vandetanib

Trade name: caprelsa

Small moleculeapprovedOrphan Drug FDA

Approved

Apr 6, 2011

Vandetanib, 4-anilinoquinazoline, is an anti-cancer drug that with the potential for use in a broad range of tumour types. In 2011 vandetanib (trade name Caprelsa) was approved by the FDA to treat nonresectable, locally advanced, or metastatic medullary thyroid cancer in adult patients. In vitro studies have shown that vandetanib inhibits the tyrosine kinase activity of the EGFR and VEGFR families, RET, BRK, TIE2, and members of the EPH receptor and Src kinase families. These receptor tyrosine kinases are involved in both normal cellular function and pathologic processes such as oncogenesis, metastasis, tumor angiogenesis, and maintenance of the tumor microenvironment. Vandetanib was shown to inhibit epidermal growth factor (EGF)-stimulated receptor tyrosine kinase phosphorylation in tumor cells and endothelial cells and VEGF-stimulated tyrosine kinase phosphorylation in endothelial cells. Vandetanib administration reduced tumor cell-induced angiogenesis, tumor vessel permeability, and inhibited tumor growth and metastasis in mouse models of cancer. — NCATS

Clinical trial activity

110 trials · 65 clinical orgs · 3 marketing orgs

Phase 1
44
Phase 2
69
Phase 3
9
Phase 4
1

Earliest trial started May 1, 2002 (NCT00034918)

Timeline

2000s

  1. Jan 1, 2002

    Genzyme — Earliest Phase 2 Sponsor(trial)

  2. Jan 1, 2005

    Genzyme — Earliest Phase 1 Sponsor(trial)

  3. Oct 21, 2005

    Orphan Drug Designation

  4. Jan 1, 2006

    Genzyme — Earliest Phase 3 Sponsor(trial)

2010s

  1. Apr 6, 2011

    AstraZeneca — Earliest FDA Approval

  2. Apr 6, 2011

    AstraZeneca — NDA Organization

  3. Apr 6, 2011

    Genzyme — NDA Secondary Org

  4. Apr 6, 2011

    Sanofi-Aventis — NDA Secondary Org

Indications

Studied for

Mechanism of action

Approval history

  • approvedPriority reviewApr 6, 2011

Chemistry & pharmacology

Loading structure…

SMILES

COC1=CC2=C(NC3=CC=C(Br)C=C3F)N=CN=C2C=C1OCC4CCN(C)CC4
Mol. weight
475.354 g/mol
Lipinski Ro5
Pass
Rule of 3
No
Chirality
Achiral Molecule
Inorganic
No
Polymer
No
Delivery
Oral
Availability
Prescription Only

Oral

Yes

Parenteral

No

Topical

No

Black box warning

Sources

Also known as

  • caprelsa
  • caprelsa
  • caprelsa
  • caprelsa
  • caprelsa
  • gnf-pf-2188
  • gnf-pf-2188
  • n-(4-bromo-2-fluorophenyl)-6-methoxy-7-((1-methyl-4-piperidinyl)methoxy)-4-quinazolinamine
  • n-(4-bromo-2-fluorophenyl)-6-methoxy-7-((1-methyl-4-piperidinyl)methoxy)-4-quinazolinamine
  • n-(4-bromo-2-fluorophenyl)-6-methoxy-7-((1-methylpiperidin-4-yl)methoxy)quinazolin-4-amine
  • n-(4-bromo-2-fluorophenyl)-6-methoxy-7-((1-methylpiperidin-4-yl)methoxy)quinazolin-4-amine
  • n-(4-bromo-2-fluorophenyl)-6-methoxy-7-((1-methylpiperidin-4-yl)methoxy)quinazolin-4-amine
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • vandetanib
  • zactima
  • zactima
  • zactima
  • zactima
  • zactima
  • zd-64
  • zd-64
  • zd6474
  • zd6474
  • zd6474
  • zd6474
  • zd 6474
  • zd-6474
  • zd-6474
  • zd-6474
  • zd-6474
  • zd-6474
  • zd-6474

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT04760288Phase 3Jan 9, 2022Roche
NCT06482086Phase 2Jun 1, 2021Sichuan University
NCT04211337Phase 3Dec 24, 2019Eli Lilly, Loxo Oncology
NCT03630120Phase 2Aug 6, 2018University of South Florida
NCT03291379Early Phase 1 (Phase 1)May 17, 2017Biocompatibles International plc, University of London
NCT02638428Phase 2Dec 1, 2015Government of Korea, Sungkyunkwan University
NCT02495103Phase 1/Phase 2 (Phase 2)Jun 30, 2015National Cancer Institute (NCI)
NCT02530411Phase 2Apr 1, 2015AstraZeneca, Cancer Research UK, University of Bath, Velindre NHS Trust
NCT02239952N/ANov 1, 2014Free University of Amsterdam, University of Amsterdam
NCT01941849Phase 1Oct 1, 2014AstraZeneca, Cancer Research UK, University of London
NCT02142036Phase 2May 1, 2014Government of Norway, Osaka University, Oslo Metropolitan University
NCT02117167Phase 2Apr 23, 2014AstraZeneca, Fondation ARC, Groupe Hospitalier Paris Saint Joseph, Institut Gustave Roussy, UNICANCER
NCT02299999Phase 2Apr 7, 2014AstraZeneca, Fondation ARC, Institut Gustave Roussy, UNICANCER
NCT02013089N/ADec 1, 2013Sun Yat-Sen University
NCT01934335Phase 2Oct 1, 2013University of Iowa
NCT02015065Phase 2Sep 18, 2013National Cancer Institute (NCI)
NCT01876784Phase 3Sep 1, 2013Genzyme, Sanofi
NCT01823068Phase 2Apr 1, 2013AstraZeneca, Sungkyunkwan University
NCT01661179Phase 1/Phase 2 (Phase 2)Nov 1, 2012Genzyme, Sanofi
NCT01496313Phase 4Jun 1, 2012Genzyme, Sanofi
Showing 20 of 110 trials
Page 1 / 6

Organizations

Research & Development (65)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
SanofiFor profit45842002
GenzymeFor profit383742002
AstraZenecaFor profit32022006
National Cancer Institute (NCI)Government17922005
University of Texas at HoustonAcademic/Hospital8722006
Harvard UniversityAcademic/Hospital6622006
National Institutes of Health (NIH)Government6122007
Cancer Research UKAcademic/Hospital3122011
University of Colorado, DenverAcademic/Hospital3222007
University of LondonAcademic/Hospital3122011
Department of DefenseGovernment2012006
Duke UniversityAcademic/Hospital2212007
Fondation ARCAcademic/Hospital2012014
Institut Gustave RoussyAcademic/Hospital2012014
Southwest Oncology GroupAcademic/Hospital2222008
Stanford UniversityAcademic/Hospital2222006
St. Jude Children's HospitalAcademic/Hospital2212007
Sungkyunkwan UniversityAcademic/Hospital2212013
Temple UniversityAcademic/Hospital2122008
UNICANCERAcademic/Hospital2212014
65 organizations
Page 1 / 4

Marketing (3)

OrganizationOrg typeRelationshipDate
AstraZenecaFor profitNDAApr 6, 2011
GenzymeFor profitNDA2Apr 6, 2011
Sanofi-AventisFor profitNDA2Apr 6, 2011