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)
| Molecular Formula | C22H24BrFN4O2 |
| Molecular Weight | 475.354 |
| 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
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 |
|---|---|---|
| Dose scheduling of the dual VEGFR and EGFR tyrosine kinase inhibitor vandetanib (ZD6474, Zactima) in combination with radiotherapy in EGFR-positive and EGFR-null human head and neck tumor xenografts. | 2008-02 |
|
| Effects of AZD2171 and vandetanib (ZD6474, Zactima) on haemodynamic variables in an SW620 human colon tumour model: an investigation using dynamic contrast-enhanced MRI and the rapid clearance blood pool contrast agent, P792 (gadomelitol). | 2008-01 |
|
| Induction of cell cycle arrest and apoptosis in human nasopharyngeal carcinoma cells by ZD6474, an inhibitor of VEGFR tyrosine kinase with additional activity against EGFR tyrosine kinase. | 2007-11-01 |
|
| Micronodular transformation as a novel mechanism of VEGF-A-induced metastasis. | 2007-08-23 |
|
| American Society of Clinical Oncology--43rd annual meeting. Research into therapeutics: Part 3. | 2007-08 |
|
| Novel inhibitors of VEGF receptors-1 and -2 based on azole-5-carboxamide templates. | 2007-07-01 |
|
| A transplantable human medullary thyroid carcinoma as a model for RET tyrosine kinase-driven tumorigenesis. | 2007-06 |
|
| Antiangiogenic and antitumor activity of a novel vascular endothelial growth factor receptor-2 tyrosine kinase inhibitor ZD6474 in a metastatic human pancreatic tumor model. | 2007-06 |
|
| ZD6474 induces growth arrest and apoptosis of human leukemia cells, which is enhanced by concomitant use of a novel MEK inhibitor, AZD6244. | 2007-06 |
|
| Rationale and clinical results of multi-target treatments in oncology. | 2007-05-24 |
|
| Pharmacology of epidermal growth factor inhibitors. | 2007-05-24 |
|
| 1H-1,2,4-triazol-3-yl-anilines: novel potent inhibitors of vascular endothelial growth factor receptors 1 and 2. | 2007-05 |
|
| Combination of target agents: challenges and opportunities. | 2007-05 |
|
| Gateways to clinical trials. | 2007-04 |
|
| The RET oncogene is a critical component of transcriptional programs associated with retinoic acid-induced differentiation in neuroblastoma. | 2007-04 |
|
| Angiogenic inhibition reduces germinal matrix hemorrhage. | 2007-04 |
|
| Second-generation epidermal growth factor receptor tyrosine kinase inhibitors in non-small cell lung cancer. | 2007-03 |
|
| Drug insight: VEGF as a therapeutic target for breast cancer. | 2007-03 |
|
| Role of anti-angiogenesis agents in treating NSCLC: focus on bevacizumab and VEGFR tyrosine kinase inhibitors. | 2007-02 |
|
| Dual targeting of the vascular endothelial growth factor and epidermal growth factor receptor pathways: rationale and clinical applications for non-small-cell lung cancer. | 2007-02 |
|
| Targeted therapy of orthotopic human lung cancer by combined vascular endothelial growth factor and epidermal growth factor receptor signaling blockade. | 2007-02 |
|
| Vandetanib (ZD6474): an orally available receptor tyrosine kinase inhibitor that selectively targets pathways critical for tumor growth and angiogenesis. | 2007-02 |
|
| Antitumor effects of ZD6474 on head and neck squamous cell carcinoma. | 2007-02 |
|
| Inhibitory effects of castration in an orthotopic model of androgen-independent prostate cancer can be mimicked and enhanced by angiogenesis inhibition. | 2006-12-15 |
|
| Synergistic antitumor activity of ZD6474, an inhibitor of vascular endothelial growth factor receptor and epidermal growth factor receptor signaling, with gemcitabine and ionizing radiation against pancreatic cancer. | 2006-12-01 |
|
| Toxicities of antiangiogenic therapy in non-small-cell lung cancer. | 2006-12 |
|
| ZD6474 induces growth arrest and apoptosis of GIST-T1 cells, which is enhanced by concomitant use of sunitinib. | 2006-12 |
|
| A phase I dose-escalation study of ZD6474 in Japanese patients with solid, malignant tumors. | 2006-11 |
|
| Second-line treatment of non-small cell lung cancer: big targets, small progress; small targets, big progress? | 2006-11 |
|
| Gateways to clinical trials. | 2006-11 |
|
| Targeting the EGF/VEGF-R system by tyrosine-kinase inhibitors--a novel antiproliferative/antiangiogenic strategy in thyroid cancer. | 2006-11 |
|
| A phase II study of ZD6474 (Zactima, a selective inhibitor of VEGFR and EGFR tyrosine kinase in patients with relapsed multiple myeloma--NCIC CTG IND.145. | 2006-11 |
|
| Vandetanib, a novel multitargeted kinase inhibitor, in cancer therapy. | 2006-10 |
|
| Gateways to clinical trials. | 2006-09 |
|
| New molecular targeted therapies in thyroid cancer. | 2006-09 |
|
| Prolonged exposure of colon cancer cells to the epidermal growth factor receptor inhibitor gefitinib (Iressa(TM)) and to the antiangiogenic agent ZD6474: Cytotoxic and biomolecular effects. | 2006-08-28 |
|
| Two targets, one drug for new EGFR inhibitors. | 2006-08-16 |
|
| A rapid method for the purification of wild-type and V804M mutant ret catalytic domain: A tool to study thyroid cancer. | 2006-08-15 |
|
| Tyrosine kinase inhibitors of vascular endothelial growth factor receptors in clinical trials: current status and future directions. | 2006-08-02 |
|
| Anti-tumor activity of the combination of cetuximab, an anti-EGFR blocking monoclonal antibody and ZD6474, an inhibitor of VEGFR and EGFR tyrosine kinases. | 2006-08 |
|
| Tissue distribution and metabolism of the tyrosine kinase inhibitor ZD6474 (Zactima) in tumor-bearing nude mice following oral dosing. | 2006-08 |
|
| VEGF-associated tyrosine kinase inhibition increases the tumor response to single and fractionated dose radiotherapy. | 2006-07-01 |
|
| Sequence-dependent inhibition of human colon cancer cell growth and of prosurvival pathways by oxaliplatin in combination with ZD6474 (Zactima), an inhibitor of VEGFR and EGFR tyrosine kinases. | 2006-07 |
|
| Epidermal growth factor receptor/angiogenesis dual targeting: preclinical experience. | 2006-07 |
|
| Clinical trials of antiangiogenic therapy in non-small cell lung cancer: focus on bevacizumab and ZD6474. | 2006-04 |
|
| Gateways to clinical trials. | 2006-03 |
|
| Multi-target inhibitors in non-small cell lung cancer (NSCLC). | 2006-03 |
|
| Antiangiogenic drugs in non-small cell lung cancer treatment. | 2006-03 |
|
| 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 |
|
| ZD6474 headed for phase III trials in the fall. | 2005-08 |
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.
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:16:51 GMT 2025
by
admin
on
Mon Mar 31 18:16:51 GMT 2025
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| Record UNII |
YO460OQ37K
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| Record Status |
Validated (UNII)
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| Record Version |
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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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PRIMARY | |||
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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SUB29174
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PRIMARY | |||
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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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PRIMARY | |||
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8198
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PRIMARY | |||
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YO460OQ37K
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PRIMARY | |||
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Vandetanib
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PRIMARY | |||
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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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PRIMARY | |||
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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
Created by
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PRIMARY |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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TARGET -> INHIBITOR | |||
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TARGET -> INHIBITOR | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TRANSPORTER -> INHIBITOR | |||
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TRANSPORTER -> INHIBITOR | |||
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TARGET -> INHIBITOR | |||
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TARGET -> INHIBITOR |
IC50
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TARGET -> INHIBITOR RESISTANT |
IC50
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TRANSPORTER -> SUBSTRATE | |||
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EXCRETED UNCHANGED |
Within a 21-day collection period after a single dose of 14C-vandetanib, approximately 69% was recovered with 44% in feces and 25% in urine.
FECAL
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EXCRETED UNCHANGED |
Within a 21-day collection period after a single dose of 14C-vandetanib, approximately 69% was recovered with 44% in feces and 25% in urine.
URINE
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> SUBSTRATE | |||
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TARGET -> INHIBITOR RESISTANT |
IC50
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TARGET -> INHIBITOR | |||
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TARGET -> INHIBITOR |
| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE INACTIVE -> PARENT |
FECAL; PLASMA; URINE
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METABOLITE ACTIVE -> PARENT |
MAJOR
FECAL; PLASMA; URINE
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Volume of Distribution | PHARMACOKINETIC |
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| Tmax | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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