Details
Stereochemistry | RACEMIC |
Molecular Formula | C22H28O2S2 |
Molecular Weight | 388.587 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
OC(=O)CCCCC(CCSCC1=CC=CC=C1)SCC2=CC=CC=C2
InChI
InChIKey=ZYRLHJIMTROTBO-UHFFFAOYSA-N
InChI=1S/C22H28O2S2/c23-22(24)14-8-7-13-21(26-18-20-11-5-2-6-12-20)15-16-25-17-19-9-3-1-4-10-19/h1-6,9-12,21H,7-8,13-18H2,(H,23,24)
CPI-613 is a lipoate derivative synthesized to be catalytically inert but to potentially mimic lipoate catalytic intermediates. The drug is in phase II of clinical trials for the treatment of Myelodysplastic syndromes; Pancreatic cancer; Small cell lung cancer; Solid tumors; Bile duct cancer; Acute Myeloid leukemia. The mechanism of CPI-613 action can be explained by (I) inhibition of tumor cell pyruvate dehydrogenase complex (PDC) through activation of pyruvate dehydrogenase kinases leading to inactivating phosphorylation of the E1alpha-subunit of PDC; and (II) inhibition of alpha-ketoglutarate dehydrogenase.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: alpha-Ketoglutarate dehydrogenase complex Sources: https://www.ncbi.nlm.nih.gov/pubmed/25405166 |
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Target ID: CHEMBL2096665 Sources: https://www.ncbi.nlm.nih.gov/pubmed/25405166 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
Sample Use Guides
Patients with bile duct cancer receive CPI-613 IV over 2 hours on days 1-5, 1 week prior to course. After that, they receive the drug IV over 2 hours on days 1 and 4 of weeks 1-3. Treatment repeats every 4 weeks for up to 2 courses. Patients with pancreatic cancer, small cell lung cancer, AML, and Myelodysplastic Syndrome receive 3,000 mg/m2 CPI-613 infused IV over 2 hours on Days 1 and 4 of each of the 3 treatment weeks.
Route of Administration:
Intravenous
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24612826
In the ATP production assay, H460 cells were seeded at 10,000 cells per well in RPMI (11 mM glucose, 2 mM glutamine) medium and grown overnight. The medium was then changed to RPMI without glucose and containing 10 mM pyruvate and 2 mM glutamine alone or together with 0.1 mM water soluble oleic acid. After 24 hours, the medium was replaced with fresh RPMI without glucose and containing either 10 mM pyruvate and 2 mM glutamine or 0.1 mM oleic acid and 0.5 mM aspartate (matched to overnight adaptation) and containing CPI-613 (240 uM) in the treated samples for 2 hours before ATP level measurements.
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
216505
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FDA ORPHAN DRUG |
621617
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FDA ORPHAN DRUG |
349911
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FDA ORPHAN DRUG |
406813
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FDA ORPHAN DRUG |
623117
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NCI_THESAURUS |
C275
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FDA ORPHAN DRUG |
808021
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FDA ORPHAN DRUG |
777920
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EU-Orphan Drug |
EU/3/18/2123
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ACTIVE MOIETY