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                                                                Synonyms: Filcad® | Imumax ® | R-METHUG-CSF
                                 
                                                         
                            
                            
                            
                                 
                                
                                filgrastim is an approved drug (FDA (1991)) 
                                                        
                                                    
                                Compound class: 
                                                            Peptide
                                 
                                
                                    
                                        Comment: This is a recombinant version of human G-CSF. The peptide is produced in E. coli and is non-glycosylated, whereas the naturally occurring peptide has an O-linked carbohydrate chain attached to Thr133. The carbohydrate chain protects the native peptide from degradation by human neutrophil elastase [1]. Therefore, filgrastim is more quickly degraded and loses biological activity more rapidly in comparison to native G-CSF. 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
                                    Biosimilar drugs: The potential for utilising filgrastim biosimilar agents in neutropenia management is discussed in [2]. In March 2015, the US FDA approved the filgrastim biosimilar, Zarxio® (filgrastim-sndz) for the same indications as the reference product Neupogen®. This was the first biosimilar product to receive FDA approval. July 2018 saw FDA approval of the biosimilar Nivestym® (filgrastim-aafi), again for all eligible indications of the reference product. In the EU 7 filgrastim biosimilars received marketing authorisation between 2008 and 2014 (Ratiograstim®, Tevagrastim®, Filgrastim Hexal®, Zarzio®, Nivestim®, Grastofil® and Accofil®, in order of approval), although some of these have since been withdrawn from the market. In March 2022, the FDA approved filgrastim-ayow (Releuko®, Amneal Pharmaceuticals). Having been granted approval in Canada in 2022, Tanvex BioPharma's biosimilar filgrastim-txid (Nypozi®, TX01) was finally FDA authorised in July 2024. The EMA approved filgrastim Zefylti® (CuraTeQ Biologics) in February 2025.  | 
                                    
Classification ![]()  | 
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| Compound class | Peptide | 
| Approved drug? | Yes. US FDA (1991) | 
| WHO Essential Medicine | WHO Essential Medicines List (EML) (23rd List, 2023). Access PDF version. Click to view more information about the WHO Model Lists of Essential Medicines.  | 
                                                        
International Nonproprietary Names ![]()  | 
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| INN number | INN | 
| 6739 | filgrastim | 
Synonyms ![]()  | 
                                                        
| Filcad® | Imumax ® | R-METHUG-CSF | 
Database Links ![]()  | 
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| Specialist databases | |
| IMGT/mAb-DB | 631 | 
| Other databases | |
| ChEMBL Ligand | CHEMBL1201567 | 
| DrugBank Ligand | DB00099 | 
| GtoPdb PubChem SID | 178103548 | 
| Search PubMed clinical trials | filgrastim | 
| Search PubMed titles | filgrastim | 
| Search PubMed titles/abstracts | filgrastim | 
| Wikipedia | Filgrastim |