Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C12H10F3N3O4 |
| Molecular Weight | 317.2207 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1(C)NC(=O)N(C1=O)C2=CC(=C(C=C2)[N+]([O-])=O)C(F)(F)F
InChI
InChIKey=XWXYUMMDTVBTOU-UHFFFAOYSA-N
InChI=1S/C12H10F3N3O4/c1-11(2)9(19)17(10(20)16-11)6-3-4-8(18(21)22)7(5-6)12(13,14)15/h3-5H,1-2H3,(H,16,20)
DescriptionSources: http://www.drugbank.ca/drugs/DB00665Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207631Orig1s000lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00665
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207631Orig1s000lbl.pdf
Nilutamide is an antineoplastic hormonal agent primarily used in the treatment of prostate cancer. Nilutamide is a pure, nonsteroidal anti-androgen with affinity for androgen receptors (but not for progestogen, estrogen, or glucocorticoid receptors). Consequently, Nilutamide blocks the action of androgens of adrenal and testicular origin that stimulate the growth of normal and malignant prostatic tissue. Prostate cancer is mostly androgen-dependent and can be treated with surgical or chemical castration. To date, antiandrogen monotherapy has not consistently been shown to be equivalent to castration. The relative binding affinity of nilutamide at the androgen receptor is less than that of bicalutamide, but similar to that of hydroxuflutamide. Nilutamide competes with androgen for the binding of androgen receptors, consequently blocking the action of androgens of adrenal and testicular origin that stimulate the growth of normal and malignant prostatic tissue. This blockade of androgen receptors may result in growth arrest or transient tumor regression through inhibition of androgen-dependent DNA and protein synthesis. Nilutamide is used in combination with surgical castration for the treatment of metastatic prostate cancer involving distant lymph nodes, bone, or visceral organs (Stage D2). Nilutamide is sold under the brand names Nilandron (US), Anandron (CA)).
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/385986
Curator's Comment: Like flutamide and bicalutamide, nilutamide is able to cross the blood-brain-barrier and has central antiandrogen actions.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL1871 Sources: http://www.drugbank.ca/drugs/DB00665 |
9.0 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | NILANDRON Approved UseMetastatic Prostate Cancer
Nilutamide Tablets are indicated for use in combination with surgical castration for the treatment
of metastatic prostate cancer (Stage D2). Launch Date1996 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.3 mg/L |
0.3 g single, oral dose: 0.3 g route of administration: Oral experiment type: SINGLE co-administered: |
NILUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2.3 mg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/8453188 |
0.3 g single, oral dose: 0.3 g route of administration: Oral experiment type: SINGLE co-administered: |
NILUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
84 mg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/8453188 |
0.3 g single, oral dose: 0.3 g route of administration: Oral experiment type: SINGLE co-administered: |
NILUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
56 h |
0.3 g single, oral dose: 0.3 g route of administration: Oral experiment type: SINGLE co-administered: |
NILUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
49 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/8453188 |
0.3 g single, oral dose: 0.3 g route of administration: Oral experiment type: SINGLE co-administered: |
NILUTAMIDE plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
DLT: Nausea, Vomiting... Disc. AE: Hot flashes, Interstitial lung disease... Dose limiting toxicities: Nausea (7.5%) AEs leading toVomiting (7.5%) discontinuation/dose reduction: Hot flashes (5.7%) Sources: Interstitial lung disease (3.8%) Visual disturbance NOS (1.9%) Pruritus (1.9%) Dizziness (1.9%) Headache (1.9%) Hepatic enzyme increased (1.9%) |
13 g single, oral Overdose Dose: 13 g Route: oral Route: single Dose: 13 g Sources: |
unhealthy, 79 Health Status: unhealthy Age Group: 79 Sex: M Sources: |
Disc. AE: Vomiting, Diarrhoea... AEs leading to discontinuation/dose reduction: Vomiting (moderate) Sources: Diarrhoea (moderate) |
900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
Disc. AE: Gastrointestinal disorders, Nausea... AEs leading to discontinuation/dose reduction: Gastrointestinal disorders Sources: Nausea Vomiting Malaise Headache Dizziness |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
Disc. AE: Interstitial pneumonitis, Pulmonary fibrosis... AEs leading to discontinuation/dose reduction: Interstitial pneumonitis (2%) Sources: Pulmonary fibrosis (grade 5, rare) |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
Disc. AE: Liver injury... AEs leading to discontinuation/dose reduction: Liver injury (severe, rare) Sources: |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
Disc. AE: Visual disturbances... AEs leading to discontinuation/dose reduction: Visual disturbances (1 - 2) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Dizziness | 1.9% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Headache | 1.9% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Hepatic enzyme increased | 1.9% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Pruritus | 1.9% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Visual disturbance NOS | 1.9% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Interstitial lung disease | 3.8% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Hot flashes | 5.7% Disc. AE |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Nausea | 7.5% DLT |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Vomiting | 7.5% DLT |
100 mg 3 times / day multiple, oral Recommended Dose: 100 mg, 3 times / day Route: oral Route: multiple Dose: 100 mg, 3 times / day Sources: |
unhealthy, 47-93 |
| Diarrhoea | moderate Disc. AE |
13 g single, oral Overdose Dose: 13 g Route: oral Route: single Dose: 13 g Sources: |
unhealthy, 79 Health Status: unhealthy Age Group: 79 Sex: M Sources: |
| Vomiting | moderate Disc. AE |
13 g single, oral Overdose Dose: 13 g Route: oral Route: single Dose: 13 g Sources: |
unhealthy, 79 Health Status: unhealthy Age Group: 79 Sex: M Sources: |
| Dizziness | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Gastrointestinal disorders | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Headache | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Malaise | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Nausea | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Vomiting | Disc. AE | 900 mg 1 times / day multiple, oral Highest studied dose Dose: 900 mg, 1 times / day Route: oral Route: multiple Dose: 900 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Interstitial pneumonitis | 2% Disc. AE |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Pulmonary fibrosis | grade 5, rare Disc. AE |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Liver injury | severe, rare Disc. AE |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
| Visual disturbances | 1 - 2 Disc. AE |
300 mg 1 times / day multiple, oral Recommended Dose: 300 mg, 1 times / day Route: oral Route: multiple Dose: 300 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sex: M Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Flare Associated with LHRH-Agonist Therapy. | 2001 |
|
| Androgen deprivation and other treatments for advanced prostate cancer. | 2001 |
|
| Role of 5 alpha-reductase inhibitors in the management of prostate cancer. | 2006 |
|
| Antiandrogen treatments in locally advanced prostate cancer: are they all the same? | 2006 Aug |
|
| Ginsenoside Re, a main phytosterol of Panax ginseng, activates cardiac potassium channels via a nongenomic pathway of sex hormones. | 2006 Dec |
|
| Maximal androgen blockade for the treatment of metastatic prostate cancer--a systematic review. | 2006 Jun |
|
| Recent progress in hormonal therapy for advanced prostate cancer. | 2006 May |
|
| Combined androgen blockade: an update. | 2006 May |
|
| Bioactivation and hepatotoxicity of nitroaromatic drugs. | 2006 Oct |
|
| [Keyrole of endocrinology in the victory against prostate cancer]. | 2006 Sep |
|
| A bifunctional colchicinoid that binds to the androgen receptor. | 2007 Aug |
|
| Role of vaccine therapy in cancer: biology and practice. | 2007 Dec |
|
| Signaling pathway of nitric oxide production induced by ginsenoside Rb1 in human aortic endothelial cells: a possible involvement of androgen receptor. | 2007 Feb 16 |
|
| New therapeutic targets in the treatment of prostate cancer. | 2007 Jan |
|
| In silico prediction of pregnane X receptor activators by machine learning approaches. | 2007 Jan |
|
| Antiandrogenic activity of pyrethroid pesticides and their metabolite in reporter gene assay. | 2007 Jan |
|
| A novel synthetic compound that interrupts androgen receptor signaling in human prostate cancer cells. | 2007 Jul |
|
| Effects of steroidal and non-steroidal antiandrogens on wild-type and mutant androgen receptors. | 2007 Jun 1 |
|
| Long-term effectiveness of luteinizing hormone-releasing hormone agonist or antiandrogen monotherapy in elderly men with localized prostate cancer (T1-2): a retrospective study. | 2007 Mar |
|
| Combined androgen blockade in advanced prostate cancer: looking back to move forward. | 2007 Sep |
|
| Androgen receptor functional analyses by high throughput imaging: determination of ligand, cell cycle, and mutation-specific effects. | 2008 |
|
| Maximal androgen blockade for advanced prostate cancer. | 2008 Apr |
|
| Screening of 397 chemicals and development of a quantitative structure--activity relationship model for androgen receptor antagonism. | 2008 Apr |
|
| The androgen receptor can signal through Wnt/beta-Catenin in prostate cancer cells as an adaptation mechanism to castration levels of androgens. | 2008 Jan 24 |
|
| Strategies for prostate cancer prevention: Review of the literature. | 2008 Jul |
|
| Analysis of overall survival in patients with nonmetastatic castration-resistant prostate cancer treated with vaccine, nilutamide, and combination therapy. | 2008 Jul 15 |
|
| Delayed dark adaptation caused by nilutamide. | 2008 Jun |
|
| Antiandrogen withdrawal in castrate-refractory prostate cancer: a Southwest Oncology Group trial (SWOG 9426). | 2008 Jun |
|
| Synthesis and structure-activity relationships of the first ferrocenyl-aryl-hydantoin derivatives of the nonsteroidal antiandrogen nilutamide. | 2008 Mar 27 |
|
| A dramatic, objective antiandrogen withdrawal response: case report and review of the literature. | 2008 Nov 5 |
|
| Watchful waiting beats androgen deprivation therapy in early prostate cancer. | 2008 Nov 5 |
|
| Testosterone recovery after prolonged androgen suppression in patients with prostate cancer. | 2008 Oct |
|
| FAF-Drugs2: free ADME/tox filtering tool to assist drug discovery and chemical biology projects. | 2008 Sep 24 |
|
| Fulminant hepatic failure due to nilutamide hepatotoxicity. | 2009 Apr |
|
| Fasting and cancer treatment in humans: A case series report. | 2009 Dec 31 |
|
| Impact level of dihydrotestosterone on the hypothalamic-pituitary-leydig cell axis in men. | 2009 Feb |
|
| Role of maximum androgen blockade in advanced prostate cancer. | 2009 Jan |
|
| Genotoxic and endocrine activities of bis(hydroxyphenyl)methane (bisphenol F) and its derivatives in the HepG2 cell line. | 2009 Jan 8 |
|
| Integrating statistical predictions and experimental verifications for enhancing protein-chemical interaction predictions in virtual screening. | 2009 Jun |
|
| CYP17 blockade by abiraterone: further evidence for frequent continued hormone-dependence in castration-resistant prostate cancer. | 2009 Mar 10 |
|
| Efficacy of salvage radiotherapy plus 2-year androgen suppression for postradical prostatectomy patients with PSA relapse. | 2009 Nov 15 |
|
| Prospective study evaluating postoperative radiotherapy plus 2-year androgen suppression for post-radical prostatectomy patients with pathologic T3 disease and/or positive surgical margins. | 2009 Oct 1 |
|
| Hormonal therapy of prostate cancer. | 2010 |
|
| Androgen receptor-dependent activation of endothelial nitric oxide synthase in vascular endothelial cells: role of phosphatidylinositol 3-kinase/akt pathway. | 2010 Apr |
|
| The evolutionary impact of androgen levels on prostate cancer in a multi-scale mathematical model. | 2010 Apr 20 |
|
| A randomized phase II trial of mitoxantrone, estramustine and vinorelbine or bcl-2 modulation with 13-cis retinoic acid, interferon and paclitaxel in patients with metastatic castrate-resistant prostate cancer: ECOG 3899. | 2010 Feb 24 |
|
| Growth inhibition of androgen-responsive prostate cancer cells with brefeldin A targeting cell cycle and androgen receptor. | 2010 Jan 26 |
|
| Maximal androgen blockade for advanced prostate cancer. | 2010 Jan-Mar |
|
| Involvement of androgen receptor in nitric oxide production induced by icariin in human umbilical vein endothelial cells. | 2010 Jun 3 |
|
| Activity of antiandrogens against juvenile and adult Schistosoma mansoni in mice. | 2010 Sep |
Sample Use Guides
The recommended dosage is 300 mg once a day for 30 days, followed thereafter by 150 mg once a day. Nilutamide Tablets can be taken with or without food.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/2930595
At concentrations expected in the human liver (110 uM), nilutamide inhibited hexobarbital hydroxylase, benzphetamine N-demethylase, benzo(a)pyrene hydroxylase and 7-ethoxycoumarin O-deethylase activities by 85, 40, 35 and 25%, respectively in human liver microsomes.
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| Classification Tree | Code System | Code | ||
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LIVERTOX |
NBK548158
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NDF-RT |
N0000000243
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NCI_THESAURUS |
C146993
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WHO-VATC |
QL02BB02
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WHO-ATC |
L02BB02
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NDF-RT |
N0000175560
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DTXSID3034165
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C021277
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C1173
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NILUTAMIDE
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1463472
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4493
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m7899
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CHEMBL1274
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SUB09291MIG
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DB00665
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ACTIVE MOIETY