Clinical Trials

Donafenib has been evaluated across numerous clinical trials ranging from Phase 1 through Phase 4, assessing its application in hepatocellular carcinoma, advanced gastrointestinal tumors, differentiated thyroid cancer, cholangiocarcinoma, metastatic colorectal cancer, and healthy adult male pharmacokinetics. Sponsored by commercial developers such as Suzhou Zelgen Biopharmaceuticals as well as academic medical centers including Peking Union Medical College Hospital and Fudan University, these studies encompass recruiting, active not recruiting, and completed recruitment statuses.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07729592 NOT_YET_RECRUITING
Hepatocellular Carcinoma (HCC)
Sun Yat-sen University
2026-07 PHASE2
NCT07557914 NOT_YET_RECRUITING
HCC - Hepatocellular Carcinoma; Diabetes
Haibo Shao
2026-06 PHASE2
NCT07790419 NOT_YET_RECRUITING
Liver Cancer
Zhai Wenlong
2026-08-30 PHASE4
NCT07353827 NOT_YET_RECRUITING
Intrahepatic Cholangiocarcinoma (Icc); Hepatic Arterial Infusion Chemotherapy
Sun Yat-sen University
2026-02-01 PHASE2
NCT06581315 RECRUITING
Hepatocellular Carcinoma; Adjuvant Therapy
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2024-08-28
NCT07584018 NOT_YET_RECRUITING
HCC - Hepatocellular Carcinoma
Tianjin Medical University Cancer Institute and Hospital
2026-05-20 PHASE2
NCT06498622 RECRUITING
Hepatocellular Carcinoma
Anhui Provincial Hospital
2024-07-20 PHASE2
NCT07157306 NOT_YET_RECRUITING
Hepatocellular Carcinoma
Tianjin Medical University Cancer Institute and Hospital
2025-09-10 PHASE2
NCT06812039 RECRUITING
Hepato Cellular Carcinoma (HCC)
Fudan University
2025-01-01 PHASE2
NCT05668884 RECRUITING
Biliary Tract Carcinoma
Fudan University
2022-10-18 PHASE2
NCT07230314 NOT_YET_RECRUITING
Unresectable Hepatocellular Carcinoma
Jinling Hospital, China
2025-11-30 PHASE2
NCT06685289 RECRUITING
Biliary Malignant Tumors
The First Affiliated Hospital with Nanjing Medical University
2024-11-15 PHASE2
NCT06609876 RECRUITING
Hepatocellular Carcinoma; Microwave Ablation; Donafenib; Recurrent Tumor
Sun Yat-sen University
2024-10-01
NCT06496815 NOT_YET_RECRUITING
Unresectable Hepatocellular Carcinoma
Tongji Hospital
2024-08-01 PHASE4
NCT06512467 NOT_YET_RECRUITING
Hepatocellular Carcinoma
Tianjin Medical University Cancer Institute and Hospital
2024-07-30 PHASE2
NCT06646198 RECRUITING
Hepatocellular Carcinoma with PVTT
Fei Gao
2024-10-08 PHASE2
NCT05507632 ACTIVE_NOT_RECRUITING
Unresectable Hepatocellular Carcinoma
Nanfang Hospital, Southern Medical University
2022-08-18 PHASE2
NCT06239298 UNKNOWN
Solid Tumor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2024-05-10 PHASE1; PHASE2
NCT06244225 RECRUITING
Hepatocellular Carcinoma
Union Hospital, Tongji Medical College, Huazhong University of Science and Technology
2024-01-01 PHASE2
NCT06233994 UNKNOWN
Advanced Hepatocellular Carcinoma
Changsha Taihe Hospital
2024-01
NCT04418401 COMPLETED
Hepatocellular Carcinoma
Zhejiang University
2020-06-11 PHASE1
NCT05171166 TERMINATED
Hepatocellular Carcinoma
Peking University
2021-12-24 PHASE2; PHASE3
NCT05348811 COMPLETED
Cholangiocarcinoma
Zhongda Hospital
2022-06-13 PHASE2
NCT04962958 COMPLETED
Carcinoma; Carcinoma, Hepatocellular; Liver Neoplasms; Digestive System Neoplasms; Antineoplastic Agents; Donafenib; Fluorouracil; Oxaliplatin; Antimetabolites
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2021-12-27 PHASE2
NCT06787911 RECRUITING
Thyroid Cancer
Yu Wang
2024-07-24 PHASE2
NCT06482086 RECRUITING
Locally Advanced Thyroid Gland Carcinoma
West China Hospital
2021-06-01 PHASE2
NCT04605185 UNKNOWN
Unresectable Hepatocellular Carcinoma
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2021-01-08 PHASE1
NCT05576909 UNKNOWN
Hepatocellular Carcinoma
Beijing Tsinghua Chang Gung Hospital
2023-03-30 PHASE2
NCT05262959 COMPLETED
Donafenib
Shanghai Zhongshan Hospital
2021-12-01 PHASE2
NCT05310331 UNKNOWN
Targeted Therapy; Chemotherapy; Recurrent Cervical Carcinoma; Metastatic Cervical Carcinoma; Persistent Advanced Cervical Carcinoma; Survival Outcomes; Adverse Effect
Lei Li
2022-03-27 PHASE2
NCT04472858 UNKNOWN
Advanced Solid Tumor
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2020-10-15 PHASE1
NCT04503902 UNKNOWN
Advanced Hepatocellular Carcinoma
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2020-10-15 PHASE1; PHASE2
NCT05161143 UNKNOWN
Hepatocellular Carcinoma
Peking Union Medical College Hospital
2021-12 PHASE2
NCT05166772 UNKNOWN
Hepatocellular Carcinoma
Tianjin Medical University Cancer Institute and Hospital
2021-12 PHASE2
NCT05545124 UNKNOWN
Hepatocellular Carcinoma
Henan Cancer Hospital
2022-11 PHASE2
NCT05493332 UNKNOWN
Hepatocellular Carcinoma
Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
2022-09 PHASE2
NCT05022628 UNKNOWN
HCC; Chemotherapy Effect
Anhui Provincial Hospital
2021-09-30 PHASE4
NCT05138159 UNKNOWN
Metastatic Pancreatic Cancer
Fudan University
2021-12-01 PHASE2
NCT05350943 UNKNOWN
Biliary Tract Adenocarcinoma
Lu Wang, MD, PhD
2022-03-01 PHASE2
NCT05162352 COMPLETED
Hepatocellular Carcinoma
Second Affiliated Hospital of Guangzhou Medical University
2021-12-04 PHASE2
NCT04612712 TERMINATED
Advanced Gastrointestinal Tumors
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2021-01-19 PHASE1; PHASE2
NCT04979663 UNKNOWN
Biliary Tract Carcinoma
Fudan University
2020-12-01 PHASE1; PHASE2
NCT04402723 TERMINATED
Acute Myeloid Leukemia (AML)
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2018-11-06 PHASE1
NCT02698111 TERMINATED
Nasopharyngeal Carcinoma
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2017-02-08 PHASE1; PHASE2
NCT03602495 TERMINATED
Differentiated Thyroid Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2018-08-29 PHASE3
NCT04612712 Recruiting
Advanced Gastrointestinal Tumors
Suzhou Zelgen Biopharmaceuticals Co.Ltd|Jiangsu Alphamab Biopharmaceuticals Co. Ltd
2021-01-19 Phase 1|Phase 2
NCT02489201 TERMINATED
Oesophageal Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2015-07-21 PHASE1; PHASE2
NCT04059874 UNKNOWN
Non-small Cell Lung Cancer
First Affiliated Hospital of Zhejiang University
2019-07-31 PHASE1
NCT02870582 COMPLETED
Metastatic Colorectal Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2016-12-28 PHASE3
NCT02645981 COMPLETED
HCC
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2016-03 PHASE2; PHASE3
NCT02489214 TERMINATED
Gastric Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2016-05-16 PHASE1; PHASE2
NCT04816123 COMPLETED
Healthy Male Adult
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2018-10-09 PHASE1
NCT04816123 Completed
Healthy Male Adult
Suzhou Zelgen Biopharmaceuticals Co.Ltd
2018-10-09 Phase 1
NCT02870569 COMPLETED
Differentiated Thyroid Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2016-09 PHASE2
NCT02229071 COMPLETED
HCC
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2014-04 PHASE1; PHASE2
NCT02489916 COMPLETED
Metastatic Colorectal Cancer
Suzhou Zelgen Biopharmaceuticals Co.,Ltd
2014-03 PHASE1; PHASE2

(data from https://clinicaltrials.gov, updated on 2026-07-27)

Check the Donafenib (Sorafenib D3) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Donafenib binds to and inhibits serine/threonine kinases Raf-1 and B-RAF as well as receptor tyrosine kinases VEGFR-2 and VEGFR-3, thereby disrupting downstream RAF/MEK/ERK signaling cascades and vascular endothelial growth factor receptor pathways. This biochemical blockade suppresses tumor cell proliferation and tumor angiogenesis, demonstrating direct clinical relevance in inhibiting disease progression in solid tumors such as hepatocellular carcinoma and advanced gastrointestinal malignancies.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.