells and bispecific antibodies can trigger. Every CAR-T centre must have it on hand. | Approved | Monoclonal antibody | Interleukin-6 and IL-6 receptor | none | Roche / Genentech | 2010–2017 |
Topotecan Hycamtin Topotecan is the long-standing second-line chemotherapy for relapsed small-cell lung cancer, and now the comparator that new drugs must beat. | Approved1996🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Small-cell lung cancer, Ovarian cancer, Cervical cancer | none | 1996–2007 |
Toremifene Fareston Toremifene (Fareston) is a tamoxifen-like tablet for postmenopausal women with hormone-sensitive breast cancer that has spread. | Approved | Selective oestrogen receptor modulator (triphenylethylene) | Estrogen receptor | HR-positive / HER2-negative breast cancer | Kyowa Kirin | 1996–1997 |
Toripalimab Loqtorzi A Chinese-developed PD-1 blocker that became the first immunotherapy approved in the US for nasopharyngeal cancer. | Approved2018🇺🇸🇪🇺🇬🇧🇨🇳🇦🇺 | Monoclonal antibody | PD-1 | Head and neck squamous cell carcinoma, Oesophageal cancer | none | 2018–2023 |
Tovorafenib Ojemda Tovorafenib is a pill for the most common childhood brain tumour, low-grade glioma driven by BRAF changes, approved in 2024. | Approved2024🇺🇸🇪🇺🇬🇧 | Small molecule | BRAF | Glioma & glioblastoma | Day One Biopharmaceuticals, Ipsen | 2024–2026 |
Trabectedin Yondelis A chemotherapy derived from a sea squirt, used with liposomal doxorubicin in relapsed ovarian cancer in Europe and for sarcomas. | Approved2007🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Chemotherapy | none | Ovarian cancer, Sarcomas | Johnson & Johnson | 2007–2015 |
Trametinib Mekinist Trametinib (Mekinist) blocks MEK, the protein one step below BRAF in the growth-signal chain. Paired with dabrafenib it treats BRAF-mutant melanoma, lung, thyroid and other cancers, including brain tumours in children. | Approved | Small molecule | MEK1/2 | Melanoma, Non-small-cell lung cancer, Thyroid cancer | Novartis | 2013–2014 |
Transpara Transpara The breast screening AI tested in Sweden's MASAI trial, where AI-supported reading found more cancers and nearly halved the radiologists' workload. | Approved | Diagnostic test | none | HR-positive / HER2-negative breast cancer, HER2-positive breast cancer, Triple-negative breast cancer | ScreenPoint Medical | 2017–2020 |
Trastuzumab Herceptin (and biosimilars, Phesgo with pertuzumab) The first targeted antibody for a solid tumour (1998), which turned HER2-positive breast cancer from the worst subtype into one of the most treatable. | Approved1998🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺🇮🇳 | Monoclonal antibody | HER2 | HER2-positive breast cancer, Gastric & gastro-oesophageal junction cancer | Roche / Genentech | 1998–2010 |
Trastuzumab biosimilars Ogivri, Herzuma, Kanjinti, Trazimera, Ontruzant, Hercessi Near-identical copies of Herceptin, approved since 2017, that cut the price of HER2 treatment and widened access worldwide. | Approved2017🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | HER2 | HER2-positive breast cancer, Gastric & gastro-oesophageal junction cancer | none | 2017 |
Trastuzumab deruxtecan Enhertu · DS-8201, T-DXd Trastuzumab deruxtecan (Enhertu) is the most successful ADC ever. It redefined HER2 by working in tumours with only tiny amounts of the protein, and in 2026 moved into early-stage breast cancer. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | HER2 | HER2-positive breast cancer, HR-positive / HER2-negative breast cancer, Gastric & gastro-oesophageal junction cancer, Non-small-cell lung cancer, Colorectal cancer | Daiichi Sankyo, AstraZeneca | 2019–2026 |
Trastuzumab emtansine Kadcyla · T-DM1 Trastuzumab emtansine (Kadcyla, T-DM1) was the first ADC for a solid tumour (2013). It is still standard after surgery for HER2+ breast cancer patients whose tumour did not fully respond to pre-surgery treatment. | Approved2013🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | ADC | HER2 | HER2-positive breast cancer | Roche / Genentech | 2013–2019 |
Trastuzumab rezetecan SHR-A1811 Hengrui's HER2 ADC, approved in China for lung cancer and showing Enhertu-scale results in breast cancer, part of a wave of Chinese ADCs heading for global trials. | Approved2025🇨🇳 | ADC | HER2 | HER2-positive breast cancer, Non-small-cell lung cancer | Jiangsu Hengrui Pharmaceuticals | 2025 |
Tremelimumab Imjudo Tremelimumab is AstraZeneca's CTLA-4 antibody, given as a single priming dose with durvalumab and chemotherapy in lung and liver cancer. | Approved2022🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Monoclonal antibody | CTLA-4 | Non-small-cell lung cancer, Hepatocellular carcinoma | AstraZeneca | 2022 |
Treosulfan Grafapex A conditioning chemotherapy given before donor stem-cell transplant in AML and MDS; it was long used in Europe and reached the US in 2025. | Approved2019🇺🇸🇪🇺🇬🇧 | Alkylating conditioning agent (busulfan analogue) | none | Acute myeloid leukaemia, Myelodysplastic syndromes / neoplasms | none | 2019–2025 |
Tretinoin (all-trans retinoic acid, ATRA) Vesanoid The vitamin-A derivative that made acute promyelocytic leukaemia the first cancer cured by differentiation therapy rather than by killing cells. | Approved1995🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Oral retinoid (differentiation agent) | none | Acute myeloid leukaemia | none | 1995 |
Trifluridine/tipiracil Lonsurf · TAS-102 An oral chemotherapy pill for bowel cancer that has stopped responding to everything else; with bevacizumab it extends life by about three months. | Approved2014🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Chemotherapy | none | Colorectal cancer, Gastric & gastro-oesophageal junction cancer | Servier, Takeda | 2015–2023 |
Triptorelin Trelstar Triptorelin (Trelstar) is a one-, three- or six-monthly injection that switches off testosterone production for men with advanced prostate cancer. | Approved | GnRH agonist depot | Androgen receptor | Prostate cancer, HR-positive / HER2-negative breast cancer | Verity Pharmaceuticals, Ipsen | 2000 |
TruSight Oncology Comprehensive TSO Comprehensive A large gene panel hospitals can run themselves, approved by the FDA in 2024 as a companion diagnostic for the tumour-agnostic drug larotrectinib. | Approved | Diagnostic test | NTRK | none | Illumina | 2022–2024 |
Tucatinib Tukysa A HER2-selective pill that works in the brain, for HER2-positive breast cancer with brain metastases. | Approved2020🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | HER2 | HER2-positive breast cancer, Colorectal cancer | Pfizer | 2020–2023 |
Tucidinostat (chidamide) Epidaza · chidamide, HBI-8000, CS055 Chidamide, approved in 2014, was the first epigenetic cancer drug invented in China and the first oral drug of its kind anywhere, used for T-cell lymphoma and, with hormone therapy, for breast cancer. | Approved2014🇯🇵🇨🇳 | Small molecule | none | Peripheral T-cell lymphomas, HR-positive / HER2-negative breast cancer | Chipscreen Biosciences | 2014–2021 |
Uridine triacetate Vistogard Uridine triacetate (Vistogard) is an oral antidote for fluorouracil or capecitabine overdose, or for dangerously early severe toxicity from these drugs, and must be started within four days of the chemotherapy. | Approved | none | none | SERB Pharmaceuticals | 2015 | |
UroVysion Bladder Cancer Kit UroVysion A urine test that looks for chromosome changes in shed bladder cells, approved for people with blood in the urine and for follow-up after bladder cancer. | Approved | Diagnostic test | none | Bladder & urothelial cancer | Abbott Laboratories | 2001–2005 |
Valrubicin Valstar Valrubicin (Valstar) is a chemotherapy washed into the bladder for carcinoma in situ that has not responded to BCG, in patients who cannot yet have their bladder removed. | Approved | Anthracycline (intravesical) | none | Bladder & urothelial cancer | none | 1998 |
Vandetanib Caprelsa Vandetanib was the first drug approved for medullary thyroid cancer (2011), now largely replaced by RET-selective selpercatinib. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇦🇺 | Small molecule | RET, VEGF / VEGFR, EGFR | Thyroid cancer | Sanofi | 2011 |
Varnimcabtagene autoleucel Qartemi · IMN-003A India's second approved CAR-T therapy, a Bengaluru-made version of a Spanish hospital's academic CD19 cell therapy, for lymphoma that has come back after other treatments. | Approved2024🇮🇳 | Cell therapy | CD19 | Diffuse large B-cell lymphoma, Acute lymphoblastic leukaemia | Immuneel Therapeutics | 2024 |
Vemurafenib Zelboraf Vemurafenib was the first BRAF inhibitor (2011); it shrank melanomas in weeks and proved that a single mutation could be drugged in a solid tumour. | Approved2011🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BRAF | Melanoma | Roche / Genentech | 2011–2017 |
Venetoclax Venclexta A pill that removes the survival shield from leukaemia cells, enabling chemotherapy-free, time-limited treatment for CLL. | Approved2016🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BCL-2 | Chronic lymphocytic leukaemia, Acute myeloid leukaemia | AbbVie, Roche / Genentech | 2016–2018 |
VENTANA MMR RxDx Panel VENTANA MMR RxDx A four-stain test that shows whether a womb cancer has lost its DNA spell-checker, which makes immunotherapy likely to work. | Approved | Diagnostic test | none | Endometrial cancer, Colorectal cancer | Roche / Genentech | 2021 |
VENTANA PD-L1 (SP142) Assay VENTANA PD-L1 (SP142) The PD-L1 stain that decides who can have atezolizumab, scored on immune cells rather than tumour cells in breast cancer. | Approved | Diagnostic test | PD-L1 | Bladder & urothelial cancer, Non-small-cell lung cancer, Triple-negative breast cancer | Roche / Genentech | 2016–2019 |
VENTANA PD-L1 (SP263) Assay VENTANA PD-L1 (SP263) A widely used PD-L1 stain, approved with durvalumab and later as the test for adjuvant atezolizumab in lung cancer. | Approved | Diagnostic test | PD-L1 | Bladder & urothelial cancer, Non-small-cell lung cancer | Roche / Genentech | 2017–2021 |
Vepdegestrant Veppanu · ARV-471 Vepdegestrant is the first PROTAC ever approved (2026): a pill that tags the oestrogen receptor for destruction, for breast cancers with ESR1 mutations. | Approved2026🇺🇸 | Degrader | Estrogen receptor | HR-positive / HER2-negative breast cancer | Arvinas, Pfizer | 2026 |
Vimseltinib Romvimza Vimseltinib is a pill approved in February 2025 for tenosynovial giant cell tumour, a benign but destructive joint tumour, offering an alternative to repeated surgery. | Approved2025🇺🇸🇪🇺🇬🇧 | Small molecule | none | Sarcomas, Tenosynovial giant cell tumour | Deciphera Pharmaceuticals | 2025 |
Vinblastine Velban Vinblastine is the vinca alkaloid in ABVD, the standard Hodgkin lymphoma regimen, and was formerly in the cisplatin combinations that first cured testicular cancer. | Approved1965🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Hodgkin lymphoma, Testicular germ cell tumours, Bladder & urothelial cancer, Kaposi sarcoma | none | 1965 |
Vincristine Oncovin / Marqibo A plant-derived chemotherapy from the Madagascar periwinkle that has been in almost every childhood leukaemia and lymphoma regimen since the 1960s. | Approved1963🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | none | Acute lymphoblastic leukaemia, Diffuse large B-cell lymphoma, Hodgkin lymphoma, Rhabdomyosarcoma, Ewing sarcoma, Wilms tumour, Neuroblastoma, Medulloblastoma, Retinoblastoma | none | 1963 |
Vinflunine Javlor Vinflunine (Javlor) is a chemotherapy infusion used in Europe as a second treatment for advanced bladder cancer after platinum chemotherapy has stopped working. | Approved | Small molecule | none | Bladder & urothelial cancer | Pierre Fabre | 2009 |
Vinorelbine Navelbine Vinorelbine is a vinca chemotherapy for lung and breast cancer, available orally, and is now part of maintenance therapy that improved survival in childhood rhabdomyosarcoma. | Approved1989🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Semi-synthetic vinca alkaloid | none | Non-small-cell lung cancer, Rhabdomyosarcoma, HR-positive / HER2-negative breast cancer, Mesothelioma | none | 1989–1994 |
Vismodegib Erivedge Vismodegib was the first hedgehog-pathway drug, for basal cell carcinomas too advanced for surgery; it shrinks most tumours but muscle cramps, taste loss and hair loss make long-term use hard. | Approved2012🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | Smoothened | Basal cell carcinoma, Medulloblastoma | Roche / Genentech | 2012–2013 |
Vorasidenib Voranigo The first targeted therapy for low-grade brain tumours, delaying the need for radiation and chemotherapy by years. | Approved2024🇺🇸🇪🇺🇬🇧🇦🇺 | Small molecule | IDH1 / IDH2 | Glioma & glioblastoma | Servier | 2024 |
Vorinostat Zolinza Vorinostat (Zolinza) was the first drug of its kind, a capsule that loosens the chemical packaging of DNA. It treats the skin disease of cutaneous T-cell lymphoma after two other treatments have failed. | Approved | Small molecule | Histone deacetylases | none | Merck & Co. | 2006 |
Vusolimogene oderparepvec Tudriqev · RP1 Vusolimogene oderparepvec is an engineered herpes virus injected into melanoma tumours, approved in August 2026 with nivolumab after immunotherapy failure. | Approved2026🇺🇸 | Oncolytic virus | none | Melanoma | Replimune, Bristol Myers Squibb | 2026 |
Zanidatamab Ziihera Zanidatamab (Ziihera) is an antibody that grabs HER2 at two different spots, approved for HER2+ bile duct cancer. | Approved2024🇺🇸🇪🇺🇬🇧🇨🇳 | Bispecific antibody | HER2 | Biliary tract cancer, Gastric & gastro-oesophageal junction cancer | Jazz Pharmaceuticals, Zymeworks, BeOne Medicines | 2024 |
Zanubrutinib Brukinsa Zanubrutinib is the only BTK blocker to beat ibrutinib on both efficacy and safety in a head-to-head trial. It is now the most prescribed BTK inhibitor in CLL. | Approved2019🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Small molecule | BTK | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | BeOne Medicines | 2019–2023 |
Zenocutuzumab Bizengri Zenocutuzumab is the first drug for cancers driven by NRG1 gene fusions, working by blocking HER3 from receiving its growth signal. | Approved2024🇺🇸 | Bispecific antibody | HER2, HER3 | Non-small-cell lung cancer, Pancreatic ductal adenocarcinoma, Biliary tract cancer | Merus | 2024–2026 |
Zevorcabtagene autoleucel Saikaize · zevor-cel, CT053 Zevor-cel is CARsgen's myeloma CAR-T, approved in China in 2024 for patients whose disease has come back after three or more treatments. | Approved2024🇨🇳 | Cell therapy | BCMA | Multiple myeloma | CARsgen Therapeutics | 2024 |
Zidesamtinib Jideytro A ROS1 inhibitor approved in July 2026 that works after other ROS1 drugs fail and avoids their brain side effects. | Approved2026🇺🇸 | Small molecule | none | Non-small-cell lung cancer | Nuvalent | 2026 |
Ziftomenib Komzifti Ziftomenib is the second menin inhibitor for leukaemia, approved in November 2025 as a once-daily pill for relapsed NPM1-mutated AML. | Approved2025🇺🇸 | Small molecule | Menin, NPM1 mutation, KMT2A (MLL) rearrangement | Acute myeloid leukaemia, Acute lymphoblastic leukaemia | Kura Oncology | 2025 |
Ziv-aflibercept Zaltrap Ziv-aflibercept (Zaltrap) is a decoy receptor that soaks up the blood-vessel growth signal VEGF. It is added to the FOLFIRI chemotherapy combination for bowel cancer that has spread and progressed after oxaliplatin. | Approved | Recombinant fusion protein (VEGF ligand trap) | VEGF / VEGFR | Colorectal cancer | Sanofi, Regeneron | 2012–2013 |
Zolbetuximab Vyloy · IMAB362 Zolbetuximab is the first drug against Claudin 18.2, a protein exposed on stomach cancer cells. Added to chemotherapy it extends survival by two to three months; nausea is the price. | Approved2024🇺🇸🇪🇺🇬🇧🇯🇵🇨🇳🇦🇺 | Monoclonal antibody | Claudin 18.2 | Gastric & gastro-oesophageal junction cancer | Astellas | 2024 |
Zoledronic acid Zometa Zoledronic acid (Zometa) is a fifteen-minute infusion given every few weeks or months to strengthen bone and prevent fractures, spinal cord compression and the need for radiotherapy in people with myeloma or cancer that has spread to bone; it also treats dangerously high calcium caused by cancer. | Approved | Nitrogen-containing bisphosphonate (intravenous) | none | Multiple myeloma, HR-positive / HER2-negative breast cancer, Prostate cancer, Non-small-cell lung cancer, Renal cell carcinoma | Novartis | 2001–2002 |
Zongertinib Hernexeos Zongertinib was the first oral HER2 inhibitor for lung cancer with HER2 mutations, approved in 2025 and moved to first line in 2026. | Approved2025🇺🇸🇯🇵🇨🇳 | Small molecule | HER2 | Non-small-cell lung cancer | Boehringer Ingelheim | 2025–2026 |
CAPOX (capecitabine, oxaliplatin) XELOX CAPOX combines oral capecitabine with oxaliplatin as a pill-based alternative to FOLFOX. Three months of it after surgery is enough for many stage III colon cancers. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Colorectal cancer, Gastric & gastro-oesophageal junction cancer | none | none |
Cytarabine + anthracycline ('7+3') The intensive chemotherapy that has induced remission in fit AML patients since 1973: seven days of one drug, three of another. Still the backbone that targeted drugs are added to. | Approved1969🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Acute myeloid leukaemia, Acute lymphoblastic leukaemia | none | 1969 |
FLOT (5-FU, leucovorin, oxaliplatin, docetaxel) FLOT is the four-drug chemotherapy given before and after surgery for stomach cancer in the West; since 2025 immunotherapy is added to it. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Gastric & gastro-oesophageal junction cancer, Oesophageal cancer | none | none |
FOLFIRI (5-FU, leucovorin, irinotecan) FOLFIRI is the other backbone bowel-cancer chemotherapy, swapping oxaliplatin for irinotecan. Used first or second line and, since 2026, with the BRAF combination. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Colorectal cancer | none | none |
FOLFIRINOX / mFOLFIRINOX FOLFIRINOX is a four-drug chemotherapy combination that, in 2011, became the first treatment to meaningfully extend life in metastatic pancreatic cancer; it is now the standard before and after surgery. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Pancreatic ductal adenocarcinoma | none | 2011 |
FOLFOX (5-FU, leucovorin, oxaliplatin) mFOLFOX6 FOLFOX is the workhorse chemotherapy combination for bowel cancer, used after surgery to cure and in advanced disease as the backbone that targeted drugs are added to. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Colorectal cancer, Gastric & gastro-oesophageal junction cancer, Pancreatic ductal adenocarcinoma | none | 2004 |
Gemcitabine + cisplatin Gemcitabine plus cisplatin has been the chemotherapy backbone for bile duct cancer since 2010 and is now given with immunotherapy. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Biliary tract cancer | none | none |
Gemcitabine + nab-paclitaxel Gemzar + Abraxane Gemcitabine plus nab-paclitaxel is the gentler of the two standard chemotherapy backbones for pancreatic cancer, and the base on which most new drugs are being tested. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Pancreatic ductal adenocarcinoma | none | 2013 |
Intravesical BCG TICE BCG A weakened tuberculosis vaccine put directly into the bladder. Since 1976 it has been the most effective treatment for early bladder cancer, and it remains in chronic short supply. | Approved1990🇺🇸🇪🇺🇬🇧 | Live bacterial immunotherapy (intravesical) | none | Bladder & urothelial cancer | Merck & Co. | 1990 |
Lomustine (CCNU) Gleostine An old chemotherapy pill used when glioblastoma comes back, and the control arm most new glioblastoma drugs must beat. | Approved1976🇺🇸🇪🇺 | Oral nitrosourea chemotherapy | none | Glioma & glioblastoma | none | 1976 |
Platinum + etoposide (EP / CE) Platinum plus etoposide has been the chemotherapy backbone of small-cell lung cancer for over 40 years, and is now given with immunotherapy. | Approved🇺🇸🇪🇺🇬🇧 | Chemotherapy | none | Small-cell lung cancer | none | 1983 |
Temozolomide Temodar The only chemotherapy proven to extend life in glioblastoma, given during and after radiation. It works best when the tumour has switched off a repair gene called MGMT. | Approved1999🇺🇸🇪🇺🇬🇧🇯🇵 | Oral alkylating chemotherapy | none | Glioma & glioblastoma | none | 1999–2005 |
177Lu-edotreotide ITM-11, n.c.a. 177Lu-DOTATOC A second lutetium radioligand for neuroendocrine tumours that beat the standard pill everolimus in a head-to-head trial and is awaiting an FDA decision. | Phase 3 | Radiopharmaceutical | Somatostatin receptor 2 | Neuroendocrine tumours | ITM Isotope Technologies Munich | none |
177Lu-PSMA-I&T PNT2002 (Lantheus); Curium 177Lu-PSMA-I&T 177Lu-PSMA-I&T is a second PSMA radioligand, chemically different from Pluvicto, that has passed two phase 3 trials on progression but has not yet shown a survival benefit. | Phase 3 | Radiopharmaceutical | PSMA | Prostate cancer | Lantheus, Curium | none |
Actinium-225 DOTATATE RYZ101 An alpha-particle version of Lutathera for neuroendocrine tumours that have stopped responding to the beta version. | Phase 3 | Radiopharmaceutical | Somatostatin receptor 2 | Neuroendocrine tumours, Small-cell lung cancer | Bristol Myers Squibb, RayzeBio | none |
Actinium-225 PSMA agents 225Ac-PSMA-617, 225Ac-PSMA-I&T, BAY 3563254 (Trillium) Alpha-emitting PSMA drugs that produce responses even after Pluvicto fails, held back mainly by isotope supply. | Phase 3 | Radiopharmaceutical | PSMA | Prostate cancer | Novartis, Bayer, Fusion Pharmaceuticals, AstraZeneca | none |
Anitocabtagene autoleucel anito-cel, CART-ddBCMA Anitocabtagene autoleucel is a BCMA CAR-T with a novel small synthetic binder that produced responses in 97% of heavily pretreated patients; an FDA decision is due in December 2026. | Phase 3 | Cell therapy | BCMA | Multiple myeloma | Gilead Sciences | none |
ARX788 ARX788 is a HER2 ADC with a precisely placed, non-cleavable payload that beat lapatinib-capecitabine in China and showed activity in brain metastases. | Phase 3 | ADC | HER2 | HER2-positive breast cancer | Johnson & Johnson | none |
Atirmociclib PF-07220060 A next-generation pill that blocks only CDK4, not CDK6, to keep the benefit of today's drugs without the low blood counts. | Phase 3 | Small molecule | CDK4/6 | HR-positive / HER2-negative breast cancer | Pfizer | none |
Bemarituzumab FPA144 Bemarituzumab is an antibody against FGFR2b, a growth receptor overproduced in about a third of stomach cancers. It improved survival early in its phase 3 trial, but the gain faded with longer follow-up. | Phase 3 | Monoclonal antibody | FGFR2 | Gastric & gastro-oesophageal junction cancer | Amgen | none |
BGB-16673 Instead of blocking BTK, this pill destroys it, so it works even when the enzyme has mutated to escape every inhibitor. | Phase 3 | Degrader | BTK | Chronic lymphocytic leukaemia, Diffuse large B-cell lymphoma | BeOne Medicines | none |
Brenetafusp IMC-F106C Tebentafusp's successor: a soluble T-cell receptor that recognises a fragment of PRAME, a protein present in most melanomas and many other cancers, and drags T cells onto the tumour. | Phase 3 | T-cell engager | PRAME, CD3 | Melanoma, Ovarian cancer, Non-small-cell lung cancer | Immunocore | none |
Camrelizumab + rivoceranib SHR-1210 + apatinib A Chinese immunotherapy-plus-anti-angiogenic pill combination that clearly beat sorafenib in liver cancer, yet remains unapproved in the US after three manufacturing-related rejections. | Approved2023🇨🇳 | Small molecule | PD-1, VEGF / VEGFR | Hepatocellular carcinoma | Jiangsu Hengrui Pharmaceuticals, Elevar Therapeutics | 2023 |
Cretostimogene grenadenorepvec CG0070 Cretostimogene is a virus engineered to multiply only in bladder cancer cells with a broken RB pathway, instilled into the bladder. It cleared carcinoma in situ in 75% of BCG-unresponsive patients. | Phase 3 | Oncolytic virus | none | Bladder & urothelial cancer | CG Oncology | none |
DCVax-L A personalised vaccine made from the patient's own immune cells and tumour. Its 20-year-old phase 3 trial reported longer survival, but the way the result was analysed has divided the field. | Phase 3 | Vaccine | none | Glioma & glioblastoma | Northwest Biotherapeutics | none |
Divarasib GDC-6036 Divarasib is Roche's KRAS G12C pill, the first to beat the two approved KRAS drugs head-to-head (July 2026). | Phase 3 | Small molecule | KRAS | Non-small-cell lung cancer, Colorectal cancer | Roche / Genentech | none |
Fianlimab REGN3767 Fianlimab is Regeneron's LAG-3 blocker. Promising early data with cemiplimab did not hold up against pembrolizumab in a first-line phase 3 in 2026. | Phase 3 | Monoclonal antibody | LAG-3 | Melanoma | Regeneron | none |
Ficerafusp alfa BCA101 Ficerafusp alfa is an EGFR antibody fused to a TGF-beta sponge, designed to remove the immune-suppressing signal that keeps HPV-negative throat cancers cold. | Phase 3 | Bifunctional antibody (EGFR × TGF-β trap) | EGFR | Head and neck squamous cell carcinoma | none | none |
Galleri A blood test screening for more than 50 cancers at once, before the FDA in September 2026. | Phase 3 | Diagnostic test | none | none | GRAIL | none |
Giredestrant GDC-9545, RG6171 Giredestrant is Roche's oral SERD: it failed to beat an aromatase inhibitor in first-line metastatic disease but succeeded after surgery and after CDK4/6 failure. | Phase 3 | Small molecule | Estrogen receptor | HR-positive / HER2-negative breast cancer | Roche / Genentech | none |
Golcadomide CC-99282, BMS-986369 Golcadomide is a next-generation lenalidomide-like pill that degrades two lymphoma transcription factors far more potently, now in phase 3 with R-CHOP. | Phase 3 | Degrader | none | Diffuse large B-cell lymphoma | Bristol Myers Squibb | none |
Iberdomide CC-220 Iberdomide is a far more potent successor to lenalidomide, now in phase 3 as post-transplant maintenance and in relapsed disease. | Phase 3 | CELMoD (cereblon E3 ligase modulator) | none | Multiple myeloma | Bristol Myers Squibb | none |
Ifinatamab deruxtecan I-DXd, DS-7300 Ifinatamab deruxtecan is a B7-H3 ADC showing some of the best response rates ever seen in relapsed small-cell lung cancer. | Phase 3 | ADC | B7-H3 | Small-cell lung cancer, Prostate cancer | Daiichi Sankyo, Merck & Co. | none |
Intismeran autogene V940, mRNA-4157 A custom mRNA vaccine encoding up to 34 of a patient's own tumour mutations. In August 2026 it became the first personalised cancer vaccine to win a phase 3 trial. | Phase 3 | Vaccine | none | Melanoma, Non-small-cell lung cancer, Renal cell carcinoma, Bladder & urothelial cancer | Moderna, Merck & Co. | none |
Ivonescimab AK112, SMT112 A Chinese bispecific that beat Keytruda head-to-head on progression-free survival in lung cancer, the first drug ever to do so. | Approved2024🇨🇳 | Bispecific antibody | PD-1, VEGF / VEGFR | Non-small-cell lung cancer, Colorectal cancer, Triple-negative breast cancer | Akeso, Summit Therapeutics | 2024 |
Izalontamab brengitecan iza-bren, BL-B01D1 Izalontamab brengitecan is the first bispecific ADC to succeed in a phase 3 trial, hitting two growth receptors at once in triple-negative breast cancer. | Phase 3 | Bispecific ADC | EGFR, HER3 | Triple-negative breast cancer, Oesophageal cancer, Non-small-cell lung cancer, Bladder & urothelial cancer | SystImmune / Sichuan Biokin, Bristol Myers Squibb | none |
Luveltamab tazevibulin STRO-002 A folate-receptor ADC designed to work across low and high receptor levels, in a pivotal ovarian cancer trial. | Phase 3 | ADC | Folate receptor alpha | Ovarian cancer, Endometrial cancer | Sutro Biopharma | none |
Mevrometostat PF-06821497 An epigenetic drug that may re-sensitise prostate cancer to hormone therapy, in three phase 3 trials with enzalutamide. | Phase 3 | Small molecule | EZH2, Androgen receptor | Prostate cancer | Pfizer | none |
Mezigdomide CC-92480 Mezigdomide is the most potent oral cereblon modulator, producing responses in about 40% of triple-class-refractory myeloma with dexamethasone alone. | Phase 3 | CELMoD (cereblon E3 ligase modulator) | none | Multiple myeloma | Bristol Myers Squibb | none |
Neladalkib NVL-655 A fourth-generation ALK pill that works after lorlatinib and avoids the TRK-related brain side effects; under FDA priority review with a decision due 27 November 2026. | Phase 3 | Small molecule | ALK | Non-small-cell lung cancer | Nuvalent | none |
Nemtabrutinib MK-1026, ARQ-531 Nemtabrutinib is Merck's reversible BTK blocker, active against the C481S escape mutation, being tested against ibrutinib and acalabrutinib in first-line CLL. | Phase 3 | Small molecule | BTK | Chronic lymphocytic leukaemia | Merck & Co. | none |
Olomorasib LY3537982 Olomorasib is Lilly's KRAS G12C pill, designed to combine safely with immunotherapy in first-line lung cancer. | Phase 3 | Small molecule | KRAS | Non-small-cell lung cancer, Pancreatic ductal adenocarcinoma | Eli Lilly | none |
Pasritamig JNJ-78278343 J&J's prostate-specific T-cell engager, notable for very little cytokine release in early trials. | Phase 3 | T-cell engager | KLK2, CD3 | Prostate cancer | Johnson & Johnson | none |
Patritumab deruxtecan HER3-DXd, U3-1402 A HER3-directed ADC with Enhertu's payload, active in lung and all subtypes of breast cancer, but with a bumpy regulatory road. | Phase 3 | ADC | HER3 | Non-small-cell lung cancer, Triple-negative breast cancer, HR-positive / HER2-negative breast cancer | Daiichi Sankyo, Merck & Co. | none |
Petosemtamab MCLA-158 A two-armed antibody that blocks EGFR while gripping LGR5, a marker of cancer stem cells, so it hits the cells that regrow tumours. | Phase 3 | Bispecific antibody | EGFR, LGR5 | Head and neck squamous cell carcinoma, Colorectal cancer | Merus, Genmab | none |
Raludotatug deruxtecan R-DXd, DS-6000 Raludotatug deruxtecan is a CDH6 ADC in phase 3 for platinum-resistant ovarian cancer. | Phase 3 | ADC | CDH6 | Ovarian cancer, Renal cell carcinoma | Daiichi Sankyo, Merck & Co. | none |
Rinatabart sesutecan Rina-S, PRO1184 Rinatabart sesutecan is a next-generation folate-receptor ADC with a topoisomerase payload that responds in both ovarian and endometrial cancer regardless of receptor level. | Phase 3 | ADC | Folate receptor alpha | Ovarian cancer, Endometrial cancer | Genmab | none |
Sacituzumab tirumotecan sac-TMT, MK-2870, SKB264 Sacituzumab tirumotecan is a third TROP2 ADC from China, licensed to Merck for a very large global programme. It is approved in China; in the US it has a priority voucher but not yet approval. | Approved2024🇨🇳 | ADC | TROP2 | Triple-negative breast cancer, Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer, Endometrial cancer, Cervical cancer | Sichuan Kelun-Biotech, Merck & Co. | 2024 |
Sonesitatug vedotin CMG901, AZD0901 Sonesitatug vedotin is a Claudin 18.2 ADC in phase 3 for gastric cancer, licensed by AstraZeneca from KYM Biosciences. | Phase 3 | ADC | Claudin 18.2 | Gastric & gastro-oesophageal junction cancer, Pancreatic ductal adenocarcinoma | AstraZeneca | none |
Tinengotinib TT-00420 A next-generation FGFR inhibitor designed to work after pemigatinib or futibatinib stop working, now in a global phase 3. | Phase 3 | Small molecule | FGFR2 | Biliary tract cancer | TransThera Sciences | none |
Trastuzumab brengitecan BL-M07D1, T-Bren SystImmune's HER2 ADC, sharing its payload with iza-bren, now in a 1,450-patient trial to replace Kadcyla after surgery. | Phase 3 | ADC | HER2 | HER2-positive breast cancer | SystImmune / Sichuan Biokin | none |
Xaluritamig AMG 509 Xaluritamig is Amgen's T-cell engager for prostate cancer, now in two phase 3 trials, aiming to do for prostate cancer what tarlatamab did for small-cell lung cancer. | Phase 3 | T-cell engager | STEAP1, CD3 | Prostate cancer | Amgen | none |
Zilovertamab vedotin MK-2140 Zilovertamab vedotin is a ROR1-directed ADC in phase 3 for large B-cell lymphoma. | Phase 3 | ADC | ROR1 | Diffuse large B-cell lymphoma | Merck & Co. | none |
131I-MIBG (iobenguane I-131) therapy High-dose radioactive MIBG delivers radiation from inside neuroblastoma cells that take up noradrenaline; used for relapsed disease and tested in upfront therapy. | Established | Radiopharmaceutical | none | Neuroblastoma | none | none |
Afirma Genomic Sequencing Classifier Afirma GSC A gene test on the needle sample from a thyroid lump that can safely call an 'uncertain' result benign and spare an operation. | Established | Diagnostic test | none | Thyroid cancer | Veracyte | none |
Breast Cancer Index Breast Cancer Index (BCI) The only test designed to tell a woman who has finished five years of hormone therapy whether another five years is worth the side effects. | Established | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Hologic | none |
Capecitabine + temozolomide (CAPTEM) CAPTEM (capecitabine plus temozolomide) is an all-oral chemotherapy pair that shrinks pancreatic neuroendocrine tumours in about a third of patients. | Established | Chemotherapy | none | Neuroendocrine tumours | none | none |
Cxbladder Cxbladder Detect / Triage / Monitor A urine test that can rule out bladder cancer in people with blood in their urine, so fewer need a camera examination of the bladder. | Established | Diagnostic test | none | Bladder & urothelial cancer | Pacific Edge | none |
Decipher Prostate A 22-gene test on the biopsy or surgical specimen that predicts spread and death, used to decide on surveillance or adding hormone therapy. | Established | Diagnostic test | none | Prostate cancer | Veracyte | none |
EndoPredict EndoPredict A 12-gene test that combines gene activity with tumour size and lymph nodes to say whether hormone therapy alone is enough, and whether to continue it beyond five years. | Established | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Myriad Genetics | none |
Guardant Reveal Guardant Reveal A blood test for leftover cancer after surgery that needs no tumour sample, so results come faster than tumour-informed tests. | Established | Diagnostic test | none | Colorectal cancer, HR-positive / HER2-negative breast cancer, Non-small-cell lung cancer | Guardant Health | none |
MammaPrint (70-gene signature) A 70-gene test that tells whether an early breast cancer is genomically low or high risk, used to decide who can skip chemotherapy. | Established | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Agendia | 2007 |
Mia (Mammography Intelligent Assessment) Mia A London-built breast screening AI trialled across NHS sites as a second reader, now folded into RadNet's DeepHealth after a 2024 acquisition. | Established | Diagnostic test | none | HR-positive / HER2-negative breast cancer, Triple-negative breast cancer | Kheiron Medical Technologies | 2019 |
Oncotype DX A 21-gene test that tells most women with early hormone-positive breast cancer whether they can safely skip chemotherapy. | Established | Diagnostic test | none | HR-positive / HER2-negative breast cancer | Exact Sciences | none |
Oncotype DX Genomic Prostate Score Oncotype DX GPS A 17-gene biopsy test that helps men with newly diagnosed low-risk prostate cancer decide whether to watch or treat. | Established | Diagnostic test | none | Prostate cancer | MDxHealth | none |
Prolaris Prolaris A gene test on a prostate biopsy that estimates how aggressive the cancer is, to help decide between active surveillance and treatment. | Established | Diagnostic test | none | Prostate cancer | Myriad Genetics | none |
RaDaR RaDaR NeoGenomics' personalised blood test for tiny amounts of leftover cancer, tracking up to 48 mutations from the patient's own tumour. | Established | Diagnostic test | none | Head and neck squamous cell carcinoma, Non-small-cell lung cancer, HR-positive / HER2-negative breast cancer, Triple-negative breast cancer | NeoGenomics | none |
Signatera The most widely used blood test for detecting leftover cancer after surgery, personalised to each patient's tumour mutations. | Established | Diagnostic test | none | Colorectal cancer, Bladder & urothelial cancer, Triple-negative breast cancer, Non-small-cell lung cancer | Natera | none |
212Pb-DOTAMTATE AlphaMedix An alpha-particle version of neuroendocrine radioligand therapy that produced responses in over half of patients who had never had PRRT, with FDA Breakthrough designation. | Phase 2 | Radiopharmaceutical | Somatostatin receptor 2 | Neuroendocrine tumours | Orano Med, RadioMedix, Sanofi | none |
Autogene cevumeran BNT122, RO7198457 BioNTech's personalised vaccine, notable for a small pancreatic cancer study where vaccine responders stayed cancer-free for years. | Phase 2 | Vaccine | none | Pancreatic ductal adenocarcinoma, Colorectal cancer, Melanoma | BioNTech, Roche / Genentech | none |
ELI-002 7P A ready-made vaccine against the seven commonest KRAS mutations, given after pancreatic cancer surgery. Its phase 2 missed the main goal in 2026 but showed signs of activity. | Phase 2 | Vaccine | KRAS | Pancreatic ductal adenocarcinoma, Colorectal cancer | Elicio Therapeutics | none |
Elironrasib RMC-6291 A next-generation KRAS G12C drug that hits the active form of the protein, from the same company as daraxonrasib. | Phase 2 | Small molecule | KRAS | Non-small-cell lung cancer, Colorectal cancer, Pancreatic ductal adenocarcinoma | Revolution Medicines | none |
FAP-2286 (177Lu / 68Ga) FAP-2286 A FAP-targeted theranostic pair: one version images almost any solid tumour, the other treats it with radiation. | Phase 2 | Radiopharmaceutical | FAP | Pancreatic ductal adenocarcinoma, Sarcomas, Triple-negative breast cancer | Novartis | none |
Letetresgene autoleucel lete-cel, GSK3377794 Letetresgene autoleucel is a second engineered T-cell receptor therapy for sarcoma, targeting NY-ESO-1 in synovial sarcoma and myxoid/round cell liposarcoma; a BLA is expected by the end of 2026. | Phase 2 | Cell therapy | none | Sarcomas | US WorldMeds | none |
Puxitatug samrotecan AZD8205 Puxitatug samrotecan is a B7-H4 ADC targeting a checkpoint-like protein enriched in breast, ovarian, and endometrial cancers. | Phase 2 | ADC | none | Triple-negative breast cancer, Ovarian cancer, Endometrial cancer | AstraZeneca | none |
Tilatamig samrotecan AZD9592 AstraZeneca's EGFR×c-MET bispecific ADC, the most advanced in the most crowded next-generation ADC target pair. | Phase 2 | Bispecific ADC | EGFR, MET | Non-small-cell lung cancer, Head and neck squamous cell carcinoma | AstraZeneca | none |
Zelenectide pevedotin BT8009 A tiny peptide instead of an antibody carries the same payload as Padcev to Nectin-4, with far less rash and neuropathy in early data, but its developer stepped back in 2026. | Phase 2 | Bicycle toxin conjugate (Nectin-4, MMAE) | Nectin-4 | Bladder & urothelial cancer | Bicycle Therapeutics | none |
Zoldonrasib RMC-9805 The first drug aimed specifically at KRAS G12D, the single most common mutation in pancreatic cancer. Early combination data in 2026 showed half of previously treated patients responding. | Phase 2 | Small molecule | KRAS | Pancreatic ductal adenocarcinoma, Non-small-cell lung cancer, Colorectal cancer | Revolution Medicines | none |
Cancerguard Cancerguard Exact Sciences' multi-cancer blood test, sold since 2025 as a lab test that has not been through FDA approval. | Emerging | Diagnostic test | none | none | Exact Sciences | none |
Oncodetect Oncodetect Exact Sciences' entry into the leftover-cancer blood test market, launched in 2025 for bowel cancer follow-up. | Emerging | Diagnostic test | none | Colorectal cancer | Exact Sciences | none |
AK146D1 AK146D1 is Akeso's Nectin-4 × TROP2 bispecific ADC, combining the two most validated ADC addresses in one molecule. | Phase 1 | Bispecific ADC | Nectin-4, TROP2 | Bladder & urothelial cancer, Triple-negative breast cancer, Non-small-cell lung cancer | Akeso | none |
ISB 2001 ISB 2001 An Indian-discovered antibody that grips two targets on myeloma cells at once while pulling in T cells to kill them, licensed to AbbVie in 2025 in the biggest deal yet for an Indian cancer drug. | Phase 1 | T-cell engager | BCMA, CD38 | Multiple myeloma | Glenmark Pharmaceuticals, AbbVie | none |
MRTX1133 MRTX1133 was the first potent chemical tool against KRAS G12D, and proved the mutation could be drugged even though it lacks the reactive handle G12C has. | Phase 1 | Small molecule | KRAS | Pancreatic ductal adenocarcinoma, Colorectal cancer | Bristol Myers Squibb | none |
Interferon alfa-2a/2b Roferon-A / Intron A / Sylatron Interferon alfa was the first biologic cancer drug (1986). It treated hairy cell leukaemia, CML, melanoma, kidney cancer and Kaposi sarcoma, and has been replaced almost everywhere by better-tolerated agents. | Historic | Recombinant type I interferon (cytokine) | none | Hairy cell leukaemia, Chronic myeloid leukaemia, Melanoma, Kaposi sarcoma, Renal cell carcinoma | none | 1986–1995 |
Bempegaldesleukin NKTR-214, bempeg Bempegaldesleukin was a re-engineered interleukin-2 meant to be a safer version of a famous old immunotherapy. It added nothing to nivolumab in three phase 3 trials. | Negative | Engineered cytokine (PEGylated IL-2) | none | Melanoma, Renal cell carcinoma, Bladder & urothelial cancer | Bristol Myers Squibb | none |
Epacadostat INCB024360 An enzyme blocker meant to stop tumours starving T cells of tryptophan. Its 2018 phase 3 failure ended an entire class overnight. | Negative | Small molecule | none | Melanoma | Merck & Co. | none |
Eprenetapopt APR-246 Eprenetapopt (APR-246) was a drug meant to refold mutant p53, the most common broken protein in cancer. Its phase 3 in blood cancer failed in 2020. | Negative | TP53 | Acute myeloid leukaemia | none | none | |
Iniparib BSI-201, SAR240550 Billed as the first PARP inhibitor for triple-negative breast cancer, it failed its phase 3 in 2011. It turned out not to inhibit PARP at all. | Negative | Small molecule | PARP | Triple-negative breast cancer, Non-small-cell lung cancer | Sanofi | none |
Nintedanib Ofev (fibrosis); Vargatef (NSCLC, EU) An anti-angiogenic pill that looked promising in mesothelioma in a small trial but failed in the large one. | Approved2014🇪🇺🇬🇧 | Small molecule | VEGF / VEGFR, FGFR2 | Mesothelioma | Boehringer Ingelheim | 2014 |
Rindopepimut CDX-110 A vaccine against a glioblastoma-specific mutant protein that looked promising for years and then failed its phase 3 trial in 2016. It is a landmark failure. | Negative | Vaccine | EGFR | Glioma & glioblastoma | none | none |
Tiragolumab RG6058, MTIG7192A An immune-brake blocker that looked excellent in a phase 2 lung cancer trial and then failed every phase 3. | Negative | Monoclonal antibody | TIGIT, PD-L1 | Non-small-cell lung cancer, Small-cell lung cancer | Roche / Genentech | none |
ADU-S100 (MIW815) ADU-S100 ADU-S100 was the first STING agonist in the clinic. Injected directly into tumours, it produced almost no responses, alone or with checkpoint blockade. | Withdrawn | Small molecule (STING agonist, intratumoural) | none | Melanoma, Head and neck squamous cell carcinoma | Novartis | none |
Copanlisib Aliqopa Copanlisib is an intravenous PI3K inhibitor for relapsed follicular lymphoma, approved in 2017 and withdrawn in 2023 when its confirmatory trial failed. | Withdrawn | Small molecule | PIK3CA / PI3K-alpha | Follicular lymphoma | Bayer | 2017 |
Iobenguane I-131 (therapeutic) Azedra Azedra was a radioactive drug that homed in on adrenal-type tumours (phaeochromocytoma and paraganglioma) that could not be removed and delivered radiation from inside. It was approved in 2018 and discontinued by its maker in 2024. | Withdrawn | Radiopharmaceutical therapy (beta and gamma emitter) | none | Neuroendocrine tumours | Lantheus | 2018 |
Magrolimab Hu5F9-G4, GS-4721 The first 'don't eat me' signal blocker. Gilead paid $4.9B for it; it was stopped in 2024 after trials showed more deaths, not fewer. | Withdrawn | Monoclonal antibody | CD47 | Acute myeloid leukaemia | Gilead Sciences | none |
Masofaniten EPI-7386 A drug designed to block the part of the androgen receptor that resistant variants keep; its phase 2 was stopped for futility and development ended. | Withdrawn | Androgen receptor | Prostate cancer | ESSA Pharma | none | |
Melphalan flufenamide Pepaxto · melflufen A myeloma drug given accelerated approval in 2021 and withdrawn in the US months later when its confirmatory trial suggested it shortened survival. | Withdrawn | Peptide-drug conjugate | none | Multiple myeloma | none | none |
Mobocertinib Exkivity Mobocertinib was the first oral drug for EGFR exon 20 insertion lung cancer, approved in 2021 and withdrawn in 2023-24 after its confirmatory trial failed. | Withdrawn | Small molecule | EGFR | Non-small-cell lung cancer | Takeda | 2021 |
Moxetumomab pasudotox Lumoxiti An immunotoxin for hairy cell leukaemia that produced lasting remissions in relapsed patients but was withdrawn from sale in 2023 for commercial reasons. | Withdrawn | Anti-CD22 immunotoxin (Pseudomonas exotoxin A fragment) | CD22 | Hairy cell leukaemia | AstraZeneca | 2018 |
Panobinostat Farydak An HDAC inhibitor for relapsed myeloma approved in 2015 and withdrawn in 2021 after its confirmatory trial was never completed. | Approved2015🇪🇺 | Small molecule | none | Multiple myeloma | none | 2015 |
Rovalpituzumab tesirine Rova-T, SC16LD6.5 Rovalpituzumab tesirine (Rova-T) was the first drug against DLL3 in small-cell lung cancer. AbbVie bought it for $5.8B and abandoned it after two failed phase 3 trials. The target later worked with a different weapon. | Withdrawn | ADC | DLL3 | Small-cell lung cancer | AbbVie | none |
Tazemetostat Tazverik Tazemetostat was the first EZH2 inhibitor, approved for epithelioid sarcoma and follicular lymphoma in 2020 and withdrawn worldwide in 2026 after secondary blood cancers. | Withdrawn | Small molecule | EZH2 | Follicular lymphoma, Sarcomas | Ipsen | 2020 |
Trastuzumab duocarmazine SYD985 A HER2 ADC with a DNA-alkylating payload that beat chemotherapy in a phase 3 trial yet never reached the market, because eye and lung toxicity and a stronger rival arrived first. | Withdrawn | ADC | HER2 | HER2-positive breast cancer | none | none |
Tusamitamab ravtansine SAR408701 Tusamitamab ravtansine was Sanofi's ADC against the classic CEA tumour marker, stopped for futility in lung cancer in 2023. | Withdrawn | ADC | CEACAM5 | Non-small-cell lung cancer | Sanofi | none |
Umbralisib Ukoniq A PI3K inhibitor for marginal zone and follicular lymphoma approved in 2021 and withdrawn in 2022 after the UNITY-CLL trial suggested more deaths. | Withdrawn | Small molecule | PIK3CA / PI3K-alpha | Follicular lymphoma, Chronic lymphocytic leukaemia | none | 2021 |