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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
Structure of 4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE

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)

HIDE SMILES / InChI

Description
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.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
10.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
6.23 μM
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

AUC

ValueDoseCo-administeredAnalytePopulation
35.8 μM × h
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

T1/2

ValueDoseCo-administeredAnalytePopulation
3 h
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

Doses

DosePopulationAdverse 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%)
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%)
Sources:
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...
Dose limiting toxicities:
Fatigue (grade 3, 1 pt)
Sources:
AEs

AEs

AESignificanceDosePopulation
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:
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
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
Patents

Sample Use Guides

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
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
Name Type Language
4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE
Systematic Name English
1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE, 4-AMINO-N'-(3-CHLORO-4-FLUOROPHENYL)-N-HYDROXY-
Systematic Name English
1,2,5-OXADIAZOLE-3-CARBOXIMIDAMIDE, 4-AMINO-N-(3-CHLORO-4-FLUOROPHENYL)-N'-HYDROXY-
Systematic Name English
Code System Code Type Description
CAS
914471-09-3
Created by admin on Sat Dec 16 10:57:38 GMT 2023 , Edited by admin on Sat Dec 16 10:57:38 GMT 2023
PRIMARY
FDA UNII
2HR315841W
Created by admin on Sat Dec 16 10:57:38 GMT 2023 , Edited by admin on Sat Dec 16 10:57:38 GMT 2023
PRIMARY
PUBCHEM
135424953
Created by admin on Sat Dec 16 10:57:38 GMT 2023 , Edited by admin on Sat Dec 16 10:57:38 GMT 2023
PRIMARY