Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C22H24BrFN4O2 |
| Molecular Weight | 475.354 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=CC2=C(NC3=CC=C(Br)C=C3F)N=CN=C2C=C1OCC4CCN(C)CC4
InChI
InChIKey=UHTHHESEBZOYNR-UHFFFAOYSA-N
InChI=1S/C22H24BrFN4O2/c1-28-7-5-14(6-8-28)12-30-21-11-19-16(10-20(21)29-2)22(26-13-25-19)27-18-4-3-15(23)9-17(18)24/h3-4,9-11,13-14H,5-8,12H2,1-2H3,(H,25,26,27)
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/25982012
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/25982012
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.
CNS Activity
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: P00533|||Q9GZX1 Gene ID: 1956.0 Gene Symbol: EGFR Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=15928657 |
0.5 µM [IC50] | ||
Target ID: P35968 Gene ID: 3791.0 Gene Symbol: KDR Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=15928657 |
0.04 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CAPRELSA Approved UseIndicated for the treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease. Use CAPRELSA in patients with indolent, asymptomatic or slowly progressing disease only after careful consideration of the treatment related
risks of CAPRELSA. Launch Date2011 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2024 ng/mL |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VANDETANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
130 ng/mL |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
VANDETANIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
38611 ng × h/mL |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VANDETANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
22030 ng × h/mL |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
VANDETANIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7.6 day |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VANDETANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
204 h |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
VANDETANIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6% |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VANDETANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1200 mg single, oral Highest studied dose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
Other AEs: Rash, Blood pressure systolic increased... Other AEs: Rash Sources: Blood pressure systolic increased Blood pressure diastolic increased |
300 mg single, oral Studied dose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
Disc. AE: Vomiting... AEs leading to discontinuation/dose reduction: Vomiting (grade 2) Sources: |
400 mg single, oral |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
Disc. AE: Eczema... AEs leading to discontinuation/dose reduction: Eczema (grade 1) Sources: |
800 mg single, oral |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
Disc. AE: Folliculitis... AEs leading to discontinuation/dose reduction: Folliculitis (grade 2) Sources: |
200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, mean age 45.6 years Health Status: unhealthy Age Group: mean age 45.6 years Sex: M+F Sources: |
DLT: Hypophosphatemia, Diarrhea... Dose limiting toxicities: Hypophosphatemia (grade 3, 12.5%) Sources: Diarrhea (grade 2, 12.5%) |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
DLT: Intestinal obstruction, Diarrhea... Dose limiting toxicities: Intestinal obstruction (grade 3, 12.5%) Sources: Diarrhea (grade 3, 25%) Colitis (grade 3, 12.5%) Hypertension (grade 3, 12.5%) Fatigue (grade 3, 12.5%) Thrombocytopenia (grade 3, 12.5%) |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
Disc. AE: Skin disorder, Asthenia... Other AEs: Rash, Acneiform dermatitis... AEs leading to discontinuation/dose reduction: Skin disorder (2.5%) Other AEs:Asthenia (1.7%) Fatigue (0.9%) Pyrexia (0.9%) Diarrhea (0.9%) Creatinine increased (0.9%) Electrocardiogram QTc interval prolonged (0.9%) Hypertension (0.9%) General physical health deterioration (0.4%) Dysphagia (0.4%) Nausea (0.4%) Pancreatitis (0.4%) Peritonitis (0.4%) Small intestinal perforation (0.4%) Vomiting (0.4%) Systolic dysfunction (0.4%) Chylothorax (0.4%) Cough (0.4%) Dysphonia (0.4%) Dyspnea (0.4%) Pneumonitis (0.4%) Peripheral ischemia (0.4%) Peripheral sensorimotor neuropathy (0.4%) Vision blurred (0.4%) Arthralgia (0.4%) Germ cell cancer (0.4%) Rash (grade 3, 3.9%) Sources: Acneiform dermatitis (grade 3, 0.9%) Photosensitivity reaction (grade 3, 1.7%) Generalized erythema (grade 3, 1.3%) Skin exfoliation (grade 3, 0.4%) Palmar-plantar erythrodysaesth. (grade 3, 0.4%) Dermatitis bullous (grade 3, 0.4%) Skin candida (grade 3, 0.4%) Erysipelas (grade 3, 0.4%) Pneumonitis (grade 3, 0.4%) Dyspnea (grade 3, 1.7%) Respiratory failure (grade 3, 0.8%) Diarrhea (grade 3, 3%) Nausea (grade 3, 1%) Hypertension (grade 3, 6%) Headache (grade 3, 1%) Fatigue (grade 3, 6%) Decreased appetite (grade 3, 4%) Dermatitis acneiform (grade 3, <1%) Vomiting (grade 3, 1%) Asthenia (grade 3, 3%) Abdominal pain (grade 3, 2%) QT interval prolonged (grade 3, 8%) Photosensitivity reaction (grade 3, 2%) Hypocalcaemia (grade 3, 2%) Pruritus (grade 3, 1%) Weight decreased (grade 3, 1%) Depression (grade 3, 2%) ALT increased (grade 3, 2%) Calcium decreased (grade 3, 6%) Calcium increased (grade 3, 9%) Glucose increased (grade 3, 2%) Magnesium decreased (grade 3, <1%) Potassium decreased (grade 3, <1%) Potassium increased (grade 3, <1%) Hemoglobin decreased (grade 3, <1%) Neutrophil count decreased (grade 3, <1%) WBC decreased (grade 3, <1%) |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
DLT: Diarrhea, Folliculitis... Disc. AE: Folliculitis... Dose limiting toxicities: Diarrhea (grade 2, 12.5%) AEs leading toFolliculitis (grade 2, 12.5%) ALT increased (grade 3, 12.5%) Rash (grade 3, 12.5%) discontinuation/dose reduction: Folliculitis (grade 3, 12.5%) Sources: |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 57.7 years Health Status: unhealthy Age Group: mean age 57.7 years Sex: M+F Sources: |
DLT: Rash... Disc. AE: Congestive cardiac failure... Dose limiting toxicities: Rash (grade 2, 4%) AEs leading todiscontinuation/dose reduction: Congestive cardiac failure (grade 3, 4%) Sources: |
100 mg 1 times / day multiple, oral Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, median age 50 years Health Status: unhealthy Age Group: median age 50 years Sex: M+F Sources: |
Other AEs: Lymphopenia... |
200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, median age 52.5 years Health Status: unhealthy Age Group: median age 52.5 years Sex: M+F Sources: |
DLT: Hypertension... Other AEs: Fatigue... Dose limiting toxicities: Hypertension (grade 3, 33.3%) Other AEs:Fatigue (grade 3, 16.7%) Sources: |
400 mg 1 times / day multiple, oral Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, median age 53 years Health Status: unhealthy Age Group: median age 53 years Sex: M+F Sources: |
DLT: Hypertension, Alanine aminotransferase increased... Dose limiting toxicities: Hypertension (grade 3, 33.3%) Sources: Alanine aminotransferase increased (grade 3, 33.3%) |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, median age 55.5 years Health Status: unhealthy Age Group: median age 55.5 years Sex: M+F Sources: |
DLT: Hypertension, Diarrhea... Dose limiting toxicities: Hypertension (grade 3, 33.3%) Sources: Diarrhea (grade 3, 33.3%) Headache (grade 3, 33.3%) Toxic skin eruption (grade 2, 33.3%) |
300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
Disc. AE: Rash, Dyspnea... Other AEs: Diarrhea, Diarrhea... AEs leading to discontinuation/dose reduction: Rash (1.3%) Other AEs:Dyspnea (1%) Pneumonia (1.1%) Diarrhea (50%) Sources: Diarrhea (grade 3-4, 5%) Rash (28%) Rash (grade 3-4, 3%) Nausea (23%) Nausea (grade 3-4, 1%) Anorexia (20%) Anorexia (grade 3-4, 2%) Fatigue (20%) Fatigue (grade 3-4, 4%) Dyspnea (15%) Dyspnea (grade 3-4, 4%) Cough (13%) Cough (grade 3-4, 0.8%) Dermatitis acneiform (12%) Dermatitis acneiform (grade 3-4, 0.6%) Vomiting (14%) Vomiting (grade 3-4, 2%) Constipation (9%) Dry skin (10%) Dry skin (grade 3-4, 0.3%) Hypertension (16%) Hypertension (grade 3-4, 4%) Pruritus (6%) Pruritus (grade 3-4, 0.5%) |
300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
Other AEs: QT interval prolonged, Torsades de pointes... Other AEs: QT interval prolonged (5.1%) Sources: Torsades de pointes (0.2%) Sudden death (grade 5, 0.2%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Blood pressure diastolic increased | 1200 mg single, oral Highest studied dose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
|
| Blood pressure systolic increased | 1200 mg single, oral Highest studied dose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
|
| Rash | 1200 mg single, oral Highest studied dose Dose: 1200 mg Route: oral Route: single Dose: 1200 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
|
| Vomiting | grade 2 Disc. AE |
300 mg single, oral Studied dose Dose: 300 mg Route: oral Route: single Dose: 300 mg Sources: |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
| Eczema | grade 1 Disc. AE |
400 mg single, oral |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
| Folliculitis | grade 2 Disc. AE |
800 mg single, oral |
healthy, mean age 34.4 years Health Status: healthy Age Group: mean age 34.4 years Sex: M Sources: |
| Diarrhea | grade 2, 12.5% DLT |
200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, mean age 45.6 years Health Status: unhealthy Age Group: mean age 45.6 years Sex: M+F Sources: |
| Hypophosphatemia | grade 3, 12.5% DLT |
200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, mean age 45.6 years Health Status: unhealthy Age Group: mean age 45.6 years Sex: M+F Sources: |
| Colitis | grade 3, 12.5% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Fatigue | grade 3, 12.5% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Hypertension | grade 3, 12.5% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Intestinal obstruction | grade 3, 12.5% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Thrombocytopenia | grade 3, 12.5% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Diarrhea | grade 3, 25% DLT |
600 mg 1 times / day multiple, oral Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, mean age 50.6 years Health Status: unhealthy Age Group: mean age 50.6 years Sex: M+F Sources: |
| Arthralgia | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Chylothorax | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Cough | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dysphagia | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dysphonia | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dyspnea | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| General physical health deterioration | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Germ cell cancer | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Nausea | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Pancreatitis | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Peripheral ischemia | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Peripheral sensorimotor neuropathy | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Peritonitis | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Pneumonitis | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Small intestinal perforation | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Systolic dysfunction | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Vision blurred | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Vomiting | 0.4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Creatinine increased | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Diarrhea | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Electrocardiogram QTc interval prolonged | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Fatigue | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Hypertension | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Pyrexia | 0.9% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Asthenia | 1.7% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Skin disorder | 2.5% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dermatitis bullous | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Erysipelas | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Palmar-plantar erythrodysaesth. | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Pneumonitis | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Skin candida | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Skin exfoliation | grade 3, 0.4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Respiratory failure | grade 3, 0.8% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Acneiform dermatitis | grade 3, 0.9% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Headache | grade 3, 1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Nausea | grade 3, 1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Pruritus | grade 3, 1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Vomiting | grade 3, 1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Weight decreased | grade 3, 1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Generalized erythema | grade 3, 1.3% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dyspnea | grade 3, 1.7% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Photosensitivity reaction | grade 3, 1.7% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| ALT increased | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Abdominal pain | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Depression | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Glucose increased | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Hypocalcaemia | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Photosensitivity reaction | grade 3, 2% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Asthenia | grade 3, 3% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Diarrhea | grade 3, 3% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Rash | grade 3, 3.9% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Decreased appetite | grade 3, 4% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Calcium decreased | grade 3, 6% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Fatigue | grade 3, 6% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Hypertension | grade 3, 6% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| QT interval prolonged | grade 3, 8% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Calcium increased | grade 3, 9% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Dermatitis acneiform | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Hemoglobin decreased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Magnesium decreased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Neutrophil count decreased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Potassium decreased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Potassium increased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| WBC decreased | grade 3, <1% | 300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 50.7 years Health Status: unhealthy Age Group: mean age 50.7 years Sex: M+F Sources: |
| Diarrhea | grade 2, 12.5% DLT |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
| Folliculitis | grade 2, 12.5% DLT |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
| ALT increased | grade 3, 12.5% DLT |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
| Rash | grade 3, 12.5% DLT |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
| Folliculitis | grade 3, 12.5% Disc. AE |
500 mg 1 times / day multiple, oral Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, mean age 51.6 years Health Status: unhealthy Age Group: mean age 51.6 years Sex: M+F Sources: |
| Rash | grade 2, 4% DLT |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 57.7 years Health Status: unhealthy Age Group: mean age 57.7 years Sex: M+F Sources: |
| Congestive cardiac failure | grade 3, 4% Disc. AE |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, mean age 57.7 years Health Status: unhealthy Age Group: mean age 57.7 years Sex: M+F Sources: |
| Lymphopenia | grade 3, 33.3% | 100 mg 1 times / day multiple, oral Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
unhealthy, median age 50 years Health Status: unhealthy Age Group: median age 50 years Sex: M+F Sources: |
| Fatigue | grade 3, 16.7% | 200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, median age 52.5 years Health Status: unhealthy Age Group: median age 52.5 years Sex: M+F Sources: |
| Hypertension | grade 3, 33.3% DLT |
200 mg 1 times / day multiple, oral Recommended|MTD Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: |
unhealthy, median age 52.5 years Health Status: unhealthy Age Group: median age 52.5 years Sex: M+F Sources: |
| Alanine aminotransferase increased | grade 3, 33.3% DLT |
400 mg 1 times / day multiple, oral Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, median age 53 years Health Status: unhealthy Age Group: median age 53 years Sex: M+F Sources: |
| Hypertension | grade 3, 33.3% DLT |
400 mg 1 times / day multiple, oral Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, median age 53 years Health Status: unhealthy Age Group: median age 53 years Sex: M+F Sources: |
| Toxic skin eruption | grade 2, 33.3% DLT |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, median age 55.5 years Health Status: unhealthy Age Group: median age 55.5 years Sex: M+F Sources: |
| Diarrhea | grade 3, 33.3% DLT |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, median age 55.5 years Health Status: unhealthy Age Group: median age 55.5 years Sex: M+F Sources: |
| Headache | grade 3, 33.3% DLT |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, median age 55.5 years Health Status: unhealthy Age Group: median age 55.5 years Sex: M+F Sources: |
| Hypertension | grade 3, 33.3% DLT |
300 mg 1 times / day multiple, oral Recommended|MTD Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy, median age 55.5 years Health Status: unhealthy Age Group: median age 55.5 years Sex: M+F Sources: |
| Dyspnea | 1% Disc. AE |
300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Pneumonia | 1.1% Disc. AE |
300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Rash | 1.3% Disc. AE |
300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dry skin | 10% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dermatitis acneiform | 12% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Cough | 13% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Vomiting | 14% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dyspnea | 15% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Hypertension | 16% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Anorexia | 20% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Fatigue | 20% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Nausea | 23% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Rash | 28% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Diarrhea | 50% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Pruritus | 6% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Constipation | 9% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dry skin | grade 3-4, 0.3% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Pruritus | grade 3-4, 0.5% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dermatitis acneiform | grade 3-4, 0.6% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Cough | grade 3-4, 0.8% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Nausea | grade 3-4, 1% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Anorexia | grade 3-4, 2% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Vomiting | grade 3-4, 2% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Rash | grade 3-4, 3% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Dyspnea | grade 3-4, 4% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Fatigue | grade 3-4, 4% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Hypertension | grade 3-4, 4% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Diarrhea | grade 3-4, 5% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Torsades de pointes | 0.2% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| QT interval prolonged | 5.1% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
| Sudden death | grade 5, 0.2% | 300 mg/day 1 times / day multiple, oral Recommended Dose: 300 mg/day, 1 times / day Route: oral Route: multiple Dose: 300 mg/day, 1 times / day Sources: |
unhealthy, median age 61 years Health Status: unhealthy Age Group: median age 61 years Sex: M+F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| weak [IC50 52 uM] | ||||
| weak | unlikely Comment: less than 40% effect at 2uM in vitro |
|||
| weak | unlikely Comment: less than 40% effect at 2uM in vitro |
|||
| weak | unlikely Comment: less than 40% effect at 2uM in vitro |
|||
| yes [IC50 18.3 uM] | ||||
| yes [IC50 5.5 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| minor | ||||
| minor | ||||
| minor | ||||
| minor | ||||
| minor | ||||
| no | ||||
| no | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | ||||
| yes | yes (co-administration study) Comment: Itraconazole does not increased exposure to vandetanib; rifampicin reduced exposure to vandetanib by 48% but increased exposure to the active N-desmethyl metabolite |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Antitumor effects of ZD6474, a small molecule vascular endothelial growth factor receptor tyrosine kinase inhibitor, with additional activity against epidermal growth factor receptor tyrosine kinase. | 2003 Apr |
|
| Molecular therapeutics: is one promiscuous drug against multiple targets better than combinations of molecule-specific drugs? | 2003 Apr |
|
| ZD-6474. AstraZeneca. | 2003 Dec |
|
| [Current screening for molecular target therapy of cancer]. | 2003 Nov |
|
| Use of dynamic contrast-enhanced MRI to evaluate acute treatment with ZD6474, a VEGF signalling inhibitor, in PC-3 prostate tumours. | 2003 Nov 17 |
|
| In vivo videomicroscopy reveals differential effects of the vascular-targeting agent ZD6126 and the anti-angiogenic agent ZD6474 on vascular function in a liver metastasis model. | 2004 |
|
| [Anti angiogenesis]. | 2004 Apr |
|
| Inhibition of VEGFR2 prevents DMBA-induced mammary tumor formation. | 2004 Aug |
|
| Combination antiangiogenic and androgen deprivation therapy for prostate cancer: a promising therapeutic approach. | 2004 Dec 15 |
|
| Small in-frame deletion in the epidermal growth factor receptor as a target for ZD6474. | 2004 Dec 15 |
|
| Hormonal regulation and functional role of vascular endothelial growth factor a in the rat testis. | 2004 Feb |
|
| Antitumor activity of ZD6474, a vascular endothelial growth factor receptor tyrosine kinase inhibitor, in human cancer cells with acquired resistance to antiepidermal growth factor receptor therapy. | 2004 Jan 15 |
|
| Efficacy of combined antiangiogenic and vascular disrupting agents in treatment of solid tumors. | 2004 Nov 15 |
|
| ZD6474 headed for phase III trials in the fall. | 2005 Aug |
|
| Clinical evaluation of ZD6474, an orally active inhibitor of VEGF and EGF receptor signaling, in patients with solid, malignant tumors. | 2005 Aug |
|
| In vitro procoagulant activity induced in endothelial cells by chemotherapy and antiangiogenic drug combinations: modulation by lower-dose chemotherapy. | 2005 Jun 15 |
|
| Gateways to clinical trials. | 2005 Mar |
|
| Update on angiogenesis inhibitors. | 2005 Nov |
|
| Targeting the tumor vasculature: enhancing antitumor efficacy through combination treatment with ZD6126 and ZD6474. | 2005 Nov-Dec |
|
| ZD6474, an inhibitor of vascular endothelial growth factor receptor tyrosine kinase, inhibits growth of experimental lung metastasis and production of malignant pleural effusions in a non-small cell lung cancer model. | 2006 |
|
| Anti-tumor activity of the combination of cetuximab, an anti-EGFR blocking monoclonal antibody and ZD6474, an inhibitor of VEGFR and EGFR tyrosine kinases. | 2006 Aug |
|
| ZD6474 induces growth arrest and apoptosis of GIST-T1 cells, which is enhanced by concomitant use of sunitinib. | 2006 Dec |
|
| ZD6474, an inhibitor of VEGFR and EGFR tyrosine kinase activity in combination with radiotherapy. | 2006 Jan 1 |
|
| Multi-target inhibitors in non-small cell lung cancer (NSCLC). | 2006 Mar |
|
| Gateways to clinical trials. | 2006 Sep |
|
| Dual targeting of the vascular endothelial growth factor and epidermal growth factor receptor pathways: rationale and clinical applications for non-small-cell lung cancer. | 2007 Feb |
|
| Vandetanib (ZD6474): an orally available receptor tyrosine kinase inhibitor that selectively targets pathways critical for tumor growth and angiogenesis. | 2007 Feb |
|
| Pharmacology of epidermal growth factor inhibitors. | 2007 Jan-Mar |
|
| Novel inhibitors of VEGF receptors-1 and -2 based on azole-5-carboxamide templates. | 2007 Jul 1 |
|
| Antiangiogenic and antitumor activity of a novel vascular endothelial growth factor receptor-2 tyrosine kinase inhibitor ZD6474 in a metastatic human pancreatic tumor model. | 2007 Jun |
|
| 1H-1,2,4-triazol-3-yl-anilines: novel potent inhibitors of vascular endothelial growth factor receptors 1 and 2. | 2007 May |
|
| Combination of target agents: challenges and opportunities. | 2007 May |
Sample Use Guides
300 mg once daily may be taken with or without food. Dosage reduction may be necessary in the event of severe toxicities or QTc interval prolongation. The starting dose is 200 mg in patients with moderate to severe renal impairment.
Route of Administration:
Oral
Used in in vitro co-culture tubule formation model consisting of HUVECs and human fibroblasts vandetanib potently inhibited each of the tubule growth parameters measured (number of branch points [IC50 = 33.23 nM], total vessel length [IC50 = 60.97 nM], tubule area [IC50 = 92.70 nM]), at potencies consistent with the potency of vandetanib for inhibition of VEGF-stimulated proliferation of HUVECs.
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| Classification Tree | Code System | Code | ||
|---|---|---|---|---|
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EMA ASSESSMENT REPORTS |
CAPRELSA (AUTHORIZED: THYROID NEOPLASMS)
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LIVERTOX |
NBK548169
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NDF-RT |
N0000175605
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NCI_THESAURUS |
C1742
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NCI_THESAURUS |
C2167
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EU-Orphan Drug |
EU/3/05/344
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WHO-ATC |
L01XE12
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NCI_THESAURUS |
C93259
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FDA ORPHAN DRUG |
211005
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WHO-VATC |
QL01XE12
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| Code System | Code | Type | Description | ||
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5717
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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SUB29174
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CHEMBL24828
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744325
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PRIMARY | |||
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SS-07
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PRIMARY | |||
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4178
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PRIMARY | |||
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N0000187061
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PRIMARY | Organic Cation Transporter 2 Inhibitors [MoA] | ||
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C2737
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PRIMARY | |||
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443913-73-3
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8198
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YO460OQ37K
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Vandetanib
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760766
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PRIMARY | |||
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8365
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PRIMARY | |||
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DTXSID1046681
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PRIMARY | |||
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m11387
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PRIMARY | Merck Index | ||
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Vandetanib
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DB05294
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3081361
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100000090715
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49960
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YO460OQ37K
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1098413
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PRIMARY | RxNorm | ||
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C452423
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PRIMARY |
ACTIVE MOIETY
METABOLITE ACTIVE (PARENT)
METABOLITE INACTIVE (PARENT)