Sunitinib

N-[2 - (diethylamino ) ethyl] -5 - [( Z) - (5- fluoro-1 ,2 -dihydro -2-oxo -3H- indol-3- ylidene) - methyl] -2,4- dimethyl -1H-pyrrole -3-carboxamide

  • 557795-19-4 (free base)
  • 341031-54-7 ( maleate )

L01XE04

Tyrosine kinase inhibitor

Template: Infobox chemical / molecular formula search available

Sunitinib (trade name: Sutent ®, manufactured by Pfizer) is a receptor tyrosine kinase inhibitor that is unresectable as a drug for treatment of adults with and / or metastatic malignant gastrointestinal stromal tumors ( GIST) is approved if treatment with imatinib due to resistance or intolerance has failed. In addition, the drug used to treat adults with advanced and / or metastatic renal cell carcinoma ( mRCC ) and for the treatment of unresectable or metastatic, well-differentiated pancreatic neuroendocrine tumors ( pNET ) is approved with disease progression in adults.

Pharmacology

Sunitinib inhibits multiple receptor tyrosine kinases. These include the receptors for PDGF, VEGF, c-Kit, FLT, CSF and RET. These receptors are implicated in tumor growth, pathologic angiogenesis and metastatic progression of cancer.

During treatment with sunitinib have the adverse effects fatigue, diarrhea, hand-foot syndrome, stomatitis, and hypertension occur. The cause of the fatigue is often hypothyroidism found to be related to decreased iodine uptake in the thyroid gland is true - probably due to a non- competitive inhibition of thyroid peroxidase.

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