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Last Updated: January 6, 2025

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CLINICAL TRIALS PROFILE FOR CAPRELSA


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All Clinical Trials for CAPRELSA

Trial ID Title Status Sponsor Phase Start Date Summary
NCT00459121 ↗ Vandetanib, Carboplatin, and Paclitaxel in Treating Patients With Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer That Can Be Removed by Surgery Terminated National Cancer Institute (NCI) Phase 2 2007-07-01 RATIONALE: Vandetanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving vandetanib together with chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This phase II trial is studying how well giving vandetanib together with carboplatin and paclitaxel works in treating patients with stage I, stage II, or stage III non-small cell lung cancer that can be removed by surgery.
NCT00459121 ↗ Vandetanib, Carboplatin, and Paclitaxel in Treating Patients With Stage I, Stage II, or Stage III Non-Small Cell Lung Cancer That Can Be Removed by Surgery Terminated Barbara Ann Karmanos Cancer Institute Phase 2 2007-07-01 RATIONALE: Vandetanib may stop the growth of tumor cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the tumor. Drugs used in chemotherapy, such as carboplatin and paclitaxel, work in different ways to stop the growth of tumor cells, either by killing the cells or by stopping them from dividing. Giving vandetanib together with chemotherapy before surgery may make the tumor smaller and reduce the amount of normal tissue that needs to be removed. PURPOSE: This phase II trial is studying how well giving vandetanib together with carboplatin and paclitaxel works in treating patients with stage I, stage II, or stage III non-small cell lung cancer that can be removed by surgery.
NCT00514046 ↗ Vandetanib to Treat Children and Adolescents With Medullary Thyroid Cancer Completed National Cancer Institute (NCI) Phase 1/Phase 2 2007-07-20 Background: - Medullary thyroid carcinoma (MTC) is common in people with a genetic disorder called multiple endocrine neoplasia (MEN). - Vandetanib is an experimental drug that blocks a defective protein receptor (rearranged during transfection (RET) receptor) found on the surface of cancer cells in people with MEN. It is thought that this protein is a primary cause of MTC in people with MEN. Objectives: - To study the activity of Vandetanib in children and adolescents with MEN-related MTC by measuring the change in tumor size, in blood levels of proteins produced the tumor (calcitonin and carcinoembryonic antigen (CEA) and in tumor-related diarrhea. - To determine the safety and tolerability of Vandetanib in children and adolescents. - To study how the body handles Vandetanib in children and adolescents. - To determine the effect of Vandetanib on the survival of children and adolescents with MTC. Eligibility: -Children and adolescents 5 to 18 years of age with MTC whose tumor cannot be surgically removed or has grown back after treatment or has metastasized (spread beyond the thyroid gland). Design: - Patients take Vandetanib once a day in 28-day cycles. The first patients enrolled in the study are started on a low dose of Vandetanib to determine tolerability. - Patients have periodic blood tests, electrocardiograms, and blood pressure measurements to look for side effects of Vandetanib. - Blood tests and imaging scans (magnetic resonance imaging (MRI), computed tomography (CT), bone and octreoscan) are done every 8 weeks for the first 32 weeks of treatment and then every 16 weeks for the duration of the treatment period. - Patients who have tumor-related diarrhea keep a daily record of the number and consistency of bowel movements.
NCT00923247 ↗ A Targeted Phase I/II Trial of ZD6474 (Vandetanib; ZACTIMA) Plus the Proteasome Inhibitor, Bortezomib (Velcade ), in Adults With Solid Tumors With a Focus on Hereditary or Sporadic, Locally Advanced or Metastatic Medullary Thyroid Cancer (MTC) Terminated National Cancer Institute (NCI) Phase 1/Phase 2 2009-02-19 Background: - The combination of anti-cancer drugs vandetanib (given orally) and bortezomib (given intravenously) has not been used in humans. However, both drugs have been studied separately. Bortezomib has been approved by the U.S. Food and Drug Administration (FDA) for treating multiple myeloma and mantle cell lymphoma, while vandetanib is still under investigation pending FDA approval. - Both bortezomib and vandetanib are under investigation for use in treating certain kinds of cancer. Researchers hope that the combination of these two drugs will be more effective than either of them alone. Objectives: - To determine if the combination of vandetanib and bortezomib will decrease the amount of the cancer and, if it does, to determine how long the response will last. - To determine any side effects that may occur with this combination of treatments. - To determine what doses of each drug are well tolerated and safe when given together. - To study genetic mutations in tumors to better understand how tumors grow and how these drugs interact with the tumor. Eligibility: - Patients 18 years of age and older with solid tumors that cannot be surgically removed and have either recurred or shown further growth. The tumor(s) must be able to be evaluated by X-ray, MRI (magnetic resonance imaging), and CT (computerized tomography) scanning. - Patients who have been diagnosed with medullary thyroid cancer will participate in Phase II of the study. Design: - Tumor samples may be taken at the start of the study for research purposes. - Phase I: Patient groups will be treated on an outpatient basis with vandetanib and bortezomib, given at increasing doses over four different levels to determine the maximum tolerated dose calculated by height and weight: - Doses will be given on Days 1, 4, 8, and 11 for each 28-day cycle. - Two additional levels (Level 1A and Level 1B) may be included in the study, depending on side effects at various levels. - Phase II: Patients with medullary thyroid cancer will be divided into two groups, with two patients in Group A for every one patient in Group B. No placebo will be involved in this study. - Group A: Patients will be treated with vandetanib and bortezomib at the maximally tolerated dose of the Phase I study. - Group B: Patients will be treated with bortezomib alone. - A second tumor sample may be taken. In patients with thyroid cancer, the second biopsy will be done at the 6-week evaluation (approximately 42 days after beginning). In patients with cancer other than thyroid cancer, the second biopsy will be obtained on Day 4 of either the first or second cycle, after the bortezomib infusion. - The effects of the drugs will be studied through blood samples and CT scans taken during and after various drug cycles.
NCT01539655 ↗ Study in Healthy Volunteers to Assess Effect of Omeprazole and Ranitidine on the Pharmacokinetics of Vandetanib Completed Sanofi Phase 1 2012-02-01 Study in healthy volunteers to assess effect of omeprazole and ranitidine on the pharmacokinetics of vandetanib
NCT01544140 ↗ Study in Healthy Volunteers to Assess the Pharmacokinetics of Midazolam Administered Alone and in Combination With Vandetanib Completed Sanofi Phase 1 2012-04-01 The purpose of this study in healthy volunteers is to assess the Pharmacokinetics (PK) of Midazolam administered alone and in combination with Vandetanib.
NCT01551615 ↗ A Phase I Study to Assess the Pharmacokinetics of Metformin When Administered Alone and in Combination With Vandetanib Completed Sanofi Phase 1 2012-03-01 Study in Healthy Volunteers to Assess the Pharmacokinetics of Metformin Administered Alone and In Combination with Vandetanib
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for CAPRELSA

Condition Name

Condition Name for CAPRELSA
Intervention Trials
Healthy Volunteers 2
Medullary Thyroid Carcinoma 2
Plasma [AUC(0-t)] 1
Differentiated Thyroid Cancer 1
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Condition MeSH

Condition MeSH for CAPRELSA
Intervention Trials
Thyroid Neoplasms 6
Carcinoma, Neuroendocrine 4
Thyroid Diseases 4
Carcinoma, Non-Small-Cell Lung 3
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Clinical Trial Locations for CAPRELSA

Trials by Country

Trials by Country for CAPRELSA
Location Trials
United States 20
France 4
Spain 2
Belgium 2
Italy 2
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Trials by US State

Trials by US State for CAPRELSA
Location Trials
Kansas 4
Maryland 4
Michigan 2
California 1
Arkansas 1
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Clinical Trial Progress for CAPRELSA

Clinical Trial Phase

Clinical Trial Phase for CAPRELSA
Clinical Trial Phase Trials
Phase 3 1
Phase 2 5
Phase 1/Phase 2 3
[disabled in preview] 6
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Clinical Trial Status

Clinical Trial Status for CAPRELSA
Clinical Trial Phase Trials
Completed 9
Terminated 3
Active, not recruiting 3
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Clinical Trial Sponsors for CAPRELSA

Sponsor Name

Sponsor Name for CAPRELSA
Sponsor Trials
National Cancer Institute (NCI) 6
Sanofi 5
AstraZeneca 5
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Sponsor Type

Sponsor Type for CAPRELSA
Sponsor Trials
Industry 13
Other 12
NIH 6
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CAPRELSA Market Analysis and Financial Projection

CAPRELSA: Clinical Trials, Market Analysis, and Projections

Introduction to CAPRELSA

CAPRELSA, also known as vandetanib, is a kinase inhibitor specifically designed for the treatment of symptomatic or progressive medullary thyroid cancer (MTC) in patients with unresectable locally advanced or metastatic disease. Here, we will delve into the clinical trials, market analysis, and future projections for this drug.

Clinical Trials Overview

ZETA Study

The efficacy and safety of CAPRELSA were evaluated in the ZETA study, an international, randomized, double-blind, placebo-controlled phase 3 trial. This trial involved a large cohort of patients with unresectable locally advanced or metastatic MTC, making it one of the largest clinical trials in this patient population[1][4].

Primary and Secondary Objectives

The primary objective of the ZETA study was to demonstrate an improvement in progression-free survival (PFS) compared to placebo. Secondary objectives included evaluating the objective response rate (ORR), overall survival (OS), and safety[1].

Key Findings

  • Progression-Free Survival: CAPRELSA significantly prolonged PFS compared to placebo. Patients on CAPRELSA lived for an average of 30.5 months without disease progression, compared to 19.3 months for those on placebo[4].
  • Objective Response Rate: During the randomized phase, 44% of patients treated with CAPRELSA achieved partial responses, with no complete responses observed[1].
  • Overall Survival: While the median overall survival was similar across both treatment arms, the trial highlighted the significant benefit of CAPRELSA in delaying disease progression[1].

Market Analysis

Current Market Size and Growth

The thyroid cancer drugs market, which includes CAPRELSA, has been growing rapidly. In 2023, the market size was valued at $1.01 billion and is projected to grow to $1.16 billion in 2024, with a compound annual growth rate (CAGR) of 14.1% expected until 2028[2][5].

Regional Market Performance

North America was the largest region in the thyroid cancer drugs market in 2023, while the Middle East is expected to be the fastest-growing region during the forecast period. The market is driven by increasing prevalence, an aging population, advancements in precision medicine, and improved healthcare infrastructure[5].

Competitive Landscape

CAPRELSA competes in a market that includes other targeted therapies such as cabozantinib-s-malate and lenvatinib mesylate. The market values are based on factory gate values, including related services sold by the creators of the goods[5].

Market Projections

Forecasted Market Size

The thyroid cancer drugs market, including CAPRELSA, is expected to grow significantly. By 2028, the market is projected to reach $1.96 billion, driven by factors such as personalized medicine, targeted therapies, immunotherapies, and advancements in clinical trials and drug pipelines[5].

Trends and Strategies

Key trends in the forecast period include:

  • Personalized Medicine: Tailored treatments based on genetic profiles.
  • Targeted Therapies: Drugs like CAPRELSA that inhibit specific pathways, such as the RET signaling pathway.
  • Immunotherapies: Emerging treatments that leverage the immune system to fight cancer.
  • Clinical Trials and Drug Pipelines: Ongoing research into new and improved therapies, including combination treatments and novel biomarker-driven strategies[3][5].

Patent and Generic Entry

CAPRELSA is protected by several patents, with the earliest potential generic entry date estimated based on the expiration of these patents. However, various factors such as new patent filings, patent extensions, and early generic licensing can influence the actual generic entry date[2].

Safety and Regulatory Considerations

CAPRELSA has been granted marketing authorization by the European Commission, with conditional approval requiring further evidence on its benefit in patients without the RET mutation. The drug carries a risk of QTc interval prolongation, and measures have been introduced to minimize this risk. Educational materials and patient alert cards are provided to ensure safe and effective use[4].

Key Takeaways

  • CAPRELSA has demonstrated significant efficacy in prolonging PFS in patients with unresectable locally advanced or metastatic MTC.
  • The drug is part of a growing thyroid cancer drugs market, expected to reach $1.96 billion by 2028.
  • Key trends include personalized medicine, targeted therapies, and ongoing clinical trials.
  • Regulatory considerations and patent protections are crucial for its market position.

FAQs

What is CAPRELSA used for?

CAPRELSA is used for the treatment of symptomatic or progressive medullary thyroid cancer in patients with unresectable locally advanced or metastatic disease.

What were the key findings of the ZETA study?

The ZETA study showed that CAPRELSA significantly prolonged progression-free survival compared to placebo, with 44% of patients achieving partial responses.

What is the projected market size for thyroid cancer drugs by 2028?

The thyroid cancer drugs market, including CAPRELSA, is projected to reach $1.96 billion by 2028.

What are the main trends in the thyroid cancer drugs market?

Key trends include personalized medicine, targeted therapies, immunotherapies, and ongoing clinical trials and drug pipelines.

What are the safety concerns associated with CAPRELSA?

CAPRELSA carries a risk of QTc interval prolongation, and measures have been introduced to minimize this risk.

Sources

  1. CAPRELSA.com: Efficacy | CAPRELSA.com
  2. DrugPatentWatch: CAPRELSA Drug Patent Profile
  3. BioSpace: Medullary Thyroid Cancer Market to Reach USD 405.1 Million by 2034
  4. European Medicines Agency: Caprelsa | European Medicines Agency (EMA)
  5. The Business Research Company: Global Thyroid Cancer Drugs Market Report 2024

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