Drug intelligence / Profile preview

sorafenib + carboplatin + paclitaxel

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

Overview

Sorafenib + carboplatin + paclitaxel is a combination regimen used primarily in oncology clinical trials, especially for advanced melanoma and other solid tumors. Sorafenib is an oral multikinase inhibitor that targets several protein kinases involved in tumor cell proliferation and angiogenesis, including vascular endothelial growth factor receptors (VEGFR), platelet-derived growth factor receptor (PDGFR), and RAF kinases. Carboplatin is a platinum-based chemotherapeutic agent that causes DNA crosslinking and apoptosis, while paclitaxel stabilizes microtubules to inhibit cell division. This combination has been studied for its potential to improve outcomes over chemotherapy alone; however, large phase III studies have not shown significant improvement in progression-free or overall survival compared to standard chemotherapy regimens[2][3][5]. The addition of sorafenib may increase certain toxicities such as dermatologic events, thrombocytopenia, diarrhea, and fatigue[2]. The use of this regimen is contraindicated in patients with squamous cell lung cancer due to increased mortality risk[8].

Brand names
Nexavar
Other names
CPS
02

Targets

HTR2A (5-hydroxytryptamine receptor 2A)HTR2B (5-Hydroxytryptamine Receptor 2B)PDGFRB (Platelet-derived growth factor receptor beta)BRAF (B-Raf proto-oncogene, serine/threonine kinase)KIT (c-KIT proto-oncogene receptor tyrosine kinase)VEGFR4 (Vascular endothelial growth factor Receptor-3)RAF1 (c-Raf-1 (Y340D/Y341D))DNATUBB (Tubulin (alpha and beta subunits))VEGFR-1 (Vascular endothelial growth factor receptor 1)DDR1 (Discoidin domain receptor 1)RET (Rearranged during transfection receptor tyrosine kinase)FLT3 (Fms related receptor tyrosine kinase 3)HTR2C (5-hydroxytryptamine 2C receptor)VEGFR2 (Vascular endothelial growth factor receptor 2)

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