Drug intelligence / Profile preview

all-trans retinoic acid + vincristine + dactinomycin + cyclophosphamide + anlotinib

Development stage
Unknown
Lead developer
Fudan University
Modality
Small Molecules
Administration
Oral, Intravenous
01

Overview

This combination therapy, developed by Fudan University, is a multi-agent regimen designed for the treatment of intermediate-to-high-risk rhabdomyosarcoma. It integrates the standard-of-care VAC chemotherapy backbone (vincristine, dactinomycin, and cyclophosphamide) with all-trans retinoic acid (ATRA) and the multi-target tyrosine kinase inhibitor anlotinib. ATRA is included to promote the differentiation of myogenic precursor cells, which are often arrested in an undifferentiated state in rhabdomyosarcoma. Anlotinib provides targeted inhibition of angiogenesis and tumor cell signaling by blocking VEGFR, FGFR, PDGFR, and c-Kit. The regimen is currently being evaluated in a Phase II clinical trial to determine if the addition of differentiation therapy and anti-angiogenic agents can improve progression-free and overall survival in patients with advanced rhabdomyosarcoma who have not received prior systemic treatment.

Other names
ATRA + VAC + AnlotinibATRA plus VAC plus anlotinib
02

Targets

RARA (Retinoic acid receptor alpha)FGFR (FGFR family)PDGFRA (Platelet-derived growth factor receptor alpha)RARB (Retinoic acid receptor beta)KIT (c-KIT proto-oncogene receptor tyrosine kinase)TUBB (Tubulin (alpha and beta subunits))DNAVEGFR3 (Vascular endothelial growth factor receptor 3)VEGFR2 (Vascular endothelial growth factor receptor 2)

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