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Combined vandetanib–cisplatin regimen

Molecular classification
Drug combination, Receptor tyrosine kinase inhibitor, Platinum-based antineoplastic agent
01

Overview

The combined vandetanib–cisplatin regimen is a therapeutic strategy rather than a single molecular target. It involves the co-administration of vandetanib, a multi-kinase inhibitor, and cisplatin, a platinum-based chemotherapeutic agent. Vandetanib primarily targets the vascular endothelial growth factor receptor (VEGFR), epidermal growth factor receptor (EGFR), and rearranged during transfection (RET) kinase to inhibit angiogenesis and tumor cell proliferation (Source: PubChem CID 176870; FDA Label for Caprelsa). Cisplatin acts by forming DNA adducts and intra-strand cross-links, which interfere with DNA replication and transcription, ultimately triggering programmed cell death (Source: National Cancer Institute). This combination has been investigated in various clinical trials for solid tumors, such as non-small cell lung cancer and head and neck cancers, aiming to achieve synergistic anti-tumor effects by simultaneously targeting growth factor signaling pathways and inducing direct genomic damage (Source: ClinicalTrials.gov, NCT00097110). Because this entry describes a drug combination rather than a specific biological molecule or receptor, it is classified as an incorrect target designation.

Other names
Vandetanib plus cisplatinZD6474 and cisplatin combination therapyVandetanib-cisplatin doublet
02

Mechanism of action

Vandetanib acts as a multi-kinase inhibitor targeting VEGFR, EGFR, and RET signaling pathways, while cisplatin induces DNA cross-linking, leading to the inhibition of DNA synthesis and the induction of apoptosis.

03

Biological functions

Inhibition of angiogenesisInhibition of cell proliferationInduction of DNA damageApoptosis inductionSignal transduction modulation
04

Disease associations

Non-small cell lung cancerHead and neck squamous cell carcinomaBiliary tract cancerSolid tumors
05

Safety considerations

QT interval prolongationNephrotoxicityMyelosuppressionHypertensionDiarrheaOtotoxicity
06

Interacting drugs

Vandetanib

1 more in the full profile.

07

Biomarkers

VEGFR2 expressionEGFR mutation statusRET rearrangementERCC1 expression levels

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