Nilotinib (Tasigna)

Targeted Therapy · Approved since 2007

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 3 Clinical Trials
BCR-ABL PDGFR KIT DDR1

Description

Nilotinib is a second-generation BCR-ABL tyrosine kinase inhibitor primarily approved for chronic myeloid leukemia that has been evaluated in colorectal cancer as a repurposed therapy. In CRC, nilotinib has been combined with standard treatments like paclitaxel for peritoneal carcinomatosis and with cetuximab in patients with solid tumors. The drug's potential anti-tumor activity in CRC relates to its ability to inhibit multiple kinases beyond BCR-ABL that may play roles in colorectal tumor growth and metastasis.

Mechanism of Action

Nilotinib selectively inhibits the BCR-ABL tyrosine kinase by binding to the ATP-binding site, preventing phosphorylation of downstream substrates involved in cell proliferation. The drug also inhibits other kinases including PDGFR, KIT, and DDR1, which may contribute to its activity against solid tumors like colorectal cancer by disrupting angiogenesis and tumor cell survival pathways.

Molecular Targets

Side Effects

Myelosuppression Rash Headache Nausea Fatigue Diarrhea Vomiting 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
NCT05185947 Phase 2
Completed
Study of Intravenous and Intraperitoneal Paclitaxel and Oral Nilotinib for Peritoneal Carcinomatosis From Colorectal, Appendiceal, Small Bowel, Gastric, Cholangiocarcinoma, Breast, Ovarian, or Other Gynecologic Primary Cancer
United States
NCT01871311 Phase 1
Archived
A Phase I Study of Nilontinib and Cetuximab in Patients With Solid Tumors
United States