U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

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
Structure of PALBOCICLIB

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)

HIDE SMILES / InChI

Description
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

Curator's Comment: # Onyx Pharmaceuticals; Pfizer

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
IBRANCE

Approved Use

IBRANCE 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 Date

1.42292156E12
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
104.1 ng/mL
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

AUC

ValueDoseCo-administeredAnalytePopulation
2483 ng × h/mL
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

T1/2

ValueDoseCo-administeredAnalytePopulation
23.9 h
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

Doses

DosePopulationAdverse 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%)
Asthenia (1%)
Fatigue (1%)
Sources:
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)
Vomiting (1 patient)
Dizziness (1 patient)
Sources: Page: p. 112
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

AEs

AESignificanceDosePopulation
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
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no [IC50 >30 uM]
no [IC50 >30 uM]
no [IC50 >30 uM]
no [IC50 >30 uM]
no [IC50 >30 uM]
no [IC50 >30 uM]
no [IC50 >30 uM]
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
no
weak
Drug as victimTox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
PubMed

PubMed

TitleDatePubMed
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
Patents

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
Palbociclib (100 nM) significantly blocks phoshorylation of pRb (phospho-Rb) at serine 780 in sensitive human breast cancer cell lines (IC50 < 150 nM).
Name Type Language
PALBOCICLIB
DASH   INN   USAN   WHO-DD  
INN   USAN  
Official Name English
Palbociclib [WHO-DD]
Common Name English
PALBOCICLIB [MI]
Common Name English
6-ACETYL-8-CYCLOPENTYL-5-METHYL-2-((5-(PIPERAZIN-1-YL)PYRIDIN-2-YL)AMINO)-8H-PYRIDO(2,3-D)PYRIMIDIN-7-ONE
Systematic Name English
IBRANCE
Brand Name English
PYRIDO(2,3-D)PYRIMIDIN-7(8H)-ONE, 6-ACETYL-8-CYCLOPENTYL-5-METHYL-2-((5-(1-PIPERAZINYL)-2-PYRIDINYL)AMINO)-
Systematic Name English
6-ACETYL-8-CYCLOPENTYL-5-METHYL-2-((5-(PIPERAZIN-1-YL)PYRIDIN-2-YL)AMINO(PYRIDO(2,3-D)PYRIMIDIN-7(8H)-ONE
Common Name English
PALBOCICLIB [USAN]
Common Name English
PALBOCICLIB [JAN]
Common Name English
PD-0332991
Code English
palbociclib [INN]
Common Name English
PALBOCICLIB [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
WHO-ATC L01XE33
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
FDA ORPHAN DRUG 781420
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
NCI_THESAURUS C2185
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
NCI_THESAURUS C129825
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
NDF-RT N0000175605
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
Code System Code Type Description
FDA UNII
G9ZF61LE7G
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
MERCK INDEX
M11849
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
EVMPD
SUB177204
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
CHEBI
85993
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
NDF-RT
N0000175082
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY Kinase Inhibitors [MoA]
EPA CompTox
DTXSID40972590
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
NCI_THESAURUS
C49176
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
ChEMBL
CHEMBL189963
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
NDF-RT
N0000190114
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY Cytochrome P450 3A Inhibitors [MoA]
RXCUI
1601374
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY RxNorm
USAN
ZZ-152
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
PUBCHEM
5330286
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
DAILYMED
G9ZF61LE7G
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
INN
9802
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
WIKIPEDIA
Palbociclib
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
LACTMED
Palbociclib
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
CAS
571190-30-2
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
DRUG CENTRAL
4941
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
DRUG BANK
DB09073
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY
IUPHAR
7380
Created by admin on Sat Dec 17 03:13:54 UTC 2022 , Edited by admin on Sat Dec 17 03:13:54 UTC 2022
PRIMARY