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

Details

Stereochemistry ACHIRAL
Molecular Formula C23H21N7O.2CH4O3S
Molecular Weight 603.67
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ENTOSPLETINIB DIMESYLATE

SMILES

CS(O)(=O)=O.CS(O)(=O)=O.C1CN(CCO1)C2=CC=C(NC3=NC(=CN4C=CN=C34)C5=CC=C6C=NNC6=C5)C=C2

InChI

InChIKey=WVOJPPFIOABHAB-UHFFFAOYSA-N
InChI=1S/C23H21N7O.2CH4O3S/c1-2-17-14-25-28-20(17)13-16(1)21-15-30-8-7-24-23(30)22(27-21)26-18-3-5-19(6-4-18)29-9-11-31-12-10-29;2*1-5(2,3)4/h1-8,13-15H,9-12H2,(H,25,28)(H,26,27);2*1H3,(H,2,3,4)

HIDE SMILES / InChI

Molecular Formula C23H21N7O
Molecular Weight 411.4591
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
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://adisinsight.springer.com/drugs/800032822 | https://www.ncbi.nlm.nih.gov/pubmed/25696919

Entospletinib (GS-9973) is an adenosine triphosphate competitive inhibitor of Syk that disrupts kinase activity, which is currently in clinical trials for multiple B-cell malignancies. The most common treatment-emergent serious adverse events included dyspnea, pneumonia, febrile neutropenia, dehydration, and pyrexia.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
26.0 nM [EC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
2799 ng/mL
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
3427 ng/mL
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
1059.8 ng/mL
1200 mg single, oral
dose: 1200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
22788 ng × h/mL
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
26775 ng × h/mL
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
9744.4 ng × h/mL
1200 mg single, oral
dose: 1200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.95 h
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FED
13.9 h
1200 mg 2 times / day multiple, oral
dose: 1200 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
9.59 h
1200 mg single, oral
dose: 1200 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ENTOSPLETINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
1200 mg 2 times / day multiple, oral
Highest studied dose
Dose: 1200 mg, 2 times / day
Route: oral
Route: multiple
Dose: 1200 mg, 2 times / day
Sources: Page: p.199
healthy, ADULT
n = 8
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 8
Sources: Page: p.199
800 mg 2 times / day multiple, oral
Studied dose
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources:
unhealthy, ADULT
n = 186
Health Status: unhealthy
Condition: chronic lymphocytic leukemia
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 186
Sources:
Disc. AE: Fatigue, ALT increased...
AEs leading to
discontinuation/dose reduction:
Fatigue (2.2%)
ALT increased (1.6%)
Headache (1.6%)
AST increased (1%)
Sources:
AEs

AEs

AESignificanceDosePopulation
AST increased 1%
Disc. AE
800 mg 2 times / day multiple, oral
Studied dose
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources:
unhealthy, ADULT
n = 186
Health Status: unhealthy
Condition: chronic lymphocytic leukemia
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 186
Sources:
ALT increased 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Studied dose
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources:
unhealthy, ADULT
n = 186
Health Status: unhealthy
Condition: chronic lymphocytic leukemia
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 186
Sources:
Headache 1.6%
Disc. AE
800 mg 2 times / day multiple, oral
Studied dose
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources:
unhealthy, ADULT
n = 186
Health Status: unhealthy
Condition: chronic lymphocytic leukemia
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 186
Sources:
Fatigue 2.2%
Disc. AE
800 mg 2 times / day multiple, oral
Studied dose
Dose: 800 mg, 2 times / day
Route: oral
Route: multiple
Dose: 800 mg, 2 times / day
Sources:
unhealthy, ADULT
n = 186
Health Status: unhealthy
Condition: chronic lymphocytic leukemia
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 186
Sources:
Overview

Overview

OverviewOther

Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
yes
yes
yes (co-administration study)
Comment: Fluconazole increased Cmax and AUCtau by 32% and 41%.
yes
yes (co-administration study)
Comment: Rifampicin decreased Cmax and AUCtau by 58% and 71%.
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Discovery of GS-9973, a selective and orally efficacious inhibitor of spleen tyrosine kinase.
2014 May 8
An open-label phase 2 trial of entospletinib (GS-9973), a selective spleen tyrosine kinase inhibitor, in chronic lymphocytic leukemia.
2015 Apr 9
Phase 2 study of idelalisib and entospletinib: pneumonitis limits combination therapy in relapsed refractory CLL and NHL.
2016 May 19
Diffuse large B-cell lymphoma patient-derived xenograft models capture the molecular and biological heterogeneity of the disease.
2016 May 5
Patents

Sample Use Guides

800 mg twice daily
Route of Administration: Oral
Complete Mcl-1 downregulation was consistently achieved only with SYK inhibitor entospletinib (2h with 1uM of GS-9973).
Substance Class Chemical
Created
by admin
on Sat Dec 16 09:33:12 GMT 2023
Edited
by admin
on Sat Dec 16 09:33:12 GMT 2023
Record UNII
4N0Q3I064C
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ENTOSPLETINIB DIMESYLATE
Common Name English
6-(1H-INDAZOL-6-YL)-N-(4-MORPHOLINOPHENYL)IMIDAZO-(1,2-A)PYRAZIN-8-AMINE BIS-METHANESULFONATE
Systematic Name English
6-(1H-INDAZOL-6-YL)-N-(4-MORPHOLINOPHENYL)IMIDAZO-(1,2-ALPHA)PYRAZIN-8-AMINE BIS-METHANESULFONATE
Systematic Name English
IMIDAZO(1,2-A)PYRAZIN-8-AMINE, 6-(1H-INDAZOL-6-YL)-N-(4-(4-MORPHOLINYL)PHENYL)-, METHANESULFONATE (1:2)
Systematic Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 426714
Created by admin on Sat Dec 16 09:33:12 GMT 2023 , Edited by admin on Sat Dec 16 09:33:12 GMT 2023
Code System Code Type Description
PUBCHEM
90479843
Created by admin on Sat Dec 16 09:33:12 GMT 2023 , Edited by admin on Sat Dec 16 09:33:12 GMT 2023
PRIMARY
FDA UNII
4N0Q3I064C
Created by admin on Sat Dec 16 09:33:12 GMT 2023 , Edited by admin on Sat Dec 16 09:33:12 GMT 2023
PRIMARY
CAS
1648797-46-9
Created by admin on Sat Dec 16 09:33:12 GMT 2023 , Edited by admin on Sat Dec 16 09:33:12 GMT 2023
PRIMARY
Related Record Type Details
SOLVATE->ANHYDROUS
PARENT -> SALT/SOLVATE
Related Record Type Details
ACTIVE MOIETY