Drug intelligence / Profile preview

pemetrexed + sorafenib

Development stage
Phase 2
Lead developer
Eli Lilly
Modality
Small Molecules
Administration
Intravenous, Oral
01

Overview

Pemetrexed + sorafenib is a combination of two anticancer drugs used in the treatment of various solid tumors. Pemetrexed is an antifolate that disrupts folate-dependent metabolic processes essential for cell replication by inhibiting thymidylate synthase (TS), dihydrofolate reductase (DHFR), and glycinamide ribonucleotide formyltransferase (GARFT)[8]. Sorafenib is a multikinase inhibitor that targets class III receptor tyrosine kinases such as vascular endothelial growth factor receptors (VEGFRs) and platelet-derived growth factor receptor β (PDGFRβ), suppressing tumor angiogenesis and promoting autophagy[2][6]. The combination has shown synergistic activity, increasing autophagy and inducing toxic autophagosome formation, leading to enhanced tumor cell killing in preclinical models across multiple cancer types including breast, lung, liver, and brain cancers[2][3][5]. Clinical trials have demonstrated promising activity in advanced solid tumors, particularly breast cancer[3][5].

Other names
pemetrexed and sorafenibpemetrexed plus sorafenib
02

Targets

ATIC (Aminoimidazole carboxamide ribonucleotide transformylase)BRAF (B-Raf proto-oncogene, serine/threonine kinase)DHFR (Dihydrofolate reductase)FLT3 (Fms related receptor tyrosine kinase 3)GART (GAR transformylase)PDGFRB (Platelet-derived growth factor receptor beta)RAF1 (c-Raf-1 (Y340D/Y341D))RET (Rearranged during transfection receptor tyrosine kinase)TS (Thymidylate synthase)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)VEGFR4 (Vascular endothelial growth factor Receptor-3)KIT (c-KIT proto-oncogene receptor tyrosine kinase)RK (Ribokinase)

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