ABC
1Main
2Brand NameRecentin, fka AZD-2171
3Generic Namecedarinib
4MechanismVEGF1R, 2R and 3R inhibitor, PDGFr, Kit.
5Subnanomolar potent at VEGFR-2 (<1nmol IC50), 5nm at VEGFR-1 and 3nm at VEGFR-3.
6AdministrationOral qd
7IndicationNSCLC, mCRC, RCC, GBM, AML/MDS, mHRPC, mOC, mHCC
8Clinical Trials
9Phase III "REGAL" in GBM
10
11Phase III 1L mNSCLC Paclitaxel+Carboplatin+-Recentin n=750 - NCI sponsored.
12
13Phase III 1L mCRC Recentin+FOLFOX/XELOX vs Placebo+FOLFOX/XELOX n=1050 - Began October 2006
14Ethical issues (Avastin)? Met PFS but no improvement in OS. May 28 2010.
15
16Phase II/II 1L mCRC Recentin+FOLFOX vs Avastin+FOLFOX n=1600 - Began August 2006
17Did not meet primary endpoint (PFS).
18
19Phase II 2L mCRC Recentin+FOLFOX vs Avastin+FOLFOX n=210
20
21Phase II mNSCLC Gemcitabine+Cisplatin+-Recentin
22
23Phase II mRCC
24n=27 received monotherapy. 33% RR, 66.7% SD.
25
26Phase II monotherapy in recurrent glioblastoma
27n=31 treated, 8 were alive and progression-free at 6 months.
28Median PFS of 111 days.
29
30
31Phase I in patients with advanced solid tumors - JCO 2007
32Part A: n=36 with solid tumors and liver mets.
33Part B: n=47 with or without liver mets.
3445mg/d was well-tolerated. Dose-related events included hypertension, diarrhea and dysphonia.
352 PRs, 22 patients with SD, dose-related tumor effect seen.