Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H22Cl2FN5O |
Molecular Weight | 450.3373 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@]([H])(c1c(ccc(c1Cl)F)Cl)Oc2cc(cnc2N)-c3cnn(c3)C4CCNCC4
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
DescriptionSources: http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm376058.htm?source=govdelivery&utm_medium=email&utm_source=govdeliveryhttps://www.ncbi.nlm.nih.gov/pubmed/24695225Curator'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
Sources: http://www.fda.gov/Drugs/InformationOnDrugs/ApprovedDrugs/ucm376058.htm?source=govdelivery&utm_medium=email&utm_source=govdeliveryhttps://www.ncbi.nlm.nih.gov/pubmed/24695225
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
(S)-crizotinib was discovered as an attractive chemical entity for further pre-clinical evaluation, and small-molecule inhibitors of MTH1 as a promising novel class of anticancer agents.
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] | ||
Target ID: P36639 Gene ID: 4521.0 Gene Symbol: NUDT1 Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/24695225 |
72.0 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 Date1.31431675E12 |
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Primary | Unknown Approved UseUnknown |
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 |
|
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 |
|
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 unknown | 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 unknown | 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 unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
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 |
|
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 |
|
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 unknown | 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 unknown | 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 unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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 |
|
47.1 h |
250 mg single, oral dose: 250 mg route of administration: Oral experiment type: SINGLE co-administered: |
CRIZOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
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 n = 6 Health Status: unhealthy Age Group: 49 years Sex: M+F Population Size: 6 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) n = 119 Health Status: unhealthy Condition: Adenocarcinoma | Squamous Cell Carcinoma |Non-small Cell Lung Cancer Age Group: 51 years (range: 21-79 years) Sex: M+F Population Size: 119 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) n = 136 Health Status: unhealthy Condition: Adenocarcinoma | Adenosquamous Carcinoma|Non-small Cell Lung Cancer Age Group: 52 years (range: 29-82 years) Sex: M+F Population Size: 136 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 n = 6 Health Status: unhealthy Age Group: 49 years Sex: M+F Population Size: 6 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) n = 119 Health Status: unhealthy Condition: Adenocarcinoma | Squamous Cell Carcinoma |Non-small Cell Lung Cancer Age Group: 51 years (range: 21-79 years) Sex: M+F Population Size: 119 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) n = 136 Health Status: unhealthy Condition: Adenocarcinoma | Adenosquamous Carcinoma|Non-small Cell Lung Cancer Age Group: 52 years (range: 29-82 years) Sex: M+F Population Size: 136 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) n = 136 Health Status: unhealthy Condition: Adenocarcinoma | Adenosquamous Carcinoma|Non-small Cell Lung Cancer Age Group: 52 years (range: 29-82 years) Sex: M+F Population Size: 136 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
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 |
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New drugs in advanced non-small-cell lung cancer: searching for the correct clinical development. | 2010 Dec |
|
ALK inhibition for non-small cell lung cancer: from discovery to therapy in record time. | 2010 Dec 14 |
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The neuroblastoma-associated F1174L ALK mutation causes resistance to an ALK kinase inhibitor in ALK-translocated cancers. | 2010 Dec 15 |
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Deciding priorities in Pharma. | 2010 Dec 20 |
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Exciting new targets in lung cancer therapy: ALK, IGF-1R, HDAC, and Hh. | 2010 Jun |
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Gender specific drug metabolism of PF-02341066 in rats--role of sulfoconjugation. | 2010 May |
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Crizotinib--latest champion in the cancer wars? | 2010 Oct 28 |
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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 |
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Anaplastic lymphoma kinase inhibition in non-small-cell lung cancer. | 2010 Oct 28 |
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Crizotinib-resistant mutants of EML4-ALK identified through an accelerated mutagenesis screen. | 2011 Dec |
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ALK mutations conferring differential resistance to structurally diverse ALK inhibitors. | 2011 Dec 1 |
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Genotype-driven therapies for non-small cell lung cancer: focus on EGFR, KRAS and ALK gene abnormalities. | 2011 May |
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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 |
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Therapeutic strategies to overcome crizotinib resistance in non-small cell lung cancers harboring the fusion oncogene EML4-ALK. | 2011 May 3 |
|
9-substituted 6,6-dimethyl-11-oxo-6,11-dihydro-5H-benzo[b]carbazoles as highly selective and potent anaplastic lymphoma kinase inhibitors. | 2011 Sep 22 |
|
Structure based drug design of crizotinib (PF-02341066), a potent and selective dual inhibitor of mesenchymal-epithelial transition factor (c-MET) kinase and anaplastic lymphoma kinase (ALK). | 2011 Sep 22 |
|
Aberrant expression of the transcriptional factor Twist1 promotes invasiveness in ALK-positive anaplastic large cell lymphoma. | 2012 Apr |
|
Adenocarcinoma of the lung with miliary brain and pulmonary metastases with echinoderm microtubule-associated protein like 4-anaplastic lymphoma kinase translocation treated with crizotinib: a case report. | 2012 Dec |
|
Rapid radiographic and clinical improvement after treatment of a MET-amplified recurrent glioblastoma with a mesenchymal-epithelial transition inhibitor. | 2012 Jan 20 |
|
Antitumor action of the MET tyrosine kinase inhibitor crizotinib (PF-02341066) in gastric cancer positive for MET amplification. | 2012 Jul |
|
Paracrine receptor activation by microenvironment triggers bypass survival signals and ALK inhibitor resistance in EML4-ALK lung cancer cells. | 2012 Jul 1 |
|
The ALK(F1174L) mutation potentiates the oncogenic activity of MYCN in neuroblastoma. | 2012 Jul 10 |
|
ROS1 rearrangements define a unique molecular class of lung cancers. | 2012 Mar 10 |
|
ALK inhibitor crizotinib combined with intrathecal methotrexate treatment for non-small cell lung cancer with leptomeningeal carcinomatosis. | 2012 May |
|
Targeted therapy for lung cancer. | 2012 Nov |
|
Rapid-onset hypogonadism secondary to crizotinib use in men with metastatic nonsmall cell lung cancer. | 2012 Nov 1 |
|
Antibody targeting of anaplastic lymphoma kinase induces cytotoxicity of human neuroblastoma. | 2012 Nov 15 |
|
Targeting ALK: a promising strategy for the treatment of non-small cell lung cancer, non-Hodgkin's lymphoma, and neuroblastoma. | 2012 Sep |
|
Identifying and targeting ROS1 gene fusions in non-small cell lung cancer. | 2012 Sep 1 |
|
Differential protein stability and ALK inhibitor sensitivity of EML4-ALK fusion variants. | 2012 Sep 1 |
|
Enhancement of the antiproliferative activity of gemcitabine by modulation of c-Met pathway in pancreatic cancer. | 2013 |
|
Targeted agents in the third-/fourth-line treatment of patients with advanced (stage III/IV) non-small cell lung cancer (NSCLC). | 2013 May |
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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Classification Tree | Code System | Code | ||
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WHO-VATC |
QL01XE16
Created by
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FDA ORPHAN DRUG |
379812
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WHO-ATC |
L01XE16
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FDA ORPHAN DRUG |
310610
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FDA ORPHAN DRUG |
379712
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NDF-RT |
N0000175605
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NCI_THESAURUS |
C141136
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LIVERTOX |
241
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NCI_THESAURUS |
C129825
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Code System | Code | Type | Description | ||
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M3847
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PRIMARY | Merck Index | ||
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DB08865
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PRIMARY | |||
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CHEMBL601719
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N0000182139
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PRIMARY | Cytochrome P450 2B6 Inhibitors [MoA] | ||
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4903
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PRIMARY | |||
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877399-52-5
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PRIMARY | |||
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N0000185503
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PRIMARY | P-Glycoprotein Inhibitors [MoA] | ||
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Crizotinib
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PRIMARY | |||
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SUB32267
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PRIMARY | |||
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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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9301
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PRIMARY | |||
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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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11626560
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PRIMARY | |||
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1148495
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PRIMARY | RxNorm | ||
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4187
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53AH36668S
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CRIZOTINIB
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PRIMARY |
ACTIVE MOIETY