Drug intelligence / Profile preview

sorafenib + azacitidine

Development stage
Unknown
Lead developer
University of Texas MD Anderson Cancer Center
Modality
Small Molecules
Administration
Oral, Subcutaneous, Intravenous
01

Overview

sorafenib + azacitidine is a combination therapy being evaluated for the treatment of FLT3-ITD mutated acute myeloid leukemia (AML) and high-risk myelodysplastic syndrome (MDS). This regimen, notably studied in Phase II trials at the M.D. Anderson Cancer Center, combines the hypomethylating agent azacitidine with the multi-kinase inhibitor sorafenib. Azacitidine works as a DNA methyltransferase inhibitor, which can induce the expression of silenced genes and potentially sensitize cells to other therapies. Sorafenib targets several kinases, most importantly the FLT3-ITD mutation, which is associated with poor prognosis in AML. The combination has shown promising clinical activity, particularly in older patients or those ineligible for intensive chemotherapy.

Brand names
VidazaNexavar
Other names
5-azacitidine + sorafenibazacitidine + sorafenibVidaza + Nexavarazacytidine + sorafenib
02

Targets

DNMT (DNA methyltransferase)VEGFR2 (Vascular endothelial growth factor receptor 2)HTR2B (5-Hydroxytryptamine Receptor 2B)KIT (c-KIT proto-oncogene receptor tyrosine kinase)5-HT2C (5-hydroxytryptamine receptor 2C)RAF1 (c-Raf-1 (Y340D/Y341D))PDGFRB (Platelet-derived growth factor receptor beta)FLT3 (Fms related receptor tyrosine kinase 3)

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