Review Article

Medullary Thyroid Carcinoma: Molecular Signaling Pathways and Emerging Therapies

Table 1

Some of the TKIs currently used for the treatment of MTC in clinical trials and off-label.

DrugOral daily doseMajor targets

Vandetanib100–300 mgVEGFR-1, VEGFR-2, VEGFR-3, RET, EGFR
Sorafenib400–800 mgRET, VEGFR-2, VEGFR-3, Flt-3, PDGFRβ, KIT, RAF-1
Sunitinib37.5 mg every day
50 mg daily 4 weeks on 2 weeks off
VEGFR-2, PDGFRβ, KIT, RET
Cabozantinib (XL184)125–175 mg/dayMET, VEGFR-2, RET, KIT, Flt-3, Tie-2
E708024 mgVEGFR-2, VEGFR-3, VEGFR-1, KIT, FGFR1, PDGFR, EGFR