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
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)
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/27217383Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/24919854
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27217383
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
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26149830
Curator's Comment: Known to be CNS penetrant in mouse. Human data not available
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/24919854
Curator's Comment: # Eli Lilly
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2508 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24919854 |
10.0 nM [IC50] | ||
Target ID: CHEMBL331 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24919854 |
2.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | VERZENIO Approved Usein 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 Date2017 |
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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 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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 Clinical Trial https://clinicaltrials.gov/ct2/show/NCT02152631 |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.7% |
ABEMACICLIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse 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%) Other AEs:Diarrhea (20%) Infection (grade 5, 2%) Fatigue (9%) Diarrhea (grade 1-2, 70%) Sources: 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%) |
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
AE | Significance | Dose | Population |
---|---|---|---|
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
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
Page: - |
no | |||
yes [IC50 0.32 uM] | ||||
yes [IC50 0.57 uM] | ||||
Page: - |
yes | |||
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: - |
||
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: - |
||
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: - |
||
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: - |
||
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. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/208716Orig1s000MultidisciplineR.pdf#page=82 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. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/208716Orig1s000MultidisciplineR.pdf#page=82 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. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/208716Orig1s000MultidisciplineR.pdf#page=82 Page: 82.0 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical 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. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2017/208716Orig1s000MultidisciplineR.pdf#page=76 Page: 76.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
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
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26909611
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.
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DTXSID90856159
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ACTIVE MOIETY
SUBSTANCE RECORD