Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C12H22AsN3O6S |
Molecular Weight | 411.306 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[As](C)SC[C@H](NC(=O)CC[C@H](N)C(O)=O)C(=O)NCC(O)=O
InChI
InChIKey=JGDXFQORBMPJGR-YUMQZZPRSA-N
InChI=1S/C12H22AsN3O6S/c1-13(2)23-6-8(11(20)15-5-10(18)19)16-9(17)4-3-7(14)12(21)22/h7-8H,3-6,14H2,1-2H3,(H,15,20)(H,16,17)(H,18,19)(H,21,22)/t7-,8-/m0/s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/19780704
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19780704
Darinaparsin is a novel mitochondrial-targeted agent being developed for the treatment of various hematologic and solid cancers. In a Phase II study in the US, intravenous darinaparsin demonstrated evidence of clinical activity in malignant lymphoma, and in particular peripheral T-cell lymphoma (PTCL). Darinaparsin was granted Orphan Drug Designation in the US and Europe as a treatment of PTCL. The oral formulation is also being tested in Phase I for the treatment of solid tumors. Darinaparsin induces G2/M cell cycle arrest and apoptosis in tumor cells, primarily through disruption of mitochondrial functions, increased reactive oxygen species (ROS) production and modulation of signal transduction pathways.
Approval Year
Doses
Dose | Population | Adverse events |
---|---|---|
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
DLT: Mental status changes, Ataxia... Dose limiting toxicities: Mental status changes (grade 3, 50%) Sources: Page: p.4772Ataxia (grade 3, 50%) Fever (grade 1, 25%) Hallucinations (grade 2, 25%) Trembling (grade 1, 25%) Agitation (grade 1, 25%) Slurred speech (25%) |
300 mg/m2 1 times / day multiple, intravenous MTD Dose: 300 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 300 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 3 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 3 Sources: Page: p.4772 |
|
420 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 420 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 420 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 8 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 8 Sources: Page: p.4772 |
DLT: Ataxia, Dizziness... Dose limiting toxicities: Ataxia (25%) Sources: Page: p.4772Dizziness (25%) Confusion (12.5%) Fatigue (grade 2-3, 12.5%) |
500 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
DLT: Mental status changes, Memory impairment... Dose limiting toxicities: Mental status changes (grade 2, 25%) Sources: Page: p.4772Memory impairment (grade 1, 25%) Dizziness (grade 2, 25%) Fatigue (grade 2, 25%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Slurred speech | 25% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Agitation | grade 1, 25% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Fever | grade 1, 25% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Trembling | grade 1, 25% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Hallucinations | grade 2, 25% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Ataxia | grade 3, 50% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Mental status changes | grade 3, 50% DLT |
588 mg/m2 1 times / day multiple, intravenous Highest studied dose Dose: 588 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 588 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Confusion | 12.5% DLT |
420 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 420 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 420 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 8 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 8 Sources: Page: p.4772 |
Ataxia | 25% DLT |
420 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 420 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 420 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 8 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 8 Sources: Page: p.4772 |
Dizziness | 25% DLT |
420 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 420 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 420 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 8 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 8 Sources: Page: p.4772 |
Fatigue | grade 2-3, 12.5% DLT |
420 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 420 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 420 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 8 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 8 Sources: Page: p.4772 |
Memory impairment | grade 1, 25% DLT |
500 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Dizziness | grade 2, 25% DLT |
500 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Fatigue | grade 2, 25% DLT |
500 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
Mental status changes | grade 2, 25% DLT |
500 mg/m2 1 times / day multiple, intravenous Studied dose Dose: 500 mg/m2, 1 times / day Route: intravenous Route: multiple Dose: 500 mg/m2, 1 times / day Sources: Page: p.4772 |
unhealthy, ADULT n = 4 Health Status: unhealthy Condition: cancer Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 4 Sources: Page: p.4772 |
PubMed
Title | Date | PubMed |
---|---|---|
A novel arsenical has antitumor activity toward As2O3-resistant and MRP1/ABCC1-overexpressing cell lines. | 2008 Oct |
|
A phase I clinical trial of darinaparsin in patients with refractory solid tumors. | 2009 Jul 15 |
|
Darinaparsin induces a unique cellular response and is active in an arsenic trioxide-resistant myeloma cell line. | 2009 May |
|
Darinaparsin: solid tumor hypoxic cytotoxin and radiosensitizer. | 2012 Jun 15 |
|
The novel arsenical Darinaparsin circumvents BRG1-dependent, HO-1-mediated cytoprotection in leukemic cells. | 2013 Nov |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.clinicaltrials.gov/ct2/show/NCT02653976
In the latest clinical trial, darinaparsin was given to patients with peripheral T-cell lymphoma at a dose of 300 mg/m2 once daily for 5 consecutive days every 21 days.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25381261
Du145, PC3, and LnCap prostate cancer cells and primary prostate cells were plated at a density of 3,500 cells/200 mL in 96-well plates. 24 hours after plating, darinaparsin was added at various concentrations (from 0.001 uM to 100 uM). 72 hours after treatment, the MTS reagent was added to the cells. The color change was monitored at 490 nm and data were acquired by SOFT max pro. IC50 concentrations of Du145, PC3, and LnCap cells ranged from approximately 5 to 10 uM. Primary prostate cancer cells isolated from five different patients were equally sensitive to darinaparsin with IC50 concentrations ranging from 2.5 to 20 uM.
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Classification Tree | Code System | Code | ||
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EU-Orphan Drug |
EU/3/11/850
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NCI_THESAURUS |
C274
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FDA ORPHAN DRUG |
313810
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m4097
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C61490
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11683005
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C515055
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69819-86-9
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ACTIVE MOIETY