Clinical Trials

Multiple Phase 1 through Phase 3 clinical trials evaluate the safety, efficacy, and pharmacokinetics of erdafitinib in urothelial carcinoma, FGFR-altered solid tumors, pediatric malignancies, and bladder cancer, incorporating Phase 2 basket studies and novel intravesical delivery systems like TAR-210. Spanning active, recruiting, completed, and terminated statuses, these clinical trials are sponsored by pharmaceutical entities such as Janssen Research & Development alongside academic institutions and cooperative groups including the National Cancer Institute.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT06204614 ENROLLING_BY_INVITATION
Muscle Invasive Bladder Urothelial Carcinoma
Brigham and Women's Hospital
2024-06-14 EARLY_PHASE1
NCT06319820 RECRUITING
Non-Muscle Invasive Bladder Neoplasms
Janssen Research & Development, LLC
2024-04-18 PHASE3
NCT06919965 RECRUITING
Non-Muscle Invasive Bladder Neoplasms
Janssen Research & Development, LLC
2025-09-10 PHASE3
NCT05316155 ACTIVE_NOT_RECRUITING
Non-Muscle Invasive Bladder Neoplasms
Janssen Research & Development, LLC
2022-04-11 PHASE1; PHASE2
NCT02925234 RECRUITING
Cancer; Tumors; Neoplasm; Neoplasia
The Netherlands Cancer Institute
2016-08 PHASE2
NCT04917809 ACTIVE_NOT_RECRUITING
Bladder Cancer; Recurrent Bladder Cancer; FGFR3 Gene Mutation
Memorial Sloan Kettering Cancer Center
2022-02-17 PHASE2
NCT02465060 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Bladder Carcinoma; Breast Carcinoma; Cervical Carcinoma; Colon Carcinoma; Colorectal Carcinoma; Endometrial Carcinoma; Esophageal Carcinoma; Exocrine Pancreas Carcinoma; Gastric Carcinoma; Glioma; Head and Neck Carcinoma; Hematopoietic and Lymphoid Cell Neoplasm; Kidney Carcinoma; Liver Carcinoma; Lung Carcinoma; Lymphoma; Malignant Uterine Corpus Neoplasm; Malignant Uterine Neoplasm; Melanoma; Multiple Myeloma; Ovarian Carcinoma; Prostate Carcinoma; Rectal Carcinoma; Recurrent Bladder Carcinoma; Recurrent Breast Carcinoma; Recurrent Cervical Carcinoma; Recurrent Colon Carcinoma; Recurrent Colorectal Carcinoma; Recurrent Esophageal Carcinoma; Recurrent Gastric Carcinoma; Recurrent Glioma; Recurrent Head and Neck Carcinoma; Recurrent Liver Carcinoma; Recurrent Lung Carcinoma; Recurrent Lymphoma; Recurrent Malignant Solid Neoplasm; Recurrent Malignant Uterine Corpus Neoplasm; Recurrent Melanoma; Recurrent Multiple Myeloma; Recurrent Ovarian Carcinoma; Recurrent Pancreatic Carcinoma; Recurrent Prostate Carcinoma; Recurrent Rectal Carcinoma; Recurrent Skin Carcinoma; Recurrent Thyroid Gland Carcinoma; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma; Skin Carcinoma; Thyroid Gland Carcinoma
National Cancer Institute (NCI)
2015-08-17 PHASE2
NCT04963153 ACTIVE_NOT_RECRUITING
Locally Advanced Bladder Urothelial Carcinoma; Locally Advanced Renal Pelvis Urothelial Carcinoma; Locally Advanced Ureter Urothelial Carcinoma; Locally Advanced Urethral Urothelial Carcinoma; Locally Advanced Urothelial Carcinoma; Metastatic Bladder Urothelial Carcinoma; Metastatic Renal Pelvis Urothelial Carcinoma; Metastatic Ureter Urothelial Carcinoma; Metastatic Urethral Urothelial Carcinoma; Metastatic Urothelial Carcinoma; Recurrent Bladder Urothelial Carcinoma; Recurrent Renal Pelvis Urothelial Carcinoma; Recurrent Ureter Urothelial Carcinoma; Recurrent Urethral Urothelial Carcinoma; Recurrent Urothelial Carcinoma; Stage IIIB Bladder Cancer AJCC v8; Stage IV Bladder Cancer AJCC v8; Stage IV Renal Pelvis Cancer AJCC v8; Stage IV Ureter Cancer AJCC v8; Stage IV Urethral Cancer AJCC v8
National Cancer Institute (NCI)
2022-07-07 PHASE1
NCT05859334 ACTIVE_NOT_RECRUITING
Recurrent Glioma; Recurrent WHO Grade 2 Glioma; Recurrent WHO Grade 3 Glioma; Recurrent WHO Grade 4 Glioma
National Cancer Institute (NCI)
2024-01-04 PHASE2
NCT06511648 RECRUITING
Muscle-invasive Bladder Cancer
Spanish Oncology Genito-Urinary Group
2023-03-07 PHASE2
NCT04754425 TERMINATED
Castration-Resistant Prostate Carcinoma; Castration-Resistant Prostate Carcinoma Refractory to Second-Generation Androgen Receptor Axis-Targeted Agents; Metastatic Malignant Neoplasm in the Bone; Metastatic Prostate Adenocarcinoma; Metastatic Prostate Small Cell Neuroendocrine Carcinoma; Stage IV Prostate Cancer AJCC v8; Stage IVA Prostate Cancer AJCC v8; Stage IVB Prostate Cancer AJCC v8
M.D. Anderson Cancer Center
2021-07-15 PHASE2
NCT03155620 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Ann Arbor Stage III Non-Hodgkin Lymphoma; Ann Arbor Stage IV Non-Hodgkin Lymphoma; Histiocytic Sarcoma; Juvenile Xanthogranuloma; Langerhans Cell Histiocytosis; Malignant Glioma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Ependymoma; Recurrent Ewing Sarcoma; Recurrent Glioma; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Germ Cell Tumor; Recurrent Malignant Solid Neoplasm; Recurrent Medulloblastoma; Recurrent Neuroblastoma; Recurrent Non-Hodgkin Lymphoma; Recurrent Osteosarcoma; Recurrent Peripheral Primitive Neuroectodermal Tumor; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Recurrent Soft Tissue Sarcoma; Refractory Ewing Sarcoma; Refractory Glioma; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Germ Cell Tumor; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Osteosarcoma; Refractory Peripheral Primitive Neuroectodermal Tumor; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Refractory Rhabdomyosarcoma; Rhabdoid Tumor; Stage III Osteosarcoma AJCC v7; Stage III Soft Tissue Sarcoma AJCC v7; Stage IV Osteosarcoma AJCC v7; Stage IV Soft Tissue Sarcoma AJCC v7; Stage IVA Osteosarcoma AJCC v7; Stage IVB Osteosarcoma AJCC v7; Wilms Tumor
National Cancer Institute (NCI)
2017-07-31 PHASE2
NCT05567185 ACTIVE_NOT_RECRUITING
Urinary Bladder Neoplasms; Receptors, Fibroblast Growth Factor
Janssen Pharmaceutical K.K.
2023-03-03 PHASE1
NCT03732703 COMPLETED
Relapsed Refractory Multiple Myeloma
Multiple Myeloma Research Consortium
2019-04-01 PHASE1; PHASE2
NCT04172675 COMPLETED
Urinary Bladder Neoplasms
Janssen Research & Development, LLC
2020-02-28 PHASE2
NCT03390504 ACTIVE_NOT_RECRUITING
Urothelial Cancer
Janssen Research & Development, LLC
2018-03-23 PHASE3
NCT05564416 WITHDRAWN
Bladder Carcinoma; Bladder Urothelial Carcinoma; Muscle Invasive Bladder Carcinoma; Renal Pelvis and Ureter Urothelial Carcinoma; Stage II Bladder Cancer AJCC v8; Stage III Bladder Cancer AJCC v8; Stage IVA Bladder Cancer AJCC v8; Urothelial Carcinoma
National Cancer Institute (NCI)
2023-10-12 PHASE2
NCT04083976 COMPLETED
Advanced Solid Tumor
Janssen Research & Development, LLC
2019-11-20 PHASE2
NCT03210714 ACTIVE_NOT_RECRUITING
Advanced Malignant Solid Neoplasm; Recurrent Childhood Ependymoma; Recurrent Childhood Malignant Germ Cell Tumor; Recurrent Childhood Medulloblastoma; Recurrent Childhood Non-Hodgkin Lymphoma; Recurrent Childhood Osteosarcoma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Childhood Soft Tissue Sarcoma; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Hepatoblastoma; Recurrent Langerhans Cell Histiocytosis; Recurrent Malignant Glioma; Recurrent Malignant Solid Neoplasm; Recurrent Neuroblastoma; Recurrent Primary Central Nervous System Neoplasm; Recurrent Rhabdoid Tumor; Refractory Childhood Malignant Germ Cell Tumor; Refractory Childhood Osteosarcoma; Refractory Childhood Rhabdomyosarcoma; Refractory Childhood Soft Tissue Sarcoma; Refractory Ependymoma; Refractory Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Refractory Hepatoblastoma; Refractory Langerhans Cell Histiocytosis; Refractory Malignant Glioma; Refractory Malignant Solid Neoplasm; Refractory Medulloblastoma; Refractory Neuroblastoma; Refractory Non-Hodgkin Lymphoma; Refractory Primary Central Nervous System Neoplasm; Refractory Rhabdoid Tumor; Wilms Tumor
National Cancer Institute (NCI)
2018-06-05 PHASE2
NCT05567185 Recruiting
Urinary Bladder Neoplasms|Receptors Fibroblast Growth Factor
Janssen Pharmaceutical K.K.
2023-03-03 Phase 1
NCT03827850 TERMINATED
Lung Cancer; NSCLC; Pulmonary Neoplasm; Squamous Cell Lung Cancer; NSCLC Stage IV
Lung Cancer Group Cologne
2019-03-25 PHASE2
NCT03473743 ACTIVE_NOT_RECRUITING
Urothelial Carcinoma
Janssen Research & Development, LLC
2018-04-05 PHASE1; PHASE2
NCT02365597 ACTIVE_NOT_RECRUITING
Urothelial Cancer
Janssen Research & Development, LLC
2015-04-22 PHASE2
NCT06328491 COMPLETED
Ovarian Cancer; Steroid Cell Tumor, Malignant
University Health Network, Toronto
2022-05-30
NCT06308822 ACTIVE_NOT_RECRUITING
Advanced Lymphoma; Advanced Malignant Solid Neoplasm; Refractory Lymphoma; Refractory Malignant Solid Neoplasm; Refractory Multiple Myeloma
National Cancer Institute (NCI)
2018-08-20 PHASE2
NCT03547037 COMPLETED
Neoplasm
Janssen Pharmaceutical K.K.
2018-08-31 PHASE1
NCT04330248 COMPLETED
Healthy
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
2020-03-31 PHASE1
NCT06351371 ACTIVE_NOT_RECRUITING
Malignant Solid Neoplasm
National Cancer Institute (NCI)
2018-07-03 PHASE2
NCT05316155 Recruiting
Urinary Bladder Neoplasms|Receptors Fibroblast Growth Factor
Janssen Research & Development LLC
2022-04-11 Phase 1
NCT05052372 Terminated
Bladder Cancer|Urothelial Carcinoma|Transitional Cell Carcinoma|Platinum-Resistant Urothelial Carcinoma|Bladder Urothelial Carcinoma|FGFR Mutation|FGFR2 Gene Mutation|FGFR3 Gene Mutation|FGFR2 Amplification|Locally Advanced Urothelial Carcinoma|Metastatic Urothelial Carcinoma|Refractory Bladder Carcinoma|Refractory Bladder Urothelial Carcinoma
xCures
2021-11-21 --
NCT02699606 COMPLETED
Neoplasm
Janssen Research & Development, LLC
2016-07-08 PHASE2
NCT03999515 TERMINATED
Castration-Resistant Prostate Carcinoma; Double-Negative Prostate Carcinoma; Metastatic Prostate Carcinoma; Prostate Adenocarcinoma; Stage IV Prostate Cancer AJCC v8; Stage IVA Prostate Cancer AJCC v8; Stage IVB Prostate Cancer AJCC v8
University of Washington
2020-04-27 PHASE2
NCT03238196 COMPLETED
Metastatic Breast Cancer
Vanderbilt-Ingram Cancer Center
2017-08-18 PHASE1
NCT03587363 TERMINATED
Hepatic Impairment
Janssen Research & Development, LLC
2018-12-06 PHASE1
NCT04330248 Completed
Healthy
Johnson & Johnson Pharmaceutical Research & Development L.L.C.
2020-03-31 Phase 1
NCT04083976 Active not recruiting
Advanced Solid Tumor
Janssen Research & Development LLC
2019-11-20 Phase 2
NCT02421185 COMPLETED
Carcinoma, Hepatocellular
Janssen Research & Development, LLC
2015-05-25 PHASE1; PHASE2
NCT03135106 COMPLETED
Healthy
Janssen Research & Development, LLC
2017-04-14 PHASE1
NCT03066687 COMPLETED
Healthy
Janssen Research & Development, LLC
2017-03-14 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-05-18)

Check the Erdafitinib (JNJ-42756493) product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Erdafitinib acts as an orally bioavailable pan-fibroblast growth factor receptor (FGFR) inhibitor that binds to FGFR active sites, effectively blocking downstream autophosphorylation and oncogenic signaling pathways. This biochemical inhibition induces cellular apoptosis and halts cell proliferation, providing therapeutic efficacy against FGFR-mutated urothelial carcinoma and advanced solid neoplasms studied in clinical trials.

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.