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Nintedanib

Deterministic view of the source YAML entity. Clinical authority remains with the cited source IDs and reviewer sign-off state.

IDDRUG-NINTEDANIB
TypeDrug
Aliases
OfevVargatefНінтеданіб
Statusreviewed 2026-04-27 | pending_clinical_signoff
DiseasesNone declared
SourcesSRC-ESMO-NSCLC-METASTATIC-2024 SRC-NCCN-NSCLC-2025

Drug Facts

ClassTriple angiokinase inhibitor (VEGFR1-3 / PDGFRα-β / FGFR1-3)
MechanismOral multikinase inhibitor blocking VEGFR1-3, PDGFRα/β, and FGFR1-3. Anti-angiogenic mechanism complementary to docetaxel cytotoxicity. Approved in EU as Vargatef + docetaxel for 2L NSCLC adenocarcinoma per LUME-Lung 1; also approved for IPF / progressive fibrosing ILD as Ofev (separate indication).
Typical dosingNSCLC (Vargatef + docetaxel): 200 mg PO BID days 2-21 of each 21-day cycle (in combination with docetaxel 75 mg/m² IV day 1).
Ukraine registeredTrue
NSZU reimbursedFalse
Ukraine last verified2026-04-27

Notes

LUME-Lung 1 (Reck 2014): docetaxel + nintedanib vs docetaxel in 2L NSCLC — adenocarcinoma OS benefit (12.6 vs 10.3 mo, HR 0.83); particularly active in patients progressing within 9 mo of 1L (mOS 10.9 vs 7.9 mo, HR 0.75). Squamous histology no benefit. Oral PO alternative to ramucirumab (REVEL) for fit adenocarcinoma 2L.

Used By

No reverse references found in the YAML corpus.