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Multi-kinase target profile (VEGFR1-3, TIE2, PDGFRB, FGFR1, KIT, RET, RAF1, BRAF) (MKI profile (Regorafenib-like))

Target
MKI profile (Regorafenib-like)
Molecular classification
Receptor tyrosine kinase, Serine/threonine-protein kinase, Enzyme, Receptor
01

Overview

This target profile comprises a comprehensive set of kinases that drive tumor progression through multiple distinct mechanisms. It includes the vascular endothelial growth factor receptors (VEGFR1, VEGFR2, VEGFR3) and TIE2, which are essential for neoangiogenesis and lymphangiogenesis (PubMed: 21571868). The inclusion of PDGFRβ and FGFR1 targets the tumor microenvironment and pericyte recruitment, which are critical for vessel stabilization and resistance to standard anti-angiogenic therapies (PubChem: CID 11167602). Furthermore, the profile targets oncogenic drivers such as KIT and RET, along with the RAF/MEK/ERK signaling pathway via RAF1 and BRAF (including the V600E mutant), which directly promote tumor cell proliferation and survival (FDA Label: Stivarga). Drugs that inhibit this specific cluster of targets, most notably regorafenib, are utilized in the treatment of refractory metastatic colorectal cancer, advanced gastrointestinal stromal tumors, and hepatocellular carcinoma (NIH: NCT01103323). By inhibiting these diverse pathways simultaneously, the therapy aims to overcome redundant signaling mechanisms that tumors use to escape single-pathway inhibition.

Other names
Regorafenib target profileAngiogenesis and oncogenic kinase clusterVEGFR-TIE2-FGFR-PDGFR-RAF axis
02

Mechanism of action

Simultaneous inhibition of multiple receptor tyrosine kinases (RTKs) and intracellular serine/threonine kinases to block tumor angiogenesis, oncogenesis, and the maintenance of the tumor microenvironment.

03

Biological functions

AngiogenesisCell proliferationSignal transductionVessel maturationTumor microenvironment regulationLymphangiogenesisHematopoiesis
04

Disease associations

Colorectal cancerGastrointestinal stromal tumor (GIST)Hepatocellular carcinomaSolid tumors
05

Safety considerations

Hand-foot skin reaction (HFSR)HypertensionHepatotoxicityGastrointestinal perforationHemorrhageFatigue
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Interacting drugs

Regorafenib

3 more in the full profile.

07

Biomarkers

VEGF levelsSoluble VEGFR2 (sVEGFR2)Placental growth factor (PlGF)AFP (for HCC)KRAS/NRAS/BRAF mutation status

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