Drug intelligence / Profile preview

sorafenib + cisplatin + fluorouracil

Development stage
Unknown
Lead developer
Sun Yat-sen University Cancer Center
Modality
Small Molecules
Administration
Oral, Intravenous, Intra-arterial
01

Overview

This is a **combination chemotherapy regimen** consisting of three drugs: **sorafenib**, **cisplatin**, and **fluorouracil** (5-FU). - **Sorafenib** is a multikinase inhibitor that targets tumor cell proliferation and angiogenesis, primarily by inhibiting receptors such as RAF kinases, vascular endothelial growth factor receptor (VEGFR), and platelet-derived growth factor receptor (PDGFR). - **Cisplatin** is a platinum-based chemotherapeutic that forms DNA crosslinks, inhibiting DNA synthesis and function and inducing apoptosis. - **Fluorouracil (5-FU)** is a pyrimidine analog that inhibits thymidylate synthase, thereby blocking DNA replication and RNA function. The combination has been investigated in patients with **recurrent or metastatic nasopharyngeal carcinoma (NPC)** and **advanced hepatocellular carcinoma (HCC)**. In clinical trials, this regimen demonstrated feasibility and tolerability, with notable efficacy for these indications, including substantial objective response rates and manageable toxicity profiles[1][2][3]. Developers and study sponsors include academic cancer centers and clinical research groups in Asia. The therapy is generally administered as follows: sorafenib orally, cisplatin and 5-FU via intravenous or hepatic arterial infusion, typically in 21- or 28-day cycles[1][2][3].

Brand names
Nexavar
Other names
sorafenib + cisplatin + 5-fluorouracil
02

Targets

BRAF (B-Raf proto-oncogene, serine/threonine kinase)TS (Thymidylate synthase)RAF1 (c-Raf-1 (Y340D/Y341D))PDGFRB (Platelet-derived growth factor receptor beta)DNAVEGFR3 (Vascular endothelial growth factor receptor 3)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)

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