Details
Stereochemistry | ACHIRAL |
Molecular Formula | 2C28H22F3N7O.2ClH.3H2O |
Molecular Weight | 1185.999 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O.O.O.Cl.Cl.CC1=CN(C=N1)C2=CC(=CC(NC(=O)C3=CC=C(C)C(NC4=NC=CC(=N4)C5=CC=CN=C5)=C3)=C2)C(F)(F)F.CC6=CN(C=N6)C7=CC(=CC(NC(=O)C8=CC=C(C)C(NC9=NC=CC(=N9)C%10=CC=CN=C%10)=C8)=C7)C(F)(F)F
InChI
InChIKey=ZTRAUCYEBGENIK-UHFFFAOYSA-N
InChI=1S/2C28H22F3N7O.2ClH.3H2O/c2*1-17-5-6-19(10-25(17)37-27-33-9-7-24(36-27)20-4-3-8-32-14-20)26(39)35-22-11-21(28(29,30)31)12-23(13-22)38-15-18(2)34-16-38;;;;;/h2*3-16H,1-2H3,(H,35,39)(H,33,36,37);2*1H;3*1H2
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | H2O |
Molecular Weight | 18.0153 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C28H22F3N7O |
Molecular Weight | 529.5158 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/16721371 |
https://www.ncbi.nlm.nih.gov/pubmed/19920925
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/16721371 |
https://www.ncbi.nlm.nih.gov/pubmed/19920925
Nilotinib (AMN107, trade name Tasigna) is a kinase inhibitor indicated for the treatment of chronic phase and accelerated phase Philadelphia chromosome-positive chronic myelogenous leukemia (CML) in adult patients resistant to or intolerant to prior therapy that included imatinib. Nilotinib is an inhibitor of the Bcr-Abl kinase. Nilotinib binds to and stabilizes the inactive conformation of the kinase domain of Abl protein. In vitro, nilotinib inhibited Bcr-Abl mediated proliferation of murine leukemic cell lines and human cell lines derived from Ph+ CML patients. Under the conditions of the assays, nilotinib was able to overcome imatinib resistance resulting from Bcr-Abl kinase mutations, in 32 out of 33 mutations tested. In vivo, nilotinib reduced the tumor size in a murine Bcr-Abl xenograft model. Nilotinib inhibited the autophosphorylation of the following kinases at IC50 values as indicated: Bcr-Abl (20-60 nM), PDGFR (69 nM) and c-Kit (210 nM). Nilotinib is currently being trialed in people with Parkinson's disease, as it appears to be able to halt progression of the disease and even improve their symptoms. The drug also has a number of adverse effects typical of anti-cancer drugs: a headache, fatigue, gastrointestinal problems such as nausea, vomiting, diarrhea and constipation, muscle and joint pain, rash and other skin conditions, flu-like symptoms, and reduced blood cell count. Less typical side effects are those of the cardiovascular system, such as hypertension (high blood pressure), various types of arrhythmia, and prolonged QT interval. Interaction of nilotinib with OATP1B1 and OATP1B3 may alter its hepatic disposition and can lead to transporter mediated drug-drug interactions. Nilotinib is an inhibitor of OATP-1B1 transporter but not for OATP-1B3. Main metabolic pathways identified in healthy subjects are oxidation and hydroxylation. Nilotinib is the main circulating component in the serum. None of the metabolites contributes significantly to the pharmacological activity of nilotinib.
CNS Activity
Originator
Sources: https://www.ncbi.nlm.nih.gov/pubmed/15710326
Curator's Comment: # Novartis Pharmaceuticals Corporation
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL2096618 Sources: https://www.ncbi.nlm.nih.gov/pubmed/19920925 |
0.33 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | TASIGNA Approved UseTasigna is a kinase inhibitor indicated for: The treatment of newly diagnosed adult patients with Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in chronic phase. The treatment of chronic phase (CP) and accelerated phase (AP) Ph+ CML in adult patients resistant to or intolerant to prior therapy that included imatinib. (1.2) 1.1 Newly Diagnosed Ph+ CML-CP Tasigna (nilotinib) is indicated for the treatment of adult patients with newly diagnosed Philadelphia chromosome positive chronic myeloid leukemia (Ph+ CML) in chronic phase. The effectiveness of Tasigna is based on major molecular response and cytogenetic response rates [see Clinical Studies (14.1) Launch Date2007 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1550 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2300 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: HIGH-FAT |
|
3320 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
6010 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: HIGH-FAT |
|
2190 ng/mL |
800 mg 1 times / day steady-state, oral dose: 800 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
2490 ng/mL |
1200 mg 1 times / day steady-state, oral dose: 1200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
403 ng/mL |
50 mg 1 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
402.715 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
405.111 ng/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
1360 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30179260 |
300 mg 2 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: FEMALE / MALE food status: FASTED |
|
1595 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30179260 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: FEMALE / MALE food status: FASTED |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
12700 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
18200 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: HIGH-FAT |
|
24500 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
43100 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/19924121 |
600 mg 2 times / day steady-state, oral dose: 600 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB serum | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: HIGH-FAT |
|
26600 ng × h/mL |
800 mg 1 times / day steady-state, oral dose: 800 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
28000 ng × h/mL |
1200 mg 1 times / day steady-state, oral dose: 1200 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
4480 ng × h/mL |
50 mg 1 times / day steady-state, oral dose: 50 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB unknown | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
14383.076 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 2 times / day steady, oral dose: 230 mg/m^2 route of administration: oral experiment type: steady co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
15129.182 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 2 times / day steady, oral dose: 230 mg/m^2 route of administration: oral experiment type: steady co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
2795.78199999999 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
3393.296 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
4160.969 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
5707.368 ng*h/mL Clinical Trial https://clinicaltrials.gov/ct2/show/NCT01077544 |
230 mg/m^2 single, oral dose: 230 mg/m^2 route of administration: oral experiment type: single co-administered: |
NILOTINIB plasma | Homo sapiens population: unhealthy age: Children sex: food status: |
|
11865 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30179260 |
300 mg 2 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: FEMALE / MALE food status: FASTED |
|
13656 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30179260 |
400 mg 2 times / day steady-state, oral dose: 400 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
NILOTINIB plasma | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1.6% |
NILOTINIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Disc. AE: Thrombocytopenia, Neutropenia... AEs leading to discontinuation/dose reduction: Thrombocytopenia (5 patients) Sources: Neutropenia (1 patient) Bilirubin increased (2 patients) Hepatotoxicity (2 patients) Skin rash (1 patient) |
600 mg 2 times / day steady, oral MTD Dose: 600 mg, 2 times / day Route: oral Route: steady Dose: 600 mg, 2 times / day Sources: |
unhealthy, 56.2 ± 15.3 years n = 18 Health Status: unhealthy Condition: CML: blastic phase, accelerated phase, and chronic phase) | Ph-positive ALL Age Group: 56.2 ± 15.3 years Sex: M+F Population Size: 18 Sources: |
|
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Disc. AE: Rash, Pancreatitis... AEs leading to discontinuation/dose reduction: Rash (1 patient) Sources: Pancreatitis (1 patient) Myocardial infarction (1 patient) Thrombocytopenia (grade 3, 1 patient) Neutropenia (grade 3, 1 patient) |
1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Other AEs: Rash, Fatigue... Other AEs: Rash (grade 3-4, 3%) Sources: Fatigue (grade 3-4, 3%) Bilirubin total increased (grade 3-4, 3%) Conjugated bilirubin level increased (grade 3-4, 3%) Bilirubin unconjugated increased (grade 3-4, 6%) Lipase increased (grade 3-4, 3%) ALT increased (grade 3-4, 9%) Aspartate aminotransferase increased (grade 3-4, 9%) Thrombocytopenia (grade 3-4, 17%) Neutropenia (grade 3-4, 14%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Neutropenia | 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Skin rash | 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Bilirubin increased | 2 patients Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Hepatotoxicity | 2 patients Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Thrombocytopenia | 5 patients Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 56 years (range: 26-85 years) n = 132 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - chronic phase ((CML-CP) Age Group: 56 years (range: 26-85 years) Sex: M+F Population Size: 132 Sources: |
Myocardial infarction | 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Pancreatitis | 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Rash | 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Neutropenia | grade 3, 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Thrombocytopenia | grade 3, 1 patient Disc. AE |
400 mg 2 times / day steady, oral Recommended Dose: 400 mg, 2 times / day Route: oral Route: steady Dose: 400 mg, 2 times / day Sources: |
unhealthy, 59 years (range: 22-79 years) n = 64 Health Status: unhealthy Condition: Philadelphia chromosome positive chronic myelogenous leukemia - accelerated phase (CML-AP) Age Group: 59 years (range: 22-79 years) Sex: M+F Population Size: 64 Sources: |
Neutropenia | grade 3-4, 14% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Thrombocytopenia | grade 3-4, 17% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Bilirubin total increased | grade 3-4, 3% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Conjugated bilirubin level increased | grade 3-4, 3% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Fatigue | grade 3-4, 3% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Lipase increased | grade 3-4, 3% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Rash | grade 3-4, 3% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Bilirubin unconjugated increased | grade 3-4, 6% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
ALT increased | grade 3-4, 9% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Aspartate aminotransferase increased | grade 3-4, 9% | 1200 mg 1 times / day steady, oral Dose: 1200 mg, 1 times / day Route: oral Route: steady Dose: 1200 mg, 1 times / day Sources: |
unhealthy, 60 years (range: 15-83 years) n = 10 Health Status: unhealthy Condition: Ph-positive ALL | CML Age Group: 60 years (range: 15-83 years) Sex: M+F Population Size: 10 Sources: |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
no | ||||
no | ||||
no | ||||
weak | ||||
yes [IC50 1.7 uM] | ||||
yes [Ki 0.132 uM] | ||||
yes [Ki 0.19 uM] | yes (pharmacogenomic study) Comment: The (TA)7/(TA)7 genotype was associated with a statistically significant increase in risk of nilotinib-induced hyperbilirubinemia relative to the (TA)6/(TA)6 and (TA)6/(TA)7 genotypes. |
|||
yes [Ki 0.236 uM] | ||||
yes [Ki 0.448 uM] | yes (co-administration study) Comment: nilotinib increased auc of midazolam by 30% |
|||
yes [Ki 1.46 uM] | ||||
yes [Ki 3.82 uM] | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes | ||||
yes |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
major | yes (co-administration study) Comment: ketoconazole increased auc of nilotinib by 3x, cmax by 84% |
|||
minor | ||||
minor | ||||
minor | ||||
minor | ||||
no | ||||
no | ||||
yes |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
PubMed
Title | Date | PubMed |
---|---|---|
[New strategies to overcome imatinib resistance in treatment for chronic myelocytic leukemia]. | 2006 Aug |
|
New insights into the pathophysiology of chronic myeloid leukemia and imatinib resistance. | 2006 Dec 19 |
|
Beyond imatinib: second generation c-KIT inhibitors for the management of gastrointestinal stromal tumors. | 2006 Nov |
|
Imatinib increases the intracellular concentration of nilotinib, which may explain the observed synergy between these drugs. | 2007 Apr 15 |
|
Outcome of patients with Philadelphia chromosome-positive chronic myelogenous leukemia post-imatinib mesylate failure. | 2007 Apr 15 |
|
Kit: molecule of interest for the diagnosis and treatment of mastocytosis and other neoplastic disorders. | 2007 Aug |
|
Centrosome aberrations after nilotinib and imatinib treatment in vitro are associated with mitotic spindle defects and genetic instability. | 2007 Aug |
|
Sorafenib inhibits the imatinib-resistant KITT670I gatekeeper mutation in gastrointestinal stromal tumor. | 2007 Aug 15 |
|
Roots of imatinib resistance: a question of self-renewal? | 2007 Aug-Oct |
|
Impaired fasting glucose level as metabolic side effect of nilotinib in non-diabetic chronic myeloid leukemia patients resistant to imatinib. | 2007 Dec |
|
Dynamics of BCR-ABL kinase domain mutations in chronic myeloid leukemia after sequential treatment with multiple tyrosine kinase inhibitors. | 2007 Dec 1 |
|
Chemical proteomic profiles of the BCR-ABL inhibitors imatinib, nilotinib, and dasatinib reveal novel kinase and nonkinase targets. | 2007 Dec 1 |
|
What is new in chronic myeloid leukaemia? | 2007 Feb |
|
[Innovation of clinical trials for anti-cancer drugs in Japan--proposals from academia with special reference to the development of novel Bcr-Abl/Lyn tyrosine kinase inhibitor INNO-406 (NS-187) for imatinib-resistant chronic myelogenous leukemia]. | 2007 Feb |
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KIT mutations in GIST. | 2007 Feb |
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[Molecular targeting therapy for chronic myeloid leukemia]. | 2007 Jan |
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New targeted therapies for chronic myelogenous leukemia: opportunities to overcome imatinib resistance. | 2007 Jan |
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Structural biology contributions to the discovery of drugs to treat chronic myelogenous leukaemia. | 2007 Jan |
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Gateways to clinical trials. | 2007 Jan-Feb |
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Drugs offer new hope for patients with CML who are resistant to imatinib. | 2007 Jul |
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Drug evaluation: Nilotinib - a novel Bcr-Abl tyrosine kinase inhibitor for the treatment of chronic myelocytic leukemia and beyond. | 2007 Jul |
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Successful allogeneic stem cell transplantation in second chronic-phase CML induced by the tyrosine kinase inhibitor nilotinib (AMN107) after blast crisis under imatinib. | 2007 Jul |
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Monosomy 7 in t(9;22)-negative cells during nilotinib therapy in an imatinib-resistant chronic myeloid leukemia case. | 2007 Jul 15 |
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Novel tyrosine kinase inhibitor therapy before allogeneic stem cell transplantation in patients with chronic myeloid leukemia: no evidence for increased transplant-related toxicity. | 2007 Jul 15 |
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BCR-ABL tyrosine kinase inhibitors for chronic myelogenous leukemia. | 2007 Jul 19 |
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Gateways to clinical trials. | 2007 Jun |
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[Novel anti-CML agents beyond imatinib]. | 2007 Jun |
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Imatinib and nilotinib induce apoptosis of chronic myeloid leukemia cells through a Bim-dependant pathway modulated by cytokines. | 2007 Jun |
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Imatinib mesylate and nilotinib (AMN107) exhibit high-affinity interaction with ABCG2 on primitive hematopoietic stem cells. | 2007 Jun |
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Current and emerging treatment options in chronic myeloid leukemia. | 2007 Jun 1 |
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Identification of BCR-ABL point mutations conferring resistance to the Abl kinase inhibitor AMN107 (nilotinib) by a random mutagenesis study. | 2007 Jun 1 |
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High-performance liquid chromatography method with ultraviolet detection for the quantification of the BCR-ABL inhibitor nilotinib (AMN107) in plasma, urine, culture medium and cell preparations. | 2007 Jun 1 |
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Gateways to clinical trials. | 2007 Mar |
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Optimal management of patients with newly diagnosed chronic phase chronic myeloid leukemia in 2007. | 2007 Mar |
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Bcr-Abl kinase domain mutations and the unsettled problem of Bcr-AblT315I: looking into the future of controlling drug resistance in chronic myeloid leukemia. | 2007 Mar |
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Emerging safety issues with imatinib and other Abl tyrosine kinase inhibitors. | 2007 Mar |
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Emerging strategies for the treatment of mutant Bcr-Abl T315I myeloid leukemia. | 2007 Mar |
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Resistance to c-KIT kinase inhibitors conferred by V654A mutation. | 2007 Mar |
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Emerging therapeutic options for Philadelphia-positive acute lymphocytic leukemia. | 2007 Mar |
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Gateways to clinical trials. | 2007 May |
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Nilotinib exerts equipotent antiproliferative effects to imatinib and does not induce apoptosis in CD34+ CML cells. | 2007 May 1 |
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Comparative gene expression analysis of a chronic myelogenous leukemia cell line resistant to cyclophosphamide using oligonucleotide arrays and response to tyrosine kinase inhibitors. | 2007 Nov |
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Nilotinib (formerly AMN107), a highly selective BCR-ABL tyrosine kinase inhibitor, is effective in patients with Philadelphia chromosome-positive chronic myelogenous leukemia in chronic phase following imatinib resistance and intolerance. | 2007 Nov 15 |
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Synergistic antiproliferative effects of KIT tyrosine kinase inhibitors on neoplastic canine mast cells. | 2007 Oct |
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Bcr-Abl kinase domain mutations, drug resistance, and the road to a cure for chronic myeloid leukemia. | 2007 Oct 1 |
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How I treat chronic myeloid leukemia in the imatinib era. | 2007 Oct 15 |
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Crystal structure of the T315I mutant of AbI kinase. | 2007 Sep |
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Sequential ABL kinase inhibitor therapy selects for compound drug-resistant BCR-ABL mutations with altered oncogenic potency. | 2007 Sep |
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A critical appraisal of conventional and investigational drug therapy in patients with hypereosinophilic syndrome and clonal eosinophilia. | 2007 Sep 1 |
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Tyrosine kinase inhibitors for the treatment of Philadelphia chromosome-positive adult acute lymphoblastic leukemia. | 2007 Sep 15 |
Patents
Sample Use Guides
In Vivo Use Guide
Curator's Comment: The capsules should be swallowed whole with water. No food should be consumed for at least 2 hours before the dose is taken and no food should be consumed for at least one hour after. Dose adjustment may be required for hematologic and non-hematologic toxicities, and drug interactions.
400 mg orally twice daily, approximately 12 hours apart and should not be taken with food.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/15710326
AMN107 (nilotinib) inhibited proliferation of Ba/F3 cells expressing G250E, E255K(V), F317L, M351T, F486S, M244V, L248R, Q252H, Y253H, E255K, E279K, E282D, V289S, and L348M Bcr-Abl mutants at <1 uM concentrations.
Substance Class |
Chemical
Created
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admin
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Edited
Sat Dec 16 19:05:53 GMT 2023
by
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Sat Dec 16 19:05:53 GMT 2023
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Record UNII |
FQV3UFL546
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Record Status |
Validated (UNII)
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Record Version |
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Created by
admin on Sat Dec 16 19:05:53 GMT 2023 , Edited by admin on Sat Dec 16 19:05:53 GMT 2023
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FQV3UFL546
Created by
admin on Sat Dec 16 19:05:53 GMT 2023 , Edited by admin on Sat Dec 16 19:05:53 GMT 2023
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