Cabozantinib
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Also known as BMS-907351 FREE BASEXL-184 FREE BASEXL-184XL 184BMS-907351XL184 FREE BASECABOZANTINIB S-MALATEXL184CABOZANTINIBCT-XL184COMETRIQXL184C3627CABOMETYXCOMETRIQCABOZANTINIB (BMS-907351)SID137276008Cabozantinib S-malateÊCabozantinib S-malateÂCarbozantinibCabozanitinib
Summary
Cabozantinib (CHEMBL2105717) is an approved small-molecule tyrosine kinase inhibitor (ATC L01EX07) targeting KDR, MET, and RET; indicated across 57 conditions including neoplasm and renal cell carcinoma; with CIViC clinical evidence for 18 variant-indication associations (e.g. GNA11 Mutation in uveal melanoma).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01EX07
- Targets: 3 (KDR, MET, RET)
- Indications: 57 conditions
- Clinical trials: 254
- Precision-oncology evidence (CIViC): 18 variant–indication associations
- Chemistry: 501.5 Da · C28H24FN3O5
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL2105717 |
| Name | Cabozantinib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 25102847 |
| ChEBI | CHEBI:72317 |
| ATC | L01EX07 |
| Molecular formula | C28H24FN3O5 |
| Molecular weight | 501.5 |
| InChIKey | ONIQOQHATWINJY-UHFFFAOYSA-N |
SMILES: COC1=CC2=C(C=CN=C2C=C1OC)OC3=CC=C(C=C3)NC(=O)C4(CC4)C(=O)NC5=CC=C(C=C5)F
IUPAC name: 1-N-[4-(6,7-dimethoxyquinolin-4-yl)oxyphenyl]-1-N’-(4-fluorophenyl)cyclopropane-1,1-dicarboxamide
ChEBI definition: A dicarboxylic acid diamide that is N-phenyl-N’-(4-fluorophenyl)cyclopropane-1,1-dicarboxamide in which the hydrogen at position 4 on the phenyl ring is substituted by a (6,7-dimethoxyquinolin-4-yl)oxy group. A multi-tyrosine kinase inhibitor, used (as its malate salt) for the treatment of progressive, metastatic, medullary thyroid cancer.
Pharmacological roles (ChEBI): tyrosine kinase inhibitor, antineoplastic agent.
Also known as: BMS-907351 FREE BASE, Cabozantinib, XL-184 FREE BASE, CABOZANTINIB, XL-184, XL 184, BMS-907351, XL184 FREE BASE, CABOZANTINIB S-MALATE, XL184, CABOZANTINIBCT-XL184COMETRIQXL184C3627, CABOMETYX
Parent form; salt/anhydrous children: CHEMBL2103868
Patent coverage: 4,816 distinct patent families (11,177 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 10,603 (95%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| KDR | kinase insert domain receptor | Inhibition | 10.46 | 1.1% | P35968 |
| MET | MET proto-oncogene, receptor tyrosine kinase | Inhibition | 8.9 | 2.4% | P08581 |
| RET | ret proto-oncogene | Inhibition | 7.96 | 0.4% | P07949 |
Broader ChEMBL bioactivity targets: 55 (assay-derived). Sample: Phosphatidylinositol 5-phosphate 4-kinase type-2 gamma, Receptor-interacting serine/threonine-protein kinase 3, Receptor tyrosine-protein kinase erbB-2, 5-hydroxytryptamine receptor 2B, Tyrosine-protein kinase ABL1, Alpha-2A adrenergic receptor, Vascular endothelial growth factor receptor 1, Alpha-2C adrenergic receptor, Mast/stem cell growth factor receptor Kit, Amine oxidase [flavin-containing] A.
Bioactivity
ChEMBL activities: 229 potent at pChembl ≥ 5 of 237 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| KDR | 10.52 | IC50 | 0.03 | nM | CHEMBL_ACT_29065528 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_16465571 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_16617409 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_16742604 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_18096400 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_18260588 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_18309584 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_18772569 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_18854165 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_22809994 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_24672546 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_24867156 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_24867255 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_25952270 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_26137479 |
| KDR | 10.46 | Ki | 0.04 | nM | CHEMBL_ACT_27790655 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_29212337 |
| KDR | 10.46 | IC50 | 0.04 | nM | CHEMBL_ACT_29252827 |
| KDR | 10.07 | IC50 | 0.09 | nM | CHEMBL_ACT_18096417 |
| KDR | 9.32 | IC50 | 0.48 | nM | CHEMBL_ACT_18390489 |
| AXL | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_29320248 |
| MERTK | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_29320252 |
| KDR | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_29320256 |
| FLT3 | 9.22 | IC50 | 0.6 | nM | CHEMBL_ACT_24862922 |
| KDR | 9.15 | AC50 | 0.7 | nM | CHEMBL_ACT_25167918 |
| MET | 8.89 | IC50 | 1.3 | nM | CHEMBL_ACT_16465572 |
| MET | 8.89 | IC50 | 1.3 | nM | CHEMBL_ACT_16617408 |
| MET | 8.89 | IC50 | 1.3 | nM | CHEMBL_ACT_16742603 |
| MET | 8.89 | IC50 | 1.3 | nM | CHEMBL_ACT_18096401 |
| MET | 8.89 | IC50 | 1.3 | nM | CHEMBL_ACT_18309583 |
Target pathways
Aggregated over 3 target gene(s): KDR, MET, RET.
Top Reactome pathways
55 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| RAF/MAP kinase cascade | 2 | MET, RET |
| PIP3 activates AKT signaling | 1 | MET |
| Developmental Biology | 1 | MET |
| Signal Transduction | 1 | MET |
| Disease | 1 | MET |
| Neuropilin interactions with VEGF and VEGFR | 1 | KDR |
| VEGF binds to VEGFR leading to receptor dimerization | 1 | KDR |
| Negative regulation of the PI3K/AKT network | 1 | MET |
| Generic Transcription Pathway | 1 | MET |
| Integrin cell surface interactions | 1 | KDR |
| PI3K/AKT Signaling in Cancer | 1 | MET |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | MET |
| Semaphorin interactions | 1 | MET |
| Sema4D in semaphorin signaling | 1 | MET |
| Sema4D mediated inhibition of cell attachment and migration | 1 | MET |
| Axon guidance | 1 | MET |
| VEGFA-VEGFR2 Pathway | 1 | KDR |
| VEGFR2 mediated cell proliferation | 1 | KDR |
| Diseases of signal transduction by growth factor receptors and second messengers | 1 | MET |
| Infectious disease | 1 | MET |
| MAPK family signaling cascades | 1 | MET |
| MAPK1/MAPK3 signaling | 1 | MET |
| Signaling by MET | 1 | MET |
| MET Receptor Activation | 1 | MET |
| Negative regulation of MET activity | 1 | MET |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | MET |
| RNA Polymerase II Transcription | 1 | MET |
| Gene expression (Transcription) | 1 | MET |
| MET activates RAS signaling | 1 | MET |
| MET activates PI3K/AKT signaling | 1 | MET |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| cell surface receptor protein tyrosine kinase signaling pathway | 3 |
| protein phosphorylation | 3 |
| positive regulation of cell migration | 2 |
| positive regulation of MAPK cascade | 2 |
| positive regulation of phosphatidylinositol 3-kinase/protein kinase B signal transduction | 2 |
| semaphorin-plexin signaling pathway | 2 |
| positive regulation of endothelial cell chemotaxis | 2 |
| branching morphogenesis of an epithelial tube | 2 |
| neuron differentiation | 2 |
| signal transduction | 2 |
| angiogenesis | 1 |
| ovarian follicle development | 1 |
| branching involved in blood vessel morphogenesis | 1 |
| vasculogenesis | 1 |
| positive regulation of protein phosphorylation | 1 |
Indications & clinical
Indications
57 indications (2 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| renal cell carcinoma | 3 | MONDO:0005086 | EFO:0000681 |
| non-small cell lung carcinoma | 3 | MONDO:0005233 | EFO:0003060 |
| hepatocellular carcinoma | 3 | MONDO:0007256 | EFO:0000182 |
| clear cell renal carcinoma | 3 | MONDO:0005005 | EFO:0000349 |
| chromophobe renal cell carcinoma | 3 | MONDO:0017885 | EFO:0000335 |
| papillary renal cell carcinoma | 3 | MONDO:0017884 | EFO:0000640 |
| thyroid gland papillary carcinoma | 3 | MONDO:0005075 | EFO:0000641 |
| collecting duct carcinoma | 3 | MONDO:0005220 | EFO:0003016 |
| renal carcinoma | 3 | MONDO:0005206 | EFO:0002890 |
| thyroid gland carcinoma | 3 | MONDO:0015075 | EFO:0002892 |
| renal cell adenocarcinoma | 3 | MONDO:0005549 | EFO:0005708 |
| prostate adenocarcinoma | 2 | MONDO:0005082 | EFO:0000673 |
| glioblastoma | 2 | MONDO:0018177 | EFO:0000519 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| anaplastic astrocytoma | 2 | MONDO:0016684 | EFO:0002499 |
| exocrine pancreatic carcinoma | 2 | MONDO:0005192 | EFO:0002618 |
| thyroid gland follicular carcinoma | 2 | MONDO:0005034 | EFO:0000501 |
| metastatic melanoma | 2 | MONDO:0005191 | EFO:0002617 |
| urothelial carcinoma | 2 | MONDO:0040679 | EFO:0008528 |
| adrenal cortex carcinoma | 2 | MONDO:0006639 | EFO:1000796 |
| carcinoid tumor | 2 | MONDO:0005369 | EFO:0004243 |
| uterine carcinosarcoma | 2 | MONDO:0006485 | EFO:1000613 |
| intrahepatic cholangiocarcinoma | 2 | MONDO:0003210 | EFO:1001961 |
| soft tissue sarcoma | 2 | MONDO:0018078 | EFO:1001968 |
| salivary gland cancer | 2 | MONDO:0004669 | MONDO:0004669 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| neuroendocrine neoplasm | 2 | MONDO:0019496 | EFO:1001901 |
| neuroendocrine carcinoma | 2 | MONDO:0002120 | MONDO:0002120 |
| lung neuroendocrine neoplasm | 2 | MONDO:0005454 | EFO:0005220 |
| rectal cancer | 2 | MONDO:0006519 | EFO:1000657 |
| colon adenocarcinoma | 2 | MONDO:0002271 | EFO:1001949 |
| carcinoma | 2 | MONDO:0004993 | EFO:0000313 |
| cutaneous melanoma | 2 | MONDO:0005012 | EFO:0000389 |
| osteosarcoma | 2 | MONDO:0009807 | EFO:0000637 |
| kidney cancer | 2 | MONDO:0002367 | MONDO:0002367 |
| gastrointestinal stromal tumor | 2 | MONDO:0011719 | MONDO:0011719 |
| meningioma | 2 | MONDO:0016642 | MONDO:0016642 |
| colorectal adenocarcinoma | 2 | MONDO:0005008 | EFO:0000365 |
| bile duct carcinoma | 2 | MONDO:0005496 | EFO:0005540 |
| malignant pancreatic neoplasm | 2 | MONDO:0009831 | EFO:1000359 |
| colorectal neoplasm | 2 | MONDO:0005335 | MONDO:0005575 |
| lung neoplasm | 2 | MONDO:0021117 | MONDO:0008903 |
| plasma cell myeloma | 1 | MONDO:0009693 | EFO:0001378 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| acute myeloid leukemia | 1 | MONDO:0018874 | EFO:0000222 |
| squamous cell carcinoma | 1 | MONDO:0005096 | EFO:0000707 |
| gliosarcoma | 1 | MONDO:0016681 | EFO:1001465 |
9 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 254.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 148 |
| PHASE1 | 44 |
| PHASE3 | 26 |
| PHASE1/PHASE2 | 20 |
| Not specified | 9 |
| PHASE4 | 5 |
| PHASE2/PHASE3 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01896479 | PHASE4 | ACTIVE_NOT_RECRUITING | A Study of Two Different Doses of Cabozantinib (XL184) in Progressive, Metastatic Medullary Thyroid Cancer |
| NCT06934057 | PHASE4 | RECRUITING | Cabozantinib and Nivolumab Among Older Patients With Renal Cell Carcinoma |
| NCT07010393 | PHASE4 | NOT_YET_RECRUITING | Genotype-Driven Neoadjuvant Therapy for Locally Advanced Thyroid Cancer: A Real-World Cohort Study |
| NCT07028125 | PHASE4 | RECRUITING | Digital Monitoring of Self-reported Symptoms by Patients Treated With Cabozantinib Plus Nivolumab for Advanced Clear-cell Renal Carcinoma |
| NCT03963206 | PHASE4 | COMPLETED | Cabozantinib toLERANCE Study in HepatoCellular Carcinoma (CLERANCE) |
| NCT03141177 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Nivolumab Combined With Cabozantinib Compared to Sunitinib in Previously Untreated Advanced or Metastatic Renal Cell Carcinoma |
| NCT03375320 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing Cabozantinib in Patients With Advanced Pancreatic Neuroendocrine and Carcinoid Tumors |
| NCT03690388 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Cabozantinib Compared With Placebo in Subjects With Radioiodine-refractory Differentiated Thyroid Cancer Who Have Progressed After Prior Vascular Endothelial Growth Factor Receptor (VEGFR) -Targeted Therapy |
| NCT03755791 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Atezolizumab Versus Sorafenib in Participants With Advanced Hepatocellular Carcinoma (HCC) Who Have Not Received Previous Systemic Anticancer Therapy |
| NCT03768063 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study in Patients Previously Enrolled in a Genentech and/or F. Hoffmann-La Roche Ltd Sponsored Atezolizumab Study |
| NCT03793166 | PHASE3 | ACTIVE_NOT_RECRUITING | Immunotherapy With Nivolumab and Ipilimumab Followed by Nivolumab or Nivolumab With Cabozantinib for Patients With Advanced Kidney Cancer, The PDIGREE Study |
| NCT03937219 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Nivolumab and Ipilimumab in Patients With Previously Untreated Advanced or Metastatic Renal Cell Carcinoma |
| NCT04211337 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Selpercatinib (LY3527723) in Participants With RET-Mutant Medullary Thyroid Cancer |
| NCT04446117 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Cabozantinib in Combination With Atezolizumab Versus Second NHT in Subjects With mCRPC |
| NCT04586231 | PHASE3 | ACTIVE_NOT_RECRUITING | A Study of Belzutifan (MK-6482) in Combination With Lenvatinib Versus Cabozantinib for Treatment of Renal Cell Carcinoma (MK-6482-011) |
| NCT05092958 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Addition of the Anti-cancer Drug, Cabozantinib, to the Usual Immunotherapy Treatment, Avelumab, in Patients With Metastatic Urothelial Cancer, MAIN-CAV Study |
| NCT05691478 | PHASE2/PHASE3 | RECRUITING | A Study to Test the Addition of the Drug Cabozantinib to Chemotherapy in Patients With Newly Diagnosed Osteosarcoma |
| NCT06364631 | PHASE3 | RECRUITING | CARE1 Pragmatic Clinical Trial |
| NCT06475989 | PHASE3 | RECRUITING | Study of Targeted Therapy vs. Chemotherapy in Patients With Thyroid Cancer |
| NCT07011719 | PHASE3 | RECRUITING | Study of Casdatifan and Cabozantinib Versus Placebo and Cabozantinib in Patients With Advanced Clear Cell Renal Cell Carcinoma |
| NCT07227402 | PHASE3 | RECRUITING | A Clinical Study of Belzutifan and Zanzalintinib in People With Recurrent Kidney Cancer Following Adjuvant Therapy (MK-6482-033) |
| NCT07383441 | PHASE3 | NOT_YET_RECRUITING | Adding Biotherapy or Placebo to Standard Treatment for Advanced Kidney Cancer |
| NCT07405164 | PHASE3 | RECRUITING | Extension Study for Participants in Studies That Include Belzutifan (MK-6482-043/LITESPARK-043) |
| NCT00704730 | PHASE3 | COMPLETED | Efficacy of XL184 (Cabozantinib) in Advanced Medullary Thyroid Cancer |
| NCT01522443 | PHASE3 | TERMINATED | Study of Cabozantinib (XL184) Versus Mitoxantrone Plus Prednisone in Men With Previously Treated Symptomatic Castration-resistant Prostate Cancer |
| NCT01605227 | PHASE3 | COMPLETED | Study of Cabozantinib (XL184) Versus Prednisone in Men With Metastatic Castration-resistant Prostate Cancer Previously Treated With Docetaxel and Abiraterone or MDV3100 |
| NCT01865747 | PHASE3 | COMPLETED | A Study of Cabozantinib (XL184) vs Everolimus in Subjects With Metastatic Renal Cell Carcinoma |
| NCT01908426 | PHASE3 | COMPLETED | Study of Cabozantinib (XL184) vs Placebo in Subjects With Hepatocellular Carcinoma Who Have Received Prior Sorafenib |
| NCT03729245 | PHASE3 | TERMINATED | A Study of Bempegaldesleukin (NKTR-214: BEMPEG) in Combination With Nivolumab Compared With the Investigator’s Choice of a Tyrosine Kinase Inhibitor (TKI) Therapy (Either Sunitinib or Cabozantinib Monotherapy) for Advanced Metastatic Renal Cell Carcinoma (RCC) |
| NCT04338269 | PHASE3 | TERMINATED | A Study of Atezolizumab in Combination With Cabozantinib Compared to Cabozantinib Alone in Participants With Advanced Renal Cell Carcinoma After Immune Checkpoint Inhibitor Treatment |
| NCT04471428 | PHASE3 | COMPLETED | Study of Atezolizumab in Combination With Cabozantinib Versus Docetaxel in Patients With Metastatic Non-Small Cell Lung Cancer Previously Treated With an Anti-PD-L1/PD-1 Antibody and Platinum-Containing Chemotherapy |
| NCT04760288 | PHASE3 | WITHDRAWN | A Study of Pralsetinib Versus Standard of Care (SOC) for Treatment of RET-Mutated Medullary Thyroid Cancer (MTC). |
| NCT01639508 | PHASE2 | RECRUITING | Cabozantinib in Patients With RET Fusion-Positive Advanced Non-Small Cell Lung Cancer and Those With Other Genotypes: ROS1 or NTRK Fusions or Increased MET or AXL Activity |
| NCT01708954 | PHASE2 | ACTIVE_NOT_RECRUITING | Erlotinib Hydrochloride and Cabozantinib-s-Malate Alone or in Combination as Second or Third Line Therapy in Treating Patients With Stage IV Non-small Cell Lung Cancer |
| NCT02243605 | PHASE2 | ACTIVE_NOT_RECRUITING | Cabozantinib S-malate in Treating Patients With Relapsed Osteosarcoma or Ewing Sarcoma |
| NCT02867592 | PHASE2 | ACTIVE_NOT_RECRUITING | Cabozantinib-S-Malate in Treating Younger Patients With Recurrent, Refractory, or Newly Diagnosed Sarcomas, Wilms Tumor, or Other Rare Tumors |
| NCT02925234 | PHASE2 | RECRUITING | The Drug Rediscovery Protocol (DRUP Trial) |
| NCT03367741 | PHASE2 | ACTIVE_NOT_RECRUITING | Cabozantinib S-malate and Nivolumab in Treating Patients With Advanced, Recurrent, or Metastatic Endometrial Cancer |
| NCT03468218 | PHASE2 | ACTIVE_NOT_RECRUITING | Pembrolizumab & Cabozantinib in Patients With Head and Neck Squamous Cell Cancer |
| NCT03539822 | PHASE1/PHASE2 | RECRUITING | Cabozantinib Plus Durvalumab With or Without Tremelimumab in Patients With Gastroesophageal Cancer and Other Gastrointestinal Malignancies |
Clinical evidence (CIViC)
Variant × indication × effect (18 predictive associations from 18 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| GNA11 Mutation | Uveal Melanoma | Sensitivity/Response | Cabozantinib | CIViC B | EID3049 |
| GNAQ Mutation | Uveal Melanoma | Sensitivity/Response | Cabozantinib | CIViC B | EID5068 |
| RET Fusion | Lung Adenocarcinoma | Sensitivity/Response | Cabozantinib | CIViC B | EID4847 |
| RET M918T | Medullary Thyroid Carcinoma | Sensitivity/Response | Cabozantinib | CIViC B | EID7710 |
| RET Mutation | Medullary Thyroid Carcinoma | Sensitivity/Response | Cabozantinib | CIViC B | EID8984 |
| MET D1228V | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cabozantinib | CIViC C | EID1864 |
| MET Exon 14 Skipping Mutation | Lung Adenocarcinoma | Sensitivity/Response | Cabozantinib | CIViC C | EID11400 |
| MET Exon 14 Skipping Mutation | Lung Adenocarcinoma | Sensitivity/Response | Cabozantinib + Crizotinib | CIViC C | EID11410 |
| NOT MET Amplification AND MET Exon 14 Skipping Mutation | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cabozantinib + Crizotinib | CIViC C | EID11390 |
| RBPMS::MET Fusion | Congenital Fibrosarcoma | Sensitivity/Response | Cabozantinib | CIViC C | EID8892 |
| ROS1 D2033N | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cabozantinib | CIViC C | EID7691 |
| KDR R1032Q | Colorectal Cancer | Sensitivity/Response | Lenvatinib + Axitinib + Cabozantinib + Dovitinib | CIViC D | EID9339 |
| MET Amplification | Gastric Adenocarcinoma | Sensitivity/Response | Cabozantinib | CIViC D | EID7873 |
| MET Overexpression | Ovarian Clear Cell Carcinoma | Sensitivity/Response | Cabozantinib | CIViC D | EID7932 |
| PIK3CA Mutation | Colorectal Cancer | Sensitivity/Response | Cabozantinib | CIViC D | EID771 |
| ROS1 G2032R AND CD74::ROS1 Fusion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Cabozantinib | CIViC D | EID1101 |
| ROS1 G2032R AND CD74::ROS1 Fusion | Lung Non-small Cell Carcinoma | Sensitivity/Response | Foretinib + Cabozantinib | CIViC D | EID1249 |
| KIF5B::RET Fusion AND RET V804L | Lung Non-small Cell Carcinoma | Resistance | Cabozantinib | CIViC D | EID4851 |
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 3 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
220 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| Afatinib | ChEMBL + PubChem | Phase 4 (approved) | KDR, MET, RET |
| CRIZOTINIB | ChEMBL + PubChem | Phase 4 (approved) | KDR, MET, RET |
| GEFITINIB | ChEMBL + PubChem | Phase 4 (approved) | KDR, MET, RET |
| PAZOPANIB | ChEMBL + PubChem | Phase 4 (approved) | KDR, MET, RET |
| REGORAFENIB | ChEMBL + PubChem | Phase 4 (approved) | KDR, MET, RET |
| AXITINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| BRIGATINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| CERITINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| ENTRECTINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| ERLOTINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| FEDRATINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| INFIGRATINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| MIDOSTAURIN | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| NINTEDANIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| SORAFENIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| SUNITINIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| TIVOZANIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| VANDETANIB | ChEMBL | Phase 4 (approved) | KDR, MET, RET |
| CANERTINIB | ChEMBL | Phase 3 | KDR, MET, RET |
| CEDIRANIB | ChEMBL | Phase 3 | KDR, MET, RET |
| LESTAURTINIB | ChEMBL | Phase 3 | KDR, MET, RET |
| LINIFANIB | ChEMBL | Phase 3 | KDR, MET, RET |
| QUERCETIN | ChEMBL | Phase 3 | KDR, MET, RET |
| AT-9283 | ChEMBL | Phase 2 | KDR, MET, RET |
| BEMCENTINIB | ChEMBL | Phase 2 | KDR, MET, RET |
| BMS-777607 | ChEMBL | Phase 2 | KDR, MET, RET |
| CENISERTIB | ChEMBL | Phase 2 | KDR, MET, RET |
| CEP-32496 | ChEMBL | Phase 2 | KDR, MET, RET |
| DEFOSBARASERTIB | ChEMBL | Phase 2 | KDR, MET, RET |
| FORETINIB | ChEMBL | Phase 2 | KDR, MET, RET |
| GOLVATINIB | ChEMBL | Phase 2 | KDR, MET, RET |
| ILORASERTIB | ChEMBL | Phase 2 | KDR, MET, RET |
| MERESTINIB | ChEMBL | Phase 2 | KDR, MET, RET |
| MK-2461 | ChEMBL | Phase 2 | KDR, MET, RET |
| OSI-632 | ChEMBL | Phase 2 | KDR, MET, RET |
| R-406 | ChEMBL | Phase 2 | KDR, MET, RET |
| RAF-265 | ChEMBL | Phase 2 | KDR, MET, RET |
| REBASTINIB | ChEMBL | Phase 2 | KDR, MET, RET |
| SU-014813 | ChEMBL | Phase 2 | KDR, MET, RET |
| TOZASERTIB | ChEMBL | Phase 2 | KDR, MET, RET |
| Binimetinib | PubChem | Approved | KDR, MET, RET |
| Selumetinib | PubChem | Approved | KDR, MET, RET |
| Fostamatinib | ChEMBL + PubChem | Phase 4 (approved) | MET, RET |
| SELPERCATINIB | ChEMBL + PubChem | Phase 4 (approved) | KDR, RET |
| ALECTINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| BOSUTINIB | ChEMBL | Phase 4 (approved) | MET, RET |
| DASATINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| IBRUTINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| LENVATINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| NERATINIB | ChEMBL | Phase 4 (approved) | KDR, MET |
| PALBOCICLIB | ChEMBL | Phase 4 (approved) | MET, RET |
| PONATINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| QUIZARTINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| TOFACITINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| UPADACITINIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| VEMURAFENIB | ChEMBL | Phase 4 (approved) | KDR, RET |
| ALISERTIB | ChEMBL | Phase 3 | KDR, RET |
| BARASERTIB | ChEMBL | Phase 3 | KDR, RET |
| BRIVANIB | ChEMBL | Phase 3 | KDR, RET |
| DEFACTINIB | ChEMBL | Phase 3 | KDR, RET |
Related Atlas pages
- Genes: KDR, MET, RET
- Diseases: neoplasm, renal cell carcinoma, non-small cell lung carcinoma, hepatocellular carcinoma, clear cell renal carcinoma, chromophobe renal cell carcinoma, papillary renal cell carcinoma, thyroid gland papillary carcinoma, collecting duct carcinoma, renal carcinoma, thyroid gland carcinoma, renal cell adenocarcinoma, uveal melanoma, lung adenocarcinoma, medullary thyroid gland carcinoma, congenital fibrosarcoma, colorectal carcinoma, gastric adenocarcinoma
- Drugs: Afatinib, Crizotinib, Gefitinib, Pazopanib, Regorafenib, Axitinib, Brigatinib, Ceritinib, Entrectinib, Erlotinib, Fedratinib, Infigratinib, Midostaurin, Nintedanib, Sorafenib, Sunitinib, Tivozanib, Vandetanib, Canertinib, Cediranib, Lestaurtinib, Linifanib, Quercetin, Binimetinib, Selumetinib, Fostamatinib, Selpercatinib, Alectinib, Bosutinib, Dasatinib, Ibrutinib, Lenvatinib, Neratinib, Palbociclib, Ponatinib, Quizartinib, Tofacitinib, Upadacitinib, Vemurafenib, Alisertib, Barasertib, Brivanib, Defactinib
- Biomarker genes: GNA11, GNAQ, ROS1, SLTM