Vandetanib (Caprelsa)

Targeted Therapy · Approved since 2011

US Off-label EU EMA Approved ES Hospital use off-label in CRC Oral 7 Clinical Trials
EGFR VEGFR-2 VEGFR-3 RET

Description

Vandetanib is an oral multi-targeted tyrosine kinase inhibitor that has been evaluated in combination with standard chemotherapy regimens for colorectal cancer treatment. This small molecule inhibitor blocks multiple growth factor receptors simultaneously, including EGFR, VEGFR, and RET pathways. In colorectal cancer, vandetanib has been combined with FOLFOX and FOLFIRI chemotherapy backbones, as well as with capecitabine, oxaliplatin, and bevacizumab regimens for metastatic disease.

Mechanism of Action

Vandetanib works by inhibiting multiple receptor tyrosine kinases that drive tumor growth and angiogenesis. It primarily targets the epidermal growth factor receptor (EGFR), vascular endothelial growth factor receptors (VEGFR-2 and VEGFR-3), and RET proto-oncogene receptor, thereby blocking key signaling pathways involved in tumor cell proliferation, survival, and blood vessel formation.

Molecular Targets

Side Effects

Diarrhea Rash Nausea Hypertension Fatigue Decreased appetite Abdominal pain QT prolongation Photosensitivity Acneiform dermatitis

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

Clinical Trials

NCT00500292 Phase 2
Archived
A Phase II Study of 2 Doses of ZD6474 (Vandetanib) in Combination With FOLFOX vs FOLFOX Alone for the Treatment of Colorectal Cancer
France, Hungary, Slovakia, South Korea, Spain, Taiwan
NCT00454116 Phase 2
Archived
A Phase II, Double Blind Study of 2 Doses of ZACTIMA™(ZD6474) in Combination With FOLFIRI vs FOLFIRI Alone for the Treatment of Colorectal Cancer in Patients
United States, Argentina, Norway, South Korea, Spain, United Kingdom
NCT00436072 Phase 1
Archived
ZD6474, Cetuximab, and Irinotecan in Patients With Metastatic Colorectal Cancer
United States
NCT00496509 Phase 1
Archived
Phase I Efficacy On Vascular Permeability In Patients With Advanced Colorectal Cancer
Germany
NCT00532909 Phase 1
Archived
Phase I Vandetanib Plus Capecitabine, Oxaliplatin and Bevacizumab for Metastatic Colorectal Cancer
United States
NCT00499850 Phase 1
Archived
Phase I FOLFOX Combination
Australia
View all 7 clinical trials →