U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
This repository is under review for potential modification in compliance with Administration directives.

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
Structure of Crizotinib

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

HIDE SMILES / InChI

Description
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

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

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
XALKORI

Approved Use

Indicated 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 Date

2011
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
475 ng/mL
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
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

AUC

ValueDoseCo-administeredAnalytePopulation
3240 ng × h/mL
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
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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
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

Funbound

ValueDoseCo-administeredAnalytePopulation
9.3%
CRIZOTINIB plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse 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%)
Pneumonitis (1.5%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical 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)
Drug as victimTox targets
PubMed

PubMed

TitleDatePubMed
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
Gender specific drug metabolism of PF-02341066 in rats--role of sulfoconjugation.
2010 May
Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry.
2010 Nov 24
EML4-ALK mutations in lung cancer that confer resistance to ALK inhibitors.
2010 Oct 28
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
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
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
Crizotinib in anaplastic large-cell lymphoma.
2011 Feb 24
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
Patents

Sample Use Guides

The recommended dose and schedule for crizotinib is 250 mg orally, twice daily, with or without food.
Route of Administration: fVal
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.
Name Type Language
Crizotinib
DASH   INN   MART.   MI   ORANGE BOOK   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
XALKORI
Preferred Name English
CRIZOTINIB [USAN]
Common Name English
CRIZOTINIB [JAN]
Common Name English
CRIZOTINIB [ORANGE BOOK]
Common Name English
CRIZOTINIB [MI]
Common Name English
3-[(1R)-1-(2,6-Dichloro-3-fluorophenyl)ethoxy]-5-[1-(4-piperidinyl)-1H-pyrazol-4-yl]-2-pyridinamine
Systematic Name English
PF-02341066
Code English
2-Pyridinamine, 3-[(1R)-1-(2,6-dichloro-3-fluorophenyl)ethoxy]-5-[1-(4-piperidinyl)-1H-pyrazol-4-yl]-
Systematic Name English
NSC-756645
Code English
CRIZOTINIB [MART.]
Common Name English
CRIZOTINIB [VANDF]
Common Name English
1066
Code English
PF-2341066
Common Name English
Crizotinib [WHO-DD]
Common Name English
crizotinib [INN]
Common Name English
Classification Tree Code System Code
WHO-VATC QL01XE16
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
FDA ORPHAN DRUG 379812
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
WHO-ATC L01XE16
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
FDA ORPHAN DRUG 834721
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
FDA ORPHAN DRUG 310610
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
NDF-RT N0000175605
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
FDA ORPHAN DRUG 379712
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
NCI_THESAURUS C141136
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
LIVERTOX NBK548638
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
NCI_THESAURUS C129825
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
Code System Code Type Description
MERCK INDEX
m3847
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Merck Index
DRUG BANK
DB08865
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
ChEMBL
CHEMBL601719
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
DAILYMED
53AH36668S
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NDF-RT
N0000182139
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Cytochrome P450 2B6 Inhibitors [MoA]
IUPHAR
4903
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
CAS
877399-52-5
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
USAN
WW-148
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
CHEBI
64310
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NDF-RT
N0000185503
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY P-Glycoprotein Inhibitors [MoA]
LACTMED
Crizotinib
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
EVMPD
SUB32267
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NDF-RT
N0000190114
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Cytochrome P450 3A Inhibitors [MoA]
JAPANESE REVIEW
XALKORI
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY APPROVED MARCH 2012
INN
9301
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NDF-RT
N0000191265
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Organic Cation Transporter 1 Inhibitors [MoA]
NDF-RT
N0000187061
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Organic Cation Transporter 2 Inhibitors [MoA]
NCI_THESAURUS
C74061
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
MESH
C551994
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
SMS_ID
100000124345
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NSC
756645
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
NDF-RT
N0000020000
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY Receptor Tyrosine Kinase Inhibitors [MoA]
PUBCHEM
11626560
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
EPA CompTox
DTXSID701009329
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
RXCUI
1148495
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY RxNorm
DRUG CENTRAL
4187
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
FDA UNII
53AH36668S
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY
WIKIPEDIA
CRIZOTINIB
Created by admin on Wed Apr 02 09:24:22 GMT 2025 , Edited by admin on Wed Apr 02 09:24:22 GMT 2025
PRIMARY