Bibf (Ofev (approved for pulmonary fibrosis), Vargatef (approved for lung cancer in some regions))

Kinase Inhibitor · Approved since 2014

US Off-label Oral 3 Clinical Trials
VEGFR-1 VEGFR-2 VEGFR-3 PDGFR-α PDGFR-β FGFR-1 FGFR-2 FGFR-3

Description

BIBF 1120 (nintedanib) is an oral multi-kinase inhibitor that targets angiogenic and fibrotic pathways in cancer treatment. In colorectal cancer, it has been evaluated as an anti-angiogenic agent, potentially serving as an alternative to bevacizumab in metastatic disease. The drug was tested in combination with standard chemotherapy regimens including mFOLFOX6 for patients with advanced, chemotherapy-refractory colorectal cancer.

Mechanism of Action

BIBF 1120 simultaneously inhibits multiple receptor tyrosine kinases including VEGFR (vascular endothelial growth factor receptor), PDGFR (platelet-derived growth factor receptor), and FGFR (fibroblast growth factor receptor). By blocking these angiogenic signaling pathways, the drug disrupts tumor blood vessel formation and maintenance, potentially limiting tumor growth and metastasis.

Molecular Targets

Side Effects

Diarrhea Nausea Vomiting Decreased appetite Weight loss Fatigue Elevated liver enzymes Hypertension

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

Clinical Trials

NCT01362361 Phase 2
Archived
TRICC-C (AIO-KRK-0111): BIBF 1120 Versus Placebo in Patients Receiving Oxaliplatin Plus Fluorouracil and Leucovorin (mFOLFOX6) for Advanced, Chemorefractory Metastatic Colorectal Cancer (mCRC)
Germany
NCT00904839 Phase 2
Archived
BIBF 1120 Versus Bevacizumab in Metastatic Colorectal Cancer
Belgium, France, Germany, Italy, Spain
NCT00801294 Phase 2
Completed
A Phase II Trial of Weekly Alternating Sequential Administration of BIBF 1120 and BIBW 2992 in Patients With Advanced Colorectal Cancer
France