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Imfinzi

Durvalumab

An intravenous immunotherapy used to treat lung, biliary tract, and bladder cancers.

Generic name
Durvalumab
Brand name
Imfinzi
Route
Intravenous
Marketed by
AstraZeneca
FDA pharmacologic class
Programmed Death Ligand-1 Blocker; Programmed Death Ligand-1 Antagonists; Programmed Death Ligand-1-directed Antibody Interactions
First FDA approval
1 May 2017

Where Durvalumab is approved

All regulators →

Of the three regulators tracked here, the first to approve Durvalumab was the US, on 1 May 2017. It is approved in 3 of the 3 regulators tracked here.

USUnited States (FDA)
1 May 2017
Imfinzi
BLA761069 on Drugs@FDA
First original NDA/BLA approval
EUEuropean Union (EMA)
21 Sep 2018
Imfinzi
EMA product page
First centralised authorisation
CACanada (Health Canada)
3 Nov 2017
Imfinzi
Notice of Compliance 20026
First new-drug NOC

From the regulators' own registers: FDA Drugs@FDA, the EMA medicines list and Health Canada's Notice of Compliance database. Dates are the first listed approval of a product containing only this substance; combination products and nationally authorised EU medicines are not counted.

What health systems spend on Durvalumab

All medicines →
ENNHS England
Not dispensed in the community in England in the last 12 months under this name
Net ingredient cost, community prescriptions
USUS Medicaid
$120.4m
18,115 prescriptions in 2025 · Imfinzi
+17% on 2024
Amount Medicaid reimbursed, before rebates

From NHSBSA Prescription Cost Analysis (Open Government Licence v3.0) and CMS State Drug Utilization Data. Both are gross amounts: neither system publishes its discounts or rebates per drug. Products combining several substances are not counted here.

How Durvalumab works

All drug targets →
  • Programmed cell death 1 ligand 1 inhibitor Inhibitor
    Target: CD274 CD274 molecule
    ChEMBL only
Diseases it has been tested for in clinical trials, by furthest phase
  • Biliary tract cancerPhase 3
  • Breast cancerPhase 3
  • CancerPhase 3
  • Cervical cancerPhase 3
  • Endometrial cancerPhase 3
  • Esophageal squamous cell carcinomaPhase 3
  • Fallopian tube cancerPhase 3
  • Gastric cancerPhase 3
  • Head and neck squamous cell carcinomaPhase 3
  • Liver cancerPhase 3
134 diseases in all

Mechanisms and diseases from ChEMBL via the Open Targets Platform (release 26.09), ChEMBL record CHEMBL3301587, CC BY-SA 3.0. Targets checked against the IUPHAR/BPS Guide to PHARMACOLOGY (2026.3), ligand 7985, CC BY-SA 4.0. Trial phases are not approvals: approved uses are shown from the regulators' own records where we hold them.

NICE appraisals of Durvalumab

All NICE appraisals →

NICE, which decides whether the NHS in England should fund new medicines, has published 10 technology appraisals of Durvalumab. 10 are current, and 8 of these recommend it for at least some patients.

AppraisalNICE recommendationPublishedStatus
Durvalumab with chemotherapy for neoadjuvant and adjuvant treatment then alone for adjuvant treatment of resectable gastric or gastro-oesophageal junction adenocarcinoma
NICE TA1160
Recommended3 Jun 2026Current
Durvalumab with gemcitabine and cisplatin for neoadjuvant treatment then alone for adjuvant treatment of muscle-invasive bladder cancer
NICE TA1138
Recommended2 Mar 2026Current
Durvalumab for treating limited-stage small-cell lung cancer after platinum-based chemoradiotherapy
NICE TA1099
Recommended1 Oct 2025Current
Durvalumab with tremelimumab for untreated advanced or unresectable hepatocellular carcinoma
NICE TA1090
Recommended19 Aug 2025Current
Durvalumab with etoposide and either carboplatin or cisplatin for untreated extensive-stage small-cell lung cancer
NICE TA1041
Optimised19 Feb 2025Current
Durvalumab with chemotherapy before surgery (neoadjuvant) then alone after surgery (adjuvant) for treating resectable non-small-cell lung cancer
NICE TA1030
Recommended15 Jan 2025Current
Durvalumab with gemcitabine and cisplatin for treating unresectable or advanced biliary tract cancer
NICE TA944
Recommended10 Jan 2024Current
Durvalumab for maintenance treatment of unresectable non-small-cell lung cancer after platinum-based chemoradiation
NICE TA798
Optimised22 Jun 2022Current

See all 10 appraisals →

NICE decisions apply to the NHS in England. In Ireland the HSE decides on reimbursement, advised by the National Centre for Pharmacoeconomics. Titles, categories and dates link to the guidance on nice.org.uk. © NICE 2026 technology appraisal guidance. Available from www.nice.org.uk/guidance. All rights reserved. Subject to Notice of rights. NICE guidance is prepared for the National Health Service in England. All NICE guidance is subject to regular review and may be updated or withdrawn. NICE accepts no responsibility for the use of its content in this product/publication.

Patient leaflets for Durvalumab

The package leaflet is the official guide for patients that comes with every medicine. These links go to the regulators that publish it.

  • IE
    Ireland: 1 product on the HPRA list
    Each product record links to the HPRA, which publishes the leaflet and SmPC.
  • EU
    European Union: Imfinzi
    EMA product information: package leaflet and summary of product characteristics in every EU language.
  • UK
    United Kingdom: Search MHRA Products
    Patient information leaflets and SmPCs for UK-licensed products.
  • US
    United States: Search DailyMed
    FDA-approved labels, including patient and medication guides.

Leaflets differ between brands and countries; always read the one that comes with your own medicine. This is regulatory information, not medical advice.

Reference identifiers for Durvalumab

ATC code
L01XC28
ChEMBL
CHEMBL3301587
DrugBank
DB11714
CAS number
1428935-60-7
FDA UNII
28X28X9OKV
Wikidata
Q19904005
Wikipedia
Durvalumab

Codes that identify this medicine in other databases, from Wikidata (CC0), matched by its ChEMBL ID. The ATC code is the WHO classification of what the medicine is used for.

What Imfinzi is used for

IMFINZI is a programmed death-ligand 1 (PD-L1) blocking antibody indicated: • in combination with platinum-containing chemotherapy as neoadjuvant treatment, followed by IMFINZI continued as a single agent as adjuvant treatment after surgery, for the treatment of adult patients with resectable (tumors ≥ 4 cm and/or node positive) non-small cell lung cancer (NSCLC) and no known epidermal growth factor receptor (EGFR) mutations or anaplastic lymphoma kinase (ALK) rearrangements. ( 1.1 ) • as a single agent, for the treatment of adult patients with unresectable, Stage III NSCLC whose disease has not progressed following concurrent platinum-based chemotherapy and radiation therapy. ( 1.1 ) • in combination with tremelimumab-actl and platinum-based chemotherapy, for the treatment of adult patients with metastatic NSCLC with no sensitizing EGFR mutations or ALK genomic tumor aberrations. ( 1.1…

How it works

12.1 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 a human immunoglobulin G1 kappa (IgG1κ) 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, with…

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How this page is built

The facts on this page are pulled directly from official U.S. FDA datasets — they are not written from memory. Each field below names the dataset it came from, so you can check it yourself.

Plain-English summaries and drug-class explainers are written and reviewed by Sreepriya Prasannan (MSc Digital Transformation of Life Sciences (Innopharma Education / Griffith College); MSc & BSc Botany). Data is retrieved automatically from the sources above and cross-checked with AI-assisted verification (Anthropic's Claude) — brand and generic names are matched against the exact FDA product record so that a combination product or a different formulation cannot be mistaken for the drug on this page. An editor reviews the result before publication. We describe this in full in our editorial standards and corrections policy. The FDA data on this page was last retrieved on 5 Oct 2026. How every register is built: methodology · fixes we have made: corrections log.

Please verify before you rely on this. This page is general information for life-science and pharmaceutical professionals. It is not medical advice, and it has not been reviewed by a clinician — our editorial team holds life-science qualifications, not clinical ones. It is not exhaustive and may not reflect the most recent label change. Always check the official prescribing information (US Prescribing Information or EU SmPC) and speak to your doctor or pharmacist before acting on anything here. Drugs in the same class are not automatically interchangeable, and approvals, brand names and indications differ between the US, the EU/Ireland (EMA/HPRA) and other regions. Spotted an error? Tell us — we correct promptly and log it.