Drug intelligence / Profile preview

Sorafenib + Gilteritinib

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

Overview

Sorafenib + Gilteritinib refers to the use of the tyrosine kinase inhibitors sorafenib and gilteritinib as maintenance therapy options for patients with acute myeloid leukemia (AML) or myelodysplastic syndromes (MDS) following allogeneic hematopoietic stem cell transplantation (allo-HSCT). This regimen is part of a genetics-guided umbrella study (NCT05343949) at Ruijin Hospital, where patients with FLT3 mutations receive one of these agents to prevent post-transplant relapse. Sorafenib is a first-generation multi-kinase inhibitor targeting the Raf/MEK/ERK pathway, VEGFR, and PDGFR, whereas gilteritinib is a second-generation inhibitor with high selectivity for FLT3 (both ITD and TKD mutations) and AXL. The treatment aims to provide targeted suppression of leukemic clones during the high-risk post-transplant period.

Brand names
Nexavar
Other names
giritinibSorafenib tosylateGilteritinib fumarate
02

Targets

AXL (AXL receptor tyrosine kinase)BRAF (B-Raf proto-oncogene, serine/threonine kinase)FGFR1 (Fibroblast growth factor receptor 1)FLT3 (Fms related receptor tyrosine kinase 3)PDGFRB (Platelet-derived growth factor receptor beta)RAF1 (c-Raf-1 (Y340D/Y341D))RET (Rearranged during transfection receptor tyrosine kinase)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)ALK (Anaplastic lymphoma kinase receptor tyrosine kinase)

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