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vandetanib

Phase 2

Transitional Cell Carcinoma | Small molecule | Oncology |AstraZeneca PLC|Last Updated: Sep 18, 2018

Target and mechanism

Molecular targetEPHA2, EPHB2, EPHA5, EPHA4, EPHA8, EPHA6, EPHA7, EPHB3, EPHA3, EPHB1, EPHB4, EPHA1, EPHA10, PTK6, RET, FLT1, FLT4, KDR, ERBB2, EGFR, ERBB4, ERBB3, SRC, TEK
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindACTIVE_CONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment149

FDA Designations

No designations recorded

Clinical trial landscape

vandetanib · 2 trials · 5 indications

Phase 2 1Phase 1 1
NCT00880334Randomized Study of Docetaxel +/- Vandetanib in Metastatic TCCTransitional Cell Carcinoma
COMPLETED149 Analytics
PHASE2COMPLETED
Randomized Study of Docetaxel +/- Vandetanib in Metastatic TCC
Transitional Cell CarcinomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Median Progression-Free Survival (PFS)
Disease evaluations occurred at week 6 and 12 and thereafter every 3 cycles/9 weeks on treatment and every 3 months in follow-up. Participants were followed until PD, death or lost to follow-up. Median survival follow-up was 12 months (range 1-26).

PFS based on the Kaplan-Meier method is defined as the time between randomization and documented disease progression (PD) per RECIST 1.0 criteria or death, or is censored at time of last disease assessment. Per RECIST 1.0 for target lesions, PD is at least a 20% increase in sum LD of target lesions, taking as reference the smallest sum LD recorded since the treatment started or appearance of new lesions. For non-target lesions, PD is the appearance of one or more new lesions and/or unequivocal progression of existing non-target lesions.

Maximum tolerated dose of vandetanib in combination with capecitabine, oxaliplatin and bevacizumab
Following treatment

Secondary Endpoints

Grade 3-5 Toxicity Rate
Assessed each cycle throughout treatment from time of first dose and up to day 30 post-treatment. Median treatment duration for this study cohort approximated 2 cycles (range 1-31).
Median Overall Survival
Off treatment, patients were followed for survival information every 6 months (±1 month) until death,up to 2 years after discontinuing therapy, or until lost to follow-up. Median survival follow-up for the study cohort was 12 months (95% CI: 9-18 months).
Objective Response Rate
Disease evaluations occurred at week 6 and 12 and thereafter every 3 cycles/9 weeks on treatment. Median treatment duration for this study cohort approximated 2 cycles (range 1-31).
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
vandetanib & DocetaxelEXPERIMENTALvandetanib orally and Docetaxel intravenously
Placebo and DocetaxelACTIVE_COMPARATORPlacebo orally and docetaxel intravenously

Interventions

NameTypeDescription
DocetaxelDRUGGiven intravenously on Day 1 of each 21-day cycle
vandetanibDRUGtaken orally once a day, every day
PlaceboDRUGTaken orally once a day every day
CapecitabineDRUGDosage: 1000mg/m2 By mouth twice a day for 14 days or reduced dose of 800mg/m2 PO BID days1-14.
OxaliplatinDRUGdosage: 130mg/m2. IV Day 1 of a 21 day cycle or reduced dose of 100mg/m2 IV Day 1.
BevacizumabDRUGDosage: 7.5mg/kg or 10mg/kg. IV Day 1 (21 day cycle)
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites3

Inclusion Criteria: * Histologically or cytologically confirmed TCC. Mixed histologies are allowed as long as the predominant histology is TCC. * Must have received chemotherapy treatment for TCC and have stage IV TCC at the time of study entry. 1-3 prior systemic chemotherapeutic or investigationa...

Countries:United States
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Frequently asked questions about vandetanib

What is Vandetanib used for?

Vandetanib is an investigational small molecule being studied in oncology for transitional cell carcinoma, gliosarcoma, and anal, colon, and rectal cancers. It is in Phase 1 clinical development for these indications, with completed trials in metastatic colorectal cancer, malignant gliomas, and metastatic transitional cell carcinoma.

What does Vandetanib target?

Vandetanib is a kinase inhibitor that targets multiple receptors, including EPHA2, EPHB2, EPHA5, EPHA4, EPHA8, EPHA6, EPHA7, EPHB3, EPHA3, EPHB1, EPHB4, EPHA1, EPHA10, PTK6, RET, FLT1, FLT4, KDR, ERBB2, EGFR, ERBB4, ERBB3, SRC, and TEK. It inhibits these targets as part of its mechanism of action.

Who makes Vandetanib?

Vandetanib is being developed by AstraZeneca PLC, a company listed on the stock exchange under the ticker AZN. AstraZeneca is the developer of this investigational oncology drug.

What phase is Vandetanib in?

Vandetanib is in Phase 1 clinical development. It is an investigational drug and has not been approved by the FDA. Its clinical trials include completed Phase 1 and Phase 2 studies, but the current development stage is Phase 1.

What clinical trials is Vandetanib in?

Vandetanib has been studied in three clinical trials: NCT00532909, a Phase 1 study combining vandetanib with capecitabine, oxaliplatin, and bevacizumab for metastatic colorectal cancer; NCT00613223, a Phase 1 dose escalation trial with etoposide for malignant gliomas; and NCT00880334, a randomized Phase 2 study of docetaxel with or without vandetanib in metastatic transitional cell carcinoma.

Is Vandetanib the same as any other drug?

Vandetanib is also known by the ChEMBL identifier CHEMBL24828. This identifier is used in chemical and biological databases to reference the compound, which is a small molecule kinase inhibitor.