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Imfinzi (durvalumab)
Imfinzi works by blocking the PD-L1 protein, allowing the immune system to recognize and attack cancer cells.
Imfinzi (durvalumab) is a programmed death ligand-1 blocker developed by AstraZeneca UK Ltd. It targets the PD-L1 protein to prevent cancer cells from evading the immune system. Imfinzi is approved to treat various types of cancer, including non-small cell lung cancer, small cell lung cancer, and liver cell carcinoma. The drug is patented and commercially available. Key safety considerations include immune-mediated adverse reactions and infusion-related reactions.
At a glance
| Generic name | durvalumab |
|---|---|
| Sponsor | AstraZeneca |
| Drug class | Programmed Death Ligand-1 Blocker [EPC] |
| Target | Programmed cell death 1 ligand 1 |
| Modality | Monoclonal antibody |
| Therapeutic area | Oncology |
| Phase | FDA-approved |
| First approval | 2017 |
| Annual revenue | 4900 |
Mechanism of action
Expression of programmed cell death ligand-1 (PD-L1) can be induced by inflammatory signals (e.g., IFN-gamma) and can be expressed on both tumor cells and tumor-associated immune cells in the tumor microenvironment. PD-L1 blocks T-cell function and activation through interaction with PD-1 and CD80 (B7.1). By binding to its receptors, PD-L1 reduces cytotoxic T-cell activity, proliferation, and cytokine production.Durvalumab is human immunoglobulin G1 kappa (IgG1) monoclonal antibody that binds to PD-L1 and blocks the interaction of PD-L1 with PD-1 and CD80 (B7.1). Blockade of PD-L1/PD-1 and PD-L1/CD80 interactions releases the inhibition of immune responses, without inducing antibody dependent cell-mediated cytotoxicity (ADCC).PD-L1 blockade with durvalumab led to increased T-cell activation in vitro and decreased tumor size in co-engrafted human tumor and immune cell xenograft mouse models.
Approved indications
- Extensive stage primary small cell carcinoma of lung
- Liver cell carcinoma
- Metastatic carcinoma to biliary tract
- Non-small cell lung cancer
- Small cell carcinoma of lung
- Transitional cell carcinoma
Common side effects
- Pneumonitis/Radiation Pneumonitis
- Cough
- Fatigue
- Dyspnea
- Upper respiratory tract infections
- Rash
- Pneumonia
- Diarrhea
- Abdominal pain
- Hypothyroidism
- Pruritus
- Nausea
Key clinical trials
- A Global Study to Assess the Effects of MEDI4736 Following Concurrent Chemoradiation in Patients With Stage III Unresectable Non-Small Cell Lung Cancer (PHASE3)
- Durvalumab ± Tremelimumab in Combination With Platinum Based Chemotherapy in Untreated Extensive-Stage Small Cell Lung Cancer (CASPIAN) (PHASE3)
- Durvalumab in Combination With Chemotherapy in Treating Patients With Advanced Solid Tumors, DURVA+ Trial (PHASE2)
- Immunotherapy After Surgery for People Who Have No Remaining Cancer Cells After Standard Treatment for Early-Stage Non-Small Cell Lung Cancer, INSIGHT Trial (PHASE3)
- Durvalumab as Consolidation for Patients LS-SCLC (PHASE2)
- Durvalumab With Gemcitabine and Cisplatin for the Treatment of High-Risk Resectable Liver Cancer Before Surgery (PHASE2)
- Testing the Addition of an Individualized Vaccine to Durvalumab and Tremelimumab and Chemotherapy in Patients With Metastatic Triple Negative Breast Cancer (PHASE2)
- Testing the Addition of an Anti-Cancer Drug, TRC102, to the Usual Chemotherapy Treatment (Pemetrexed, Cisplatin or Carboplatin) During Radiation Therapy for Stage III Non-Squamous Non-Small Cell Lung Cancer (PHASE2)
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| FDA label | Mechanism, indications, dosing, boxed warnings, drug interactions |
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |
| SEC EDGAR | Revenue + earnings |
Competitive intelligence
For the full competitive landscape — auto-detected comparators, recent regulatory actions across the set, upcoming PDUFA, patent timeline, sponsor landscape:
- Imfinzi CI brief — competitive landscape report
- Imfinzi updates RSS · CI watch RSS
- AstraZeneca portfolio CI