Details
Stereochemistry | ACHIRAL |
Molecular Formula | C24H25ClFN5O2 |
Molecular Weight | 469.939 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC1=C(NC(=O)\C=C\CN2CCCCC2)C=C3C(NC4=CC=C(F)C(Cl)=C4)=NC=NC3=C1
InChI
InChIKey=LVXJQMNHJWSHET-AATRIKPKSA-N
InChI=1S/C24H25ClFN5O2/c1-33-22-14-20-17(24(28-15-27-20)29-16-7-8-19(26)18(25)12-16)13-21(22)30-23(32)6-5-11-31-9-3-2-4-10-31/h5-8,12-15H,2-4,9-11H2,1H3,(H,30,32)(H,27,28,29)/b6-5+
Molecular Formula | C24H25ClFN5O2 |
Molecular Weight | 469.939 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 1 |
Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26768165 |
http://www.ncbi.nlm.nih.gov/pubmed/22761403 |
https://www.ncbi.nlm.nih.gov/pubmed/25939761
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/26768165 |
http://www.ncbi.nlm.nih.gov/pubmed/22761403 |
https://www.ncbi.nlm.nih.gov/pubmed/25939761
Dacomitinib is an oral, once-daily, pan-HER inhibitor. It is an irreversible inhibitor of HER-1 (EGFR), HER-2 and HER-4 tyrosine kinases. Dacomtinib is being evaluated in phase 3 clinical trials against nonsmall-cell lung cancer. Direct comparison with erlotinib did not show superiority of dacomtinib, but subgroup analysis have demonstrated that subgroup with exon 19 deletion had favorable outcomes with dacomitinib. In addition to nonsmall-cell lung cancer dacomtinib is being evaluated against esophagus, head and neck and other neoplasms. Due to its ability to pass through blood-brain barrier, dacomitinib can be used to treat brain tumors.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL203 Sources: http://www.ncbi.nlm.nih.gov/pubmed/22761403 |
6.0 nM [IC50] | ||
Target ID: CHEMBL1824 Sources: http://www.ncbi.nlm.nih.gov/pubmed/22761403 |
45.7 nM [IC50] | ||
Target ID: CHEMBL3009 Sources: http://www.ncbi.nlm.nih.gov/pubmed/22761403 |
73.7 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | VIZIMPRO Approved UseVIZIMPRO is a kinase inhibitor indicated for the first-line treatment of patients with metastatic non-small cell lung cancer (NSCLC) with epidermal growth factor receptor (EGFR) exon 19 deletion or exon 21 L858R substitution mutations as detected by an FDA-approved test. Launch Date2018 |
|||
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 |
---|---|---|---|---|
108 ng/mL |
45 mg 1 times / day steady-state, oral dose: 45 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
105 ng/mL |
60 mg 1 times / day steady-state, oral dose: 60 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2213 ng × h/mL |
45 mg 1 times / day steady-state, oral dose: 45 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
1720 ng × h/mL |
60 mg 1 times / day steady-state, oral dose: 60 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
70 h |
45 mg 1 times / day steady-state, oral dose: 45 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2% |
45 mg 1 times / day steady-state, oral dose: 45 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
DACOMITINIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Other AEs: Diarrhea, Diarrhea... Other AEs: Diarrhea (grade 1-2, 79%) Sources: Diarrhea (grade 3-4, 8%) Mucosal inflammation (grade 1-2, 40.6%) Stomatitis (grade 1-2, 40.6%) Mucosal inflammation (grade 3-4, 4.4%) Stomatitis (grade 3-4, 4.4%) Nausea (grade 1-2, 17.7%) Nausea (grade 3-4, 1.3%) Constipation (grade 1-2, 13%) Mouth ulceration (grade 1-2, 12%) Dermatitis acneiform (grade 1-2, 46%) Rash (grade 1-2, 46%) Rash maculo-papular (grade 1-2, 46%) Dermatitis acneiform (grade 3-4, 23%) Rash (grade 3-4, 23%) Rash maculo-papular (grade 3-4, 23%) Nail infection (grade 1-2, 56%) Nail toxicity (grade 1-2, 56%) Onychoclasis (grade 1-2, 56%) Onycholysis (grade 1-2, 56%) Onychomadesis (grade 1-2, 56%) Paronychia (grade 1-2, 56%) Nail infection (grade 3-4, 8%) Nail toxicity (grade 3-4, 8%) Onychoclasis (grade 3-4, 8%) Onycholysis (grade 3-4, 8%) Onychomadesis (grade 3-4, 8%) Paronychia (grade 3-4, 8%) Dry skin (grade 1-2, 28.2%) Xerosis (grade 1-2, 28.2%) Dry skin (grade 3-4, 1.8%) Xerosis (grade 3-4, 1.8%) Alopecia (grade 1-2, 22.6%) Alopecia (grade 3-4, 0.4%) Pruritus (grade 1-2, 20.1%) Pruritus generalized (grade 1-2, 20.1%) Rash pruritic (grade 1-2, 20.1%) Pruritus (grade 3-4, 0.9%) Pruritus generalized (grade 3-4, 0.9%) Rash pruritic (grade 3-4, 0.9%) Palmar-plantar erythrodysesthesia syndrome (grade 1-2, 14.1%) Palmar-plantar erythrodysesthesia syndrome (grade 3-4, 0.9%) Dermatitis (grade 1-2, 9.2%) Dermatitis (grade 3-4, 1.8%) Decreased appetite (grade 1-2, 27.9%) Decreased appetite (grade 3-4, 3.1%) Weight decreased (grade 1-2, 23.8%) Weight decreased (grade 3-4, 2.2%) Cough (grade 1-2, 21%) Epistaxis (grade 1-2, 19%) Nasal inflammation (grade 1-2, 19%) Nasal mucosal disorder (grade 1-2, 19%) Nasal mucosal ulcer (grade 1-2, 19%) Rhinitis (grade 1-2, 19%) Dyspnea (grade 1-2, 10.8%) Dyspnea (grade 3-4, 2.2%) Upper respiratory tract infection (grade 1-2, 10.7%) Upper respiratory tract infection (grade 3-4, 1.3%) Chest pain (grade 1-2, 10%) Conjunctivitis (grade 1-2, 19%) Pain in extremity (grade 1-2, 14%) Musculoskeletal pain (grade 1-2, 11.1%) Musculoskeletal pain (grade 3-4, 0.9%) Asthenia (grade 1-2, 10.8%) Asthenia (grade 3-4, 2.2%) Insomnia (grade 1-2, 10.6%) Insomnia (grade 3-4, 0.4%) Fatigue (all grades, 9%) Skin fissures (all grades, 9%) Hypertrichosis (all grades, 1.3%) Skin exfoliation (all grades, 3.5%) Vomiting (all grades, 9%) Dysgeusia (all grades, 7%) Interstitial lung disease (all grades, 2.6%) Keratitis (all grades, 1.8%) Dehydration (all grades, 1.3%) Anemia (grade 1-2, 43.1%) Anemia (grade 3-4, 0.9%) Lymphopenia (grade 1-2, 36%) Lymphopenia (grade 3-4, 6%) Hypoalbuminemia (grade 1-2, 44%) ALT increased (grade 1-2, 38.6%) ALT increased (grade 3-4, 1.4%) Hyperglycemia (grade 1-2, 35%) Hyperglycemia (grade 3-4, 1%) AST increased (grade 1-2, 34.5%) AST increased (grade 3-4, 0.5%) Hypocalcemia (grade 1-2, 31.6%) Hypocalcemia (grade 3-4, 1.4%) Hypokalemia (grade 1-2, 22%) Hypokalemia (grade 3-4, 7%) Hyponatremia (grade 1-2, 23.1%) Hyponatremia (grade 3-4, 2.9%) Creatinine increased (grade 1-2, 24%) Alkaline phosphatase increased (grade 1-2, 21.5%) Alkaline phosphatase increased (grade 3-4, 0.5%) Hypomagnesemia (grade 1-2, 21.5%) Hypomagnesemia (grade 3-4, 0.5%) Hyperbilirubinemia (grade 1-2, 15.5%) Hyperbilirubinemia (grade 3-4, 0.5%) |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Disc. AE: Maculopapular rash, Interstitial lung disease... AEs leading to discontinuation/dose reduction: Maculopapular rash (1%) Sources: Interstitial lung disease (1%) Pneumonitis (2%) Stomatitis (1%) Diarrhea (1%) Dermatitis acneiform (1%) Bronchopulmonary aspergillosis (0.4%) Cerebral infarction (0.4%) Infection (0.4%) Keratitis (0.4%) Keratolysis exfoliativa acquired (0.4%) Liver injury (0.4%) Lung infection (0.4%) Lymphocyte count decreased (0.4%) Malaise (0.4%) Malnutrition (0.4%) Muscular weakness (0.4%) Respiratory failure (0.4%) Urinary tract infection (0.4%) |
60 mg 1 times / day steady, oral Dose: 60 mg, 1 times / day Route: oral Route: steady Dose: 60 mg, 1 times / day Sources: |
unhealthy Health Status: unhealthy Condition: advanced solid tumors Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dehydration | all grades, 1.3% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypertrichosis | all grades, 1.3% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Keratitis | all grades, 1.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Interstitial lung disease | all grades, 2.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Skin exfoliation | all grades, 3.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dysgeusia | all grades, 7% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Fatigue | all grades, 9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Skin fissures | all grades, 9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Vomiting | all grades, 9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Chest pain | grade 1-2, 10% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Insomnia | grade 1-2, 10.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Upper respiratory tract infection | grade 1-2, 10.7% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Asthenia | grade 1-2, 10.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dyspnea | grade 1-2, 10.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Musculoskeletal pain | grade 1-2, 11.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Mouth ulceration | grade 1-2, 12% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Constipation | grade 1-2, 13% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pain in extremity | grade 1-2, 14% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Palmar-plantar erythrodysesthesia syndrome | grade 1-2, 14.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyperbilirubinemia | grade 1-2, 15.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nausea | grade 1-2, 17.7% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Conjunctivitis | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Epistaxis | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nasal inflammation | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nasal mucosal disorder | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nasal mucosal ulcer | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rhinitis | grade 1-2, 19% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pruritus generalized | grade 1-2, 20.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pruritus | grade 1-2, 20.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash pruritic | grade 1-2, 20.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Cough | grade 1-2, 21% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Alkaline phosphatase increased | grade 1-2, 21.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypomagnesemia | grade 1-2, 21.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypokalemia | grade 1-2, 22% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Alopecia | grade 1-2, 22.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyponatremia | grade 1-2, 23.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Weight decreased | grade 1-2, 23.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Creatinine increased | grade 1-2, 24% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Decreased appetite | grade 1-2, 27.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dry skin | grade 1-2, 28.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Xerosis | grade 1-2, 28.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypocalcemia | grade 1-2, 31.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
AST increased | grade 1-2, 34.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyperglycemia | grade 1-2, 35% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Lymphopenia | grade 1-2, 36% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
ALT increased | grade 1-2, 38.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Mucosal inflammation | grade 1-2, 40.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Stomatitis | grade 1-2, 40.6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Anemia | grade 1-2, 43.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypoalbuminemia | grade 1-2, 44% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dermatitis acneiform | grade 1-2, 46% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash maculo-papular | grade 1-2, 46% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash | grade 1-2, 46% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nail infection | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nail toxicity | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onychoclasis | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onycholysis | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onychomadesis | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Paronychia | grade 1-2, 56% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Diarrhea | grade 1-2, 79% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dermatitis | grade 1-2, 9.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Alopecia | grade 3-4, 0.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Insomnia | grade 3-4, 0.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
AST increased | grade 3-4, 0.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Alkaline phosphatase increased | grade 3-4, 0.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyperbilirubinemia | grade 3-4, 0.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypomagnesemia | grade 3-4, 0.5% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Anemia | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Musculoskeletal pain | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Palmar-plantar erythrodysesthesia syndrome | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pruritus generalized | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pruritus | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash pruritic | grade 3-4, 0.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyperglycemia | grade 3-4, 1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nausea | grade 3-4, 1.3% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Upper respiratory tract infection | grade 3-4, 1.3% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
ALT increased | grade 3-4, 1.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypocalcemia | grade 3-4, 1.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dermatitis | grade 3-4, 1.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dry skin | grade 3-4, 1.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Xerosis | grade 3-4, 1.8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Asthenia | grade 3-4, 2.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dyspnea | grade 3-4, 2.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Weight decreased | grade 3-4, 2.2% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hyponatremia | grade 3-4, 2.9% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dermatitis acneiform | grade 3-4, 23% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash maculo-papular | grade 3-4, 23% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Rash | grade 3-4, 23% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Decreased appetite | grade 3-4, 3.1% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Mucosal inflammation | grade 3-4, 4.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Stomatitis | grade 3-4, 4.4% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Lymphopenia | grade 3-4, 6% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Hypokalemia | grade 3-4, 7% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Diarrhea | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nail infection | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Nail toxicity | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onychoclasis | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onycholysis | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Onychomadesis | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Paronychia | grade 3-4, 8% | 45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Bronchopulmonary aspergillosis | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Cerebral infarction | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Infection | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Keratitis | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Keratolysis exfoliativa acquired | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Liver injury | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Lung infection | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Lymphocyte count decreased | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Malaise | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Malnutrition | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Muscular weakness | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Respiratory failure | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Urinary tract infection | 0.4% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Dermatitis acneiform | 1% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Diarrhea | 1% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Interstitial lung disease | 1% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Maculopapular rash | 1% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Stomatitis | 1% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Pneumonitis | 2% Disc. AE |
45 mg 1 times / day multiple, oral MTD Dose: 45 mg, 1 times / day Route: oral Route: multiple Dose: 45 mg, 1 times / day Sources: |
unhealthy n = 227 Health Status: unhealthy Condition: non-small cell lung cancer Population Size: 227 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 61.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Page: 13.0 |
no | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 61.0 |
yes | |||
Page: 13.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 61.0 |
yes | |||
Page: 13.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 55.0 |
yes | yes (co-administration study) Comment: dacomitnib increased dextromethorphan AUC by 362% and Cmax by 973% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 55.0 |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 13.0 |
yes | |||
Page: 11.0 |
yes | |||
Page: 13.0 |
yes | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 55.0 |
yes | no (co-administration study) Comment: paroxetine increased dacaomitnib AUC by 37% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 55.0 |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/211288Orig1s000MultidisciplineR.pdf Page: 29.0 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25439692
In phase III study against non small cell lung cancer dacomitinib was administered orally at a dose 45 mg a day.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22761403
Cells were seeded in duplicate at 5 × 103 to 5 × 104 cells per well in 24-well plates. A day after plating, dacomitinib was added at 10 μmol/L and 2-fold dilutions over 12 concentrations were carried out to generate a dose–response curve. Control wells without the drug were also seeded. The cells were counted on day 1 when the drug was added, as well as after 6 days when the experiment ended. After the trypsinization cells were placed in an Isotone solution and immediately counted using a Coulter Z1 particle counter (Beckman Coulter, Inc.). The suspension cultures were counted using a Coulter Vi-Cell counter (Beckman Coulter, Inc.). As a group, HER2-amplified cell lines were most sensitive to growth inhibition by dacomitinib (IC50 < 1 μmol/L in 14 of 16 lines).
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 15 16:26:48 GMT 2023
by
admin
on
Fri Dec 15 16:26:48 GMT 2023
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Record UNII |
2XJX250C20
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Record Status |
Validated (UNII)
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Related Record | Type | Details | ||
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TRANSPORTER -> INHIBITOR |
The reversal effect on ABCB1-overexpressing cells is more potent than that on ABCG2-overexpressing cells. Dacomitinib at 1.0 μM significantly reversed drug resistance mediated by ABCB1 and ABCG2, but not ABCC1, doing so by antagonizing the drug efflux function in ABCB1- and ABCG2-overexpressing cell lines.
BINDING
MAY BE CLINICALLY SIGNIFICANT
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SOLVATE->ANHYDROUS | |||
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TARGET -> INHIBITOR |
IRREVERSIBLE INHIBITOR
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TRANSPORTER -> INHIBITOR |
The reversal effect on ABCB1-overexpressing cells is more potent than that on ABCG2-overexpressing cells. Dacomitinib at 1.0 μM significantly reversed drug resistance mediated by ABCB1 and ABCG2, but not ABCC1, doing so by antagonizing the drug efflux function in ABCB1- and ABCG2-overexpressing cell lines.
BINDING
MAY BE CLINICALLY SIGNIFICANT
|
||
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METABOLIC ENZYME -> SUBSTRATE |
IN-VITRO
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METABOLIC ENZYME -> SUBSTRATE |
IN-VITRO
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||
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SALT/SOLVATE -> PARENT |
Related Record | Type | Details | ||
---|---|---|---|---|
|
METABOLITE -> PARENT |
MINOR
FECAL
|
||
|
METABOLITE -> PARENT |
In addition, it is likely that dacomitinib
underwent glutathione conjugation with subsequent
hydrolysis to form the cysteine conjugate (M2).
MAJOR
FECAL
|
||
|
METABOLITE -> PARENT |
MINOR
FECAL
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METABOLITE ACTIVE -> PARENT |
Concentrations of
PF-05199265 peaked at 6 h post-dose.
MAJOR
PLASMA
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METABOLITE ACTIVE -> PARENT |
MAJOR
FECAL; PLASMA
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METABOLITE ACTIVE -> PARENT |
Fecal homogenate extracts indicated
that metabolism of [14C] dacomitinib was similar and
extensive in all the 6 subjects. The four most abundant drugrelated
components were dacomitinib (20 %), PF-05199265
(20 %), a cysteine conjugate (M2; 9.5 %), and a monooxygenated
metabolite (M7; 5.1 %)
MAJOR
FECAL
|
Related Record | Type | Details | ||
---|---|---|---|---|
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ACTIVE MOIETY |