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Details

Stereochemistry ACHIRAL
Molecular Formula C20H19N3O.CH4O3S
Molecular Weight 413.49
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of OBATOCLAX MESYLATE

SMILES

CS(O)(=O)=O.COC1=CC(=N\C1=C/C2=C(C)C=C(C)N2)C3=CC4=CC=CC=C4N3

InChI

InChIKey=ZFKXDVMHNXPEIY-PEZBNFGJSA-N
InChI=1S/C20H19N3O.CH4O3S/c1-12-8-13(2)21-16(12)10-19-20(24-3)11-18(23-19)17-9-14-6-4-5-7-15(14)22-17;1-5(2,3)4/h4-11,21-22H,1-3H3;1H3,(H,2,3,4)/b19-10-;

HIDE SMILES / InChI

Molecular Formula C20H19N3O
Molecular Weight 317.3844
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 1
Optical Activity NONE

Molecular Formula CH4O3S
Molecular Weight 96.106
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including http://en.pharmacodia.com/web/drug/1_2376.html | http://adisinsight.springer.com/drugs/800013657

Obatoclax (GX15-070) is a novel BH3 mimetic pan Bcl- 2 inhibitor. The clinically studied formulation is as obatoclax mesylate (Box 1), a salt. It is only under study as an intravenous preparation. It functions to block BH3-mediated binding of Bcl-2, Bcl-XL, Mcl-1 and A1 to Bax and Bak. Bax and Bak thus are unopposed and able to dimerize to allow initiation of intrinsic apoptosis. Preclinically, obatoclax has been shown to reverse inhibition of Bax or Bak by Bcl-2, Bcl-XL, Bcl-w and Mcl-1. Obatoclax was discovered by Gemin X, which was acquired by Cephalon, which has since been acquired by Teva Pharmaceuticals. Obatoclax had been in phase III clinical trials by Gemin X Biotechnologies (subsidiary of Teva) for the treatment of non-small lung cancer (NSCLC). The compound received orphan drug designation in the U.S. in 2004 for the treatment of chronic lymphocytic leukemia (CLL). However, Teva discontinued the development of obatoclax in 2013.

CNS Activity

Curator's Comment: Obatoclax is known to cross the blood brain barrier

Approval Year

Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
92.6 ng/mL
40 mg/m² 1 times / 3 weeks multiple, intravenous
dose: 40 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
27.1 ng/mL
1.25 mg/m² 1 times / week multiple, intravenous
dose: 1.25 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
114.7 ng/mL
20 mg/m² 1 times / week multiple, intravenous
dose: 20 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
33.46 ng/mL
7 mg/m² 1 times / week multiple, intravenous
dose: 7 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
155 ng/mL
28 mg/m² 1 times / week multiple, intravenous
dose: 28 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
277 ng × h/mL
40 mg/m² 1 times / 3 weeks multiple, intravenous
dose: 40 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
34.37 ng × h/mL
1.25 mg/m² 1 times / week multiple, intravenous
dose: 1.25 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
401 ng × h/mL
20 mg/m² 1 times / week multiple, intravenous
dose: 20 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
55.01 ng × h/mL
7 mg/m² 1 times / week multiple, intravenous
dose: 7 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
599 ng × h/mL
28 mg/m² 1 times / week multiple, intravenous
dose: 28 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
59.6 h
40 mg/m² 1 times / 3 weeks multiple, intravenous
dose: 40 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
11.66 h
1.25 mg/m² 1 times / week multiple, intravenous
dose: 1.25 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
28.8 h
20 mg/m² 1 times / week multiple, intravenous
dose: 20 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
45.46 h
7 mg/m² 1 times / week multiple, intravenous
dose: 7 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
39 h
28 mg/m² 1 times / week multiple, intravenous
dose: 28 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
OBATOCLAX plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
60 mg 1 times / day multiple, intravenous
Highest studied dose
Dose: 60 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 60 mg, 1 times / day
Sources: Page: p.6
unhealthy, ADULT
n = 5
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 5
Sources: Page: p.6
20 mg 1 times / day multiple, intravenous
MTD
Dose: 20 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 10
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources: Page: p.4, 6
1.25 mg/m2 1 times / week multiple, intravenous
MTD
Dose: 1.25 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 1.25 mg/m2, 1 times / week
Sources: Page: p.5,13
unhealthy, ADULT
n = 1
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: unknown
Food Status: UNKNOWN
Population Size: 1
Sources: Page: p.5,13
20 mg/m2 1 times / week multiple, intravenous
MTD
Dose: 20 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 20 mg/m2, 1 times / week
Sources: Page: p.5
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
DLT: Somnolence, Confusion...
Other AEs: Ataxia, Somnolence...
Dose limiting toxicities:
Somnolence (grade 3, 33.3%)
Confusion (grade 3, 33.3%)
Ataxia (grade 3, 33.3%)
Other AEs:
Ataxia (grade 1-2, 33.3%)
Somnolence (grade 1, 33.3%)
Euphoria (grade 1-2, 66.7%)
Speech disorder (grade 1-2, 33.3%)
Mood alteration NOS (grade 1-2, 33.3%)
Dizziness (grade 1-2, 33.3%)
Confusion (grade 1, 33.3%)
Sources: Page: p.4, 6
28 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 28 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 28 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5,15
DLT: Dizziness, Coordination abnormal...
Dose limiting toxicities:
Dizziness (16.7%)
Coordination abnormal (grade 3, 33.3%)
Tonic clonic movements (grade 3, 16.7%)
Somnolence (grade 3, 16.7%)
Sources: Page: p.5,15
7 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 7 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 7 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.5,15
DLT: Coordination abnormal...
Dose limiting toxicities:
Coordination abnormal (33.3%)
Sources: Page: p.5,15
AEs

AEs

AESignificanceDosePopulation
Confusion grade 1, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Somnolence grade 1, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Ataxia grade 1-2, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Dizziness grade 1-2, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Mood alteration NOS grade 1-2, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Speech disorder grade 1-2, 33.3%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Euphoria grade 1-2, 66.7%
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Ataxia grade 3, 33.3%
DLT, Disc. AE
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Confusion grade 3, 33.3%
DLT, Disc. AE
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Somnolence grade 3, 33.3%
DLT, Disc. AE
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.4, 6
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: acute myeloid leukemia
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.4, 6
Dizziness 16.7%
DLT
28 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 28 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 28 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5,15
Somnolence grade 3, 16.7%
DLT
28 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 28 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 28 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5,15
Tonic clonic movements grade 3, 16.7%
DLT
28 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 28 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 28 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5,15
Coordination abnormal grade 3, 33.3%
DLT
28 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 28 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 28 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 6
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 6
Sources: Page: p.5,15
Coordination abnormal 33.3%
DLT, Disc. AE
7 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 7 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 7 mg/m2, 1 times / week
Sources: Page: p.5,15
unhealthy, ADULT
n = 3
Health Status: unhealthy
Condition: cancer
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 3
Sources: Page: p.5,15
PubMed

PubMed

TitleDatePubMed
Obatoclax mesylate : pharmacology and potential for therapy of hematological neoplasms.
2012 Mar
Patents

Sample Use Guides

30 mg by vein over 3 hours Days 1-3, 14-day cycle
Route of Administration: Intravenous
Obatoclax completely inhibits Bak recovery of Mcl-1 at 5 uM in SK-Mel5 cells and overcomes resistance to ABT-373-induced apoptosis conferred by Mcl-1 in KB/Bcl-2 cells.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:28:40 UTC 2023
Edited
by admin
on Fri Dec 15 15:28:40 UTC 2023
Record UNII
39200FJ43J
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
OBATOCLAX MESYLATE
USAN  
USAN  
Official Name English
OBATOCLAX MESILATE
WHO-DD  
Common Name English
2-[2-[(3,5-Dimethyl-1H-pyrrol-2-yl)methylidene]-3-methoxy-2H-pyrrol-5-yl]-1H-indole monomethanesulfonate
Systematic Name English
1H-INDOLE, 2-(2-((3,5-DIMETHYL-1H-PYRROL-2-YL)METHYLENE)-3-METHOXY-2H-PYRROL-5-YL), MONOMETHANESULPHONATE
Common Name English
Obatoclax mesilate [WHO-DD]
Common Name English
OBATOCLAX MESYLATE [USAN]
Common Name English
1H-INDOLE, 2-(2-((3,5-DIMETHYL-1H-PYRROL-2-YL)METHYLENE)-3-METHOXY-2H-PYRROL-5-YL), MONOMETHANESULFONATE
Common Name English
2-(2-((3,5-DIMETHYL-1H-PYRROL-2-YL)METHYLIDENE)-3-METHOXY-2H-PYRROL-5-YL)-1H-INDOLE MONOMETHANESULPHONATE
Systematic Name English
GX-15-070MS
Code English
GX15-070MS
Code English
Classification Tree Code System Code
FDA ORPHAN DRUG 232106
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
FDA ORPHAN DRUG 193804
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
FDA ORPHAN DRUG 233006
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
NCI_THESAURUS C129824
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
Code System Code Type Description
FDA UNII
39200FJ43J
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
DRUG BANK
DBSALT002151
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
CAS
803712-79-0
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
NCI_THESAURUS
C62771
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
SMS_ID
100000175023
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
USAN
RR-77
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
ChEMBL
CHEMBL408194
Created by admin on Fri Dec 15 15:28:40 UTC 2023 , Edited by admin on Fri Dec 15 15:28:40 UTC 2023
PRIMARY
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