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Pazopanib (Votrient)

Raw research findings for this medication. Mostly single studies, not curated or confirmed robust.

About Pazopanib

What it is

Pazopanib is a targeted cancer medicine, a tyrosine kinase inhibitor: it blocks several growth-signal receptors, chiefly the VEGF receptors that tumours use to grow new blood vessels. It is used for advanced kidney cancer and for some soft tissue sarcomas. It is sold as Votrient.

How genes come into it

The US FDA lists two inherited genes for pazopanib, both about side effects on the liver. People who carry HLA-B*57:01 had a higher rate of raised liver enzymes in clinical trials, and people with the low-activity UGT1A1 version behind Gilbert's syndrome (two copies of *28) more often had raised bilirubin, because pazopanib also blocks the enzyme UGT1A1. There is no CPIC or DPWG guideline. Studies have also looked at the VEGF pathway genes VEGFA and KDR, with weaker evidence.

Published guidelines

Clinical guidelines that name a gene for Pazopanib. They sort people into groups by the gene copies they carry.

US FDA: HLA-B. *57:01 positive. Data that Indicate a Potential Impact on Safety or Response.

US FDA: UGT1A1. Poor Metabolizer. Data that Indicate a Potential Impact on Safety or Response.

What research found

Every published finding on gene variants and Pazopanib. Upload your DNA file to see which of these rows apply to you.

Rated evidence (2 rated variants)

PharmGKB weighs all studies of a variant and rates how strong the evidence is, from 1A (strongest) to 4.

UGT1A1 UGT1A1*1, UGT1A1*6, UGT1A1*28, UGT1A1*37: Level 3. Toxicity: Renal Cell Carcinoma. 2.

KDR rs34231037: Level 3. Efficacy, Metabolism/PK: Kidney Neoplasms. 1.

Metabolism (3 findings)

Studies of how quickly the body processes this medication.

CYP3A4 rs35599367: Genotype AG is associated with decreased clearance of pazopanib in people with Neoplasms as compared to genotype GG.

ABCG2 rs2231137: Genotype CT is not associated with decreased clearance of pazopanib in people with Neoplasms as compared to genotype CC.

ABCG2 rs2231142: Genotypes GT + TT is not associated with decreased clearance of pazopanib in people with Neoplasms as compared to genotype GG.

Response (5 findings)

Studies of how well it worked in people carrying a variant.

KDR rs34231037: Genotype AG is associated with increased response to pazopanib in people with Carcinoma, Renal Cell as compared to genotype AA.

NR1I2 rs3814055: Allele T is associated with decreased response to pazopanib in people with Carcinoma, Renal Cell as compared to allele C.

VEGFA rs2010963: Allele G is associated with decreased response to pazopanib in people with Carcinoma, Renal Cell as compared to allele C.

VEGFA rs699947: Allele A is associated with decreased response to pazopanib in people with Carcinoma, Renal Cell as compared to allele C.

Study findings and evidence levels: PharmGKB (CC BY-SA 4.0). Guidelines: CPIC and DPWG, as bundled in PharmCAT. Most studies were done mainly in people of European ancestry.

Related Drugs

More drugs from the same category

Apatinib (Tyrosine Kinase Inhibitors)

Gilotrif (Tyrosine Kinase Inhibitors)

Gleevec (Tyrosine Kinase Inhibitors)

Not a prescribing recommendation. This page is educational information about pharmacogenomic research and clinical guidelines - it is not medical or dosing advice, and not a prediction of how any medication will work for you. Never start, stop, or change a medication or dose based on it; talk to your doctor or pharmacist, who can order clinical-grade testing if appropriate.

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Content updated September 2026.

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