Review Article

Colorectal Cancer: From Genetic Landscape to Targeted Therapy

Table 1

Antiangiogenic RTKIs agents under clinical trials investigation in mCRC.

DrugsTargetNumber of participantsSettingTreatmentPrimary outcome measuresPhaseIdentifiers

Vatalanib (PTK787/ZK 222584)VEGFR1-3, FGFR1-3, PDGFRα-β11681st line mCRCOxaliplatin/5FU/Leucovorin ± vatalanibPFSIIINCT00056459
8552nd line mCRCOSNCT00056446
Nintedanib (BIBF1120)VEGFR1-3, FGFR1-3, PDGFRα-β768Refractory mCRCBSC ± NintedanibPFS/OSIIINCT02149108
54Refractory mCRCmFOLFOX6 ± NintedanibPFSIIINCT01362361
Semaxanib (SU5416)VEGFR27101st line mCRCLeucovorin and Fluorouracil ± SemaxanibOSIIINCT00004252
BrivanibVEGFR2/FGFR1750mCRC kRAS wild-type (refractory)Cetuximab ± BrivanibOSIIINCT00640471
SunitinibPDGFR-β, VEGFR2,7681st line mCRCFOLFIRI ± SunitinibPFSIIINCT00457691
FruquintinibVEGFR1-34163rd line mCRCFruquintinib vs. placeboOSIIINCT02314819
Cediranib (AZD2171)VEGFR1-318141st line mCRCBeva + folfox vs. beva + CediranibPFSII/IIINCT00384176
SorafenibVEGFR1-3 PDGFR-β BRAF1012nd line mCRCFOLFOX6/FOLFIRI ± SorafenibPFSIINCT00889343
VanucizumabVEGF-A Angiopoietin-21971st line mCRCmFOLFOX6 + beva vs. mFOLFOX6 + VancizumabPFSIINCT02141295
FamitinibVEGFR2-3, c-Kit, PDGFR1543rd line advanced mCRCFamitinib vs. placeboPFSIINCT01762293
AxitinibVEGFR1-3701st line maintenance therapyAxitinib alone after FOLFOX/beva in 1st linePFSIINCT01490866
ApatinibVEGFR254Refractory mCRC progressed after 2nd lineApatinib alonePFSIINCT03190616

mCRC: metastatic colorectal cancer; 5FU: 5-fluorouracil; FOLFOX: oxaliplatin in combination with 5-fluorouracil and folinic acid; FOLFIRI: irinotecan in combination with 5-fluorouracil and folinic acid; BSC: best supportive care; Beva: bevacizumab; PFS: progression-free survival; OS: overall survival; VEGFR: vascular endothelial growth factor receptor; FGFR: fibroblast growth factor receptor; PDGFR: platelet-derived growth factor receptor.