Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C21H22N6O |
Molecular Weight | 374.439 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CN1CC[C@H](C[C@@H]1C2=NC3=CC=CC=C3N2)NC(=O)NC4=CC=C(C=C4)C#N
InChI
InChIKey=SFNSLLSYNZWZQG-VQIMIIECSA-N
InChI=1S/C21H22N6O/c1-27-11-10-16(24-21(28)23-15-8-6-14(13-22)7-9-15)12-19(27)20-25-17-4-2-3-5-18(17)26-20/h2-9,16,19H,10-12H2,1H3,(H,25,26)(H2,23,24,28)/t16-,19-/m1/s1
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/24944041Curator's Comment: description was created based on several sources, including:
http://adisinsight.springer.com/drugs/800030686 | http://www.pharmacodia.com/yaodu/html/v1/chemicals/86f3f50a6f945bbfa351e55faac043fb.html
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24944041
Curator's Comment: description was created based on several sources, including:
http://adisinsight.springer.com/drugs/800030686 | http://www.pharmacodia.com/yaodu/html/v1/chemicals/86f3f50a6f945bbfa351e55faac043fb.html
PF-04449913 is a potent and selective inhibitor of the Hh signaling pathway through binding to the target, smoothened. PF-04449913 inhibits Hh signaling in vitro and has demonstrated significant antitumor activity in vivo. In the clinic, PF-04449913 is being evaluated both in hematological and solid malignancies, with a phase II trial currently underway in both fit and unfit patients with acute myeloid leukemia (AML) or high-risk myelodysplastic syndrome (MDS). Treatment-related adverse-events were nausea, dizziness, somnolence, QT prolongation and pruritus. Based on pre-clinical assessments, CYP3A4 is believed to be primarily involved in the metabolism of PF-04449913 that is why PF-04449913 plasma exposures and peak concentrations were increased following concurrent administration of ketoconazole (CYP3A4 inhibitor).
Originator
Sources: http://adisinsight.springer.com/drugs/800030686
Curator's Comment: # Pfizer
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL5971 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24900436 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | DAURISMO Approved UseDaurismo is specifically indicated for use in combination with low-dose cytarabine for the treatment of newly-diagnosed acute myeloid leukemia in adult patients who are ≥75 years old or who have comorbidities that preclude use of intensive induction chemotherapy. Launch Date2018 |
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Primary | Unknown Approved UseUnknown |
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Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1252 ng/mL |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GLASDEGIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
17210 ng × h/mL |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GLASDEGIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
17.4 h |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GLASDEGIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
9% |
100 mg 1 times / day multiple, oral dose: 100 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
GLASDEGIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
DLT: Fatigue, Dehydration... Dose limiting toxicities: Fatigue (grade 2, 1 patient) Sources: Dehydration (grade 2-3, 2 patients) Dizziness (grade 2, 1 patient) Hypotension (grade 2, 1 patient) Nausea (grade 3, 1 patient) Vomiting (grade 3, 1 patient) |
320 mg 1 times / day steady, oral MTD Dose: 320 mg, 1 times / day Route: oral Route: steady Dose: 320 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 7 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 7 Sources: |
Disc. AE: Dehydration, Fatigue... AEs leading to discontinuation/dose reduction: Dehydration (2 patients) Sources: Fatigue (2 patients) Nausea (2 patients) Vomiting (2 patients) |
400 mg 1 times / day steady, oral MTD Dose: 400 mg, 1 times / day Route: oral Route: steady Dose: 400 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 9 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 9 Sources: |
|
600 mg 1 times / day steady, oral Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 5 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 5 Sources: |
DLT: Peripheral oedema... Disc. AE: Electrocardiogram QTc interval prolonged... Dose limiting toxicities: Peripheral oedema (grade 3, 20%) AEs leading todiscontinuation/dose reduction: Electrocardiogram QTc interval prolonged (grade 3, 4 patients) Sources: |
80 mg 1 times / day steady, oral Dose: 80 mg, 1 times / day Route: oral Route: steady Dose: 80 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 8 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 8 Sources: |
DLT: Hypoxia, Pleural effusion... Dose limiting toxicities: Hypoxia (grade 3, 17%) Sources: Pleural effusion (grade 3, 17%) |
100 mg 1 times / day multiple, oral Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
pregnant Health Status: pregnant Sources: |
Other AEs: Fetal damage... Other AEs: Fetal damage (grade 5) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dizziness | grade 2, 1 patient DLT |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Hypotension | grade 2, 1 patient DLT |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Fatigue | grade 2, 1 patient DLT, Disc. AE |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Dehydration | grade 2-3, 2 patients DLT, Disc. AE |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Nausea | grade 3, 1 patient DLT, Disc. AE |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Vomiting | grade 3, 1 patient DLT, Disc. AE |
640 mg 1 times / day steady, oral Highest studied dose Dose: 640 mg, 1 times / day Route: oral Route: steady Dose: 640 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 8 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 8 Sources: |
Dehydration | 2 patients Disc. AE |
320 mg 1 times / day steady, oral MTD Dose: 320 mg, 1 times / day Route: oral Route: steady Dose: 320 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 7 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 7 Sources: |
Fatigue | 2 patients Disc. AE |
320 mg 1 times / day steady, oral MTD Dose: 320 mg, 1 times / day Route: oral Route: steady Dose: 320 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 7 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 7 Sources: |
Nausea | 2 patients Disc. AE |
320 mg 1 times / day steady, oral MTD Dose: 320 mg, 1 times / day Route: oral Route: steady Dose: 320 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 7 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 7 Sources: |
Vomiting | 2 patients Disc. AE |
320 mg 1 times / day steady, oral MTD Dose: 320 mg, 1 times / day Route: oral Route: steady Dose: 320 mg, 1 times / day Sources: |
unhealthy, 61.0 years (range: 27–76 years) n = 7 Health Status: unhealthy Condition: Advanced Solid Tumors Age Group: 61.0 years (range: 27–76 years) Sex: M+F Population Size: 7 Sources: |
Peripheral oedema | grade 3, 20% DLT |
600 mg 1 times / day steady, oral Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 5 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 5 Sources: |
Electrocardiogram QTc interval prolonged | grade 3, 4 patients Disc. AE |
600 mg 1 times / day steady, oral Dose: 600 mg, 1 times / day Route: oral Route: steady Dose: 600 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 5 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 5 Sources: |
Hypoxia | grade 3, 17% DLT |
80 mg 1 times / day steady, oral Dose: 80 mg, 1 times / day Route: oral Route: steady Dose: 80 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 8 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 8 Sources: |
Pleural effusion | grade 3, 17% DLT |
80 mg 1 times / day steady, oral Dose: 80 mg, 1 times / day Route: oral Route: steady Dose: 80 mg, 1 times / day Sources: |
unhealthy, 69 years (range: 25–89 years) n = 8 Health Status: unhealthy Condition: myeloid malignancies Age Group: 69 years (range: 25–89 years) Sex: M+F Population Size: 8 Sources: |
Fetal damage | grade 5 | 100 mg 1 times / day multiple, oral Dose: 100 mg, 1 times / day Route: oral Route: multiple Dose: 100 mg, 1 times / day Sources: |
pregnant Health Status: pregnant Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT01842646
100 mg daily in 4-week cycles for a total of 4 cycles. Dose escalation to 200 mg will be provided for patients who do not have at least hematologic improvement following 2 cycles, and dose reduction to 50 mg will be permitted for patients with significant toxicity.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27461445
Incubation of primary AML cells with PF‐913 (1 or 5 uM) attenuated Smoothened‐targeting gene transcripts that were activated by the addition of sonic hedgehog, and reduced the fraction of CD34+CD38− cells.
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Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C2189
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FDA ORPHAN DRUG |
608617
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FDA ORPHAN DRUG |
585517
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NDF-RT |
N0000184149
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Glasdegib
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CHEMBL2043437
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K673DMO5H9
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C84862
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AB-120
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DTXSID201025881
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5304
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m12133
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SUB179278
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145428
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DB11978
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K673DMO5H9
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9930
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25166913
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100000164688
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Glasdegib
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2105845
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1095173-27-5
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ACTIVE MOIETY
METABOLITE (PARENT)
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