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Molecule

Sorafenib

Also known as sorafenib tosylate
Available on requestOrphanOncology
Presentations
2
Brands
1
Manufacturers
1
Available from stock
0

Sorafenib is a kinase inhibitor indicated for the treatment of unresectable hepatocellular carcinoma, among other approved uses. It is available as tablets for oral use. MedsAcross supplies Sorafenib for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Kinase Inhibitor, Protein Kinase Inhibitors
ATC classification
L01EX02 Sorafenib · Cancer medicines (antineoplastics), subgroup L01E, subgroup L01EX
US FDA first approval
1 December 2005
EU status
Authorised
Orphan designation
Yes
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Oral
Dosage forms
Tablet
Identifiers
UNII 9ZOQ3TZI87RxCUI 495881CAS 284461-73-0DrugBank DB00398Q421136

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

NEXAVAR is a kinase inhibitor indicated for the treatment of • Unresectable hepatocellular carcinoma. • Advanced renal cell carcinoma. • Locally recurrent or metastatic, progressive, differentiated thyroid carcinoma (DTC) refractory to radioactive iodine treatment

Source: US FDA prescribing information

How it works

Sorafenib is a kinase inhibitor that decreases tumor cell proliferation in vitro. Sorafenib was shown to inhibit multiple intracellular (c-CRAF, BRAF and mutant BRAF) and cell surface kinases (KIT, FLT- 3, RET, RET/PTC, VEGFR-1, VEGFR- 2, VEGFR- 3, and PDGFR-ß). Several of these kinases are thought to be involved in tumor cell signaling, angiogenesis and apoptosis. Sorafenib inhibited tumor growth of HCC, RCC, and DTC human tumor xenografts in immunocompromised mice. Reductions in tumor angiogenesis were seen in models of HCC and RCC upon sorafenib treatment, and increases in tumor apoptosis were observed in models of HCC, RCC, and DTC.

Source: US FDA prescribing information

Dosing overview

The recommended dosage is 400 mg orally twice daily without food. Recommended Dosage The recommended dosage of NEXAVAR is 400 mg orally twice daily without food (at least 1 hour before or 2 hours after a meal) until the patient is no longer clinically benefiting from therapy or until unacceptable toxicity.

Source: US FDA prescribing information

Contraindications

• NEXAVAR is contraindicated in patients with known severe hypersensitivity to sorafenib or any other component of NEXAVAR. • NEXAVAR in combination with carboplatin and paclitaxel is contraindicated in patients with squamous cell lung cancer. • NEXAVAR is contraindicated in patients with known severe hypersensitivity to sorafenib or any other component of NEXAVAR. • NEXAVAR in combination with carboplatin and paclitaxel is contraindicated in patients with squamous cell lung cancer.

Source: US FDA prescribing information

Warnings and precautions

• Cardiovascular Events: Consider temporary or permanent discontinuation of NEXAVAR. • Hemorrhage: Discontinue NEXAVAR if needed. • Hypertension: Monitor blood pressure weekly during the first 6 weeks and periodically thereafter. Consider temporary or permanent discontinuation for severe or persistent hypertension despite antihypertensive therapy. • Dermatologic Toxicities: Interrupt and/or decrease dose. Discontinue for severe or persistent reactions, or if Stevens-Johnson syndrome and toxic epidermal necrolysis is suspected. • Gastrointestinal Perforation: Discontinue NEXAVAR. • Risk of Impaired Wound Healing: Withhold NEXAVAR for at least 10 days prior to elective surgery. Do not administer for at least 2 weeks following major surgery and until adequate wound healing. The safety of resumption of NEXAVAR after resolution of wound healing complications has not been established.

Source: US FDA prescribing information

Side effects

The following clinically significant adverse reactions are discussed elsewhere in the labeling: • Cardiovascular events • Hemorrhage • Hypertension • Dermatologic toxicities • Gastrointestinal perforation • QT interval prolongation • Drug-induced liver injury • Impairment of TSH suppression in DTC The most common adverse reactions (≥20%) are diarrhea, fatigue, infection, alopecia, hand-foot skin reaction, rash, weight loss, decreased appetite, nausea, gastrointestinal and abdominal pains, hypertension, and hemorrhage.

Source: US FDA prescribing information

Interactions

• Strong CYP3A Inducers: Avoid strong CYP3A4 inducers. Effect of Other Drugs on NEXAVAR Strong CYP3A4 Inducers The concomitant use of NEXAVAR with rifampin, a strong CYP3A4 inducer decreased the mean AUC of sorafenib, which may decrease the antitumor activity. Avoid concomitant use of NEXAVAR with strong CYP3A4 inducers, when possible, because these drugs can decrease the systemic exposure to sorafenib. Neomycin The concomitant use of NEXAVAR with neomycin decreased the mean AUC of sorafenib, which may decrease the antitumor activity. Avoid concomitant use of NEXAVAR with neomycin. The effects of other antibiotics on the pharmacokinetics of sorafenib have not been studied.

Source: US FDA prescribing information

Storage

Store at 20°C to 25° C (68°F to 77° F), excursions permitted to 15°C to 30° C (59°F to 86° F). Store in a dry place.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

2 presentations of Sorafenib, sorted by availability.

MedicineManufacturerRegisterAvailability
Sorafenib 200 mg tabletOralGeneric name—US FDAAvailable on request
Nexavar 200 mg tabletOralBayer HealthCare PharmaceuticalsUS FDAAvailable on request

Brands by market

1 brand names across 1 markets.

Brand names by country

United States

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 1 December 2005Drugs@FDA
EU (EMA)AuthorisedEMA medicines data
India (CDSCO)Not yet confirmed against CDSCO approval lists—
AustriaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BelgiumRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
BulgariaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CroatiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CyprusRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
CzechiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
DenmarkRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
EstoniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FinlandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
FranceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GermanyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
GreeceRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
HungaryRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IcelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
IrelandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
ItalyRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LatviaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LiechtensteinRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LithuaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
LuxembourgRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
MaltaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NetherlandsRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
NorwayRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PolandRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
PortugalRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
RomaniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SlovakiaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SloveniaRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SpainRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
SwedenRegisteredEuropean Medicines Agency (central authorisation)Checked 12 November 2026
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Sorafenib in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Sorafenib available for export from India?

Yes, on request. MedsAcross lists 2 presentations of Sorafenib and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Sorafenib have?

The catalogue lists 1 brand names for Sorafenib, including Nexavar.

Is Sorafenib approved by the US FDA?

Yes. The US FDA first approved Sorafenib on 1 December 2005, according to Drugs@FDA.

Is Sorafenib authorised in the European Union?

Yes. Sorafenib has a central EU marketing authorisation (status: authorised), according to European Medicines Agency data.

Does Sorafenib need cold chain shipping?

No listed presentation of Sorafenib is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Sorafenib in?

Sorafenib is classified under ATC code L01EX02 (Sorafenib).

References

  1. Nexavar prescribing information (Bayer HealthCare Pharmaceuticals). U.S. National Library of Medicine, DailyMed. Retrieved 28 August 2023
  2. Nexavar: European public assessment report (EPAR). European Medicines Agency. Retrieved 28 March 2025
  3. Sorafenib Accord: European public assessment report (EPAR). European Medicines Agency. Retrieved 9 April 2026

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