vandetanib
Trade name: caprelsa
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
Earliest trial started May 1, 2002 (NCT00034918)
Timeline
2000s
2010s
- Apr 6, 2011
AstraZeneca — Earliest FDA Approval
- Apr 6, 2011
AstraZeneca — NDA Organization
- Apr 6, 2011
Genzyme — NDA Secondary Org
- Apr 6, 2011
Sanofi-Aventis — NDA Secondary Org
Indications
Studied for
- Adenocarcinoma · Phase 1
- Astrocytoma · Phase 2
- Bile Duct Neoplasms · Phase 2
- Biliary Tract Neoplasms · Phase 2
- Brain Neoplasms · Phase 1
- Breast Neoplasms · Phase 2
- Carcinoma · Phase 2
- Carcinoma, Hepatocellular · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 3
- Carcinoma, Renal Cell · Phase 2
- Carcinoma, Transitional Cell · Phase 2
- Carcinoma, Verrucous · Phase 2
- Colonic Neoplasms · Phase 1
- Colorectal Neoplasms · Phase 2
- Diffuse Intrinsic Pontine Glioma · Phase 1
- Esophageal Neoplasms · Phase 1
- Fallopian Tube Neoplasms · Phase 2
- Gallbladder Neoplasms · Phase 2
- Gastrointestinal Stromal Tumors · Phase 2
- Glioblastoma · Phase 2
- Glioma · Phase 1
- Gliosarcoma · Phase 2
- Hamartoma · Phase 2
- Head and Neck Neoplasms · Phase 2
- Healthy Volunteers · Phase 1
- Hormones · Phase 2
- Intestinal Neoplasms · Phase 1
- Kidney Neoplasms · Phase 2
- Leukemia, Myeloid, Acute · Phase 2
- Lung Neoplasms · Phase 3
- Lymphoma · Phase 1
- Lymphoproliferative Disorders · Phase 1
- Mesothelioma · Phase 2
- Multiple Endocrine Neoplasia Type 2a · Phase 1/Phase 2
- Multiple Endocrine Neoplasia Type 2b · Phase 1/Phase 2
- Multiple Myeloma · Phase 2
- Myoma · Phase 1/Phase 2
- Neoplasm Metastasis · Phase 2
- Neuroblastoma · Phase 1
- Oligodendroglioma · Phase 2
- Ovarian Neoplasms · Phase 2
- Pancreatic Neoplasms · Phase 2
- Paraganglioma · Phase 1
- Peritoneal Neoplasms · Phase 2
- Pleural Effusion · Phase 2
- Precancerous Conditions · Phase 2
- Prostatic Neoplasms · Phase 2
- Small Cell Lung Carcinoma · Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 2
- Stomach Neoplasms · Phase 2
- Thyroid Cancer, Papillary · Phase 2
- Ureteral Neoplasms · Phase 2
- Urethral Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 2
- von Hippel-Lindau Disease · Phase 2
Mechanism of action
Vascular endothelial growth factor receptor inhibitor
- Ephrin receptorINHIBITOR
Ephrin receptor inhibitor
- Ephrin type-A receptor 2 (EPHA2) ↗
- Ephrin type-B receptor 2 (EPHB2) ↗
- Ephrin type-A receptor 5 (EPHA5) ↗
- Ephrin type-A receptor 4 (EPHA4) ↗
- Ephrin type-A receptor 8 (EPHA8) ↗
- Ephrin type-A receptor 6 (EPHA6) ↗
- Ephrin type-A receptor 7 (EPHA7) ↗
- Ephrin type-B receptor 3 (EPHB3) ↗
- Ephrin type-A receptor 3 (EPHA3) ↗
- Ephrin type-B receptor 1 (EPHB1) ↗
- Ephrin type-B receptor 4 (EPHB4) ↗
- Ephrin type-A receptor 1 (EPHA1) ↗
- Ephrin type-B receptor 6 (EPHB6) ↗
- Ephrin type-A receptor 10 (EPHA10) ↗
- Ephrin type-B receptor 2
- Ephrin type-A receptor 2
- Ephrin type-A receptor 3
- Ephrin type-A receptor 8
- Ephrin type-A receptor 5
- Ephrin type-B receptor 1
- Ephrin type-A receptor 4
- Ephrin type-A receptor 7
- Ephrin type-A receptor 6
- Ephrin type-B receptor 4
- Ephrin type-B receptor 3
- Ephrin type-A receptor 1
- Ephrin type-B receptor 6
- Epidermal growth factor receptorINHIBITOR
Epidermal growth factor receptor inhibitor
- Tyrosine-protein kinase TIE-2INHIBITOR
TEK inhibitor
- Tyrosine-protein kinase receptor RETINHIBITOR
RET inhibitor
- Tyrosine-protein kinase SRCINHIBITOR
SRC inhibitor
- Tyrosine-protein kinase BRKINHIBITOR
PTK6 inhibitor
Approval history
- approvedPriority reviewApr 6, 2011
Chemistry & pharmacology
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
Sources
- WikipediaVandetanib ↗
- NCATSYO460OQ37K ↗
- ChEMBLCHEMBL24828 ↗
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 ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04760288 | Phase 3 | Jan 9, 2022 | Roche |
| NCT06482086 | Phase 2 | Jun 1, 2021 | Sichuan University |
| NCT04211337 | Phase 3 | Dec 24, 2019 | Eli Lilly, Loxo Oncology |
| NCT03630120 | Phase 2 | Aug 6, 2018 | University of South Florida |
| NCT03291379 | Early Phase 1 (Phase 1) | May 17, 2017 | Biocompatibles International plc, University of London |
| NCT02638428 | Phase 2 | Dec 1, 2015 | Government of Korea, Sungkyunkwan University |
| NCT02495103 | Phase 1/Phase 2 (Phase 2) | Jun 30, 2015 | National Cancer Institute (NCI) |
| NCT02530411 | Phase 2 | Apr 1, 2015 | AstraZeneca, Cancer Research UK, University of Bath, Velindre NHS Trust |
| NCT02239952 | N/A | Nov 1, 2014 | Free University of Amsterdam, University of Amsterdam |
| NCT01941849 | Phase 1 | Oct 1, 2014 | AstraZeneca, Cancer Research UK, University of London |
| NCT02142036 | Phase 2 | May 1, 2014 | Government of Norway, Osaka University, Oslo Metropolitan University |
| NCT02117167 | Phase 2 | Apr 23, 2014 | AstraZeneca, Fondation ARC, Groupe Hospitalier Paris Saint Joseph, Institut Gustave Roussy, UNICANCER |
| NCT02299999 | Phase 2 | Apr 7, 2014 | AstraZeneca, Fondation ARC, Institut Gustave Roussy, UNICANCER |
| NCT02013089 | N/A | Dec 1, 2013 | Sun Yat-Sen University |
| NCT01934335 | Phase 2 | Oct 1, 2013 | University of Iowa |
| NCT02015065 | Phase 2 | Sep 18, 2013 | National Cancer Institute (NCI) |
| NCT01876784 | Phase 3 | Sep 1, 2013 | Genzyme, Sanofi |
| NCT01823068 | Phase 2 | Apr 1, 2013 | AstraZeneca, Sungkyunkwan University |
| NCT01661179 | Phase 1/Phase 2 (Phase 2) | Nov 1, 2012 | Genzyme, Sanofi |
| NCT01496313 | Phase 4 | Jun 1, 2012 | Genzyme, Sanofi |
Organizations
Research & Development (65)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Sanofi | For profit | 45 | 8 | 4 | 2002 |
| Genzyme | For profit | 38 | 37 | 4 | 2002 |
| AstraZeneca | For profit | 32 | 0 | 2 | 2006 |
| National Cancer Institute (NCI) | Government | 17 | 9 | 2 | 2005 |
| University of Texas at Houston | Academic/Hospital | 8 | 7 | 2 | 2006 |
| Harvard University | Academic/Hospital | 6 | 6 | 2 | 2006 |
| National Institutes of Health (NIH) | Government | 6 | 1 | 2 | 2007 |
| Cancer Research UK | Academic/Hospital | 3 | 1 | 2 | 2011 |
| University of Colorado, Denver | Academic/Hospital | 3 | 2 | 2 | 2007 |
| University of London | Academic/Hospital | 3 | 1 | 2 | 2011 |
| Department of Defense | Government | 2 | 0 | 1 | 2006 |
| Duke University | Academic/Hospital | 2 | 2 | 1 | 2007 |
| Fondation ARC | Academic/Hospital | 2 | 0 | 1 | 2014 |
| Institut Gustave Roussy | Academic/Hospital | 2 | 0 | 1 | 2014 |
| Southwest Oncology Group | Academic/Hospital | 2 | 2 | 2 | 2008 |
| Stanford University | Academic/Hospital | 2 | 2 | 2 | 2006 |
| St. Jude Children's Hospital | Academic/Hospital | 2 | 2 | 1 | 2007 |
| Sungkyunkwan University | Academic/Hospital | 2 | 2 | 1 | 2013 |
| Temple University | Academic/Hospital | 2 | 1 | 2 | 2008 |
| UNICANCER | Academic/Hospital | 2 | 2 | 1 | 2014 |
Marketing (3)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| AstraZeneca | For profit | NDA | Apr 6, 2011 |
| Genzyme | For profit | NDA2 | Apr 6, 2011 |
| Sanofi-Aventis | For profit | NDA2 | Apr 6, 2011 |