U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C26H29Cl2N5O3
Molecular Weight 530.446
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of BOSUTINIB

SMILES

COC1=C(Cl)C=C(Cl)C(NC2=C(C=NC3=CC(OCCCN4CCN(C)CC4)=C(OC)C=C23)C#N)=C1

InChI

InChIKey=UBPYILGKFZZVDX-UHFFFAOYSA-N
InChI=1S/C26H29Cl2N5O3/c1-32-6-8-33(9-7-32)5-4-10-36-25-13-21-18(11-24(25)35-3)26(17(15-29)16-30-21)31-22-14-23(34-2)20(28)12-19(22)27/h11-14,16H,4-10H2,1-3H3,(H,30,31)

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including http://www.drugdevelopment-technology.com/projects/bosutinib-leukaemia/; http://www.pharmacodia.com/yaodu/html/v1/chemicals/d6bcb486f72ae7b5dc68b5b7df7ec887.html

Bosutinib (trade name Bosulif) originally synthesized by Wyeth, it is being developed by Pfizer. Bosutinib received US FDA and EU European Medicines Agency approval on September 4, 2012 and 27 March 2013 respectively for the treatment of adult patients with Philadelphia chromosome-positive (Ph+) chronic myelogenous leukemia (CML) with resistance, or intolerance to prior therapy. Bosutinib is a synthetic quinolone derivative and dual kinase inhibitor that targets both Abl and Src kinases with potential antineoplastic activity. Unlike imatinib, bosutinib inhibits the autophosphorylation of both Abl and Src kinases, resulting in inhibition of cell growth and apoptosis. Because of the dual mechanism of action, this agent may have activity in resistant CML disease, other myeloid malignancies and solid tumors. Abl kinase is upregulated in the presence of the abnormal Bcr-abl fusion protein which is commonly associated with chronic myeloid leukemia (CML). Overexpression of specific Src kinases is also associated with the imatinib-resistant CML phenotype.

CNS Activity

Curator's Comment: Bosutinib penetrates the brain, inhibits Abl activity and induces autophagic clearance of α-Synuclein and p-Tau in A53T mice and lentiviral gene transfer models. In another study it was shown that although bosutinib does show wide tissue distribution it but does not cross the blood brain barrier (http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2014_bosulif_152211-eng.php)

Originator

Curator's Comment: The drug was originally developed by Wyeth Pharmaceuticals, which was taken over by Pfizer in October 2009.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P12931
Gene ID: 6714.0
Gene Symbol: SRC
Target Organism: Homo sapiens (Human)
1.2 nM [IC50]
Target ID: P00519
Gene ID: 25.0
Gene Symbol: ABL1
Target Organism: Homo sapiens (Human)
1.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
BOSULIF

Approved Use

Indicated for the treatment of adult patients with chronic, accelerated, or blast phase Ph+ chronic myelogenous leukemia (CML) with resistance or intolerance to prior therapy.

Launch Date

2012
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
62.1 ng/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
88 ng/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
200 ng/mL
500 mg 1 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
125 ng/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
182.425 ng/mL
600 mg 1 times / day multiple, oral
dose: 600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
200 ng/mL
500 mg 1 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
216 ng/mL
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: HIGH-FAT
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1150 ng × h/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
1768 ng × h/mL
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
3650 ng × h/mL
500 mg 1 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
2950 ng × h/mL
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
3160 ng × h/mL
600 mg 1 times / day multiple, oral
dose: 600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
3650 ng × h/mL
500 mg 1 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
4000 ng × h/mL
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: HIGH-FAT
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
39.1 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FASTED
32.4 h
400 mg single, oral
dose: 400 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
21.9 h
500 mg single, oral
dose: 500 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
21.4 h
600 mg 1 times / day multiple, oral
dose: 600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
22.5 h
500 mg 1 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
33.8 h
800 mg single, oral
dose: 800 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: HIGH-FAT
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
4%
500 mg 1 times / day multiple, oral
dose: 500 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
4%
500 mg 1 times / day steady-state, oral
dose: 500 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
BOSUTINIB unknown
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: FED
Doses

Doses

DosePopulationAdverse events​
500 mg 1 times / day steady, oral
Recommended
Dose: 500 mg, 1 times / day
Route: oral
Route: steady
Dose: 500 mg, 1 times / day
Sources:
unhealthy, 18-91 years
n = 571
Health Status: unhealthy
Age Group: 18-91 years
Sex: M+F
Population Size: 571
Sources:
Disc. AE: Thrombocytopenia, Elevated liver enzymes...
AEs leading to
discontinuation/dose reduction:
Thrombocytopenia (29 patients)
Elevated liver enzymes (17 patients)
Neutropenia (11 patient)
Sources:
800 mg single, oral
Dose: 800 mg
Route: oral
Route: single
Dose: 800 mg
Sources:
healthy, adult
n = 5
Health Status: healthy
Age Group: adult
Population Size: 5
Sources:
600 mg 1 times / day steady, oral
Dose: 600 mg, 1 times / day
Route: oral
Route: steady
Dose: 600 mg, 1 times / day
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: advanced malignant solid tumors
Population Size: 2
Sources:
AEs

AEs

AESignificanceDosePopulation
Neutropenia 11 patient
Disc. AE
500 mg 1 times / day steady, oral
Recommended
Dose: 500 mg, 1 times / day
Route: oral
Route: steady
Dose: 500 mg, 1 times / day
Sources:
unhealthy, 18-91 years
n = 571
Health Status: unhealthy
Age Group: 18-91 years
Sex: M+F
Population Size: 571
Sources:
Elevated liver enzymes 17 patients
Disc. AE
500 mg 1 times / day steady, oral
Recommended
Dose: 500 mg, 1 times / day
Route: oral
Route: steady
Dose: 500 mg, 1 times / day
Sources:
unhealthy, 18-91 years
n = 571
Health Status: unhealthy
Age Group: 18-91 years
Sex: M+F
Population Size: 571
Sources:
Thrombocytopenia 29 patients
Disc. AE
500 mg 1 times / day steady, oral
Recommended
Dose: 500 mg, 1 times / day
Route: oral
Route: steady
Dose: 500 mg, 1 times / day
Sources:
unhealthy, 18-91 years
n = 571
Health Status: unhealthy
Age Group: 18-91 years
Sex: M+F
Population Size: 571
Sources:
OverviewDrug as perpetrator​Drug as victimTox targets

Tox targets

PubMed

PubMed

TitleDatePubMed
SKI-606, a 4-anilino-3-quinolinecarbonitrile dual inhibitor of Src and Abl kinases, is a potent antiproliferative agent against chronic myelogenous leukemia cells in culture and causes regression of K562 xenografts in nude mice.
2003 Jan 15
SRC-family kinases are activated in non-small cell lung cancer and promote the survival of epidermal growth factor receptor-dependent cell lines.
2007 Jan
NS-187 (INNO-406), a Bcr-Abl/Lyn dual tyrosine kinase inhibitor.
2007 Nov 14
Novel agents in CML therapy: tyrosine kinase inhibitors and beyond.
2008
The chemistry of multi-protic drugs Part 1: a potentiometric, multi-wavelength UV and NMR pH titrimetric study of the micro-speciation of SKI-606.
2008 Jun 9
Characterization of compound 584, an Abl kinase inhibitor with lasting effects.
2008 May
Abl tyrosine kinase inhibitors for overriding Bcr-Abl/T315I: from the second to third generation.
2008 Sep
The next generation of therapies for chronic myeloid leukemia.
2009
Second-generation tyrosine kinase inhibitors in the post-transplant period in patients with chronic myeloid leukemia or Philadelphia-positive acute lymphoblastic leukemia.
2009
Dasatinib in chronic myeloid leukemia: a review.
2009 Apr
[Synthesis and biological evaluation of 3-quinolinecarbonitrile-7-amide derivatives].
2009 Aug
Fyn kinase activity is required for normal organization and functional polarity of the mouse oocyte cortex.
2009 Sep
Bosutinib.
2010
SRC kinase inhibition: targeting bone metastases and tumor growth in prostate and breast cancer.
2010 Apr
Synthesis of bosutinib from 3-methoxy-4-hydroxybenzoic acid.
2010 Jun 11
The dual kinase complex FAK-Src as a promising therapeutic target in cancer.
2010 Jun 24
Inhibition of Ser/Thr phosphatases induces capacitation-associated signaling in the presence of Src kinase inhibitors.
2010 Mar 12
Optimization of 7-alkene-3-quinolinecarbonitriles as Src kinase inhibitors.
2010 May 1
Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry.
2010 Nov 24
Molecular characterization of c-Abl/c-Src kinase inhibitors targeted against murine tumour progenitor cells that express stem cell markers.
2010 Nov 30
Comprehensive analysis of kinase inhibitor selectivity.
2011 Oct 30
Development and validation of a high-throughput intrinsic ATPase activity assay for the discovery of MEKK2 inhibitors.
2013 Apr
Patents

Sample Use Guides

Recommended Dose: 500 mg orally once daily with food. Consider dose escalation to 600 mg daily in patients who do not reach complete hematologic response by week 8 or complete cytogenetic response by week 12 and do not have Grade 3 or greater adverse reactions.
Route of Administration: Oral
Bosutinib potently inhibits Src-dependent cell proliferation with an IC50 of 100 nM.
Name Type Language
BOSUTINIB
DASH   INN   MART.   MI   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
BOSUTINIB [USAN]
Common Name English
BOSULIF
Common Name English
BOSUTINIB [MI]
Common Name English
SK-606
Code English
BOSUTINIB [MART.]
Common Name English
3-QUINOLINECARBONITRILE, 4-((2,4-DICHLORO-5-METHOXYPHENYL)AMINO)-6-METHYL-1-PIPERAZINYL)PROPOXY)-
Common Name English
4-[(2,4-Dichloro-5-methoxyphenyl)amino]-6-methoxy-7-[3-(4-methylpiperazin-1-yl)propoxy]quinoline-3-carbonitrile
Systematic Name English
BOSUTINIB [VANDF]
Common Name English
SKI-606
Code English
bosutinib [INN]
Common Name English
Bosutinib [WHO-DD]
Common Name English
Classification Tree Code System Code
WHO-ATC L01XE14
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
FDA ORPHAN DRUG 274808
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
EU-Orphan Drug EU/3/10/762
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
NDF-RT N0000175605
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
LIVERTOX NBK547951
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
WHO-VATC QL01XE14
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
NCI_THESAURUS C155700
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
Code System Code Type Description
NDF-RT
N0000185503
Created by admin on Fri Dec 15 17:20:56 GMT 2023 , Edited by admin on Fri Dec 15 17:20:56 GMT 2023
PRIMARY P-Glycoprotein Inhibitors [MoA]
MESH
C471992
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PRIMARY
CHEBI
39112
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PRIMARY
IUPHAR
5710
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PRIMARY
ChEMBL
CHEMBL288441
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PRIMARY
MERCK INDEX
m2627
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PRIMARY Merck Index
DRUG BANK
DB06616
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PRIMARY
SMS_ID
100000090716
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PRIMARY
USAN
RR-46
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PRIMARY
LACTMED
Bosutinib
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PRIMARY
EVMPD
SUB29176
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PRIMARY
FDA UNII
5018V4AEZ0
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PRIMARY
EPA CompTox
DTXSID10861568
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PRIMARY
RXCUI
1307619
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PRIMARY RxNorm
INN
8715
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PRIMARY
PUBCHEM
5328940
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PRIMARY
DAILYMED
5018V4AEZ0
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PRIMARY
CHEBI
68533
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PRIMARY
WIKIPEDIA
BOSUTINIB
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PRIMARY
NCI_THESAURUS
C60809
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PRIMARY
DRUG CENTRAL
4359
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PRIMARY
CAS
380843-75-4
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PRIMARY