Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C21H23N7O2S.ClH.H2O |
| Molecular Weight | 491.994 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
O.Cl.CN(C1=CC2=NN(C)C(C)=C2C=C1)C3=NC(NC4=CC=C(C)C(=C4)S(N)(=O)=O)=NC=C3
InChI
InChIKey=RGKFSIOGIJNWPQ-UHFFFAOYSA-N
InChI=1S/C21H23N7O2S.ClH.H2O/c1-13-5-6-15(11-19(13)31(22,29)30)24-21-23-10-9-20(25-21)27(3)16-7-8-17-14(2)28(4)26-18(17)12-16;;/h5-12H,1-4H3,(H2,22,29,30)(H,23,24,25);1H;1H2
| Molecular Formula | ClH |
| Molecular Weight | 36.461 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C21H23N7O2S |
| Molecular Weight | 437.518 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | H2O |
| Molecular Weight | 18.0153 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionCurator's Comment: Description was created based on several sources, including
http://adisinsight.springer.com/drugs/800016874 | https://www.ncbi.nlm.nih.gov/pubmed/26767042 | https://www.ncbi.nlm.nih.gov/pubmed/17620431
Curator's Comment: Description was created based on several sources, including
http://adisinsight.springer.com/drugs/800016874 | https://www.ncbi.nlm.nih.gov/pubmed/26767042 | https://www.ncbi.nlm.nih.gov/pubmed/17620431
Pazopanib (VOTRIENT) is an orally bioavailable multi-targeted tyrosine kinase receptor inhibitor. Pazopanib inhibits vascular endothelial growth factor receptor (VEGFR)-1, VEGFR-2, VEGFR-3, platelet-derived growth factor receptor (PDGFR)-α and -β, fibroblast growth factor receptor (FGFR) -1 and -3, cytokine receptor (Kit), interleukin-2 receptor inducible T-cell kinase (Itk), leukocyte-specific protein tyrosine kinase (Lck), and transmembrane glycoprotein receptor tyrosine kinase (c-Fms). In an vitro study, pazopanib exerted anti-tumor effect through mechanisms including the Raf-MAPK/ERK (MEK)-extracellular signal-regulated kinase (ERK) pathway. It has good oral exposure and inhibits angiogenesis and tumor growth in mice. Pazopanib (VOTRIENT) was developed by GlaxoSmithKline for the treatment of solid tumours and age-related macular degeneration. However, Novartis acquired all the rights to the drug from GlaxoSmithKline. Pazopanib (VOTRIENT) is indicated for the treatment of patients with advanced renal cell carcinoma and advanced soft tissue sarcoma.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL3650 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.14 µM [IC50] | ||
Target ID: CHEMBL2742 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.13 µM [IC50] | ||
Target ID: CHEMBL1844 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.146 µM [IC50] | ||
Target ID: CHEMBL2007 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.071 µM [IC50] | ||
Target ID: CHEMBL1913 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.084 µM [IC50] | ||
Target ID: CHEMBL1936 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.074 µM [IC50] | ||
Target ID: CHEMBL2959 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.43 µM [IC50] | ||
Target ID: CHEMBL258 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.411 µM [IC50] | ||
Target ID: CHEMBL1868 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.01 µM [IC50] | ||
Target ID: CHEMBL279 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.03 µM [IC50] | ||
Target ID: CHEMBL1955 Sources: https://www.ncbi.nlm.nih.gov/pubmed/17620431/ |
0.047 µM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | VOTRIENT Approved UseVOTRIENT® is indicated for the treatment of patients with advanced renal cell carcinoma (RCC). VOTRIENT is indicated for the treatment of patients with advanced soft tissue sarcoma (STS) who have received prior chemotherapy. Limitation of Use: The efficacy of VOTRIENT for the treatment of patients with adipocytic STS or gastrointestinal stromal tumors has not been demonstrated. VOTRIENT is a kinase inhibitor indicated for the treatment of patients with: •advanced renal cell carcinoma. (1) •advanced soft tissue sarcoma who have received prior chemotherapy. (1) Limitation of Use: The efficacy of VOTRIENT for the treatment of patients with adipocytic soft tissue sarcoma or gastrointestinal stromal tumors has not been demonstrated. Launch Date2009 |
|||
| Primary | VOTRIENT Approved UseVOTRIENT® is indicated for the treatment of patients with advanced renal cell carcinoma (RCC). VOTRIENT is indicated for the treatment of patients with advanced soft tissue sarcoma (STS) who have received prior chemotherapy. Limitation of Use: The efficacy of VOTRIENT for the treatment of patients with adipocytic STS or gastrointestinal stromal tumors has not been demonstrated. VOTRIENT is a kinase inhibitor indicated for the treatment of patients with: •advanced renal cell carcinoma. (1) •advanced soft tissue sarcoma who have received prior chemotherapy. (1) Limitation of Use: The efficacy of VOTRIENT for the treatment of patients with adipocytic soft tissue sarcoma or gastrointestinal stromal tumors has not been demonstrated. Launch Date2009 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
58.1 μg/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
PAZOPANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
44.8 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/31125423 |
800 mg 1 times / day multiple, oral dose: 800 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
PAZOPANIB blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
50.2 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/31125423 |
600 mg 1 times / day multiple, oral dose: 600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
PAZOPANIB blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1037 μg × h/mL |
800 mg single, oral dose: 800 mg route of administration: Oral experiment type: SINGLE co-administered: |
PAZOPANIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
821 mg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/31125423 |
800 mg 1 times / day multiple, oral dose: 800 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
PAZOPANIB blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
895 mg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/31125423 |
600 mg 1 times / day multiple, oral dose: 600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
PAZOPANIB blood | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
PAZOPANIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
800 mg 1 times / day multiple, oral Recommended |
unhealthy, 59 years |
Disc. AE: Proteinuria... |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
Disc. AE: ALT increased, AST increased... AEs leading to discontinuation/dose reduction: ALT increased (11 patient) Sources: AST increased (11 patient) Bilirubin increased (11 patient) Myocardial infarction (6 patients) Ischemic stroke (6 patients) Transient ischemic attack (6 patients) Fatigue (5 patients) Diarrhea (7 patients) Anorexia (7 patients) Vomiting (7 patients) Proteinuria (3 patients) Hypertension (2 patients) Hemorrhage (2 patients) Confusion (12 patients) Infection (12 patients) Hand-and-foot syndrome (12 patients) Edema (12 patients) Dehydration (12 patients) Anemia (12 patients) Anxiety (12 patients) Convulsion (12 patients) Atrial fibrillation (12 patients) Hypertension (20 patients) Gastrointestinal disturbance (17 patients) Liver function test abnormal (16 patients) Fatigue (10 patients) Hematologic disorder (4 patients) Rash (5 patients) |
600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
DLT: Neutropenia, Aspartate aminotransferase increased... Other AEs: Diarrhea, Hypertension... Dose limiting toxicities: Neutropenia (grade 2, 1 patient) Other AEs:Aspartate aminotransferase increased (grade 2, 1 patient) Hyperbilirubinemia (grade 2, 1 patient) Diarrhea (all grades, 50%) Sources: Hypertension (grade 3, 13%) AST increased (grade 3, 13%) ALT increased (all grades, 25%) Cough (all grades, 13%) Skin hypopigmentation (all grades, 50%) Weight decrease (all grades, 25%) Alopecia (all grades, 13%) Dizziness (all grades, 13%) Hyperbilirubinemia (all grades, 25%) Abdominal distension (all grades, 25%) Abdominal pain (all grades, 25%) Fatigue (all grades, 13%) Leukopenia (all grades, 13%) Muscle spasms (all grades, 25%) Upper respiratory tract infection (all grades, 13%) Hypercholesterolemia (grade 3, 13%) Gastrointestinal hemorrhage (grade 4, 13%) Hypoglycemia (grade 4, 13%) Transaminases increased (grade 4, 13%) |
800 mg 1 times / day multiple, oral Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
DLT: Aspartate aminotransferase increase, Malaise... Dose limiting toxicities: Aspartate aminotransferase increase (grade 3, 2 patients) Sources: Malaise (grade 3, 2 patients) ALT increased (grade 3, 2 patients) |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
Other AEs: Hepatotoxicity... Other AEs: Hepatotoxicity (severe|grade 5) Sources: |
2000 mg 1 times / day multiple, oral Highest studied dose Dose: 2000 mg, 1 times / day Route: oral Route: multiple Dose: 2000 mg, 1 times / day Sources: |
unhealthy |
DLT: Fatigue... Dose limiting toxicities: Fatigue (grade 3, 1 patient) Sources: |
1000 mg 1 times / day multiple, oral Dose: 1000 mg, 1 times / day Route: oral Route: multiple Dose: 1000 mg, 1 times / day Sources: |
unhealthy |
DLT: Hypertension... Dose limiting toxicities: Hypertension (grade 3, 1 patient) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Proteinuria | 5 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended |
unhealthy, 59 years |
| Fatigue | 10 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| ALT increased | 11 patient Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| AST increased | 11 patient Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Bilirubin increased | 11 patient Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Anemia | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Anxiety | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Atrial fibrillation | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Confusion | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Convulsion | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Dehydration | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Edema | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Hand-and-foot syndrome | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Infection | 12 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Liver function test abnormal | 16 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Gastrointestinal disturbance | 17 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Hemorrhage | 2 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Hypertension | 2 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Hypertension | 20 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Proteinuria | 3 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Hematologic disorder | 4 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Fatigue | 5 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Rash | 5 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Ischemic stroke | 6 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Myocardial infarction | 6 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Transient ischemic attack | 6 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Anorexia | 7 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Diarrhea | 7 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Vomiting | 7 patients Disc. AE |
800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 59 years Health Status: unhealthy Age Group: 59 years Sex: M+F Sources: |
| Alopecia | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Cough | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Dizziness | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Fatigue | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Leukopenia | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Upper respiratory tract infection | all grades, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| ALT increased | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Abdominal distension | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Abdominal pain | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hyperbilirubinemia | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Muscle spasms | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Weight decrease | all grades, 25% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Diarrhea | all grades, 50% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Skin hypopigmentation | all grades, 50% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Aspartate aminotransferase increased | grade 2, 1 patient DLT |
600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hyperbilirubinemia | grade 2, 1 patient DLT |
600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Neutropenia | grade 2, 1 patient DLT |
600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| AST increased | grade 3, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hypercholesterolemia | grade 3, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hypertension | grade 3, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Gastrointestinal hemorrhage | grade 4, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hypoglycemia | grade 4, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Transaminases increased | grade 4, 13% | 600 mg 1 times / day multiple, oral MTD Dose: 600 mg, 1 times / day Route: oral Route: multiple Dose: 600 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| ALT increased | grade 3, 2 patients DLT |
800 mg 1 times / day multiple, oral Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Aspartate aminotransferase increase | grade 3, 2 patients DLT |
800 mg 1 times / day multiple, oral Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Malaise | grade 3, 2 patients DLT |
800 mg 1 times / day multiple, oral Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 38–76 years) Health Status: unhealthy Age Group: 61 years (range: 38–76 years) Sex: M+F Sources: |
| Hepatotoxicity | severe|grade 5 | 800 mg 1 times / day multiple, oral Recommended Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sources: |
| Fatigue | grade 3, 1 patient DLT, Disc. AE |
2000 mg 1 times / day multiple, oral Highest studied dose Dose: 2000 mg, 1 times / day Route: oral Route: multiple Dose: 2000 mg, 1 times / day Sources: |
unhealthy |
| Hypertension | grade 3, 1 patient DLT, Disc. AE |
1000 mg 1 times / day multiple, oral Dose: 1000 mg, 1 times / day Route: oral Route: multiple Dose: 1000 mg, 1 times / day Sources: |
unhealthy |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
moderate [IC50 10 uM] | weak (co-administration study) Comment: AUC of paclitaxel (CYP3A4 and CYP2C8 substrate) increased by 26%, decreased paclitaxel clearance by 14%, and increased paclitaxel Cmax by 31%; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
moderate [IC50 11 uM] | no (co-administration study) Comment: no effect Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=33 Page: 33,37 |
moderate [IC50 11 uM] | weak (co-administration study) Comment: pazopanib increased the AUC of CYP3A4 substrate (midazolam) by 32%; AUC of paclitaxel (CYP3A4 and CYP2C8 substrate) increased by 26%, decreased paclitaxel clearance by 14%, and increased paclitaxel Cmax by 31%; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=33 Page: 33,37 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
moderate [IC50 15 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
moderate [IC50 16 uM] | no (co-administration study) Comment: no effect Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
moderate [IC50 17 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,37 |
moderate [IC50 18 uM] | yes (co-administration study) Comment: increased the AUC of CYP2D6 substrate (dextromethorphan) by 64% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,37 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
moderate [IC50 7.9 uM] | no (co-administration study) Comment: no effect Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,36 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,33 |
moderate | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,33,37 |
moderate | weak (co-administration study) Comment: pazopanib increased the AUC of CYP3A4 substrate (midazolam) by 32%; AUC of paclitaxel (CYP3A4 and CYP2C8 substrate) increased by 26%, decreased paclitaxel clearance by 14%, and increased paclitaxel Cmax by 31%; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,33,37 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=33 Page: 33.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34.0 |
yes [IC50 0.79 uM] | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34,4 |
yes [IC50 1.2 uM] | yes (pharmacogenomic study) Comment: Certain UGT1A1 genotypes are associated with an increase in the risk of pazopanib induced hyperbilirubinemia. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34,4 |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,35 |
major | yes (co-administration study) Comment: pazopanib AUC (0-t), Cmax, and half-life were increased 1.47, 2.21, and 2.81 fold, respectively; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32,35 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=32 Page: 32.0 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34,35 |
yes | yes (co-administration study) Comment: AUC(0-t) and Cmax values of pazopanib are increased by 59 and 50%, respectively, when coadministered with lapatinib; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2009/022465s000_ClinPharmR.pdf#page=34 Page: 34,35 |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 68.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Analytical control of process impurities in Pazopanib hydrochloride by impurity fate mapping. | 2010-08-01 |
|
| Phase II trial of pazopanib (GW786034), an oral multi-targeted angiogenesis inhibitor, for adults with recurrent glioblastoma (North American Brain Tumor Consortium Study 06-02). | 2010-08 |
|
| Plethora of agents, plethora of targets, plethora of side effects in metastatic renal cell carcinoma. | 2010-08 |
|
| An exploratory study of sunitinib plus paclitaxel as first-line treatment for patients with advanced breast cancer. | 2010-07 |
|
| [Antiangionic drugs in soft tissue sarcoma]. | 2010-06 |
|
| Pazopanib: an oral multitargeted tyrosine kinase inhibitor for use in renal cell carcinoma. | 2010-06 |
|
| Current status of vascular endothelial growth factor inhibition in age-related macular degeneration. | 2010-06 |
|
| Bevacizumab salvage therapy following progression in high-grade glioma patients treated with VEGF receptor tyrosine kinase inhibitors. | 2010-06 |
|
| Growth factors in multiple myeloma: a comprehensive analysis of their expression in tumor cells and bone marrow environment using Affymetrix microarrays. | 2010-05-13 |
|
| Antitumor and antiangiogenic effect of the dual EGFR and HER-2 tyrosine kinase inhibitor lapatinib in a lung cancer model. | 2010-05-11 |
|
| Initial assessment, surveillance, and management of blood pressure in patients receiving vascular endothelial growth factor signaling pathway inhibitors. | 2010-05-05 |
|
| Everolimus and pazopanib: two new drugs for renal cell cancer. | 2010-05-03 |
|
| Pazopanib: a multikinase inhibitor with activity in advanced renal cell carcinoma. | 2010-05 |
|
| Targeted therapy and hand-foot skin reaction in advanced renal cell carcinoma. | 2010-05 |
|
| The complexity of the complicity of mast cells in cancer. | 2010-05 |
|
| Pazopanib-induced hyperbilirubinemia is associated with Gilbert's syndrome UGT1A1 polymorphism. | 2010-04-27 |
|
| New therapeutic strategies for renal cell carcinoma. | 2010-04-03 |
|
| Potent preclinical impact of metronomic low-dose oral topotecan combined with the antiangiogenic drug pazopanib for the treatment of ovarian cancer. | 2010-04 |
|
| Bridging the gap between cytotoxic and biologic therapy with metronomic topotecan and pazopanib in ovarian cancer. | 2010-04 |
|
| Plasma cytokine and angiogenic factor profiling identifies markers associated with tumor shrinkage in early-stage non-small cell lung cancer patients treated with pazopanib. | 2010-03-15 |
|
| Recent advances and future directions in the management of metastatic renal cell carcinoma. | 2010-03 |
|
| [Management of metastatic HER2-positive breast cancer: present and future]. | 2010-03 |
|
| Anti-angiogenic tyrosine kinase inhibitors: what is their mechanism of action? | 2010-03 |
|
| StatBite: FDA oncology drug product approvals in 2009. | 2010-02-24 |
|
| Pazopanib in locally advanced or metastatic renal cell carcinoma: results of a randomized phase III trial. | 2010-02-20 |
|
| Prognostic stratification of patients with advanced renal cell carcinoma treated with sunitinib: comparison with the Memorial Sloan-Kettering prognostic factors model. | 2010-02-18 |
|
| Prognostic factors in patients treated with VEGF-targeted therapies. | 2010-02 |
|
| Noninvasive assessment of tumor VEGF receptors in response to treatment with pazopanib: a molecular imaging study. | 2010-02 |
|
| Angiogenesis inhibitors in the management of breast cancer. | 2010-02 |
|
| Anti-angiogenesis agents in metastatic or recurrent cervical cancer. | 2010-02 |
|
| Efficacy and safety of pazopanib in patients with metastatic renal cell carcinoma. | 2010-01-20 |
|
| New weapons against kidney cancer. Two recent drug options appear to extend survival for kidney cancer patients who can't tolerate existing medications. | 2010-01 |
|
| Molecular basis for the treatment of renal cell carcinoma. | 2010-01 |
|
| Pazopanib. | 2010-01 |
|
| VEGF signalling inhibition-induced proteinuria: Mechanisms, significance and management. | 2010-01 |
|
| Targeting angiogenesis with multitargeted tyrosine kinase inhibitors in the treatment of non-small cell lung cancer. | 2010 |
|
| Antiangiogenic therapy and mechanisms of tumor resistance in malignant glioma. | 2010 |
|
| Everolimus (RAD001) in the treatment of advanced renal cell carcinoma: a review. | 2010 |
|
| Anticancer Role of PPARgamma Agonists in Hematological Malignancies Found in the Vasculature, Marrow, and Eyes. | 2010 |
|
| Targeting signal transduction pathways in metastatic breast cancer: a comprehensive review. | 2010 |
|
| Targeted therapies in epithelial ovarian cancer. | 2010 |
|
| A current review of targeted therapeutics for ovarian cancer. | 2010 |
|
| Major clinical research advances in gynecologic cancer 2009. | 2009-12 |
|
| Impact of anti-angiogenic treatments on metastatic renal cell carcinoma. | 2009-12 |
|
| Pazopanib: therapeutic developments. | 2009-12 |
|
| Tyrosine kinase inhibitors and the thyroid. | 2009-12 |
|
| Selective inhibition of retinal angiogenesis by targeting PI3 kinase. | 2009-11-17 |
|
| Pazopanib: an antiangiogenic drug in perspective. | 2009-11 |
|
| Pazopanib for the treatment of renal cell carcinoma and other malignancies. | 2009-09 |
|
| Targeted therapy in the treatment of metastatic renal cell cancer. | 2009 |
Sample Use Guides
800 mg orally once daily without food (at least 1 hour before or 2 hours after a meal). Baseline moderate hepatic impairment – 200 mg orally once daily. Not recommended in patients with severe hepatic impairment.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25249557
Treatment of the KATO-III, OCUM-2M, SNU-16, and HSC-39 gastric cancer cell lines harboring FGFR2 amplification with pazopanib resulted in marked decreases of cell survival with IC50 in ranges of 0.1 to 2.0 uM, whereas the same treatment of those cell lines without FGFR2 amplification had no growth-inhibitory effects
| Substance Class |
Chemical
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