Table 4.
RAF inhibitors
Compound (Pharmaceutical Company) | Tumors | Primary Target(s) | Potential side effects |
---|---|---|---|
Bay 43-9006* Sorafenib (Bayer) | Squamous cell carcinoma, Non small cell lung, Leukemia, Hepatocellular carcinoma, Kidney cancer, Pancreatic cancer, Bladder cancer, Lung cancer, Urothelial cancer, Neuroendocrine tumors, Thyroid cancer, Renal cell carcinoma | C-Raf B-Raf B-Raf V600E |
Fatigue, Anorexia, Diarrhoea, Nausea, Skin reaction, Alopecia, Rash, Stomatitis, Elevated bilirubin, Pancreatitis |
LErafAON (NeoPharm, Inc) | Different advanced malignancies | C-Raf | Back Pain, Chills Fatigue, Hypertension, Fever, Flushing, Dyspnea |
ISIS 5132 (Isis Pharmaceuticals) | Ovarian cancer, Breast cancer | C-Raf | Minimal side effects |
PLX4720 (Plexxikon/Roche) | Melanoma | B-Raf V600E | Minimal side effects, further studies are needed |
PLX4032 (Plexxikon/Roche) | Malignant melanoma, Colorectal carcinoma | B-Raf B-Raf V600E |
Cutaneous side effects, Arthralgia, Fatigue |
Raf-265 (Novartis Oncology) | Metastatic Melanoma | Raf | Recruiting phase |
XL281 (Exelixis) | Non small cell lung cancer, Colorectal cancer, Melanoma, Papillary thyroid cancer | Raf | Recruiting phase |
GDC-0879 (Genentech) | Melanoma | Raf | Preclinical Phase Studies |
GSK2118436 (GlaxoSmithKline) | Melanoma | B-Raf V600E | Nausea, Fatigue, Fever, Rash, SCC, Headache |
WT, wild type,
sorafenib is a multityrosine kinase inhibitors, which inhibits additional targets such as, VEGFR2, drugs target additional markers. SCC, squamous cell carcinoma. Another novel multikinase inhibitor is BAY 73-4506 (Regorafenib), which potently inhibits endothelial cell kinases in biochemical and cellular kinase phosphorylation assays. Furthermore, regorafenib inhibits additional angiogenic kinases such as VEGFR1/3, platelet-derived growth factor receptor-β and FGFR 1 and the mutant oncogenic kinases KIT, RET and BRAF. This compound exhibited potent dose-dependent tumor growth inhibition in various preclinical human xenograft models in mice, with tumor shrinkages observed in breast MDA-MB-231 and renal carcinoma models.