TheraRadar
Data updated: May 26, 2026

VOTRIENT (pazopanib hydrochloride)

Genetically Validated Trial Activity: Declining 5 active trials
Oncology Approved 2009-10-19

VOTRIENT is indicated for the treatment of Advanced renal cell carcinoma; Advanced soft tissue sarcoma.

Source: FDA Label • Novartis

How VOTRIENT Works

Pazopanib is a multi-tyrosine kinase inhibitor that targets several receptors, including vascular endothelial growth factor receptors (VEGFR), platelet-derived growth factor receptors (PDGFR), and fibroblast growth factor receptors (FGFR). By blocking these receptors, the drug inhibits ligand-induced autophosphorylation and prevents signaling pathways that lead to angiogenesis. This mechanism interferes with the blood supply to tumors and suppresses tumor growth.

Development Insights

National Cancer Institute (NCI) conducting 14 trials (44%)
186 indications explored (Broad Platform)
clear cell renal cell carcinoma (5 trials)
stage iv renal cell cancer ajcc v7 (3 trials)
stage iv renal cell cancer (3 trials)
4
Indications
--
Phase 3 Trials
16
Years on Market

Details

Status
Prescription
First Approved
2009-10-19
Routes
ORAL
Dosage Forms
TABLET

Companies

Active Ingredient: PAZOPANIB HYDROCHLORIDE

VOTRIENT Approval History

2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
Original
New Indication
New Form
Label Update
58 FDA actions from 2009 to 2024 · 2 indication expansions
Jan 2024 SUPPL
Label · Labeling
Dec 2021 SUPPL
Mfg · Manufacturing (CMC)
Sep 2021 SUPPL
Label · Labeling

What VOTRIENT Treats

2 indications

VOTRIENT is approved for 2 conditions since its original approval in 2009. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Advanced renal cell carcinoma
  • Advanced soft tissue sarcoma
Source: FDA Label

VOTRIENT Boxed Warning

HEPATOTOXICITY Severe and fatal hepatotoxicity has been observed in clinical trials. Monitor hepatic function and interrupt, reduce, or discontinue dosing as recommended [see Warnings and Precautions (5.1)]. WARNING: HEPATOTOXICITY See full prescribing information for complete boxed warning. Severe and fatal hepatotoxicity has been observed in clinical trials. Monitor hepatic function and interrupt, reduce, or discontinue dosing as recommended. ( 5.1 )...

VOTRIENT Target & Pathway

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Target

VEGFR (Vascular Endothelial Growth Factor Receptor) Growth Factor Receptor

Receptors on blood vessel cells that respond to VEGF signals to form new blood vessels. Cancer cells exploit this pathway to ensure blood supply for tumor growth. Blocking VEGFRs prevents tumor angiogenesis and limits cancer progression.

Pathway Context

VEGFR on blood vessels is activated by VEGF to promote angiogenesis

VEGF (Vascular Endothelial Growth Factor) ligand

A signaling protein that stimulates the formation of new blood vessels (angiogenesis). Tumors need blood supply to grow, so they secrete VEGF to create new vessels. Blocking VEGF starves tumors of oxygen and nutrients, inhibiting their growth.

VOTRIENT Competitive Set

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Three rings of competition based on shared molecular targets and treated indications.

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Filters applied: drops same-active-ingredient (505(b)(2) reformulations), route-mismatch (topical vs systemic), and cross-therapeutic-area matches in same-indication rings.

Drugs Similar to VOTRIENT

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1 shared
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Shared indications:
Advanced renal cell carcinoma
NEXAVAR
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1 shared
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Shared indications:
Advanced renal cell carcinoma
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Clinical Trial Registry

32 trials
Trial Sponsor ID Phase Status Title
NCT02180867 results posted NCI-2014-01340 NCI-2014-01340, ARST1321 Ph 2, Ph 3 active not recruiting Radiation Therapy With or Without Combination Chemotherapy or Pazopanib Before Surgery in Treating Patients With Newly Diagnosed Non-rhabdomyosarcoma Soft Tissue Sarcomas That Can Be Removed by Surgery
NCT01841736 results posted NCI-2013-00831 NCI-2013-00831, ALLIANCE A021202 Ph 2 active not recruiting Pazopanib Hydrochloride in Treating Patients With Progressive Carcinoid Tumors
NCT01575548 results posted NCI-2012-00723 NCI-2012-00723, CDR0000730383 Ph 3 active not recruiting Pazopanib Hydrochloride in Treating Patients With Metastatic Kidney Cancer Who Have No Evidence of Disease After Surgery
NCT01552356 NCI-2012-00690 NCI-2012-00690, MAYO-MC1112 Ph 1 active not recruiting Pazopanib Hydrochloride in Treating Patients With Advanced or Refractory Solid Tumors
NCT01684397 I 191711 NCI-2012-01247, 13-069 Ph 1, Ph 2 active not recruiting Pazopanib Hydrochloride and Bevacizumab in Treating Patients With Previously Untreated Metastatic Kidney Cancer
NCT01436227 results posted 2011-0465 NCI-2011-03285, 2011-0465 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Von Hippel-Lindau Syndrome
NCT03660930 results posted RG1718053 10015, NCI-2018-01624 Ph 1, Ph 2 terminated Nab-Sirolimus and Pazopanib Hydrochloride in Treating Patients With Advanced Nonadipocytic Soft Tissue Sarcomas
NCT01767636 results posted MC1152 NCI-2012-02027, MC1152 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Metastatic Kidney Cancer
NCT01402271 EORTC-55092 EU-21119, 2010-024077-39 Ph 1, Ph 2 completed Pazopanib Hydrochloride, Paclitaxel, and Carboplatin in Treating Patients With Refractory or Resistant Ovarian Epithelial Cancer, Fallopian Tube Cancer, or Peritoneal Cancer
NCT02601209 results posted NCI-2015-01929 NCI-2015-01929, A091304 Ph 1, Ph 2 terminated Sapanisertib or Pazopanib Hydrochloride in Treating Patients With Locally Advanced or Metastatic Sarcoma
NCT01462630 results posted SAR-043 NCI-2011-01314, 11-042 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Advanced Angiosarcoma
NCT01236547 results posted NCI-2011-02614 NCI-2011-02614, CDR0000688092 Ph 2 completed Intensity-Modulated Radiation Therapy and Paclitaxel With or Without Pazopanib Hydrochloride in Treating Patients With Anaplastic Thyroid Cancer
NCT01157091 results posted 10030 NCI-2010-01497 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Stage IV Kidney Cancer
NCT02357810 results posted NU 14S03 NCI-2014-02583, STU00200112 Ph 2 completed Pazopanib Hydrochloride and Topotecan Hydrochloride in Treating Patients With Metastatic Soft Tissue and Bone Sarcomas
NCT01664182 results posted NCI-2012-01289 NCI-2012-01289, PHII-122 Ph 2 completed Trebananib With or Without Bevacizumab, Pazopanib Hydrochloride, Sorafenib Tosylate, or Sunitinib Malate in Treating Patients With Advanced Kidney Cancer
NCT03334409 results posted ACCRU-GU-1703 NCI-2017-01998, ACCRU-GU-1703 Ph 2 terminated Pazopanib Hydrochloride With or Without Ascorbic Acid in Treating Patients With Kidney Cancer That Is Metastatic or Cannot Be Removed by Surgery
NCT01532687 results posted IRB00007943 NCI-2012-00052, IRB00007943 Ph 2 completed Gemcitabine With or Without Pazopanib in Treating Patients With Refractory Soft Tissue Sarcoma
NCT01465659 results posted NU 11I03 NCI-2011-02939, STU00053541 Ph 1, Ph 2 completed Temozolomide and Pazopanib Hydrochloride in Treating Patients With Advanced Pancreatic Neuroendocrine Tumors That Cannot Be Removed By Surgery
NCT02979899 TAPPAS results posted 105SAR301 Ph 3 completed Trial of TRC105 and Pazopanib Versus Pazopanib Alone in Patients With Advanced Angiosarcoma
NCT00625846 results posted NCI-2009-00198 NCI-2009-00198, MC057H Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Advanced Thyroid Cancer
NCT01247571 results posted NCI-2011-02658 NCI-2011-02658, GOG-0230D Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Recurrent or Persistent Uterine Cancer
NCT01468909 results posted NCI-2011-03635 NCI-2011-03635, CDR0000716028 Ph 2 completed Paclitaxel With or Without Pazopanib Hydrochloride in Treating Patients With Persistent or Recurrent Ovarian Epithelial, Fallopian Tube, or Peritoneal Cavity Cancer
NCT01713972 OSU 12066 NCI-2012-01935, NCCNGSK20014 Ph 1 completed Dabrafenib and Pazopanib Hydrochloride in Treating Patients With Advanced Malignant Tumors
NCT00861913 results posted NCI-2009-01163 NCI-2009-01163, CDR0000637188 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Metastatic Melanoma That Cannot be Removed by Surgery
NCT01158521 results posted CASE4809 NCI-2010-01392 Ph 2 completed Pazopanib Hydrochloride Before Surgery in Treating Patients With Kidney Cancer
NCT01394211 results posted 11-0269-04 NCI-2011-01114, 3P30CA023074 Ph 2 terminated Neo-adjuvant Therapy With Anastrozole Plus Pazopanib in Stage II and III ER+ Breast Cancer
NCT01208064 EORTC-08092 2010-018566-23, EU-21072 Ph 2, Ph 3 terminated Pazopanib Hydrochloride or a Placebo in Treating Patients With Non-Small Cell Lung Cancer Who Have Received First-Line Chemotherapy
NCT01340794 results posted NCI-2011-02588 NCI-2011-02588, CDR0000699430 Ph 2 terminated Pazopanib Hydrochloride in Treating Patients With Advanced or Progressive Malignant Pheochromocytoma or Paraganglioma
NCT01413113 7529 NCI-2011-01139, 7529 Ph 1 completed Iodine I 131 and Pazopanib Hydrochloride in Treating Patients With Recurrent and/or Metastatic Thyroid Cancer Previously Treated With Iodine I 131 That Cannot Be Removed By Surgery
NCT00471536 results posted NCI-2009-00203 NCI-2009-00203, CDR0000543460 Ph 2 completed Pazopanib in Treating Patients With Metastatic Urothelial Cancer
NCT00929903 NCI-2011-01929 NCI-2011-01929, COG-ADVL0815 Ph 1 completed Pazopanib Hydrochloride in Treating Young Patients With Solid Tumors That Have Relapsed or Not Responded to Treatment
NCT01031875 ITA-MIL-IRCCS-INT-70/09 CDR0000661071, EUDRACT-2009-017093-20 Ph 2 completed Pazopanib Hydrochloride in Treating Patients With Metastatic Urethral Cancer or Bladder Cancer That Has Relapsed or Not Responded to Treatment
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Active Pipeline

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Ongoing clinical trials by development phase

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Key Completed Trials

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Completed studies with published results, ranked by significance

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Trial Timeline

Full development history with FDA approval milestones

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Understanding FDA Approval Types
Count Type What it means
- ORIG Original approval - drug first enters market
- SUPPL - Efficacy New indication (new disease/condition approved)
- SUPPL - Labeling Label text changes (warnings, dosing updates)
- SUPPL - Manufacturing Production changes (new facility)
- SUPPL - Chemistry Formulation changes (new dosage strength)

Green lines in the timeline show ORIG and Efficacy approvals - the clinically meaningful milestones.

VOTRIENT FDA Label Details

Indications & Usage

FDA Label (PDF)

VOTRIENT is indicated for the treatment of Advanced renal cell carcinoma; Advanced soft tissue sarcoma.

⚠️ BOXED WARNING

WARNING: HEPATOTOXICITY Severe and fatal hepatotoxicity has been observed in clinical trials. Monitor hepatic function and interrupt, reduce, or discontinue dosing as recommended [see Warnings and Precautions (5.1)]. WARNING: HEPATOTOXICITY See full prescribing information for complete boxed warning...

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Data Sources

Data sourced from official FDA and NIH databases. Click links to verify on original sources.

How We Calculate These Metrics

Trial Activity Stage

Measures the current development activity pattern based on trial phases, status, and trends. Important: This measures R&D activity, not commercial lifecycle.

Trial statuses: "Active" means recruiting or ongoing. "Completed" means reached planned endpoint. "Terminated" means stopped early—often due to safety, efficacy, or business reasons.

  • Growth: High proportion of early-phase trials (Phase 1/2), active development
  • Expansion: Significant Phase 3 activity, approaching or pursuing approvals
  • Mature: Substantial Phase 4 post-marketing studies
  • Stable: Mixed phase distribution, steady development
  • Declining: Low active trial ratio, reduced R&D investment