Vandetanib (Caprelsa) for locally advanced or metastatic differentiated thyroid cancer – second line

Record ID 32016000359
Authors' objectives: Vandetanib is a potent inhibitor of vascular endothelial growth factor receptor-2 (VEGFR-2), epidermal growth factor receptor (EGFR) and RET tyrosine kinases. Vandetanib inhibits VEGF stimulated endothelial cell migration, proliferation, survival and new blood vessel formation in in vitro models of angiogenesis. It is intended for use in patients with locally advanced or metastatic differentiated thyroid cancer that is refractory or unsuitable for radioiodine (RAI) therapy. Thyroid cancer is the 20th most common cancer in the UK, accounting for less than 1% of all new cases. In 2011, the crude incidence rate of thyroid cancer was 2.5 per 100,000 population in males and 6.2 per 100,000 population in females in England. Distant metastases occur in less than 10% of patients with papillary and follicular carcinomas, but represent the most frequent cause of thyroid cancer related death. In 2013-14, there were 5,864 admissions for malignant neoplasm of thyroid gland in England, resulting in 15,444 bed-days and 6,133 finished consultant episodes. Three hundred and fifty-six deaths from thyroid cancer were registered in England and Wales during 2013. The most common treatment for localised, differentiated thyroid cancer is partial or total thyroidectomy. This may be followed by RAI treatment or radiotherapy. In unresectable, recurrent and metastatic disease, treatment includes RAI (¹³¹I) therapy in patients with demonstrable RAI uptake and levothyroxine therapy to suppress secretion of thyroid-stimulating hormone. However, only a third of patients experience complete remission. Sorafenib, a tyrosine kinase inhibitor, is licensed to treat differentiated thyroid carcinomas that are refractory to RAI. Vandetanib is currently in a phase III clinical trial comparing its effect on progression free survival against placebo. This trial is expected to complete in May 2017.
Project Status: Completed
Year Published: 2015
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: England, United Kingdom
MeSH Terms
  • Humans
  • Adenocarcinoma
  • Piperidines
  • Quinazolines
  • Thyroid Neoplasms
Organisation Name: NIHR Horizon Scanning Centre
Contact Address: The NIHR Horizon Scanning Centre, Department of Public Health, Epidemiology, and Biostatistics, School of Health and Population Sciences, University of Birmingham, 90 Vincent Drive, Edgbaston, Birmingham, B15 2SP. United Kingdom. Tel: +44 121 414 7831, Fax: +44 121 2269
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Copyright: NIHR Horizon Scanning Research&Intelligence Centre (NIHR HSRIC)
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