Lapatinib (Tykerb)

Targeted Therapy · Approved since 2007

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 8 Clinical Trials
EGFR HER2

Description

Lapatinib is an oral tyrosine kinase inhibitor that blocks both EGFR and HER2 receptors. In colorectal cancer, it has been evaluated primarily in patients with refractory disease who have progressed on standard chemotherapy regimens including 5-fluorouracil, irinotecan, and oxaliplatin. The drug is typically used in combination with chemotherapy agents such as capecitabine and oxaliplatin for patients with advanced colorectal adenocarcinoma. Lapatinib may be particularly relevant for colorectal tumors with HER2 amplification or overexpression.

Mechanism of Action

Lapatinib works by reversibly binding to the ATP-binding site of both epidermal growth factor receptor (EGFR) and human epidermal growth factor receptor 2 (HER2) tyrosine kinases. This dual inhibition blocks downstream signaling pathways including PI3K/AKT and RAS/RAF/MEK/ERK cascades that promote tumor cell proliferation, survival, and metastasis.

Molecular Targets

Side Effects

Diarrhea Skin rash Nausea Fatigue Hand-foot syndrome Decreased left ventricular ejection fraction Hepatotoxicity QT prolongation

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

Clinical Trials

NCT02029001 Phase 2
Recruiting
Adapting Treatment to the Tumor Molecular Alterations for Patients With Advanced Solid Tumors: MyOwnSpecificTreatment
France
NCT03418558 Phase 2
Unknown
Study of Trastuzumab-emtansine in Patients With HER2-positive Metastatic Colorectal Cancer Progressing After Trastuzumab and Lapatinib.
Italy
NCT02230553 Phase 1
Archived
Lapatinib Plus Trametinib in KRAS Mutant NSCLC
Netherlands
NCT03225937 Phase 2
Unknown
Evaluation of Trastuzumab in Combination With Lapatinib or Pertuzumab in Combination With Trastuzumab-Emtansine to Treat Patients With HER2-positive Metastatic Colorectal Cancer
Italy
NCT01184482 Phase 1
Archived
Lapatinib and Cetuximab in Patients With Solid Tumors
United States
NCT00536809 Phase 1
Archived
Phase I/II Study of Lapatinib in Combination With Oxaliplatin and Capecitabine in Subjects With Advanced Colorectal Cancer
United States
View all 8 clinical trials →