Details
Stereochemistry | ACHIRAL |
Molecular Formula | C23H26N6O2 |
Molecular Weight | 418.4915 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC1=CC=CC(\C=N\NC2=NC(OCCC3=NC=CC=C3)=NC(=C2)N4CCOCC4)=C1
InChI
InChIKey=HSKAZIJJKRAJAV-KOEQRZSOSA-N
InChI=1S/C23H26N6O2/c1-18-5-4-6-19(15-18)17-25-28-21-16-22(29-10-13-30-14-11-29)27-23(26-21)31-12-8-20-7-2-3-9-24-20/h2-7,9,15-17H,8,10-14H2,1H3,(H,26,27,28)/b25-17+
Apilimod is a small molecule inhibitor of interleukin-12 and interleukin-23 synthesis thereby preventing IL-12/IL-23 mediated immune responses. Apilimod is also observed to inhibit the nuclear accumulation of NF-kappB protein family, and viral infections dependent on phosphatidylinositol-3-phosphate 5-kinase (PIKfyve). Apilimod has been investigated as a potential treatment for a number of autoimmune conditions.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/23802098
Curator's Comment: Maximum tolerable dose before experiencing adverse CNS effects is 70 mg per day.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
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Target ID: GO:0071159 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21141074 |
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Target ID: Q9Y2I7 Gene ID: 200576.0 Gene Symbol: PIKFYVE Target Organism: Homo sapiens (Human) Sources: https://www.ncbi.nlm.nih.gov/pubmed/28104689 |
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Target ID: GO:0002374 Sources: https://www.ncbi.nlm.nih.gov/pubmed/22493730 |
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 |
Doses
Dose | Population | Adverse events |
---|---|---|
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: B-cell lymphoma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: |
DLT: hyponatremia, diarrhea... Dose limiting toxicities: hyponatremia (20%) Sources: diarrhea (20%) vomiting (60%) nausea (grade 1-3, 60%) |
100 mg 1 times / day multiple, oral Studied dose Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1752 |
unhealthy, ADULT n = 9 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 9 Sources: Page: p.1752 |
Disc. AE: headache... AEs leading to discontinuation/dose reduction: headache (severe, 11.1%) Sources: Page: p.1752 |
100 mg 2 times / day multiple, oral Studied dose Dose: 100 mg, 2 times / day Route: oral Route: multiple Dose: 100 mg, 2 times / day Sources: Page: p.1752 |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: Page: p.1752 |
AEs
AE | Significance | Dose | Population |
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diarrhea | 20% DLT, Disc. AE |
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: B-cell lymphoma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: |
hyponatremia | 20% DLT, Disc. AE |
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: B-cell lymphoma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: |
vomiting | 60% DLT, Disc. AE |
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: B-cell lymphoma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: |
nausea | grade 1-3, 60% DLT, Disc. AE |
150 mg 2 times / day multiple, oral Highest studied dose Dose: 150 mg, 2 times / day Route: oral Route: multiple Dose: 150 mg, 2 times / day Sources: |
unhealthy, ADULT n = 5 Health Status: unhealthy Condition: B-cell lymphoma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 5 Sources: |
headache | severe, 11.1% Disc. AE |
100 mg 1 times / day multiple, oral Studied dose Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: Page: p.1752 |
unhealthy, ADULT n = 9 Health Status: unhealthy Condition: rheumatoid arthritis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 9 Sources: Page: p.1752 |
PubMed
Title | Date | PubMed |
---|---|---|
Brief report: a phase IIa, randomized, double-blind, placebo-controlled trial of apilimod mesylate, an interleukin-12/interleukin-23 inhibitor, in patients with rheumatoid arthritis. | 2012 Jun |
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The phosphatidylinositol-3-phosphate 5-kinase inhibitor apilimod blocks filoviral entry and infection. | 2017 Apr |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22170479
In a phase IIa clinical trial for rheumatoid arthritis Apilimod mesylate was administered orally at a dose of 100 mg/day or 100 mg twice per day for up to 12 weeks.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/28403145
Apilimod was tested for inhibition of EBOV infection in three cell lines: Vero E6, Huh 7, and hMDM cells. For each cell type, cells were plated in 1 black opaque 96-well plate, for the evaluation of drug cytotoxicity, and 2 clear-bottom, 96-well Operetta plates, for the evaluation of drug efficacy. Apilimod was dissolved in dimethyl sulfoxide (DMSO) and diluted in DMEM with 10% FBS with the final DMSO concentration not exceeding 0.05%. The Apilimod solution was diluted two-fold in an 8-point dilution series and transferred to cell plates 1 h prior to virus infection.
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NCI_THESAURUS |
C129820
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Apilimod
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C90808
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ACTIVE MOIETY
SALT/SOLVATE (PARENT)