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

Details

Stereochemistry ACHIRAL
Molecular Formula C27H32F2N8.CH4O3S
Molecular Weight 602.699
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ABEMACICLIB MESYLATE

SMILES

CS(O)(=O)=O.CCN1CCN(CC2=CN=C(NC3=NC=C(F)C(=N3)C4=CC(F)=C5N=C(C)N(C(C)C)C5=C4)C=C2)CC1

InChI

InChIKey=NCJPFQPEVDHJAZ-UHFFFAOYSA-N
InChI=1S/C27H32F2N8.CH4O3S/c1-5-35-8-10-36(11-9-35)16-19-6-7-24(30-14-19)33-27-31-15-22(29)25(34-27)20-12-21(28)26-23(13-20)37(17(2)3)18(4)32-26;1-5(2,3)4/h6-7,12-15,17H,5,8-11,16H2,1-4H3,(H,30,31,33,34);1H3,(H,2,3,4)

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/24919854

Abemaciclib, previously known as LY2835219, is a potent and selective inhibitor of cyclin-dependent kinases: CDK4 and CDK6, developed by Eli Lilly, which is in clinical trial phase III for the treatment of breast cancer and non-small cell lung cancer (NSCLC) and in phase II for investigation of its treatment glioblastoma and melanoma.

CNS Activity

Curator's Comment: Known to be CNS penetrant in mouse. Human data not available

Originator

Curator's Comment: # Eli Lilly

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
10.0 nM [IC50]
2.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
VERZENIO

Approved Use

in combination with fulvestrant for the treatment of women with hormone receptor (HR)-positive, human epidermal growth factor receptor 2 (HER2)-negative advanced or metastatic breast cancer with disease progression following endocrine therapy. As monotherapy for the treatment of adult patients with HR-positive, HER2-negative advanced or metastatic breast cancer with disease progression following endocrine therapy and prior chemotherapy in the metastatic setting.

Launch Date

2017
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
298 ng/mL
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ABEMACICLIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
5520 ng × h/mL
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ABEMACICLIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3350 ng*h/mL
200 mg 2 times / day steady, oral
dose: 200 mg
route of administration: oral
experiment type: steady
co-administered:
ABEMACICLIB plasma
Homo sapiens
population: unhealthy
age:
sex:
food status:
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
17.4 h
200 mg 2 times / day steady-state, oral
dose: 200 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
ABEMACICLIB plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
3.7%
ABEMACICLIB plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
275 mg 2 times / day steady, oral
Highest studied dose
Dose: 275 mg, 2 times / day
Route: oral
Route: steady
Dose: 275 mg, 2 times / day
Sources:
unhealthy, 44-66 years
n = 3
Health Status: unhealthy
Condition: advanced cancer
Age Group: 44-66 years
Sex: F
Population Size: 3
Sources:
DLT: Fatigue...
Dose limiting toxicities:
Fatigue (grade 3, 2 patients)
Sources:
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy, 51-68 years
n = 7
Health Status: unhealthy
Condition: advanced cancer
Age Group: 51-68 years
Sex: M+F
Population Size: 7
Sources:
DLT: Fatigue...
Dose limiting toxicities:
Fatigue (grade 3, 7 patients)
Sources:
600 mg single, oral
Highest studied dose
Dose: 600 mg
Route: oral
Route: single
Dose: 600 mg
Sources: Page: p. 70
healthy
n = 100
Health Status: healthy
Sex: M+F
Population Size: 100
Sources: Page: p. 70
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Disc. AE: Diarrhea, Diarrhea...
Other AEs: Diarrhea, Nausea...
AEs leading to
discontinuation/dose reduction:
Diarrhea (grade 3, 20%)
Diarrhea (20%)
Infection (grade 5, 2%)
Fatigue (9%)
Other AEs:
Diarrhea (grade 1-2, 70%)
Nausea (grade 1-2, 59%)
Nausea (grade 3, 5%)
Abdominal pain (grade 1-2, 37%)
Abdominal pain (grade 3, 2%)
Vomiting (grade 1-2, 33%)
Vomiting (grade 3, 2%)
Constipation (grade 1-2, 16%)
Constipation (grade 3, <1%)
Dry mouth (grade 1-2, 14%)
Stomatitis (grade 1-2, 14%)
Infection (grade 1-2, 26%)
Stomatitis (grade 3, 5%)
Asthenia (grade 1-2, 52%)
Fatigue (grade 1-2, 52%)
Asthenia (grade 3, 13%)
Fatigue (grade 3, 13%)
Pyrexia (grade 1-2, 11%)
Neutropenia (grade 1-2, 13%)
Neutropenia (grade 3, 19%)
Neutropenia (grade 4, 5%)
Neutrophil count decreased (grade 1-2, 13%)
Neutrophil count decreased (grade 3, 19%)
Neutrophil count decreased (grade 4, 5%)
Anemia (grade 1-2, 20%)
Hematocrit decreased (grade 1-2, 20%)
Hemoglobin decreased (grade 1-2, 20%)
Red blood cell count decreased (grade 1-2, 20%)
Anemia (grade 3, 5%)
Hematocrit decreased (grade 3, 5%)
Hemoglobin decreased (grade 3, 5%)
Red blood cell count decreased (grade 3, 5%)
Platelet count decreased (grade 1-2, 16%)
Thrombocytopenia (grade 1-2, 16%)
Platelet count decreased (grade 3, 4%)
Thrombocytopenia (grade 3, 4%)
Leukopenia (grade 1-2, 11%)
White blood cell count decreased (grade 1-2, 11%)
Leukopenia (grade 3, 5%)
White blood cell count decreased (grade 3, 5%)
Leukopenia (grade 4, <1%)
White blood cell count decreased (grade 4, <1%)
Decreased appetite (grade 1-2, 42%)
Decreased appetite (grade 3, 3%)
Dehydration (grade 1-2, 8%)
Dehydration (grade 3, 2%)
Cough (grade 1-2, 19%)
Arthralgia (grade 1-2, 15%)
Headache (grade 1-2, 20%)
Dysgeusia (grade 1-2, 12%)
Dizziness (grade 1-2, 11%)
Alopecia (grade 1-2, 12%)
Creatinine increased (grade 1-2, 12%)
Creatinine increased (grade 3, <1%)
Weight decreased (grade 1-2, 14%)
White blood cell decreased (grade 1-2, 97%)
White blood cell decreased (grade 3, <1%)
Neutrophil count decreased (grade 1-2, 63%)
Neutrophil count decreased (grade 3, 28%)
Anemia (grade 1-2, 68%)
Lymphocyte count decreased (grade 1-2, 28%)
Lymphocyte count decreased (grade 3, 13%)
Lymphocyte count decreased (grade 4, <1%)
ALT increased (grade 1-2, 28%)
ALT increased (grade 3, 3%)
AST increased (grade 1-2, 26%)
AST increased (grade 3, 4%)
Sources:
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 6
Health Status: unhealthy
Condition: advanced cancer
Population Size: 6
Sources:
DLT: Nausea...
Dose limiting toxicities:
Nausea (grade 2, 1 patient)
Sources:
AEs

AEs

AESignificanceDosePopulation
Fatigue grade 3, 2 patients
DLT
275 mg 2 times / day steady, oral
Highest studied dose
Dose: 275 mg, 2 times / day
Route: oral
Route: steady
Dose: 275 mg, 2 times / day
Sources:
unhealthy, 44-66 years
n = 3
Health Status: unhealthy
Condition: advanced cancer
Age Group: 44-66 years
Sex: F
Population Size: 3
Sources:
Fatigue grade 3, 7 patients
DLT
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy, 51-68 years
n = 7
Health Status: unhealthy
Condition: advanced cancer
Age Group: 51-68 years
Sex: M+F
Population Size: 7
Sources:
Diarrhea 20%
Disc. AE
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Fatigue 9%
Disc. AE
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Dizziness grade 1-2, 11%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Leukopenia grade 1-2, 11%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Pyrexia grade 1-2, 11%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
White blood cell count decreased grade 1-2, 11%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Alopecia grade 1-2, 12%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Creatinine increased grade 1-2, 12%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Dysgeusia grade 1-2, 12%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutropenia grade 1-2, 13%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutrophil count decreased grade 1-2, 13%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Dry mouth grade 1-2, 14%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Stomatitis grade 1-2, 14%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Weight decreased grade 1-2, 14%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Arthralgia grade 1-2, 15%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Constipation grade 1-2, 16%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Platelet count decreased grade 1-2, 16%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Thrombocytopenia grade 1-2, 16%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Cough grade 1-2, 19%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Anemia grade 1-2, 20%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Headache grade 1-2, 20%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Hematocrit decreased grade 1-2, 20%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Hemoglobin decreased grade 1-2, 20%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Red blood cell count decreased grade 1-2, 20%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
AST increased grade 1-2, 26%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Infection grade 1-2, 26%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
ALT increased grade 1-2, 28%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Lymphocyte count decreased grade 1-2, 28%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Vomiting grade 1-2, 33%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Abdominal pain grade 1-2, 37%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Decreased appetite grade 1-2, 42%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Asthenia grade 1-2, 52%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Fatigue grade 1-2, 52%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Nausea grade 1-2, 59%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutrophil count decreased grade 1-2, 63%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Anemia grade 1-2, 68%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Diarrhea grade 1-2, 70%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Dehydration grade 1-2, 8%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
White blood cell decreased grade 1-2, 97%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Asthenia grade 3, 13%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Fatigue grade 3, 13%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Lymphocyte count decreased grade 3, 13%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutropenia grade 3, 19%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutrophil count decreased grade 3, 19%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Abdominal pain grade 3, 2%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Dehydration grade 3, 2%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Vomiting grade 3, 2%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Diarrhea grade 3, 20%
Disc. AE
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutrophil count decreased grade 3, 28%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
ALT increased grade 3, 3%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Decreased appetite grade 3, 3%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
AST increased grade 3, 4%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Platelet count decreased grade 3, 4%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Thrombocytopenia grade 3, 4%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Anemia grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Hematocrit decreased grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Hemoglobin decreased grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Leukopenia grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Nausea grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Red blood cell count decreased grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Stomatitis grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
White blood cell count decreased grade 3, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Constipation grade 3, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Creatinine increased grade 3, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
White blood cell decreased grade 3, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutropenia grade 4, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Neutrophil count decreased grade 4, 5%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Leukopenia grade 4, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Lymphocyte count decreased grade 4, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
White blood cell count decreased grade 4, <1%
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Infection grade 5, 2%
Disc. AE
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 132
Health Status: unhealthy
Condition: HR-positive, HER2-negative metastatic breast cancer
Sex: F
Population Size: 132
Sources:
Nausea grade 2, 1 patient
DLT, Disc. AE
200 mg 2 times / day steady, oral
Recommended|MTD
Dose: 200 mg, 2 times / day
Route: oral
Route: steady
Dose: 200 mg, 2 times / day
Sources:
unhealthy
n = 6
Health Status: unhealthy
Condition: advanced cancer
Population Size: 6
Sources:
Overview

OverviewOther

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
no
no
yes [IC50 0.32 uM]
yes [IC50 0.57 uM]
yes
yes
no (co-administration study)
Comment: The downregulation of CYP mRNA expression and activity by abemaciclib in vitro did not translate into the clinic. No clinically relevant changes in the PK of CYP1A2, CYP2C9, CYP2D6, or CYP3A substrate drugs were observed when coadministered with multiple doses of abemaciclib.
Page: -
yes
no (co-administration study)
Comment: The downregulation of CYP mRNA expression and activity by abemaciclib in vitro did not translate into the clinic. No clinically relevant changes in the PK of CYP1A2, CYP2C9, CYP2D6, or CYP3A substrate drugs were observed when coadministered with multiple doses of abemaciclib.
Page: -
yes
no (co-administration study)
Comment: The downregulation of CYP mRNA expression and activity by abemaciclib in vitro did not translate into the clinic. No clinically relevant changes in the PK of CYP1A2, CYP2C9, CYP2D6, or CYP3A substrate drugs were observed when coadministered with multiple doses of abemaciclib.
Page: -
yes
no (co-administration study)
Comment: The downregulation of CYP mRNA expression and activity by abemaciclib in vitro did not translate into the clinic. No clinically relevant changes in the PK of CYP1A2, CYP2C9, CYP2D6, or CYP3A substrate drugs were observed when coadministered with multiple doses of abemaciclib.
Page: -
yes
no (co-administration study)
Comment: The downregulation of CYP mRNA expression and activity by abemaciclib in vitro did not translate into the clinic. No clinically relevant changes in the PK of CYP1A2, CYP2C9, CYP2D6, or CYP3A substrate drugs were observed when coadministered with multiple doses of abemaciclib.
Page: -
yes
yes (co-administration study)
Comment: The renal clearance and active tubular secretion of metformin, a substrate of renal uptake transporter OCT2, and tubular efflux transporters MATE-1 and MATE-2K, was respectively reduced by 45% and 62% following co-administration of a single 400 mg dose of abemaciclib with 1000 mg metformin in healthy subjects.
Page: 82.0
yes
yes (co-administration study)
Comment: The renal clearance and active tubular secretion of metformin, a substrate of renal uptake transporter OCT2, and tubular efflux transporters MATE-1 and MATE-2K, was respectively reduced by 45% and 62% following co-administration of a single 400 mg dose of abemaciclib with 1000 mg metformin in healthy subjects.
Page: 82.0
yes
yes (co-administration study)
Comment: The renal clearance and active tubular secretion of metformin, a substrate of renal uptake transporter OCT2, and tubular efflux transporters MATE-1 and MATE-2K, was respectively reduced by 45% and 62% following co-administration of a single 400 mg dose of abemaciclib with 1000 mg metformin in healthy subjects.
Page: 82.0
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
yes
yes (co-administration study)
Comment: The co-administration of 500 mg twice daily doses of clarithromycin, a strong CYP3A4 inhibitor, with a single 50 mg dose of abemaciclib increased the relative potency adjusted unbound AUC0-INF of abemaciclib plus its active metabolites (M2, M18, and M20) by 1.7-fold relative to abemaciclib alone in cancer patients.
Page: 76.0
Tox targets

Tox targets

Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
A synthetic lethal interaction between K-Ras oncogenes and Cdk4 unveils a therapeutic strategy for non-small cell lung carcinoma.
2010 Jul 13
Therapeutic response to CDK4/6 inhibition in breast cancer defined by ex vivo analyses of human tumors.
2012 Jul 15
Therapeutic targeting of the cyclin D3:CDK4/6 complex in T cell leukemia.
2012 Oct 16
The requirement for cyclin D function in tumor maintenance.
2012 Oct 16
Patents

Sample Use Guides

breast cancer: 150 milligrams (mg) Abemaciclib orally every 12 hours plus either 1 mg anastrozole or 2.5 mg letrozole orally once daily for 28 days (28 day cycles). non-small cell lung cancer: 200 milligrams (mg) abemaciclib administered, orally, every 12 hours plus best supportive care (BSC) on Days 1 to 28 (28 day cycles).
Route of Administration: Oral
It was examined the effects of LY2835219 using three head and neck squamous cell carcinoma (HNSCC) cell lines (OSC-19, FaDu, and YD-10B). Cells were treated with LY2835219 at concentrations ranging between 0.01 μM and 10 μM for 72 h. This treatment reduced cell viability at HNSCC cells. The IC50 values for LY2835219 ranged from 0.5 μM to 0.7 μM at HNSCC cells. In addition, LY2835219 inhibited colony formation with long term treatment, indicating that LY2835219 was able to effectively suppress colony formation of HNSCC cells in a dose-dependent manner. OSC-19 cells were treated with 0.1, 0.2, and 0.5 μM LY2835219, and levels of p-AKT (Ser473), p-ERK1/2 (thr202/Tyr204), and p-mTOR (Ser2448) were measured with Western blot analysis. Treatment of cells with LY2835219 inhibited phosphorylation of ERK1/2 and AKT in a dose-dependent manner. Inhibition of AKT by LY2835219 persisted for 48 h after treatment. In contrast, phosphorylation of ERK had recovered at 48 h. Unexpectedly, in spite of inhibition of AKT, LY2835219 had no effect on phosphorylation of mTOR at Ser2448, suggesting continuous activation of mTORC1.
Name Type Language
ABEMACICLIB MESYLATE
Common Name English
LY-2835219 METHANESULFONATE
Code English
Abemaciclib mesilate [WHO-DD]
Common Name English
ABEMACICLIB MESILATE
WHO-DD  
Common Name English
2-PYRIMIDINAMINE, N-(5-((4-ETHYL-1-PIPERAZINYL)METHYL)-2-PYRIDINYL)-5-FLUORO-4-(4-FLUORO-2-METHYL-1-(1-METHYLETHYL)-1H-BENZIMIDAZOL-6-YL)-, METHANESULFONATE (1:1)
Systematic Name English
Code System Code Type Description
NCI_THESAURUS
C162507
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
FDA UNII
KKT462Q807
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
DRUG BANK
DBSALT002119
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
PUBCHEM
71576678
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
SMS_ID
300000040085
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
CAS
1231930-82-7
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY
EPA CompTox
DTXSID90856159
Created by admin on Sat Dec 16 05:18:41 GMT 2023 , Edited by admin on Sat Dec 16 05:18:41 GMT 2023
PRIMARY