Drug intelligence / Profile preview

vandetanib + anastrozole

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

Overview

Vandetanib + anastrozole is a combination therapy investigated for the neoadjuvant treatment of postmenopausal patients with Stage I-III hormone receptor-positive (HR+) breast cancer. Vandetanib is an oral small molecule tyrosine kinase inhibitor that dual-targets vascular endothelial growth factor receptor-2 (VEGFR-2) and epidermal growth factor receptor (EGFR), aiming to inhibit angiogenesis and tumor cell proliferation. Anastrozole is a non-steroidal aromatase inhibitor that reduces circulating estrogen levels, a key driver in HR+ breast cancer. The combination was studied in a Phase 2 trial led by Stanford University (NCT00481845) to evaluate if blocking multiple signaling pathways could overcome resistance to endocrine therapy alone and improve clinical outcomes in the neoadjuvant setting.

Brand names
CaprelsaArimidex
Other names
Vandetanib and AnastrozoleZD6474 and AnastrozoleZD-6474 and AnastrozoleZD 6474 and Anastrozole
02

Targets

CYP19A1 (Aromatase)VEGFR3 (Vascular endothelial growth factor receptor 3)VEGFR-1 (Vascular endothelial growth factor receptor 1)VEGFR2 (Vascular endothelial growth factor receptor 2)RET (Rearranged during transfection receptor tyrosine kinase)EGFR T790M (Epidermal growth factor receptor T790M mutant)

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