Details
Stereochemistry | ACHIRAL |
Molecular Formula | C27H36N6O3S |
Molecular Weight | 524.678 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CN=C(NC2=CC=C(OCCN3CCCC3)C=C2)N=C1NC4=CC=CC(=C4)S(=O)(=O)NC(C)(C)C
InChI
InChIKey=JOOXLOJCABQBSG-UHFFFAOYSA-N
InChI=1S/C27H36N6O3S/c1-20-19-28-26(30-21-10-12-23(13-11-21)36-17-16-33-14-5-6-15-33)31-25(20)29-22-8-7-9-24(18-22)37(34,35)32-27(2,3)4/h7-13,18-19,32H,5-6,14-17H2,1-4H3,(H2,28,29,30,31)
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/18394554Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26181658 | http://adisinsight.springer.com/drugs/800027763
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18394554
Curator's Comment: Description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26181658 | http://adisinsight.springer.com/drugs/800027763
Fedratinib (SAR-302503, TG-101348) is a selective small-molecule inhibitor of Janus kinase-2. Fedratinib demonstrated therapeutic efficacy in a murine model of myeloproliferative disease. Sanofi was developing Fedratinib for the treatment of myeloproliferative diseases and solid tumors.
The clinical development of fedratinib was terminated after reports of Wernicke's encephalopathy in myelofibrosis patients.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2971 Sources: https://www.ncbi.nlm.nih.gov/pubmed/18394554 |
3.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Unknown Approved UseUnknown |
|||
Primary | Unknown Approved UseUnknown |
|||
Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1760 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24165976 |
680 mg single, oral dose: 680 mg route of administration: Oral experiment type: SINGLE co-administered: |
FEDRATINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
1804 ng/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2539 ng/mL |
500 mg 1 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
17800 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24165976 |
680 mg single, oral dose: 680 mg route of administration: Oral experiment type: SINGLE co-administered: |
FEDRATINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
26870 ng × h/mL |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
38712 ng × h/mL |
500 mg 1 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
62.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/24165976 |
680 mg single, oral dose: 680 mg route of administration: Oral experiment type: SINGLE co-administered: |
FEDRATINIB plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
41 h |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
8% |
400 mg 1 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
8% |
FEDRATINIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
||
2% |
500 mg 1 times / day steady-state, oral dose: 500 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
FEDRATINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Disc. AE: Nausea, Cardiac failure... Other AEs: Diarrhea, Nausea... AEs leading to discontinuation/dose reduction: Nausea (>3) Other AEs:Cardiac failure (grade 3-4, 3%) Cardiac failure (grade 5, 1%) Thrombocytopenia (2%) Myocardial ischemia (2%) Diarrhea (2%) Blood creatinine increased (2%) Diarrhea (>3) Sources: Nausea (>3) Anemia (6%) Diarrhea (3%) Vomiting (3%) Thrombocytopenia (2%) |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Other AEs: Diarrhea, Nausea... Other AEs: Diarrhea (all grades, 66%) Sources: Nausea (all grades, 62%) Anemia (all grades, 40%) Vomiting (all grades, 39%) Asthenia (all grades, 19%) Muscle spasms (all grades, 12%) Blood creatinine increased (all grades, 10%) Pain in extremity (all grades, 10%) Alanine aminotransferase increased (all grades, 9%) Headache (all grades, 9%) Weight increased (all grades, 9%) Dizziness (all grades, 8%) Bone pain (all grades, 8%) Urinary tract infection (all grades, 6%) Dysuria (all grades, 6%) Aspartate aminotransferase increased (all grades, 5%) Diarrhea (grade 3-4, 5%) |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Other AEs: Anemia, Vomiting... Other AEs: Anemia (grade 3-4, 30%) Sources: Vomiting (grade 3-4, 3.1%) Asthenia (grade 3-4, 5%) Blood creatinine increased (grade 3-4, 1%) Thrombocytopenia (all grades, 47%) Neutropenia (all grades, 23%) Lipase increased (all grades, 35%) Hyponatremia (all grades, 26%) Amylase increased (all grades, 24%) Thrombocytopenia (grade 3-4, 12%) Neutropenia (grade 3-4, 5%) Lipase increased (grade 3-4, 10%) Hyponatremia (grade 3-4, 5%) Amylase increased (grade 3-4, 2.1%) Cardiac failure (all grades, 5%) |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sex: M+F Sources: |
Disc. AE: Anemia... AEs leading to discontinuation/dose reduction: Anemia (1%) Sources: |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sex: M+F Sources: |
Disc. AE: Cardiac disorders... AEs leading to discontinuation/dose reduction: Cardiac disorders (grade 5, 2 patients) Sources: |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Disc. AE: Thrombocytopenia, Neutropenia... AEs leading to discontinuation/dose reduction: Thrombocytopenia (6%) Sources: Neutropenia (2%) Vomiting (4%) Blood creatinine increased (2%) Diarrhea (2%) Nausea (2%) Amylase increased (1%) Lipase increased (3%) Fatigue (2%) Diarrhea (all grades, 8%) Diarrhea (grade 3-4, 3%) Nausea (all grades, 6%) Nausea (grade 3-4, 4%) Vomiting (all grades, 11%) Vomiting (grade 3-4, 7%) Anemia (all grades, 18%) Anemia (grade 3-4, 14%) Thrombocytopenia (all grades, 7%) Thrombocytopenia (grade 3-4, 6%) Fatigue (all grades, 5%) Fatigue (grade 3-4, 5%) |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Disc. AE: Anemia, Diarrhea... AEs leading to discontinuation/dose reduction: Anemia (2%) Sources: Diarrhea (2%) Nausea (2%) Amylase increased (1%) Lipase increased (1%) Vomiting (all grades, 10%) Vomiting (grade 3-4, 3%) Anemia (all grades, 8%) Anemia (grade 3-4, 5%) Thrombocytopenia (all grades, 3%) Thrombocytopenia (grade 3-4, 2%) Fatigue (all grades, 3%) Fatigue (grade 3-4, 3%) |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Disc. AE: Cardiac disorders... AEs leading to discontinuation/dose reduction: Cardiac disorders (grade 5, 2 patients) Sources: |
800 mg single, oral Highest studied dose Dose: 800 mg Route: oral Route: single Dose: 800 mg Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
|
680 mg 1 times / day multiple, oral MTD Dose: 680 mg, 1 times / day Route: oral Route: multiple Dose: 680 mg, 1 times / day Sources: |
unhealthy, adult Health Status: unhealthy Age Group: adult Sex: unknown Sources: |
|
680 mg single, oral MTD |
healthy, adult |
Other AEs: Gastrointestinal disorders... |
800 mg 1 times / day multiple, oral Highest studied dose Dose: 800 mg, 1 times / day Route: oral Route: multiple Dose: 800 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Thrombocytopenia | 2% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Blood creatinine increased | 2% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Diarrhea | 2% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Myocardial ischemia | 2% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Thrombocytopenia | 2% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Diarrhea | 3% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Vomiting | 3% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Anemia | 6% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Diarrhea | >3 | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Nausea | >3 | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Nausea | >3 Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Cardiac failure | grade 3-4, 3% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Cardiac failure | grade 5, 1% Disc. AE |
400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Blood creatinine increased | all grades, 10% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Pain in extremity | all grades, 10% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Muscle spasms | all grades, 12% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Asthenia | all grades, 19% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Vomiting | all grades, 39% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Anemia | all grades, 40% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Aspartate aminotransferase increased | all grades, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Dysuria | all grades, 6% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Urinary tract infection | all grades, 6% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Nausea | all grades, 62% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Diarrhea | all grades, 66% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Bone pain | all grades, 8% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Dizziness | all grades, 8% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Alanine aminotransferase increased | all grades, 9% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Headache | all grades, 9% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Weight increased | all grades, 9% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Diarrhea | grade 3-4, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Neutropenia | all grades, 23% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Amylase increased | all grades, 24% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Hyponatremia | all grades, 26% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Lipase increased | all grades, 35% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Thrombocytopenia | all grades, 47% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Cardiac failure | all grades, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Blood creatinine increased | grade 3-4, 1% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Lipase increased | grade 3-4, 10% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Thrombocytopenia | grade 3-4, 12% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Amylase increased | grade 3-4, 2.1% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Vomiting | grade 3-4, 3.1% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Anemia | grade 3-4, 30% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Asthenia | grade 3-4, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Hyponatremia | grade 3-4, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Neutropenia | grade 3-4, 5% | 400 mg 1 times / day steady, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 27 - 86 years Health Status: unhealthy Age Group: 27 - 86 years Sex: M+F Sources: |
Anemia | 1% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sex: M+F Sources: |
Cardiac disorders | grade 5, 2 patients Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sex: M+F Sources: |
Amylase increased | 1% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Blood creatinine increased | 2% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Diarrhea | 2% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Fatigue | 2% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Nausea | 2% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Neutropenia | 2% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Lipase increased | 3% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Vomiting | 4% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Thrombocytopenia | 6% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Vomiting | all grades, 11% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Anemia | all grades, 18% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Fatigue | all grades, 5% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Nausea | all grades, 6% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Thrombocytopenia | all grades, 7% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Diarrhea | all grades, 8% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Anemia | grade 3-4, 14% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Diarrhea | grade 3-4, 3% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Nausea | grade 3-4, 4% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Fatigue | grade 3-4, 5% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Thrombocytopenia | grade 3-4, 6% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Vomiting | grade 3-4, 7% Disc. AE |
500 mg 1 times / day multiple, oral Studied dose Dose: 500 mg, 1 times / day Route: oral Route: multiple Dose: 500 mg, 1 times / day Sources: |
unhealthy, 65 - 75 years Health Status: unhealthy Age Group: 65 - 75 years Sources: |
Amylase increased | 1% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Lipase increased | 1% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Anemia | 2% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Diarrhea | 2% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Nausea | 2% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Vomiting | all grades, 10% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Fatigue | all grades, 3% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Thrombocytopenia | all grades, 3% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Anemia | all grades, 8% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Thrombocytopenia | grade 3-4, 2% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Fatigue | grade 3-4, 3% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Vomiting | grade 3-4, 3% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Anemia | grade 3-4, 5% Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Cardiac disorders | grade 5, 2 patients Disc. AE |
400 mg 1 times / day multiple, oral Recommended Dose: 400 mg, 1 times / day Route: oral Route: multiple Dose: 400 mg, 1 times / day Sources: |
unhealthy, 65 years (range: 27 - 86 years) Health Status: unhealthy Age Group: 65 years (range: 27 - 86 years) Sex: M+F Sources: |
Gastrointestinal disorders | 680 mg single, oral MTD |
healthy, adult |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes [IC50 0.227 uM] | ||||
yes [IC50 0.352 uM] | ||||
yes [IC50 0.78 uM] | ||||
yes [IC50 10.1 uM] | ||||
yes [IC50 100.8 uM] | ||||
yes [IC50 16.4 uM] | ||||
yes [IC50 20.2 uM] | yes (co-administration study) Comment: fedratinib increased exposure of metoprolol by 2x |
|||
yes [IC50 29.9 uM] | ||||
yes [IC50 3 uM] | yes (co-administration study) Comment: fedratinib increased exposure of midazolam by 4x |
|||
yes [IC50 52.2 uM] | ||||
yes [IC50 6.06 uM] | ||||
yes [IC50 9.51 uM] | ||||
yes | yes (co-administration study) Comment: fedratinib increased exposure of omeprazole by 3x |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | ||||
major | ||||
major | yes (co-administration study) Comment: ketoconazole increased cmax of fedratinib by 4x |
|||
no | ||||
no | ||||
no | ||||
no | ||||
no | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
Efficacy of TG101348, a selective JAK2 inhibitor, in treatment of a murine model of JAK2V617F-induced polycythemia vera. | 2008 Apr |
|
Diamino-1,2,4-triazole derivatives are selective inhibitors of TYK2 and JAK1 over JAK2 and JAK3. | 2010 Dec 15 |
|
Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry. | 2010 Nov 24 |
|
Comprehensive analysis of kinase inhibitor selectivity. | 2011 Oct 30 |
|
Flavanoids induce expression of the suppressor of cytokine signalling 3 (SOCS3) gene and suppress IL-6-activated signal transducer and activator of transcription 3 (STAT3) activation in vascular endothelial cells. | 2013 Sep 1 |
|
Dual kinase-bromodomain inhibitors for rationally designed polypharmacology. | 2014 Apr |
|
Utilization of human nuclear receptors as an early counter screen for off-target activity: a case study with a compendium of 615 known drugs. | 2015 Jun |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26181658
Fedratinib therapy in patients with primary or secondary (post-polycythemia vera or post-essential thrombocythemia) MF: once-daily oral fedratinib, at a dose of 400 mg or 500 mg, or placebo, for at least 6 consecutive 4-week cycles. Fedratinib therapy significantly reduced splenomegaly and symptom burden in patients with MF. These benefits were accompanied by toxic effects in some patients, the most important being encephalopathy of unknown mechanism. Clinical development of fedratinib was subsequently discontinued.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18394555
300 nM Fedratinib (SAR-302503, TG-101348) significantly inhibited JAK2V617F+ progenitor-derived colony formation
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C129825
Created by
admin on Mon Mar 31 21:04:26 GMT 2025 , Edited by admin on Mon Mar 31 21:04:26 GMT 2025
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NCI_THESAURUS |
C125450
Created by
admin on Mon Mar 31 21:04:26 GMT 2025 , Edited by admin on Mon Mar 31 21:04:26 GMT 2025
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Code System | Code | Type | Description | ||
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6L1XP550I6
Created by
admin on Mon Mar 31 21:04:26 GMT 2025 , Edited by admin on Mon Mar 31 21:04:26 GMT 2025
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PRIMARY | |||
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TG101348
Created by
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6L1XP550I6
Created by
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m12160
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AB-104
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PRIMARY | |||
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CHEMBL1287853
Created by
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PRIMARY | |||
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5347
Created by
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PRIMARY | |||
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DB12500
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9707
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DTXSID90239483
Created by
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PRIMARY | |||
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C88293
Created by
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PRIMARY | |||
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936091-26-8
Created by
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PRIMARY | |||
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SUB126288
Created by
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PRIMARY | |||
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Fedratinib
Created by
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PRIMARY | |||
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16722836
Created by
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PRIMARY | |||
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2197490
Created by
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PRIMARY | |||
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100000151872
Created by
admin on Mon Mar 31 21:04:26 GMT 2025 , Edited by admin on Mon Mar 31 21:04:26 GMT 2025
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PRIMARY |
ACTIVE MOIETY
METABOLITE (PARENT)
METABOLITE LESS ACTIVE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)