ZOSUQUIDAR TRIHYDROCHLORIDE

Details

Stereochemistry	ABSOLUTE
Molecular Formula	C32H31F2N3O2.3ClH
Molecular Weight	636.987
Optical Activity	UNSPECIFIED
Defined Stereocenters	4 / 4
E/Z Centers	0
Charge	0

SHOW SMILES / InChI

Structure of ZOSUQUIDAR TRIHYDROCHLORIDE

Structure Search

SMILES

Cl.Cl.Cl.[H][C@]12C3=CC=CC=C3[C@H](N4CCN(C[C@@H](O)COC5=CC=CC6=NC=CC=C56)CC4)C7=CC=CC=C7[C@@]1([H])C2(F)F

InChI

InChIKey=ZPFVQKPWGDRLHL-WITOOOCMSA-N

InChI=1S/C32H31F2N3O2.3ClH/c33-32(34)29-22-7-1-3-9-24(22)31(25-10-4-2-8-23(25)30(29)32)37-17-15-36(16-18-37)19-21(38)20-39-28-13-5-12-27-26(28)11-6-14-35-27;;;/h1-14,21,29-31,38H,15-20H2;3*1H/t21-,29-,30+,31-;;;/m1.../s1

HIDE SMILES / InChI

Description
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8797588
Curator's Comment: Description was created based on several sources, including

Zosuquidar (LY-335979) is an experimental antineoplastic drug. It is is a potent modulator of P-glycoprotein-mediated multi-drug resistance with Ki of 60 nM. Zosuqidar was initially characterized by Syntex Corporation, which was acquired by Roche in 1990. Roche licensed the drug to Eli Lilly in 1997. It was granted orphan drug status by the FDA in 2006 for AML. Zosuquidar Trihydrochloride had been in phase III clinical trials by Kanisa Pharmaceuticals for the treatment of acute myeloid leukaemia. However, this research has been discontinued.

Originator

Approval Year

Targets

Primary Target	Pharmacology	Condition	Potency
P-glycoprotein 1 54 Target ID: CHEMBL4302 Sources: https://www.ncbi.nlm.nih.gov/pubmed/8797588	Inhibitor 8297		60.0 nM [Ki]

Conditions

Condition	Modality	Targets	Highest Phase	Product
Acute myeloid leukemia 136 Sources: http://adisinsight.springer.com/drugs/800005159 https://clinicaltrials.gov/ct2/show/NCT00046930	Primary		Phase III 656	Unknown Approved Use Unknown

C_max

Value	Dose	Co-administered	Analyte	Population
0.31 μM EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15809877	300 mg/m² 2 times / day multiple, oral dose: 300 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: VINORELBINE	VINORELBINE	ZOSUQUIDAR plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED

AUC

Value	Dose	Co-administered	Analyte	Population
1111 μg × h/L EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15809877	300 mg/m² 2 times / day multiple, oral dose: 300 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: VINORELBINE	VINORELBINE	ZOSUQUIDAR plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED

T_1/2

Value	Dose	Co-administered	Analyte	Population
16.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15809877	300 mg/m² 2 times / day multiple, oral dose: 300 mg/m² route of administration: Oral experiment type: MULTIPLE co-administered: VINORELBINE	VINORELBINE	ZOSUQUIDAR plasma	Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: FASTED

Doses

Dose	Population	Adverse events
300 mg/m2 2 times / day multiple, oral MTD Dose: 300 mg/m2, 2 times / day Route: oral Route: multiple Dose: 300 mg/m2, 2 times / day Co-administed with:: vinorelbine(22.5 mg/m2 IV weekly for 3 weeks every 28 days) Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158	unhealthy, ADULT n = 3 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: FASTED Population Size: 3 Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158	DLT: febrile neutropeni... Other AEs: Stomatitis, Neutropenia... Dose limiting toxicities: febrile neutropeni (grade 4, 33.3%) Other AEs: Stomatitis (grade 3) Neutropenia (grade 3) Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158

AEs

AE	Significance	Dose	Population
Neutropenia	grade 3	300 mg/m2 2 times / day multiple, oral MTD Dose: 300 mg/m2, 2 times / day Route: oral Route: multiple Dose: 300 mg/m2, 2 times / day Co-administed with:: vinorelbine(22.5 mg/m2 IV weekly for 3 weeks every 28 days) Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158	unhealthy, ADULT n = 3 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: FASTED Population Size: 3 Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158
Stomatitis	grade 3	300 mg/m2 2 times / day multiple, oral MTD Dose: 300 mg/m2, 2 times / day Route: oral Route: multiple Dose: 300 mg/m2, 2 times / day Co-administed with:: vinorelbine(22.5 mg/m2 IV weekly for 3 weeks every 28 days) Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158	unhealthy, ADULT n = 3 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: FASTED Population Size: 3 Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158
febrile neutropeni	grade 4, 33.3% DLT	300 mg/m2 2 times / day multiple, oral MTD Dose: 300 mg/m2, 2 times / day Route: oral Route: multiple Dose: 300 mg/m2, 2 times / day Co-administed with:: vinorelbine(22.5 mg/m2 IV weekly for 3 weeks every 28 days) Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158	unhealthy, ADULT n = 3 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: FASTED Population Size: 3 Sources: https://pubmed.ncbi.nlm.nih.gov/15809877 Page: p.157, 158

Overview

CYP3A4	CYP2C9	CYP2D6	hERG
inhibitor 1587	inhibitor 1767	inhibitor 1852

OverviewOther

Other Inhibitor	Other Substrate	Other Inducer
CYP2B6 810 MRP1 106 BCRP 699 CYP1A2 1524 P-gp 1461 MRP2 383	CYP3A 191

Drug as perpetrator

Target	Modality	Activity
CYP1A2 1692	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/	likely [Inhibition 50 uM]
BCRP 773	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/22359351/	no
MRP1 172	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/	no
MRP2 475	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/	no
CYP2D6 1891	inhibitor 3277 Sources: https://pubchem.ncbi.nlm.nih.gov/bioassay/1645840#sid=440681697	yes [IC50 10.684 uM]
CYP2C9 1819	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/ \| https://pubchem.ncbi.nlm.nih.gov/bioassay/1645842#sid=440681697	yes [Ki 12.3 uM]
CYP2B6 1001	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/	yes [Ki 25.3 uM]
CYP3A4 1925	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/10411602/	yes [Ki 3.8 uM]
P-gp 1650	inhibitor 3277 Sources: https://pubmed.ncbi.nlm.nih.gov/29440498/ \| https://pubmed.ncbi.nlm.nih.gov/10411602/	yes

Drug as victim

Target	Modality	Activity	Metabolite	Clinical evidence
CYP3A 191	substrate 3367 Sources: https://pubmed.ncbi.nlm.nih.gov/9443851/	likely

PubMed

Title	Date	PubMed
Potential for improvement of docetaxel-based chemotherapy: a pharmacological review.	2005 Jul 25	16012521
Dependence of nelfinavir brain uptake on dose and tissue concentrations of the selective P-glycoprotein inhibitor zosuquidar in rats.	2006 Apr	16434546
Inhibition of P-glycoprotein activity at the primate blood-brain barrier increases the distribution of nelfinavir into the brain but not into the cerebrospinal fluid.	2007 Sep	17591677
Zosuquidar restores drug sensitivity in P-glycoprotein expressing acute myeloid leukemia (AML).	2008 Feb 13	18271955
Drug transporters: recent advances concerning BCRP and tyrosine kinase inhibitors.	2008 Mar 11	18253130
Challenges in treating older patients with acute myeloid leukemia.	2010	20628485
Gateways to clinical trials.	2010 Jan-Feb	20383346
Zosuquidar, a novel modulator of P-glycoprotein, does not improve the outcome of older patients with newly diagnosed acute myeloid leukemia: a randomized, placebo-controlled trial of the Eastern Cooperative Oncology Group 3999.	2010 Nov 18	20716770

Patents

Sample Use Guides

In Vivo Use Guide

Zosuquidar 550 mg/day by continuous intravenous infusion through a central venous catheter over approximately 6 hours on days 1, 2, and 3.

Route of Administration: Intravenous

In Vitro Use Guide

Zosuquidar (LY-335979) alone shows the cytotoxicity to drug-sensitive and MDR cell lines with IC50 ranging from 6 uM-16 uM and produces its ability to completely reverse the resistance of the oncolytics (vinblastine, doxorubicin, or etoposide) to the MDR cell lines P388/ADR, MCF7/ADR, 2780AD, or UCLA-P3.003VLB at concentration of 0.1 and 0.5 uM

Name

Type

Language

ZOSUQUIDAR TRIHYDROCHLORIDE

Official Name

English

NSC-725086

Code

English

Zosuquidar trihydrochloride [WHO-DD]

Common Name

English

(R)-4-[(1aR,6R,10bS)-1,2-Difluoro-1,1a,6,10b-tetrahydrodibenzo[a,E]cyclopropa[c]cycloheptan-6-yl]-α-[(5-quinoloyloxy)methyl]-1-piperazineethanol trihydrochloride

Systematic Name

English

ZOSUQUIDAR TRIHYDROCHLORIDE [USAN]

Common Name

English

ZOSUQUIDAR TRIHYDROCHLORIDE [MI]

Common Name

English

Classification Tree Code System Code

NCI_THESAURUS

C1744