TheraRadar

Pharma Intelligence, Simplified

Data updated: Mar 10, 2026

ZALTRAP

ZIV-AFLIBERCEPT Vascular Endothelial Growth Factor Inhibitors
Oncology Approved 2012-08-03

Zaltrap (ziv-aflibercept) is a vascular endothelial growth factor inhibitor indicated for the treatment of patients with metastatic colorectal cancer. It is used in combination with the FOLFIRI chemotherapy regimen, which includes fluorouracil, leucovorin, and irinotecan. This treatment is specifically for patients whose disease has progressed on or is resistant to a prior chemotherapy regimen containing oxaliplatin.

Source: FDA Label • Sanofi • Vascular Endothelial Growth Factor Inhibitor

How ZALTRAP Works

Ziv-aflibercept functions as a soluble receptor that binds to human VEGF-A, VEGF-B, and placental growth factor (PlGF). By binding to these endogenous ligands, the drug prevents them from interacting with and activating their cognate receptors. This inhibition results in decreased neovascularization and vascular permeability, which hinders the proliferation of endothelial cells and the growth of new blood vessels.

Source: FDA Label
2
Indications
--
Phase 3 Trials
1
Priority Reviews
13
Years on Market

Details

Status
Prescription
First Approved
2012-08-03
Routes
INJECTION
Dosage Forms
INJECTABLE

Companies

Active Ingredient: ZIV-AFLIBERCEPT

ZALTRAP Approval History

Loading approval history...

What ZALTRAP Treats

1 indications

ZALTRAP is approved for 1 conditions since its original approval in 2012. These indications span multiple therapeutic areas including oncology, immunology, and more.

  • Colorectal Cancer
Source: FDA Label

ZALTRAP Target & Pathway

Pro

Target

VEGF (Vascular Endothelial Growth Factor) Growth Factor

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.

Pathway Context

VEGF binds to VEGFR on blood vessel cells to stimulate new vessel formation

VEGFR (Vascular Endothelial Growth Factor Receptor) 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.

ZALTRAP Competitors

Pro

6 other drugs also target VEGF. Compare mechanisms, indications, and trial activity.

Drug = Competitor name Company = Manufacturer N indic. = FDA-approved indications → Date = Patent/exclusivity expiry

Competitors share the same molecular target (VEGF). Earlier expiry dates signal biosimilar/generic opportunities.

🔬

Active Pipeline

Pro

Ongoing clinical trials by development phase

Loading...

Key Completed Trials

Pro

Completed studies with published results, ranked by significance

Loading...
📊

Trial Timeline

Full development history with FDA approval milestones

Loading...
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.

ZALTRAP FDA Label Details

Pro

Indications & Usage

FDA Label (PDF)

ZALTRAP, in combination with fluorouracil, leucovorin, irinotecan-(FOLFIRI), is indicated for the treatment of patients with metastatic colorectal cancer (mCRC) that is resistant to or has progressed following an oxaliplatin-containing regimen. ZALTRAP, a vascular endothelial growth factor inhibitor, in combination with fluorouracil, leucovorin, irinotecan (FOLFIRI), is indicated for the treatment of patients with metastatic colorectal cancer that is resistant to or has progressed following an oxaliplatin-containing regimen.

Want competitive intelligence?

See who's developing similar drugs and track their progress

View Pipeline Dashboard

Data Sources

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