Aflibercept (Zaltrap)

Other Medications · Approved since 2012

US FDA Approved EU EMA Approved ES Funded by SNS approved in CRC IV 23 Clinical Trials
VEGF-A VEGF-B PlGF

Description

Aflibercept is a recombinant fusion protein that functions as an anti-angiogenic agent used in combination with FOLFIRI (irinotecan, 5-fluorouracil, and leucovorin) for the treatment of metastatic colorectal cancer. It is specifically indicated for patients whose disease has progressed following treatment with an oxaliplatin-containing regimen. Aflibercept works by blocking the formation of new blood vessels that tumors need to grow and spread.

Mechanism of Action

Aflibercept acts as a soluble decoy receptor that binds to and neutralizes vascular endothelial growth factor-A (VEGF-A), VEGF-B, and placental growth factor (PlGF). By sequestering these pro-angiogenic factors, it prevents them from binding to their native receptors on endothelial cells, thereby inhibiting angiogenesis and reducing tumor vascularization and growth.

Molecular Targets

Side Effects

Diarrhea Fatigue Decreased appetite Nausea Abdominal pain Hypertension Decreased white blood cell count Stomatitis Weight loss Voice changes

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT04810585 Phase 4
Unknown
Plasma Biomarker for Aflibercept in Advanced Colorectal Cancer
South Korea
NCT03530267 Phase 2
Archived
Aflibercept and 5-FU vs. FOLFOX as 1st Line Treatment for Elderly or Frail Elderly Patients With Met. Colorectal Cancer
Germany
NCT03186326 Phase 2
Completed
Standard Chemotherapy vs Immunotherapie in 2nd Line Treatment of MSI Colorectal Mestastatic Cancer
France
NCT03279289 Phase 2
Archived
Study to Assess the Efficacy and Safety of Treatment With FOLFIRI-aflibercept Compared to Initial Treatment With FOLFIRI-aflibercept (for 6 Cycles) Followed by Maintenance With 5FU-aflibercept, in an Elderly Population With mCRC After Failure of an Oxalip
Spain
NCT05178745 Not Applicable
Archived
Resection Observatory
NCT02384759 Phase 2
Archived
Aflibercept +/- LV5FU2 in First Line of Non-resectalbe Metastatic Colorectal Cancers
France
View all 23 clinical trials →