Details
Stereochemistry | ACHIRAL |
Molecular Formula | C9H7ClFN5O2 |
Molecular Weight | 271.636 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
NC1=NON=C1\C(NO)=N\C2=CC(Cl)=C(F)C=C2
InChI
InChIKey=HGXSLPIXNPASGZ-UHFFFAOYSA-N
InChI=1S/C9H7ClFN5O2/c10-5-3-4(1-2-6(5)11)13-9(14-17)7-8(12)16-18-15-7/h1-3,17H,(H2,12,16)(H,13,14)
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/27192116 | https://www.ncbi.nlm.nih.gov/pubmed/26990117Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/20197554
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27192116 | https://www.ncbi.nlm.nih.gov/pubmed/26990117
Curator's Comment: Description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/20197554
4-Amino-N-(3-chloro-4-fluorophenyl)-N'-hydroxy-1,2,5-oxadiazole-3-carboximidamide (Epacadostat) is an orally available hydroxyamidine and inhibitor of indoleamine 2,3-dioxygenase (IDO1), with potential immunomodulating and antineoplastic activities. epacadostat targets and binds to IDO1, an enzyme responsible for the oxidation of tryptophan into kynurenine. By inhibiting IDO1 and decreasing kynurenine in tumor cells, epacadostat increases and restores the proliferation and activation of various immune cells, including dendritic cells (DCs), NK cells, and T-lymphocytes, as well as interferon (IFN) production, and a reduction in tumor-associated regulatory T cells (Tregs). Activation of the immune system, which is suppressed in many cancers, may inhibit the growth of IDO1-expressing tumor cells. IDO1 is overexpressed by a variety of tumor cell types and DCs. Epacadostat is in clinical development as a novel orally active immuno-oncological therapy.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: CHEMBL4685 |
10.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
6.23 μM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28053021 |
700 mg 2 times / day steady-state, oral dose: 700 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
35.8 μM × h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28053021 |
700 mg 2 times / day steady-state, oral dose: 700 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/28053021 |
700 mg 2 times / day steady-state, oral dose: 700 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Other AEs: Abdominal pain, Weight decreased... Other AEs: Abdominal pain (all grades, 25%) Sources: Weight decreased (all grades, 25%) Fatigue (grades 3-4, 25%) Decreased appetite (all grades, 75%) Dyspnea (all grades, 25%) Constipation (all grades, 75%) Hypokalemia (grades 3-4, 25%) Dizziness (all grades, 25%) pain (all grades, 50%) Vomiting (all grades, 50%) Back pain (all grades, 50%) Diarrhea (all grades, 25%) Dysgeusia (all grades, 25%) Nausea (all grades, 75%) |
100 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 100 mg, 2 times / day Route: oral Route: multiple Dose: 100 mg, 2 times / day Co-administed with:: pembrolizumab(200 mg intravenously (IV) Q3W) Sources: |
unhealthy n = 6 Health Status: unhealthy Condition: advanced solid tumors Sex: M+F Food Status: UNKNOWN Population Size: 6 Sources: |
DLT: habdomyolysis... Dose limiting toxicities: habdomyolysis (grade 4, 1 pt) Sources: |
300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 6 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 6 Sources: |
DLT: Radiation pneumonit... Dose limiting toxicities: Radiation pneumonit (grade 3, 1 pt) Sources: |
400 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
unhealthy n = 11 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 11 Sources: |
DLT: Fatigue... |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Diarrhea | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Dizziness | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Dysgeusia | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Dyspnea | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Weight decreased | all grades, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Back pain | all grades, 50% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Vomiting | all grades, 50% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
pain | all grades, 50% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Constipation | all grades, 75% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Decreased appetite | all grades, 75% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Nausea | all grades, 75% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Fatigue | grades 3-4, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
Hypokalemia | grades 3-4, 25% | 700 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 700 mg, 2 times / day Route: oral Route: multiple Dose: 700 mg, 2 times / day Sources: |
unhealthy n = 4 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 4 Sources: |
habdomyolysis | grade 4, 1 pt DLT, Disc. AE |
100 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 100 mg, 2 times / day Route: oral Route: multiple Dose: 100 mg, 2 times / day Co-administed with:: pembrolizumab(200 mg intravenously (IV) Q3W) Sources: |
unhealthy n = 6 Health Status: unhealthy Condition: advanced solid tumors Sex: M+F Food Status: UNKNOWN Population Size: 6 Sources: |
Radiation pneumonit | grade 3, 1 pt DLT |
300 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 300 mg, 2 times / day Route: oral Route: multiple Dose: 300 mg, 2 times / day Sources: |
unhealthy n = 6 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 6 Sources: |
Fatigue | grade 3, 1 pt DLT |
400 mg 2 times / day multiple, oral (unknown) Studied dose Dose: 400 mg, 2 times / day Route: oral Route: multiple Dose: 400 mg, 2 times / day Sources: |
unhealthy n = 11 Health Status: unhealthy Condition: Advanced Solid Malignancies Sex: M+F Food Status: FASTED Population Size: 11 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Selective inhibition of IDO1 effectively regulates mediators of antitumor immunity. | 2010 Apr 29 |
|
The IDO1 selective inhibitor epacadostat enhances dendritic cell immunogenicity and lytic ability of tumor antigen-specific T cells. | 2016 Jun 21 |
|
Potential Underprediction of Warfarin Drug Interaction From Conventional Interaction Studies and Risk Mitigation: A Case Study With Epacadostat, an IDO1 Inhibitor. | 2016 Nov |
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT02298153
4-Amino-N-(3-chloro-4-fluorophenyl)-N'-hydroxy-1,2,5-oxadiazole-3-carboximidamide (Epacadostat) 25 mg BID as starting dose
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27192116
4-Amino-N-(3-chloro-4-fluorophenyl)-N'-hydroxy-1,2,5-oxadiazole-3-carboximidamide ( (1.0 uM)) significantly decreased Treg proliferation induced by IDO production from IFN-γ plus LPS matured human DCs
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2HR315841W
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135424953
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