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
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)
DescriptionCurator'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
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
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=25635231
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)
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
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
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | BOSULIF Approved UseIndicated 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 Date2012 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
62.1 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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 EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1150 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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 EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
39.1 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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 EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/27113346 |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
Dose | Population | Adverse 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) Sources: Elevated liver enzymes (17 patients) Neutropenia (11 patient) |
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
AE | Significance | Dose | Population |
---|---|---|---|
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: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [IC50 2 uM] | ||||
yes [Ki 10 uM] | ||||
yes [Ki 27 uM] | ||||
yes [Ki 27 uM] |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: ketoconazole increased cmax of bosutinib by 5x, auc by 9x |
|||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
The next generation of therapies for chronic myeloid leukemia. | 2009 |
|
Standard management of patients with chronic myeloid leukemia. | 2009 |
|
[Synthesis and biological evaluation of 3-quinolinecarbonitrile-7-amide derivatives]. | 2009 Aug |
|
Neuroprotective profile of novel SRC kinase inhibitors in rodent models of cerebral ischemia. | 2009 Dec |
|
Targeted treatment of imatinib-resistant chronic myeloid leukemia: Focus on dasatinib. | 2009 Feb 18 |
|
Targeted treatment of chronic myeloid leukemia: role of imatinib. | 2009 Feb 18 |
|
Severe toxicity of skin rash, fever and diarrhea associated with imatinib: case report and review of skin toxicities associated with tyrosine kinase inhibitors. | 2009 Feb 6 |
|
New mechanisms of resistance in Philadelphia chromosome acute lymphoblastic leukemia. | 2009 Jun |
|
Bosutinib: a dual SRC/ABL kinase inhibitor for the treatment of chronic myeloid leukemia. | 2009 Oct |
|
Interaction of nilotinib, dasatinib and bosutinib with ABCB1 and ABCG2: implications for altered anti-cancer effects and pharmacological properties. | 2009 Oct |
|
New targets for Ph+ leukaemia therapy. | 2009 Sep |
|
Advances in the biology and therapy of patients with chronic myeloid leukaemia. | 2009 Sep |
|
Efficacy of dasatinib for the treatment of intractable chronic myeloid leukemia. | 2010 |
|
Locking Src/Abl Tyrosine Kinase Activities Regulate Cell Differentiation and Invasion of Human Cervical Cancer Cells Expressing E6/E7 Oncoproteins of High-Risk HPV. | 2010 |
|
Danusertib (formerly PHA-739358)--a novel combined pan-Aurora kinases and third generation Bcr-Abl tyrosine kinase inhibitor. | 2010 |
|
Bosutinib. | 2010 |
|
Tyrosine kinase inhibitors: the first decade. | 2010 Apr |
|
Lung adenocarcinoma cells floating in lymphatic vessels resist anoikis by expressing phosphorylated Src. | 2010 Apr |
|
SRC kinase inhibition: targeting bone metastases and tumor growth in prostate and breast cancer. | 2010 Apr |
|
Molecular mechanisms of acquired resistance to tyrosine kinase targeted therapy. | 2010 Apr 12 |
|
[Development of ABL tyrosine kinase inhibitors]. | 2010 Aug |
|
SRC: a century of science brought to the clinic. | 2010 Aug |
|
Novel dual Src/Abl inhibitors for hematologic and solid malignancies. | 2010 Aug |
|
Detection of centrosome aberrations in disease-unrelated cells from patients with tumor treated with tyrosine kinase inhibitors. | 2010 Aug |
|
A type-II kinase inhibitor capable of inhibiting the T315I "gatekeeper" mutant of Bcr-Abl. | 2010 Aug 12 |
|
Optimizing combination therapies with existing and future CML drugs. | 2010 Aug 23 |
|
A comprehensive target selectivity survey of the BCR-ABL kinase inhibitor INNO-406 by kinase profiling and chemical proteomics in chronic myeloid leukemia cells. | 2010 Jan |
|
MASPECTRAS 2: An integration and analysis platform for proteomic data. | 2010 Jul |
|
Bosutinib: a review of preclinical studies in chronic myelogenous leukaemia. | 2010 Jul |
|
Src inhibitors in lung cancer: current status and future directions. | 2010 Jul 1 |
|
Advances in targeting SRC in the treatment of breast cancer and other solid malignancies. | 2010 Jul 15 |
|
Gene expression analysis after receptor tyrosine kinase activation reveals new potential melanoma proteins. | 2010 Jul 21 |
|
Synergistic activity of the Src/Abl inhibitor bosutinib in combination with imatinib. | 2010 Jun |
|
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 |
|
New developments in tyrosine kinase inhibitor therapy for newly diagnosed chronic myeloid leukemia. | 2010 Mar 15 |
|
SKI-606 (Bosutinib) blocks prostate cancer invasion, growth, and metastasis in vitro and in vivo through regulation of genes involved in cancer growth and skeletal metastasis. | 2010 May |
|
Optimization of 7-alkene-3-quinolinecarbonitriles as Src kinase inhibitors. | 2010 May 1 |
|
Molecular measurement of BCR-ABL transcript variations in chronic myeloid leukemia patients in cytogenetic remission. | 2010 Nov 18 |
|
Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry. | 2010 Nov 24 |
|
First-line treatment for chronic myeloid leukemia: dasatinib, nilotinib, or imatinib. | 2010 Nov 26 |
|
Molecular characterization of c-Abl/c-Src kinase inhibitors targeted against murine tumour progenitor cells that express stem cell markers. | 2010 Nov 30 |
|
[SRC kinases in tumor therapy]. | 2010 Oct |
|
Standard treatment of Ph+ CML in 2010: how, when and where not to use what BCR/ABL1 kinase inhibitor? | 2010 Oct |
|
Comprehensive analysis of kinase inhibitor selectivity. | 2011 Oct 30 |
|
Comprehensive assay of kinase catalytic activity reveals features of kinase inhibitor selectivity. | 2011 Oct 30 |
|
LRIG1 modulates cancer cell sensitivity to Smac mimetics by regulating TNFα expression and receptor tyrosine kinase signaling. | 2012 Mar 1 |
|
Novel aspects of therapy with the dual Src and Abl kinase inhibitor bosutinib in chronic myeloid leukemia. | 2012 Sep |
|
Development and validation of a high-throughput intrinsic ATPase activity assay for the discovery of MEKK2 inhibitors. | 2013 Apr |
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
In Vitro Use Guide
Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=11689083
Bosutinib potently inhibits Src-dependent cell proliferation with an IC50 of 100 nM.
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WHO-ATC |
L01XE14
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FDA ORPHAN DRUG |
274808
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EU-Orphan Drug |
EU/3/10/762
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NDF-RT |
N0000175605
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NBK547951
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WHO-VATC |
QL01XE14
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NCI_THESAURUS |
C155700
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N0000185503
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C471992
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m2627
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DB06616
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BOSUTINIB
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ACTIVE MOIETY
METABOLITE INACTIVE (PARENT)
PARENT (METABOLITE INACTIVE)
PARENT (METABOLITE INACTIVE)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)