Difference between revisions of "Fruquintinib (Elunate)"

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==Mechanism of action==
 
==Mechanism of action==
VEGFR inhibitor
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From the [https://www.cancer.gov/publications/dictionaries/cancer-drug/def/fruquintinib NCI Drug Dictionary]: An orally available, small molecule inhibitor of vascular endothelial growth factor receptors (VEGFRs), with potential anti-angiogenic and antineoplastic activities. Upon oral administration, fruquintinib inhibits VEGF-induced phosphorylation of VEGFRs 1, 2, and 3 which may result in the inhibition of migration, proliferation and survival of endothelial cells, microvessel formation, the inhibition of tumor cell proliferation, and tumor cell death.
  
==Preliminary data==
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==Diseases for which it is established==
===[[Colon cancer]]===
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*[[Colorectal cancer]]
*'''FRESCO:''' Li J, Qin S, Xu RH, Shen L, Xu J, Bai Y, Yang L, Deng Y, Chen ZD, Zhong H, Pan H, Guo W, Shu Y, Yuan Y, Zhou J, Xu N, Liu T, Ma D, Wu C, Cheng Y, Chen D, Li W, Sun S, Yu Z, Cao P, Chen H, Wang J, Wang S, Wang H, Fan S, Hua Y, Su W. Effect of fruquintinib vs placebo on overall survival in patients with previously treated metastatic colorectal cancer: the FRESCO randomized clinical trial. JAMA. 2018 Jun 26;319(24):2486-2496. [https://jamanetwork.com/journals/jama/fullarticle/2685988 link to original article] [https://pubmed.ncbi.nlm.nih.gov/29946728 PubMed]
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==History of changes in FDA indication==
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*2023-11-08: Approved for adult patients with metastatic [[colorectal cancer]] (mCRC) who received prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if RAS wild-type and medically appropriate, an anti-EGFR therapy. ''(Based on FRESCO & FRESCO-2)''
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==History of changes in NMPA indication==
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*2018-09: Approved for the treatment of patients with metastatic [[colorectal cancer|colorectal cancer (CRC)]] who have been previously treated with fluoropyrimidine, oxaliplatin and irinotecan, including those who have previously received anti-VEGF therapy and/or anti-epidermal growth factor receptor (EGFR) therapy (RAS wild type). ''(Based on FRESCO)''
  
 
==Also known as==
 
==Also known as==
 
*'''Code name:''' HMPL-013
 
*'''Code name:''' HMPL-013
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*'''Brand names:''' Elunate, Fruzaqla
  
 
[[Category:Drugs]]
 
[[Category:Drugs]]
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[[Category:Colorectal cancer medications]]
 
[[Category:Colorectal cancer medications]]
[[Category:Investigational drugs]]
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[[Category:NMPA approved in 2018]]
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[[Category:FDA approved in 2023]]
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[[Category:Stub]]

Latest revision as of 13:33, 9 November 2023

Mechanism of action

From the NCI Drug Dictionary: An orally available, small molecule inhibitor of vascular endothelial growth factor receptors (VEGFRs), with potential anti-angiogenic and antineoplastic activities. Upon oral administration, fruquintinib inhibits VEGF-induced phosphorylation of VEGFRs 1, 2, and 3 which may result in the inhibition of migration, proliferation and survival of endothelial cells, microvessel formation, the inhibition of tumor cell proliferation, and tumor cell death.

Diseases for which it is established

History of changes in FDA indication

  • 2023-11-08: Approved for adult patients with metastatic colorectal cancer (mCRC) who received prior fluoropyrimidine-, oxaliplatin-, and irinotecan-based chemotherapy, an anti-VEGF therapy, and, if RAS wild-type and medically appropriate, an anti-EGFR therapy. (Based on FRESCO & FRESCO-2)

History of changes in NMPA indication

  • 2018-09: Approved for the treatment of patients with metastatic colorectal cancer (CRC) who have been previously treated with fluoropyrimidine, oxaliplatin and irinotecan, including those who have previously received anti-VEGF therapy and/or anti-epidermal growth factor receptor (EGFR) therapy (RAS wild type). (Based on FRESCO)

Also known as

  • Code name: HMPL-013
  • Brand names: Elunate, Fruzaqla