Details
Stereochemistry | ACHIRAL |
Molecular Formula | C24H29N7O2 |
Molecular Weight | 447.5328 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(=O)C1=C(C)C2=CN=C(NC3=NC=C(C=C3)N4CCNCC4)N=C2N(C5CCCC5)C1=O
InChI
InChIKey=AHJRHEGDXFFMBM-UHFFFAOYSA-N
InChI=1S/C24H29N7O2/c1-15-19-14-27-24(28-20-8-7-18(13-26-20)30-11-9-25-10-12-30)29-22(19)31(17-5-3-4-6-17)23(33)21(15)16(2)32/h7-8,13-14,17,25H,3-6,9-12H2,1-2H3,(H,26,27,28,29)
DescriptionCurator's Comment: Description was created based on several sources, including https://www.drugbank.ca/drugs/DB09073
Curator's Comment: Description was created based on several sources, including https://www.drugbank.ca/drugs/DB09073
Palbociclib is an oral, reversible, selective, small-molecule inhibitor of CDK4 and CDK6 indicated in combination with letrozole for the treatment of postmenopausal women with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer as initial endocrine-based therapy for their metastatic disease. CDK4 and CDK6 along with their regulatory partner cyclin D1 play a key role in regulating the G1- to S-phase cell-cycle transition via regulation of phosphorylation of the retinoblastoma (Rb) protein. Inhibition of these proteins leads to reduced phosphorylation of Rb, inhibition of downstream signalling, and increased tumor growth arrest. Palbociclib received an accelerated approval from the Food and Drug Administration on February 3, 2015. Palbociclib is marketed under the trade name Ibrance. IBRANCE is a kinase inhibitor indicated in combination with letrozole for the
treatment of postmenopausal women with estrogen receptor (ER)-positive,
human epidermal growth factor receptor 2 (HER2)-negative advanced breast
cancer as initial endocrine-based therapy for their metastatic disease.
Originator
Sources: http://adisinsight.springer.com/drugs/800020668
Curator's Comment: # Onyx Pharmaceuticals; Pfizer
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
11.0 nM [IC50] | |||
Target ID: CHEMBL1075497 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19874578 |
4.0 nM [IC50] | ||
Target ID: CHEMBL1075613 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19874578 |
5.0 nM [IC50] | ||
15.0 nM [IC50] | |||
9.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | IBRANCE Approved UseIBRANCE is indicated in combination with letrozole for the treatment of postmenopausal women with estrogen receptor (ER)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced breast cancer as initial endocrine-based therapy for their metastatic disease. This indication is approved under accelerated approval based on progression-free survival (PFS) Launch Date1.42292156E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
104.1 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/26991823 |
125 mg single, oral dose: 125 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALBOCICLIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2483 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/26991823 |
125 mg single, oral dose: 125 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALBOCICLIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
23.9 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/26991823 |
125 mg single, oral dose: 125 mg route of administration: Oral experiment type: SINGLE co-administered: |
PALBOCICLIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
150 mg 1 times / day multiple, oral Highest studied dose Dose: 150 mg, 1 times / day Route: oral Route: multiple Dose: 150 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 3 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 3 Sources: |
|
125 mg 1 times / day steady, oral MTD|RP2D Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 22 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 22 Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 3, 1 patient) Sources: |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 3 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 3 Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 3-4, 2 patients) Sources: |
75 mg 1 times / day steady, oral Dose: 75 mg, 1 times / day Route: oral Route: steady Dose: 75 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 7 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 7 Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 3-4, 2 patients) Sources: |
125 mg 1 times / day steady, oral Recommended Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Co-administed with:: letrozole(2.5 mg/day) Sources: |
unhealthy, 63 years (range: 38 - 89 years) n = 83 Health Status: unhealthy Age Group: 63 years (range: 38 - 89 years) Sex: M+F Population Size: 83 Sources: |
Disc. AE: Neutropenia, Asthenia... AEs leading to discontinuation/dose reduction: Neutropenia (6%) Sources: Asthenia (1%) Fatigue (1%) |
200 mg 1 times / day multiple, oral Overdose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Other AEs: Nausea, Vomiting... Other AEs: Nausea (1 patient) Sources: Page: p. 112Vomiting (1 patient) Dizziness (1 patient) |
250 mg 1 times / day multiple, oral Overdose Dose: 250 mg, 1 times / day Route: oral Route: multiple Dose: 250 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Disc. AE: Neutropenia... AEs leading to discontinuation/dose reduction: Neutropenia (grade 4, 1 patient) Sources: Page: p. 112 |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Neutropenia | grade 3, 1 patient DLT |
125 mg 1 times / day steady, oral MTD|RP2D Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 22 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 22 Sources: |
Neutropenia | grade 3-4, 2 patients DLT |
150 mg 1 times / day steady, oral Dose: 150 mg, 1 times / day Route: oral Route: steady Dose: 150 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 3 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 3 Sources: |
Neutropenia | grade 3-4, 2 patients DLT |
75 mg 1 times / day steady, oral Dose: 75 mg, 1 times / day Route: oral Route: steady Dose: 75 mg, 1 times / day Sources: |
unhealthy, 54 years (range: 22–77 years) n = 7 Health Status: unhealthy Age Group: 54 years (range: 22–77 years) Sex: M+F Population Size: 7 Sources: |
Asthenia | 1% Disc. AE |
125 mg 1 times / day steady, oral Recommended Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Co-administed with:: letrozole(2.5 mg/day) Sources: |
unhealthy, 63 years (range: 38 - 89 years) n = 83 Health Status: unhealthy Age Group: 63 years (range: 38 - 89 years) Sex: M+F Population Size: 83 Sources: |
Fatigue | 1% Disc. AE |
125 mg 1 times / day steady, oral Recommended Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Co-administed with:: letrozole(2.5 mg/day) Sources: |
unhealthy, 63 years (range: 38 - 89 years) n = 83 Health Status: unhealthy Age Group: 63 years (range: 38 - 89 years) Sex: M+F Population Size: 83 Sources: |
Neutropenia | 6% Disc. AE |
125 mg 1 times / day steady, oral Recommended Dose: 125 mg, 1 times / day Route: oral Route: steady Dose: 125 mg, 1 times / day Co-administed with:: letrozole(2.5 mg/day) Sources: |
unhealthy, 63 years (range: 38 - 89 years) n = 83 Health Status: unhealthy Age Group: 63 years (range: 38 - 89 years) Sex: M+F Population Size: 83 Sources: |
Dizziness | 1 patient | 200 mg 1 times / day multiple, oral Overdose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Nausea | 1 patient | 200 mg 1 times / day multiple, oral Overdose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Vomiting | 1 patient | 200 mg 1 times / day multiple, oral Overdose Dose: 200 mg, 1 times / day Route: oral Route: multiple Dose: 200 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Neutropenia | grade 4, 1 patient Disc. AE |
250 mg 1 times / day multiple, oral Overdose Dose: 250 mg, 1 times / day Route: oral Route: multiple Dose: 250 mg, 1 times / day Sources: Page: p. 112 |
unhealthy, adult n = 1 Health Status: unhealthy Age Group: adult Population Size: 1 Sources: Page: p. 112 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
yes | ||||
yes | ||||
yes | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/207103Orig1s000PharmR.pdf#page=71 Page: 71.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Primary care pediatrics vs. family practice: a nonissue. | 1983 Aug |
|
A novel therapeutic combination using PD 0332991 and bortezomib: study in the 5T33MM myeloma model. | 2008 Jul 15 |
|
CDK inhibitors as potential breast cancer therapeutics: new evidence for enhanced efficacy in ER+ disease. | 2009 |
|
PD 0332991, a selective cyclin D kinase 4/6 inhibitor, preferentially inhibits proliferation of luminal estrogen receptor-positive human breast cancer cell lines in vitro. | 2009 |
|
Advancing bioluminescence imaging technology for the evaluation of anticancer agents in the MDA-MB-435-HAL-Luc mammary fat pad and subrenal capsule tumor models. | 2009 Jan 1 |
|
Pharmacologic inhibition of cyclin-dependent kinases 4 and 6 arrests the growth of glioblastoma multiforme intracranial xenografts. | 2010 Apr 15 |
|
Therapeutic CDK4/6 inhibition in breast cancer: key mechanisms of response and failure. | 2010 Jul 15 |
|
Pattern of retinoblastoma pathway inactivation dictates response to CDK4/6 inhibition in GBM. | 2010 Jun 22 |
|
Quantitative analysis of PD 0332991 in xenograft mouse tumor tissue by a 96-well supported liquid extraction format and liquid chromatography/mass spectrometry. | 2010 Nov 2 |
|
Expression of p16 and retinoblastoma determines response to CDK4/6 inhibition in ovarian cancer. | 2011 Mar 15 |
|
Phase I, dose-escalation trial of the oral cyclin-dependent kinase 4/6 inhibitor PD 0332991, administered using a 21-day schedule in patients with advanced cancer. | 2012 Jan 15 |
|
Therapeutic response to CDK4/6 inhibition in breast cancer defined by ex vivo analyses of human tumors. | 2012 Jul 15 |
|
CDK4/6 inhibition antagonizes the cytotoxic response to anthracycline therapy. | 2012 Jul 15 |
|
Therapeutic targeting of the cyclin D3:CDK4/6 complex in T cell leukemia. | 2012 Oct 16 |
|
Induction of prolonged early G1 arrest by CDK4/CDK6 inhibition reprograms lymphoma cells for durable PI3Kδ inhibition through PIK3IP1. | 2013 Jun 15 |
|
Palbociclib: first global approval. | 2015 Apr |
|
CDK 4/6 inhibitor palbociclib (PD0332991) in Rb+ advanced breast cancer: phase II activity, safety, and predictive biomarker assessment. | 2015 Mar 1 |
Sample Use Guides
IBRANCE capsules (Palbociclib) are taken orally with food in combination with letrozole. Recommended starting dose: 125 mg once daily taken with food for 21 days followed by 7 days off treatment
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19874578
Palbociclib (100 nM) significantly
blocks phoshorylation of pRb (phospho-Rb) at serine 780 in sensitive human breast cancer cell lines (IC50 < 150 nM).
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Classification Tree | Code System | Code | ||
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WHO-ATC |
L01XE33
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FDA ORPHAN DRUG |
781420
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NCI_THESAURUS |
C2185
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NCI_THESAURUS |
C129825
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NDF-RT |
N0000175605
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G9ZF61LE7G
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M11849
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SUB177204
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85993
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N0000175082
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PRIMARY | Kinase Inhibitors [MoA] | ||
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DTXSID40972590
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C49176
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CHEMBL189963
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N0000190114
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PRIMARY | Cytochrome P450 3A Inhibitors [MoA] | ||
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1601374
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ZZ-152
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5330286
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G9ZF61LE7G
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9802
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Palbociclib
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Palbociclib
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571190-30-2
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4941
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DB09073
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7380
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ACTIVE MOIETY
METABOLITE (PARENT)
SALT/SOLVATE (PARENT)
SALT/SOLVATE (PARENT)