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DRUG CLASS:

cRAF inhibitor

5d
Journal
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RELA (RELA Proto-Oncogene) • ZFAS1 (ZNFX1 Antisense RNA 1)
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RELA expression
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Zepsun (donafenib)
5d
Decabromodiphenyl Ether Exposure Reduces Dabrafenib Sensitivity of Papillary Thyroid Carcinoma Harboring BRAFV600E mutation through the EGFR-CRAF-MAPK Pathway: An In Vitro Study. (PubMed, Toxicology)
Our findings reveal that BDE209 exacerbates MAPK activation, undermining dabrafenib's inhibitory effects by triggering the EGFR pathway, thereby highlighting BDE209's potential to diminish the pharmacological efficacy of dabrafenib in treating BRAF-mutated PTC. This research underscores the importance of considering environmental factors like BDE209 exposure in the effective management of thyroid carcinoma treatment strategies.
Preclinical • Journal
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RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase)
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BRAF V600E • EGFR mutation • BRAF V600
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Tafinlar (dabrafenib)
9d
New P2 trial • Combination therapy • Metastases
|
Erbitux (cetuximab) • avutometinib (VS-6766) • defactinib (VS-6063)
13d
New P1 trial • Real-world evidence • Real-world • Metastases
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sorafenib • Stivarga (regorafenib) • Zepsun (donafenib)
22d
New P3 trial
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Mekinist (trametinib) • temozolomide • dacarbazine • naporafenib (ERAS-254)
1m
RUVBL1 accelerates tongue squamous cell carcinoma by mediating CRaf/MEK/ERK pathway. (PubMed, iScience)
Overexpressing RUVBL1 enhanced the viability, wound healing percentage, invasion, sphere formation, angiogenesis, and resistance to cisplatin and 5-fluorouracil in CAL-27 and SCC-4 cells, and the opposite results were obtained by knocking down RUVBL1. In conclusion, RUVBL1 contributes to the malignant biological behavior of TSCC via activating the CRAF/MEK/ERK pathway. This provides molecular mechanisms and perspectives for targeted therapy of the CRAF/MEK/ERK pathway.
Journal
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RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase) • RUVBL1 (RuvB Like AAA ATPase 1)
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cisplatin • 5-fluorouracil
1m
Enrollment open • Combination therapy • Metastases
|
KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog)
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BRAF V600E • BRAF V600 • BRAF wild-type
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Erbitux (cetuximab) • Braftovi (encorafenib) • ulixertinib (BVD-523)
1m
Bioluminescence Resonance Energy Transfer (BRET)-based Assay for Measuring Interactions of CRAF with 14-3-3 Proteins in Live Cells. (PubMed, J Vis Exp)
This protocol describes the procedures for seeding, transfecting, and replating the cells, along with detailed instructions for reading BRET emissions, performing data analysis, and confirming protein expression levels. In addition, example assay results, along with optimization and troubleshooting steps, are provided.
Journal
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KRAS (KRAS proto-oncogene GTPase) • RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase)
1m
Preclinical efficacy of RAF/MEK clamp avutometinib in combination with FAK inhibition in low grade serous ovarian cancer. (PubMed, Gynecol Oncol)
Avutometinib, and to a larger extent its combination with FAK inhibitor VS-4718, demonstrated promising in vivo activity against a KRAS wild-type LGSOC-PDX. These data support the ongoing registration-directed study (RAMP201/NCT04625270).
Preclinical • Journal • Combination therapy
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KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog) • ADRB2 (Adrenoceptor Beta 2) • PRKDC (Protein Kinase, DNA-Activated, Catalytic Subunit) • PTK2B (Protein Tyrosine Kinase 2 Beta)
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KRAS mutation • BRAF mutation • KRAS wild-type • RAS wild-type
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avutometinib (VS-6766) • defactinib (VS-6063) • VS-4718
1m
Enrollment closed • Combination therapy
|
avutometinib (VS-6766) • defactinib (VS-6063)
1m
Testing the Addition of Anti-cancer Drug, ZEN003694, to the Usual Chemotherapy Treatment, Cetuximab Plus Encorafenib, for Colorectal Cancer (clinicaltrials.gov)
P1, N=30, Recruiting, National Cancer Institute (NCI) | Not yet recruiting --> Recruiting | N=22 --> 30 | Trial completion date: Jun 2024 --> Jun 2025 | Initiation date: Feb 2024 --> Nov 2024 | Trial primary completion date: Jun 2024 --> Jun 2025
Enrollment open • Enrollment change • Trial completion date • Trial initiation date • Trial primary completion date • Combination therapy • Metastases
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BRAF (B-raf proto-oncogene)
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BRAF V600E
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Erbitux (cetuximab) • Braftovi (encorafenib) • ZEN-3694
2ms
ENCO-BRAF: ENCOrafenib With Binimetinib in bRAF NSCLC (clinicaltrials.gov)
P2, N=119, Recruiting, Intergroupe Francophone de Cancerologie Thoracique | Trial primary completion date: Feb 2024 --> Sep 2024
Trial primary completion date • Combination therapy • Metastases
|
BRAF V600E • BRAF V600
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Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
Response rate and molecular correlates to encorafenib and binimetinib in BRAF-V600E mutant high-grade glioma. (PubMed, Clin Cancer Res)
Encorafenib and binimetinib exhibit positive tumor responses in patients with recurrent BRAF-V600E mutant HGG in this small series, warranting therapeutic consideration. Although toxicity remains a concern for BRAF-targeted therapies, no new safety signal was observed in these patients.
Journal
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BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600
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Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
Donafenib and Toripalimab Combined With TACE in Patients With Unresectable Hepatocellular Carcinoma (clinicaltrials.gov)
P1, N=18, Active, not recruiting, Suzhou Zelgen Biopharmaceuticals Co.,Ltd | Recruiting --> Active, not recruiting | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Enrollment closed • Trial completion date • Trial primary completion date
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Loqtorzi (toripalimab-tpzi) • Zepsun (donafenib)
2ms
Study of Binimetinib With Encorafenib in Adults With Recurrent BRAF V600-Mutated HGG (clinicaltrials.gov)
P2, N=5, Terminated, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins | Trial completion date: Jul 2027 --> Oct 2023 | Active, not recruiting --> Terminated; NCI decided to terminate ABTC Consortium due to NCI moving in different direction for Brain Cancer
Trial completion date • Trial termination • Combination therapy
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BRAF (B-raf proto-oncogene)
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Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
Clinical significance of cancer genome profiling tests for gastrointestinal cancer patients with liver metastasis (AACR 2024)
In 52 cases, six cases (4 of SD cases and 2 of PR cases) was administered encorafenib-based chemotherapies based on BRAF gene mutation... Around 13% of gastrointestinal cancer patients with liver metastasis might have a druggable benefit by CGP testing. BRAF mutation might be promising target for patients with liver metastasis. ZNF217, SRC, ARFRP1, BARD1, FGF10 might be associated with metastatic process to liver in gastrointestinal cancer.
Clinical
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BRAF (B-raf proto-oncogene) • BARD1 (BRCA1 Associated RING Domain 1) • ZNF217 (Zinc Finger Protein 217) • FGF10 (Fibroblast Growth Factor 10)
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BRAF mutation • BARD1 mutation
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FoundationOne® CDx • FoundationOne® Liquid CDx • OncoGuide™ NCC Oncopanel System
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Braftovi (encorafenib)
2ms
Trial completion date • Metastases
|
BRAF (B-raf proto-oncogene)
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BRAF V600E • BRAF V600 • BRAF V600K
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Zelboraf (vemurafenib) • Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
Clinical Evaluation of the Effect of Encorafenib on Bupropion, Rosuvastatin, and Coproporphyrin I and Considerations for Statin Coadministration. (PubMed, Clin Pharmacokinet)
The results from these clinical studies suggest that encorafenib does not cause clinically relevant CYP2B6 induction or inhibition but is an inhibitor of BCRP and may also inhibit OATP1B1/3 to a lesser extent. Based on these results, it may be necessary to consider switching statins or reducing statin dosage accordingly for coadministration with encorafenib.
Journal
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BRAF (B-raf proto-oncogene)
|
BRAF mutation • BRAF V600
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Erbitux (cetuximab) • Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
Enrollment open
|
NF1 (Neurofibromin 1) • RAS (Rat Sarcoma Virus)
|
BRAF V600E • BRAF V600K • BRAF wild-type • RAS mutation
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Braftovi (encorafenib) • avutometinib (VS-6766) • defactinib (VS-6063)
2ms
RAMP 203: Phase 1/2 Study of Avutometinib (VS-6766) + Sotorasib With or Without Defactinib in KRAS G12C NSCLC Patients (clinicaltrials.gov)
P1/2, N=153, Recruiting, Verastem, Inc. | N=53 --> 153 | Trial completion date: Sep 2025 --> Apr 2027
Enrollment change • Trial completion date • Combination therapy
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KRAS (KRAS proto-oncogene GTPase)
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KRAS mutation • KRAS G12C • KRAS G12
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Lumakras (sotorasib) • avutometinib (VS-6766) • defactinib (VS-6063)
2ms
Phase classification • Trial suspension • Combination therapy • Metastases
|
KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene) • NRAS (Neuroblastoma RAS viral oncogene homolog)
|
BRAF V600E • BRAF V600 • BRAF wild-type
|
Erbitux (cetuximab) • Braftovi (encorafenib) • ulixertinib (BVD-523)
2ms
New P2 trial
|
Tevimbra (tislelizumab) • Zepsun (donafenib)
2ms
New P2 trial
|
Tyvyt (sintilimab) • oxaliplatin • Zepsun (donafenib)
2ms
A plain language summary of the PHAROS study: the combination of encorafenib and binimetinib for people with BRAF V600E-mutant metastatic non-small cell lung cancer. (PubMed, Future Oncol)
These results support the use of encorafenib plus binimetinib combination treatment as a new treatment option in people with BRAF V600E-mutant metastatic NSCLC. The side effects of encorafenib plus binimetinib in this study were similar to the side effects seen with encorafenib plus binimetinib in people with a type of skin cancer called metastatic melanoma.
Review • Journal • Metastases
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BRAF (B-raf proto-oncogene)
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BRAF V600E • BRAF V600
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Mektovi (binimetinib) • Braftovi (encorafenib)
2ms
A phase II study of encorafenib in combination with binimetinib in patients with metastatic BRAF-mutated thyroid cancer in Japan. (PubMed, Thyroid)
Treatment with encorafenib plus binimetinib met the primary endpoint criteria and demonstrated clinical benefit in patients with BRAFV600E-mutated thyroid cancer regardless of its histological type, such as DTC or ATC, with no new safety concerns identified. Encorafenib plus binimetinib could thus be a new treatment option for BRAF V600-mutated thyroid cancer.
P2 data • Journal • Combination therapy • Metastases
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BRAF (B-raf proto-oncogene)
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BRAF V600E • BRAF mutation • BRAF V600
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Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
Enrollment closed
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600 • BRAF V600K
|
Keytruda (pembrolizumab) • Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
Journal
|
BRAF (B-raf proto-oncogene)
|
BRAF mutation
|
Zelboraf (vemurafenib) • Tafinlar (dabrafenib) • sorafenib • Braftovi (encorafenib)
3ms
A Study of ZG005 Combined With Donafenib in Patients With Advanced Solid Tumor (clinicaltrials.gov)
P1/2, N=130, Not yet recruiting, Suzhou Zelgen Biopharmaceuticals Co.,Ltd
New P1/2 trial
|
Zepsun (donafenib) • ZG005
3ms
Trial completion
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600
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Erbitux (cetuximab) • Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
A Study of VS-6766 and Cetuximab in Patients With Advanced Colorectal Cancer (clinicaltrials.gov)
P1/2, N=53, Recruiting, University of Chicago | Phase classification: P1b/2 --> P1/2
Phase classification • Metastases
|
PD-L1 (Programmed death ligand 1) • KRAS (KRAS proto-oncogene GTPase) • MSI (Microsatellite instability)
|
KRAS mutation • MSI-H/dMMR
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Erbitux (cetuximab) • avutometinib (VS-6766)
3ms
Binimetinib and Encorafenib for the Treatment of Pancreatic Cancer in Patients With a Somatic BRAF V600E Mutation (clinicaltrials.gov)
P2, N=6, Terminated, Academic and Community Cancer Research United | N=29 --> 6 | Trial completion date: Dec 2024 --> Nov 2023 | Active, not recruiting --> Terminated; Slow accrual
Enrollment change • Trial completion date • Trial termination • Combination therapy
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600
|
Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
Sex differences in the tumor promoting effects of tobacco smoke in a cRaf transgenic lung cancer disease model. (PubMed, Arch Toxicol)
Finally, we confirmed sex-dependent tumor promoting effects of TS in a large cohort of LC patients. Our study highlights the sex-dependent genomic responses to TS and the interplay of circadian clock genes and hormone receptors in the regulation of oncogenes and oncomirs in LC growth.
Journal
|
ER (Estrogen receptor) • RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase) • MIR22 (MicroRNA 22)
3ms
Trial primary completion date • Metastases
|
BRAF (B-raf proto-oncogene) • MSI (Microsatellite instability) • CEACAM5 (CEA Cell Adhesion Molecule 5) • RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase) • RAS (Rat Sarcoma Virus) • CA 19-9 (Cancer antigen 19-9)
|
BRAF V600E • BRAF V600 • RAS mutation • RAS wild-type
|
Erbitux (cetuximab) • 5-fluorouracil • Braftovi (encorafenib) • irinotecan • leucovorin calcium
3ms
New P2 trial • Combination therapy • Metastases
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600
|
Erbitux (cetuximab) • Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
MODULE 4: Integration of Immune Checkpoint Inhibitors into the Management of MSI-High/MMR-Deficient Mcrc (ASCO-GI 2024)
This activity is supported by educational grants from Natera Inc and Pfizer Inc. Similarities and differences between BRAF V600E and non-V600 mutations in mCRC; implications for disease management Potential clinical or biological factors, such as patient characteristics, tumor sidedness, histology and co-mutations, associated with the presence of BRAF V600 mutations in CRC Long-term findings from the Phase III BEACON CRC study evaluating encorafenib/cetuximab with or without binimetinib versus standard therapy for patients with mCRC and BRAF V600E mutations FDA approval and appropriate integration of encorafenib/cetuximab for patients with BRAF V600E-mutated mCRC Rationale for the evaluation of earlier use of BRAF-targeted therapy; findings from the Phase II ANCHOR CRC trial evaluating encorafenib/binimetinib/cetuximab for patients with treatment-naïve BRAF V600E-mutated mCRC Design, eligibility criteria and key endpoints of the Phase III BREAKWATER trial comparing encorafenib/cetuximab with or without chemotherapy to standard chemotherapy for patients with previously untreated BRAF V600E-mutated mCRC; safety lead-in results and estimated completion date
Checkpoint inhibition • MSi-H Biomarker • IO biomarker
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • MSI-H/dMMR
|
Erbitux (cetuximab) • Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
Statistical classification of treatment responses in mouse clinical trials for stratified medicine in oncology drug discovery. (PubMed, Sci Rep)
Our primary objective was to identify subgroups with different treatment responses using Latent Class Mixed Model (LCMM).We used a public dataset and focused on one treatment, encorafenib, and two indications, melanoma and colorectal cancer, for which efficacy depends on a specific mutation BRAF V600E...LCMM is a suitable tool for MCT to explore treatment response subgroups of PDX. Once these subgroups are defined, characterization of their phenotypes/genotypes could be performed to explore treatment response predictors.
Preclinical • Journal
|
BRAF (B-raf proto-oncogene)
|
BRAF V600E • BRAF V600
|
Braftovi (encorafenib)
3ms
Journal
|
BRAF (B-raf proto-oncogene)
|
Mektovi (binimetinib) • Braftovi (encorafenib)
3ms
RAMP-202: A Study of Avutometinib (VS-6766) + Defactinib in Recurrent KRAS G12V, Other KRAS and BRAF Non-Small Cell Lung Cancer (clinicaltrials.gov)
P2, N=90, Completed, Verastem, Inc. | Recruiting --> Completed | Trial completion date: Dec 2025 --> Dec 2023 | Trial primary completion date: Mar 2023 --> Aug 2023
Trial completion • Trial completion date • Trial primary completion date • Combination therapy
|
KRAS (KRAS proto-oncogene GTPase) • BRAF (B-raf proto-oncogene)
|
KRAS mutation • BRAF mutation • KRAS G12V • KRAS G12
|
avutometinib (VS-6766) • defactinib (VS-6063)
4ms
Neo-TACE: Neoadjuvant HAIC of TACE Plus Donafenib in BCLC B Stage HCC: a Multi-center Randomized Controlled Trial. (clinicaltrials.gov)
P2/3, N=156, Recruiting, Peking University | Trial primary completion date: Dec 2023 --> Jun 2024
Trial primary completion date
|
5-fluorouracil • oxaliplatin • leucovorin calcium • Zepsun (donafenib)
4ms
The role of CRAF in cancer progression: from molecular mechanisms to precision therapies. (PubMed, Nat Rev Cancer)
Additionally, we emphasize the effect that CRAF alterations may have on drug resistance and how precision therapies could effectively target CRAF-dependent tumours. Here, we discuss preclinical and clinical findings that may lead to improved treatments for all types of oncogenic RAF1 alterations in cancer.
Review • Journal
|
BRAF (B-raf proto-oncogene) • RAF1 (Raf-1 Proto-Oncogene Serine/Threonine Kinase)
|
BRAF mutation
4ms
New P1/2 trial
|
NF1 (Neurofibromin 1) • RAS (Rat Sarcoma Virus)
|
BRAF V600E • BRAF V600K • BRAF wild-type • RAS mutation
|
Braftovi (encorafenib) • avutometinib (VS-6766) • defactinib (VS-6063)
4ms
Encorafenib, Binimetinib and Palbociclib in BRAF-mutant Metastatic Melanoma CELEBRATE (clinicaltrials.gov)
P1/2, N=78, Recruiting, Peter MacCallum Cancer Centre, Australia | Phase classification: P1b --> P1/2 | Trial completion date: Dec 2023 --> Dec 2024 | Trial primary completion date: Dec 2023 --> Dec 2024
Phase classification • Trial completion date • Trial primary completion date • Metastases
|
CDK4 (Cyclin-dependent kinase 4)
|
BRAF V600E • BRAF mutation • BRAF V600 • BRAF V600K
|
Ibrance (palbociclib) • Mektovi (binimetinib) • Braftovi (encorafenib)