Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H22Cl2FN5O |
Molecular Weight | 450.337 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@@H](OC1=CC(=CN=C1N)C2=CN(N=C2)C3CCNCC3)C4=C(Cl)C=CC(F)=C4Cl
InChI
InChIKey=KTEIFNKAUNYNJU-GFCCVEGCSA-N
InChI=1S/C21H22Cl2FN5O/c1-12(19-16(22)2-3-17(24)20(19)23)30-18-8-13(9-27-21(18)25)14-10-28-29(11-14)15-4-6-26-7-5-15/h2-3,8-12,15,26H,4-7H2,1H3,(H2,25,27)/t12-/m1/s1
DescriptionCurator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/202570s006lbl.pdf; https://www.mskcc.org/cancer-care/clinical-trials/14-063
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2013/202570s006lbl.pdf; https://www.mskcc.org/cancer-care/clinical-trials/14-063
Crizotinib (trade name Xalkori, Pfizer, Inc.) is an anti cancer drug approved for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test. Crizotinib is an inhibitor of receptor tyrosine kinases including ALK, Hepatocyte Growth Factor Receptor (HGFR, c-Met), ROS1 (c-ros), and Recepteur d’Origine Nantais (RON). Common adverse reactions in clinical trials with crizotinib, occurring at an incidence of 25% or higher, included visual disorders, nausea, diarrhea, vomiting, constipation, edema, elevated transaminases, and fatigue. Crizotinib is currently under investigational study for use in treatment of Uveal Melanoma.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26628475
Curator's Comment: The CNS is frequently a site of disease progression, where up to 60% of patients develop metastases during treatment with crizotinib.The most likely reason for such isolated CNS failure is incomplete penetration of the blood-brain barrier by crizotinib.
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=18089725
Curator's Comment: # Pfizer
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL4247 |
24.0 nM [IC50] | ||
Target ID: CHEMBL3717 |
11.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | XALKORI Approved UseIndicated for the treatment of patients with metastatic non-small cell lung cancer (NSCLC) whose tumors are anaplastic lymphoma kinase (ALK)-positive as detected by an FDA-approved test. Launch Date2011 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
475 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31778074 |
300 mg 2 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
87 ng/mL |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
327 ng/mL |
250 mg 2 times / day multiple, oral dose: 250 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
328 ng/mL |
250 mg 2 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
99.6 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24990113 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3240 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/31778074 |
300 mg 2 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
1817 ng × h/mL |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
3084 ng × h/mL |
250 mg 2 times / day multiple, oral dose: 250 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
3054 ng × h/mL |
250 mg 2 times / day steady-state, oral dose: 250 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
2321 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24990113 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
42 h |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
29 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/24990113 |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
9.3% |
CRIZOTINIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
300 mg 2 times / day steady, oral Dose: 300 mg, 2 times / day Route: oral Route: steady Dose: 300 mg, 2 times / day Sources: |
unhealthy, 49 years Health Status: unhealthy Age Group: 49 years Sex: M+F Sources: |
Disc. AE: Fatigue... AEs leading to discontinuation/dose reduction: Fatigue (grade 3, 1 patient) Sources: |
250 mg 2 times / day steady, oral Recommended|MTD Dose: 250 mg, 2 times / day Route: oral Route: steady Dose: 250 mg, 2 times / day Sources: |
unhealthy, 51 years (range: 21-79 years) Health Status: unhealthy Age Group: 51 years (range: 21-79 years) Sex: M+F Sources: |
Disc. AE: Autoimmune thyroiditis... AEs leading to discontinuation/dose reduction: Autoimmune thyroiditis (1 patient) Sources: |
250 mg 2 times / day steady, oral Recommended|MTD Dose: 250 mg, 2 times / day Route: oral Route: steady Dose: 250 mg, 2 times / day Sources: |
unhealthy, 52 years (range: 29-82 years) Health Status: unhealthy Age Group: 52 years (range: 29-82 years) Sex: M+F Sources: |
Disc. AE: ALT increased, Pneumonitis... AEs leading to discontinuation/dose reduction: ALT increased (2.2%) Sources: Pneumonitis (1.5%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Fatigue | grade 3, 1 patient Disc. AE |
300 mg 2 times / day steady, oral Dose: 300 mg, 2 times / day Route: oral Route: steady Dose: 300 mg, 2 times / day Sources: |
unhealthy, 49 years Health Status: unhealthy Age Group: 49 years Sex: M+F Sources: |
Autoimmune thyroiditis | 1 patient Disc. AE |
250 mg 2 times / day steady, oral Recommended|MTD Dose: 250 mg, 2 times / day Route: oral Route: steady Dose: 250 mg, 2 times / day Sources: |
unhealthy, 51 years (range: 21-79 years) Health Status: unhealthy Age Group: 51 years (range: 21-79 years) Sex: M+F Sources: |
Pneumonitis | 1.5% Disc. AE |
250 mg 2 times / day steady, oral Recommended|MTD Dose: 250 mg, 2 times / day Route: oral Route: steady Dose: 250 mg, 2 times / day Sources: |
unhealthy, 52 years (range: 29-82 years) Health Status: unhealthy Age Group: 52 years (range: 29-82 years) Sex: M+F Sources: |
ALT increased | 2.2% Disc. AE |
250 mg 2 times / day steady, oral Recommended|MTD Dose: 250 mg, 2 times / day Route: oral Route: steady Dose: 250 mg, 2 times / day Sources: |
unhealthy, 52 years (range: 29-82 years) Health Status: unhealthy Age Group: 52 years (range: 29-82 years) Sex: M+F Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
weak [IC50 44 uM] | ||||
weak [IC50 48 uM] | ||||
weak [Inhibition 30 uM] | ||||
yes [IC50 0.83 uM] | ||||
yes [IC50 14.6 uM] | ||||
yes [IC50 22 uM] | ||||
yes [IC50 23 uM] | ||||
yes [IC50 5.79 uM] | ||||
yes [IC50 7.3 uM] | yes (co-administration study) Comment: crizotinib increased AUC of midazolam by 3.7x |
|||
yes [IC50 >30 uM] | ||||
yes [IC50 >30 uM] | ||||
yes [IC50 >30 uM] | ||||
yes [IC50 >30 uM] | ||||
yes | no (co-administration study) Comment: effect is masked by inhibition |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: ketoconazole increased cmax of crizotinib by 44%, auc by 216% |
|||
major | yes (co-administration study) Comment: ketoconazole increased cmax of crizotinib by 44%, auc by 216% |
|||
minor | ||||
minor | ||||
no | ||||
no | ||||
no | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
An orally available small-molecule inhibitor of c-Met, PF-2341066, exhibits cytoreductive antitumor efficacy through antiproliferative and antiangiogenic mechanisms. | 2007 May 1 |
|
[Following communications made at American Society of Clinical Oncology 2010, what will change our practice? The point of view of the editorial board of Bulletin du Cancer]. | 2010 Dec |
|
Crizotinib, a small-molecule dual inhibitor of the c-Met and ALK receptor tyrosine kinases. | 2010 Dec |
|
Trial watch: success for crizotinib in ALK-driven cancer. | 2010 Dec |
|
Rapid and dramatic radiographic and clinical response to an ALK inhibitor (crizotinib, PF02341066) in an ALK translocation-positive patient with non-small cell lung cancer. | 2010 Dec |
|
ALK inhibition for non-small cell lung cancer: from discovery to therapy in record time. | 2010 Dec 14 |
|
Deciding priorities in Pharma. | 2010 Dec 20 |
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Gender specific drug metabolism of PF-02341066 in rats--role of sulfoconjugation. | 2010 May |
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Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry. | 2010 Nov 24 |
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EML4-ALK mutations in lung cancer that confer resistance to ALK inhibitors. | 2010 Oct 28 |
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Crizotinib in ALK-rearranged inflammatory myofibroblastic tumor. | 2010 Oct 28 |
|
Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. | 2010 Oct 28 |
|
Targeted therapies and other agents as first-line maintenance and beyond: particular benefit in pulmonary adenocarcinoma patients. | 2011 |
|
Synthesis and c-Met kinase inhibition of 3,5-disubstituted and 3,5,7-trisubstituted quinolines: identification of 3-(4-acetylpiperazin-1-yl)-5-(3-nitrobenzylamino)-7- (trifluoromethyl)quinoline as a novel anticancer agent. | 2011 Apr 14 |
|
Favorable response to crizotinib in three patients with echinoderm microtubule-associated protein-like 4-anaplastic lymphoma kinase fusion-type oncogene-positive non-small cell lung cancer. | 2011 Aug |
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Differential (18)F-FDG and 3'-deoxy-3'-(18)F-fluorothymidine PET responses to pharmacologic inhibition of the c-MET receptor in preclinical tumor models. | 2011 Aug |
|
Synthesis of an aryloxy oxo pyrimidinone library that displays ALK-selective inhibition. | 2011 Aug 1 |
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ALK mutations conferring differential resistance to structurally diverse ALK inhibitors. | 2011 Dec 1 |
|
Multiple mutations and bypass mechanisms can contribute to development of acquired resistance to MET inhibitors. | 2011 Feb 1 |
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Crizotinib in anaplastic large-cell lymphoma. | 2011 Feb 24 |
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Activity of crizotinib (PF02341066), a dual mesenchymal-epithelial transition (MET) and anaplastic lymphoma kinase (ALK) inhibitor, in a non-small cell lung cancer patient with de novo MET amplification. | 2011 May |
|
Therapeutic strategies to overcome crizotinib resistance in non-small cell lung cancers harboring the fusion oncogene EML4-ALK. | 2011 May 3 |
|
MET tyrosine kinase inhibitor crizotinib (PF-02341066) shows differential antitumor effects in non-small cell lung cancer according to MET alterations. | 2011 Oct |
|
A novel ALK secondary mutation and EGFR signaling cause resistance to ALK kinase inhibitors. | 2011 Sep 15 |
|
Personalized therapy of lung cancer. | 2012 |
|
Mechanisms of acquired crizotinib resistance in ALK-rearranged lung Cancers. | 2012 Feb 8 |
|
ALK fusion gene positive lung cancer and 3 cases treated with an inhibitor for ALK kinase activity. | 2012 Jan |
|
Crizotinib (PF-02341066) reverses multidrug resistance in cancer cells by inhibiting the function of P-glycoprotein. | 2012 Jul |
|
Mechanisms of resistance to crizotinib in patients with ALK gene rearranged non-small cell lung cancer. | 2012 Mar 1 |
|
[Cavitating nodules in a 40-year-old non-smoking woman: a very particular tumour]. | 2012 Sep |
|
Correlations between the percentage of tumor cells showing an anaplastic lymphoma kinase (ALK) gene rearrangement, ALK signal copy number, and response to crizotinib therapy in ALK fluorescence in situ hybridization-positive nonsmall cell lung cancer. | 2012 Sep 15 |
|
Overcoming erlotinib resistance with tailored treatment regimen in patient-derived xenografts from naïve Asian NSCLC patients. | 2013 Jan 15 |
|
Crizotinib for the treatment of non-small-cell lung cancer. | 2013 Jun 1 |
|
Targeted agents in the third-/fourth-line treatment of patients with advanced (stage III/IV) non-small cell lung cancer (NSCLC). | 2013 May |
|
Stereospecific targeting of MTH1 by (S)-crizotinib as an anticancer strategy. | 2014 Apr 10 |
|
Elucidating mechanisms of toxicity using phenotypic data from primary human cell systems--a chemical biology approach for thrombosis-related side effects. | 2015 Jan 5 |
Sample Use Guides
The recommended dose and schedule for crizotinib is 250 mg orally, twice daily, with or without food.
Route of Administration:
fVal
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=18089725
PF-2341066 potently inhibited NPM-ALK phosphorylation in Karpas299 or SU-DHL-1 ALCL cells (mean IC50 value of 24 nmol/L). In biochemical and cellular screens, PF-2341066 was shown to be selective for c-Met and ALK at pharmacologically relevant concentrations across a panel of >120 diverse kinases. PF-2341066 potently inhibited cell proliferation, which was associated with G(1)-S-phase cell cycle arrest and induction of apoptosis in ALK-positive ALCL cells at IC50 values of approximately 30 nmol/L but not ALK-negative lymphoma cells.
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QL01XE16
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FDA ORPHAN DRUG |
379812
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L01XE16
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FDA ORPHAN DRUG |
834721
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310610
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NDF-RT |
N0000175605
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379712
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NCI_THESAURUS |
C141136
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LIVERTOX |
NBK548638
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NCI_THESAURUS |
C129825
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m3847
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DB08865
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CHEMBL601719
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53AH36668S
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N0000182139
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PRIMARY | Cytochrome P450 2B6 Inhibitors [MoA] | ||
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4903
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877399-52-5
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WW-148
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64310
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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Crizotinib
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SUB32267
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N0000190114
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PRIMARY | Cytochrome P450 3A Inhibitors [MoA] | ||
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XALKORI
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PRIMARY | APPROVED MARCH 2012 | ||
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N0000191265
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PRIMARY | Organic Cation Transporter 1 Inhibitors [MoA] | ||
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N0000187061
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PRIMARY | Organic Cation Transporter 2 Inhibitors [MoA] | ||
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C74061
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C551994
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N0000020000
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PRIMARY | Receptor Tyrosine Kinase Inhibitors [MoA] | ||
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1148495
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4187
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53AH36668S
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CRIZOTINIB
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ACTIVE MOIETY
METABOLITE LESS ACTIVE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)