Pazopanib (Votrient)

Targeted Therapy · Approved since 2009

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 5 Clinical Trials
VEGFR-1 VEGFR-2 VEGFR-3 PDGFR-α PDGFR-β c-Kit

Description

Pazopanib is an oral multi-targeted tyrosine kinase inhibitor that blocks several growth factor receptors involved in tumor growth and angiogenesis. While FDA-approved for renal cell carcinoma and soft tissue sarcoma, pazopanib has been explored in colorectal cancer through combination regimens, particularly as a second-line treatment option combined with irinotecan and cetuximab. The drug's anti-angiogenic properties make it a rational candidate for CRC treatment, where blood vessel formation is critical for tumor progression and metastasis.

Mechanism of Action

Pazopanib inhibits multiple receptor tyrosine kinases including VEGFR-1, VEGFR-2, VEGFR-3, PDGFR- , PDGFR- , and c-Kit, which are essential for angiogenesis and tumor cell proliferation. By blocking these pathways, pazopanib disrupts the formation of new blood vessels that feed tumors and interferes with growth signals that promote cancer cell survival and division.

Molecular Targets

Side Effects

Diarrhea Hypertension Hair color changes Nausea Fatigue Anorexia Vomiting Tumor pain Dysgeusia Dyspnea Skin depigmentation Weight loss

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
NCT02009449 Phase 1
Archived
A Phase 1 Study of Pegilodecakin (LY3500518) in Participants With Advanced Solid Tumors
United States
NCT01012362 Phase 1
Archived
Study of Pazopanib and Ixabepilone in Patients With Solid Tumors
United States
NCT00540943 Phase 1
Archived
Study of Pazopanib, Irinotecan and Cetuximab in Combination to Treat 2nd Line Metastatic Colorectal Cancer
France
NCT00387387 Phase 1
Archived
Study On Pazopanib When Given With FOLFOX6 (Fluorouracil, Oxaliplatin, Leucovorin) Or CapeOx (Capecitabine, Oxaliplatin)
India, United Kingdom