Drug intelligence / Profile preview

casdatifan + cabozantinib

Development stage
Phase 3
Lead developer
Arcus Biosciences
Modality
Small Molecules
Administration
Oral
01

Overview

**Casdatifan + cabozantinib** is an investigational oral combination regimen for the treatment of metastatic clear cell renal cell carcinoma (ccRCC). Casdatifan is a small molecule, allosteric inhibitor of hypoxia-inducible factor 2 alpha (HIF-2α), a transcription factor implicated in tumor growth and progression under hypoxic conditions. By binding to a specific hydrophobic pocket of HIF-2α, casdatifan disrupts its heterodimerization and DNA binding, suppressing oncogenic gene expression and cell proliferation[1][5][9]. Cabozantinib is a small molecule tyrosine kinase inhibitor (TKI) targeting multiple receptor tyrosine kinases involved in tumor cell survival, angiogenesis, and metastasis, including vascular endothelial growth factor receptors (VEGFR-1, -2, -3), MET, RET, KIT, FLT3, AXL, and TIE-2[4][6]. The combination is being evaluated for enhanced anti-tumor activity, particularly in patients previously treated for metastatic ccRCC, and has shown promising efficacy and manageable toxicity in early clinical trials[3][5][7].

Other names
DP73UWL6LEDP-73UWL6LEDP 73UWL6LESCHEMBL23846781SCHEMBL-23846781SCHEMBL 238467812709069-30-5XL184XL-184XL 184BMS 907351BMS907351BMS-907351
02

Targets

AXL (AXL receptor tyrosine kinase)FLT3 (Fms related receptor tyrosine kinase 3)EPAS1 (Hypoxia-inducible factor 2-alpha)KIT (c-KIT proto-oncogene receptor tyrosine kinase)MET (Mesenchymal-epithelial transition factor receptor)RET (Rearranged during transfection receptor tyrosine kinase)TEK (Tie2)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR4 (Vascular endothelial growth factor Receptor-3)

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