Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C13H11N3O4 |
| Molecular Weight | 273.2441 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
NC1=CC=CC2=C1C(=O)N(C3CCC(=O)NC3=O)C2=O
InChI
InChIKey=UVSMNLNDYGZFPF-UHFFFAOYSA-N
InChI=1S/C13H11N3O4/c14-7-3-1-2-6-10(7)13(20)16(12(6)19)8-4-5-9(17)15-11(8)18/h1-3,8H,4-5,14H2,(H,15,17,18)
| Molecular Formula | C13H11N3O4 |
| Molecular Weight | 273.2441 |
| Charge | 0 |
| Count |
|
| Stereochemistry | RACEMIC |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Optical Activity | ( + / - ) |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/?term=10386948; https://www.ncbi.nlm.nih.gov/pubmed/?term=19009291;
http://www.ncbi.nlm.nih.gov/pubmed/?term=12649301;
https://www.ncbi.nlm.nih.gov/pubmed/?term=16115943
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/?term=10386948; https://www.ncbi.nlm.nih.gov/pubmed/?term=19009291;
http://www.ncbi.nlm.nih.gov/pubmed/?term=12649301;
https://www.ncbi.nlm.nih.gov/pubmed/?term=16115943
Pomalidomide is a derivative of thalidomide marketed by Celgene, an analogue of thalidomide, is an immunomodulatory agent with antineoplastic activity. In in vitro cellular assays, pomalidomide inhibited proliferation and induced apoptosis of hematopoietic tumor cells. Additionally, pomalidomide inhibited the proliferation of lenalidomide-resistant multiple myeloma cell lines and synergized with dexamethasone in both lenalidomide-sensitive and lenalidomide-resistant cell lines to induce tumor cell apoptosis. Pomalidomide enhanced T cell- and natural killer (NK) cell-mediated immunity and inhibited production of pro-inflammatory cytokines (e.g., TNF-α and IL-6) by monocytes. Pomalidomide demonstrated anti-angiogenic activity in a mouse tumor model and in the in vitro umbilical cord model.
CNS Activity
Sources: http://www.ncbi.nlm.nih.gov/pubmed/23940785
Curator's Comment: In vitro cell culture experiments were carried out to further investigate the impact of POM on the biology of macrophages. POM crosses the blood brain barrier with CNS penetration of ~ 39%.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: 7124.0 Gene Symbol: TNF Sources: http://www.ncbi.nlm.nih.gov/pubmed/?term=22966948 |
13.0 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Secondary | POMALYST Approved UseIndicated, in combination with dexamethasone, for patients with multiple myeloma who have received at least two prior therapies including lenalidomide and a proteasome inhibitor and have demonstrated disease progression on or within 60 days of completion of the last therapy. Launch Date2013 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
75 ng/mL |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
POMALIDOMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
860 ng × h/mL |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
POMALIDOMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7.5 h |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
POMALIDOMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
72% |
4 mg 1 times / day steady-state, oral dose: 4 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
POMALIDOMIDE plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
DLT: Diarrhea, Thrombocytopenia... Dose limiting toxicities: Diarrhea (grade 3, 3 patients) Sources: Thrombocytopenia (grade 3, 3 patients) Lung infection (grade 3, 3 patients) Neutropenia (grade 4, 3 patients) Lung infection (grade 3, 1 patient) Thrombocytopenia (grade 3, 1 patient) |
2.6 mg/m2 1 times / day steady, oral MTD Dose: 2.6 mg/m2, 1 times / day Route: oral Route: steady Dose: 2.6 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
DLT: Thrombocytopenia... Dose limiting toxicities: Thrombocytopenia (grade 4, 1 patient) Sources: |
10 mg 1 times / day steady, oral Highest studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy, 56 years (range: 20–85 years) Health Status: unhealthy Age Group: 56 years (range: 20–85 years) Sex: M+F Sources: |
DLT: Dyspnea, Neutropenia... Dose limiting toxicities: Dyspnea (grade 3, 2 patients) Sources: Neutropenia (grade 4, 1 patient) |
4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
Disc. AE: Birth defects, Venous thromboembolism... Other AEs: Neutropenia, Anemia... AEs leading to discontinuation/dose reduction: Birth defects (grade 5) Other AEs:Venous thromboembolism (serious, 3%) Neutropenia (grade 3-4, 47%) Sources: Anemia (grade 3-4, 22%) Thrombocytopenia (grade 3-4, 22%) Dizziness (grade 3-4, 1%) |
4 mg 1 times / day steady, oral MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 4, 2 patients) Sources: |
2 mg 1 times / day steady, oral Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
DLT: Fatigue... Dose limiting toxicities: Fatigue (grade 3, 1 patient) Sources: |
3 mg 1 times / day steady, oral Dose: 3 mg, 1 times / day Route: oral Route: steady Dose: 3 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 4, 1 patient) Sources: |
5 mg 1 times / day steady, oral Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 3-4, 4 patients) Sources: |
50 mg single, oral Highest studied dose Dose: 50 mg Route: oral Route: single Dose: 50 mg Sources: |
healthy Health Status: healthy Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Lung infection | grade 3, 1 patient DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 3, 1 patient DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Diarrhea | grade 3, 3 patients DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Lung infection | grade 3, 3 patients DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 3, 3 patients DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Neutropenia | grade 4, 3 patients DLT |
3.4 mg/m2 1 times / day steady, oral Highest studied dose Dose: 3.4 mg/m2, 1 times / day Route: oral Route: steady Dose: 3.4 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 4, 1 patient DLT |
2.6 mg/m2 1 times / day steady, oral MTD Dose: 2.6 mg/m2, 1 times / day Route: oral Route: steady Dose: 2.6 mg/m2, 1 times / day Sources: |
unhealthy, 12.3 years (range: 5.8-20.8 years) Health Status: unhealthy Age Group: 12.3 years (range: 5.8-20.8 years) Sex: M+F Sources: |
| Dyspnea | grade 3, 2 patients DLT |
10 mg 1 times / day steady, oral Highest studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy, 56 years (range: 20–85 years) Health Status: unhealthy Age Group: 56 years (range: 20–85 years) Sex: M+F Sources: |
| Neutropenia | grade 4, 1 patient DLT |
10 mg 1 times / day steady, oral Highest studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady Dose: 10 mg, 1 times / day Sources: |
unhealthy, 56 years (range: 20–85 years) Health Status: unhealthy Age Group: 56 years (range: 20–85 years) Sex: M+F Sources: |
| Dizziness | grade 3-4, 1% | 4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Anemia | grade 3-4, 22% | 4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Thrombocytopenia | grade 3-4, 22% | 4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Neutropenia | grade 3-4, 47% | 4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Birth defects | grade 5 Disc. AE |
4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Venous thromboembolism | serious, 3% Disc. AE |
4 mg 1 times / day steady, oral Recommended|MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 37 - 88 years) Health Status: unhealthy Age Group: 61 years (range: 37 - 88 years) Sex: M+F Sources: |
| Neutropenia | grade 4, 2 patients DLT |
4 mg 1 times / day steady, oral MTD Dose: 4 mg, 1 times / day Route: oral Route: steady Dose: 4 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
| Fatigue | grade 3, 1 patient DLT |
2 mg 1 times / day steady, oral Dose: 2 mg, 1 times / day Route: oral Route: steady Dose: 2 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
| Neutropenia | grade 4, 1 patient DLT |
3 mg 1 times / day steady, oral Dose: 3 mg, 1 times / day Route: oral Route: steady Dose: 3 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
| Neutropenia | grade 3-4, 4 patients DLT |
5 mg 1 times / day steady, oral Dose: 5 mg, 1 times / day Route: oral Route: steady Dose: 5 mg, 1 times / day Sources: |
unhealthy, 64.7 years (range: 55-72 years) Health Status: unhealthy Age Group: 64.7 years (range: 55-72 years) Sex: M+F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
Drug as perpetrator
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major | unknown Comment: Clinical DDI studies to assess the influence of CYP3A4, CYP1A2 and P-gp inhibitors on pomalidomide exposure and any metabolites is planned Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204026Orig1s000ClinPharmR.pdf#page=4 Page: 4.0 |
|||
| major | unknown Comment: Clinical DDI studies to assess the influence of CYP3A4, CYP1A2 and P-gp inhibitors on pomalidomide exposure and any metabolites is planned Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204026Orig1s000ClinPharmR.pdf#page=4 Page: 4.0 |
|||
| minor | ||||
| minor | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204026Orig1s000ClinPharmR.pdf#page=15 Page: 15.0 |
yes | |||
| yes | unknown Comment: Clinical DDI studies to assess the influence of CYP3A4, CYP1A2 and P-gp inhibitors on pomalidomide exposure and any metabolites is planned Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2013/204026Orig1s000ClinPharmR.pdf#page=6 Page: 6.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Structure of the DDB1-CRBN E3 ubiquitin ligase in complex with thalidomide. | 2014-08-07 |
|
| Human cytochrome P450 oxidation of 5-hydroxythalidomide and pomalidomide, an amino analogue of thalidomide. | 2014-01-21 |
|
| Pomalidomide and its clinical potential for relapsed or refractory multiple myeloma: an update for the hematologist. | 2013-06 |
|
| Molecular mechanism of action of immune-modulatory drugs thalidomide, lenalidomide and pomalidomide in multiple myeloma. | 2013-04 |
|
| Pomalidomide and myeloma meningitis. | 2013-04 |
|
| Pomalidomide: a novel drug to treat relapsed and refractory multiple myeloma. | 2013 |
|
| Cereblon is a direct protein target for immunomodulatory and antiproliferative activities of lenalidomide and pomalidomide. | 2012-11 |
|
| Identification of a primary target of thalidomide teratogenicity. | 2010-03-12 |
|
| Primary function analysis of human mental retardation related gene CRBN. | 2008-06 |
|
| Thalidomide derivative CC-4047 inhibits osteoclast formation by down-regulation of PU.1. | 2006-04-15 |
|
| Immunomodulatory drugs (IMiDs) increase the production of IL-2 from stimulated T cells by increasing PKC-theta activation and enhancing the DNA-binding activity of AP-1 but not NF-kappaB, OCT-1, or NF-AT. | 2005-10 |
|
| Identification and functional characterization of cereblon as a binding protein for large-conductance calcium-activated potassium channel in rat brain. | 2005-09 |
|
| Immunomodulatory derivative of thalidomide (IMiD CC-4047) induces a shift in lineage commitment by suppressing erythropoiesis and promoting myelopoiesis. | 2005-05-15 |
|
| S-3-Amino-phthalimido-glutarimide inhibits angiogenesis and growth of B-cell neoplasias in mice. | 2002-04-15 |
Patents
Sample Use Guides
4 mg per day taken orally on Days 1-21 of repeated 28
day cycles until disease progression
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=19009291
When a PBMC population was maintained in IL-2 over a period of 7 days, the addition of pomalidomide 1 μM (IC50) in the incubation significantly decreased the proportion/number of Tregs in the population, compared with untreated controls.
| Substance Class |
Chemical
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| Record UNII |
D2UX06XLB5
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Validated (UNII)
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| Classification Tree | Code System | Code | ||
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WHO-VATC |
QL04AX06
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FDA ORPHAN DRUG |
308610
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FDA ORPHAN DRUG |
635818
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EU-Orphan Drug |
EU/3/10/759
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FDA ORPHAN DRUG |
161402
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FDA ORPHAN DRUG |
363212
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NCI_THESAURUS |
C129820
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NCI_THESAURUS |
C54677
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WHO-ATC |
L04AX06
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NDF-RT |
N0000184014
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NCI_THESAURUS |
C1742
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100000126117
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7348
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C467566
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D2UX06XLB5
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134780
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DB08910
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Pomalidomide
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SUB33379
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m8978
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1369713
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SS-115
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POMALIDOMIDE
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C72560
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8873
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D2UX06XLB5
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CHEMBL43452
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72690
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POMALYST
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19171-19-8
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ENANTIOMER -> RACEMATE |
Pomalidomide is a racemic mixture of the S-enantiomer (CC-5083) and the R-enantiomer (CC-6016) which interconvert in plasma via both enzymatic and non-enzymatic pathways.
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ENANTIOMER -> RACEMATE |
Pomalidomide is a racemic mixture of the S-enantiomer (CC-5083) and the R-enantiomer (CC-6016) which interconvert in plasma via both enzymatic and non-enzymatic pathways.
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METABOLIC ENZYME -> SUBSTRATE | |||
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TARGET -> INHIBITOR |
Dose-dependent interaction with the CRBN-DDB1 complex
IC50
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METABOLIC ENZYME -> SUBSTRATE |
| Related Record | Type | Details | ||
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METABOLITE -> PARENT |
MINOR
URINE
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METABOLITE -> PARENT |
MINOR
PLASMA
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METABOLITE -> PARENT |
MINOR
URINE
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METABOLITE -> PARENT |
MINOR
URINE
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METABOLITE -> PARENT |
MINOR
FECAL
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METABOLITE -> PARENT |
MAJOR
FECAL; PLASMA; URINE
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| Related Record | Type | Details | ||
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Vdss | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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Elimination PHARMACOKINETIC PHARMACOKINETIC |
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