Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C27H22Cl2N4O |
| Molecular Weight | 489.396 |
| Optical Activity | ( + ) |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CN1C=NC=C1[C@@](N)(C2=CC=C(Cl)C=C2)C3=CC4=C(C=C3)N(C)C(=O)C=C4C5=CC=CC(Cl)=C5
InChI
InChIKey=PLHJCIYEEKOWNM-HHHXNRCGSA-N
InChI=1S/C27H22Cl2N4O/c1-32-16-31-15-25(32)27(30,18-6-9-20(28)10-7-18)19-8-11-24-23(13-19)22(14-26(34)33(24)2)17-4-3-5-21(29)12-17/h3-16H,30H2,1-2H3/t27-/m1/s1
| Molecular Formula | C27H22Cl2N4O |
| Molecular Weight | 489.396 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 1 / 1 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
Tipifarnib is an oral farnesyltransferase (FTase) inhibitor which was developed by Janssen (J&J). Upon administration, tipifarnib inhibits FTase and thus suppresses the activity of downstream effectors. The drug reached phase III of clinical trials for such diseases as pancreatic cancer (terminated), colorectal cancer (terminated) and acute myeloid leukemia (in elderly patients).
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2094108 |
7.9 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Unknown Approved UseUnknown |
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| Primary | Unknown Approved UseUnknown |
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| Primary | Unknown Approved UseUnknown |
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| Primary | Unknown Approved UseUnknown |
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| 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 |
|---|---|---|---|---|
634 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16170172 |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
TIPIFARNIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3.8 μg × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16170172 |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
TIPIFARNIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3.66 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/16170172 |
300 mg single, oral dose: 300 mg route of administration: Oral experiment type: SINGLE co-administered: |
TIPIFARNIB plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
0.7% EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/17268526 |
TIPIFARNIB plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Thrombocytopenia, Anemia... Other AEs: Leukopenia, Neutropenia... Dose limiting toxicities: Thrombocytopenia (grade 3, 1 patient) Other AEs:Anemia (grade 4, 1 patient) Leukopenia (grade 2, 1 patient) Sources: Neutropenia (grade 2, 1 patient) Lymphopenia (grade 2, 1 patient) Abdominal discomfort (grade 2, 1 patient) Nausea (grade 2, 2 patients) Vomiting (grade 2, 2 patients) Diarrhea (grade 2, 1 patient) Prothrombin time increased (grade 1, 1 patient) Fibrinogen decreased (grade 1, 1 patient) Anorexia (grade 1, 1 patient) Mucositis (grade 1, 1 patient) Gastroesophageal reflux (grade 1, 1 patient) Alkaline phosphatase increased (grade 2, 1 patient) Fatigue (grade 1, 1 patient) Rigor (grade 1, 1 patient) Fever (grade 1, 1 patient) Rash (grade 1, 1 patient) Pruritus (grade 1, 2 patients) Dry skin (grade 2, 1 patient) Muscle contractions involuntary (grade 2, 1 patient) Sensory neuropathy (grade 1, 1 patient) Abnormal gait (grade 2, 1 patient) Triglyceride increased (grade 1, 1 patient) Hypokalemia (grade 1, 1 patient) Pain (grade 1, 2 patients) Rhinitis (grade 1, 1 patient) |
200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Neutropenia... Dose limiting toxicities: Neutropenia (grade 4, 1 patient) Sources: |
200 mg/m2 2 times / day steady, oral Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Rash... |
275 mg/m2 2 times / day steady, oral Dose: 275 mg/m2, 2 times / day Route: oral Route: steady Dose: 275 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Neutropenia, Thrombocytopenia... Dose limiting toxicities: Neutropenia (grade 4, 2 patients) Sources: Thrombocytopenia (grade 3, 2 patients) Diarrhea (grade 3, 1 patient) Urinary tract infection (grade 3, 1 patient) |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Rash, Nausea... Dose limiting toxicities: Rash (grade 3-4, 2 patients) Sources: Nausea (grade 3, 1 patient) Vomiting (grade 3, 1 patient) Diarrhea (grade 3, 1 patient) Dehydration (grade 3, 1 patient) Neutropenia (grade 4, 1 patient) |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
DLT: Hypofibrinogenemia... Dose limiting toxicities: Hypofibrinogenemia (grade 3, 1 patient) Sources: |
125 mg/m2 2 times / day steady, oral MTD Dose: 125 mg/m2, 2 times / day Route: oral Route: steady Dose: 125 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
DLT: Rash... |
150 mg/m2 2 times / day steady, oral Dose: 150 mg/m2, 2 times / day Route: oral Route: steady Dose: 150 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
DLT: Neutropenia, Rash... Dose limiting toxicities: Neutropenia (grade 4) Sources: Rash (grade 3) |
150 mg/m2 2 times / day steady, oral Dose: 150 mg/m2, 2 times / day Route: oral Route: steady Dose: 150 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
DLT: Pneumonitis... |
1600 mg 2 times / day steady, oral Highest studied dose Dose: 1600 mg, 2 times / day Route: oral Route: steady Dose: 1600 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
DLT: Creatinine increased... Dose limiting toxicities: Creatinine increased (grade 2, 1 patient) Sources: |
1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
Other AEs: Creatinine increased, Anorexia... Other AEs: Creatinine increased (grade 3, 1 patient) Sources: Anorexia (grade 2, 1 patient) Hyperglycemia (grade 2, 2 patients) Fatigue (grade 2, 3 patients) Alopecia (grade 2) Hyperkalemia (grade 2) Sores mouth (grade 2) Shortness of breath (grade 2) Dizziness (grade 2) Nausea (grade 2) Vomiting (grade 2) Ataxia (grade 2) Abdominal pain (grade 2) Headache (grade 2) Dehydration (grade 2) |
1400 mg 2 times / day steady, oral Dose: 1400 mg, 2 times / day Route: oral Route: steady Dose: 1400 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
DLT: Creatinine increased... Other AEs: Hypotension... Dose limiting toxicities: Creatinine increased (grade 2, 1 patient) Other AEs:Hypotension (grade 4, 1 patient) Sources: |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
DLT: Skin rash, Mucositis... Other AEs: Nausea, Vomiting... Dose limiting toxicities: Skin rash (grade 3, 1 patient) Other AEs:Mucositis (grade 3, 1 patient) Aspartate aminotransferase increased (grade 3, 1 patient) Anorexia (grade 3, 1 patient) Hyperbilirubinemia (grade 3, 1 patient) Nausea (grade 1, 1 patient) Sources: Vomiting (grade 1, 1 patient) Fatigue (grade 1, 1 patient) Alanine aminotransferase increase (grade 1, 1 patient) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Anorexia | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Fatigue | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Fever | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Fibrinogen decreased | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Gastroesophageal reflux | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Hypokalemia | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Mucositis | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Prothrombin time increased | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rash | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rhinitis | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rigor | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Sensory neuropathy | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Triglyceride increased | grade 1, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Pain | grade 1, 2 patients | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Pruritus | grade 1, 2 patients | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Abdominal discomfort | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Abnormal gait | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Alkaline phosphatase increased | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Diarrhea | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Dry skin | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Leukopenia | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Lymphopenia | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Muscle contractions involuntary | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Neutropenia | grade 2, 1 patient | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Nausea | grade 2, 2 patients | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Vomiting | grade 2, 2 patients | 200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Thrombocytopenia | grade 3, 1 patient DLT |
200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Anemia | grade 4, 1 patient DLT |
200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Neutropenia | grade 4, 1 patient DLT |
200 mg/m2 2 times / day steady, oral MTD Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rash | grade 3 DLT |
200 mg/m2 2 times / day steady, oral Dose: 200 mg/m2, 2 times / day Route: oral Route: steady Dose: 200 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Diarrhea | grade 3, 1 patient DLT |
275 mg/m2 2 times / day steady, oral Dose: 275 mg/m2, 2 times / day Route: oral Route: steady Dose: 275 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Urinary tract infection | grade 3, 1 patient DLT |
275 mg/m2 2 times / day steady, oral Dose: 275 mg/m2, 2 times / day Route: oral Route: steady Dose: 275 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Thrombocytopenia | grade 3, 2 patients DLT |
275 mg/m2 2 times / day steady, oral Dose: 275 mg/m2, 2 times / day Route: oral Route: steady Dose: 275 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Neutropenia | grade 4, 2 patients DLT |
275 mg/m2 2 times / day steady, oral Dose: 275 mg/m2, 2 times / day Route: oral Route: steady Dose: 275 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Dehydration | grade 3, 1 patient DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Diarrhea | grade 3, 1 patient DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Nausea | grade 3, 1 patient DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Vomiting | grade 3, 1 patient DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rash | grade 3-4, 2 patients DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Neutropenia | grade 4, 1 patient DLT |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Hypofibrinogenemia | grade 3, 1 patient DLT, Disc. AE |
375 mg/m2 2 times / day steady, oral Dose: 375 mg/m2, 2 times / day Route: oral Route: steady Dose: 375 mg/m2, 2 times / day Sources: |
unhealthy, 4-18 years Health Status: unhealthy Age Group: 4-18 years Sex: M+F Sources: |
| Rash | grade 3 DLT |
125 mg/m2 2 times / day steady, oral MTD Dose: 125 mg/m2, 2 times / day Route: oral Route: steady Dose: 125 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
| Rash | grade 3 DLT |
150 mg/m2 2 times / day steady, oral Dose: 150 mg/m2, 2 times / day Route: oral Route: steady Dose: 150 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
| Neutropenia | grade 4 DLT |
150 mg/m2 2 times / day steady, oral Dose: 150 mg/m2, 2 times / day Route: oral Route: steady Dose: 150 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
| Pneumonitis | grade 3 DLT, Disc. AE |
150 mg/m2 2 times / day steady, oral Dose: 150 mg/m2, 2 times / day Route: oral Route: steady Dose: 150 mg/m2, 2 times / day Sources: |
unhealthy, 5.9 years (range: 3.6–13.8 years) Health Status: unhealthy Age Group: 5.9 years (range: 3.6–13.8 years) Sex: M+F Sources: |
| Creatinine increased | grade 2, 1 patient DLT, Disc. AE |
1600 mg 2 times / day steady, oral Highest studied dose Dose: 1600 mg, 2 times / day Route: oral Route: steady Dose: 1600 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Abdominal pain | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Alopecia | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Ataxia | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Dehydration | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Dizziness | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Headache | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Hyperkalemia | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Nausea | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Shortness of breath | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Sores mouth | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Vomiting | grade 2 | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Anorexia | grade 2, 1 patient | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Hyperglycemia | grade 2, 2 patients | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Fatigue | grade 2, 3 patients | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Creatinine increased | grade 3, 1 patient | 1200 mg 2 times / day steady, oral MTD Dose: 1200 mg, 2 times / day Route: oral Route: steady Dose: 1200 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Creatinine increased | grade 2, 1 patient DLT, Disc. AE |
1400 mg 2 times / day steady, oral Dose: 1400 mg, 2 times / day Route: oral Route: steady Dose: 1400 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Hypotension | grade 4, 1 patient | 1400 mg 2 times / day steady, oral Dose: 1400 mg, 2 times / day Route: oral Route: steady Dose: 1400 mg, 2 times / day Sources: |
unhealthy, 61 years (range 33–79 years) Health Status: unhealthy Age Group: 61 years (range 33–79 years) Sex: M+F Sources: |
| Alanine aminotransferase increase | grade 1, 1 patient | 300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Fatigue | grade 1, 1 patient | 300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Nausea | grade 1, 1 patient | 300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Vomiting | grade 1, 1 patient | 300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Anorexia | grade 3, 1 patient DLT |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Aspartate aminotransferase increased | grade 3, 1 patient DLT |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Hyperbilirubinemia | grade 3, 1 patient DLT |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Mucositis | grade 3, 1 patient DLT |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
| Skin rash | grade 3, 1 patient DLT |
300 mg/m2 2 times / day steady, oral Recommended Dose: 300 mg/m2, 2 times / day Route: oral Route: steady Dose: 300 mg/m2, 2 times / day Sources: |
unhealthy, 8.5 years (range: 1.5-15 years) Health Status: unhealthy Age Group: 8.5 years (range: 1.5-15 years) Sex: M+F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: - |
yes [IC50 3.7 uM] | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/18725460/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/18725460/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/18725460/ Page: - |
yes | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/18725460/ Page: - |
yes | |||
Page: - |
yes | |||
Page: - |
yes | |||
Page: - |
yes |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://pubmed.ncbi.nlm.nih.gov/16544144/ Page: - |
major | |||
Sources: https://pubmed.ncbi.nlm.nih.gov/16544144/ Page: - |
yes | no (pharmacogenomic study) Comment: CYP2D6 genetic polymorphism does not appreciably influence the pharmacokinetics of tipifarnib. Hence, concomitant administration of potent CYP2D6 inhibitors is anticipated to have little or no significant impact on the systemic exposure to tipifarnib. Sources: https://pubmed.ncbi.nlm.nih.gov/16544144/ Page: - |
||
Page: - |
yes | yes (pharmacogenomic study) Comment: Overall, this study indicates that ABCB1 genotype might be correlated with tipifarnib pharmacokinetics Page: - |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Farnesyltransferase inhibitor tipifarnib (R115777) preferentially inhibits in vitro autonomous erythropoiesis of polycythemia vera patient cells. | 2005-05-01 |
|
| Synthesis, biodistribution and effects of farnesyltransferase inhibitor therapy on tumour uptake in mice of 99mTc labelled epidermal growth factor. | 2005-02 |
|
| The American Society of Hematology--46th Annual Meeting and Exposition. HDAC, Flt and farnesyl transferase inhibitors. | 2005-01 |
|
| Farnesyltransferase inhibitor therapy in acute myelogenous leukemia. | 2005-01 |
|
| Dose-ranging pharmacodynamic study of tipifarnib (R115777) in patients with relapsed and refractory hematologic malignancies. | 2004-12-01 |
|
| The influence of farnesyl protein transferase inhibitor R115777 (Zarnestra) alone and in combination with purine nucleoside analogs on acute myeloid leukemia progenitors in vitro. | 2004-12 |
|
| Synthesis and activity of 1-aryl-1'-imidazolyl methyl ethers as non-thiol farnesyltransferase inhibitors. | 2004-11-01 |
|
| Design, synthesis, and activity of 4-quinolone and pyridone compounds as nonthiol-containing farnesyltransferase inhibitors. | 2004-11-01 |
|
| Gateways to clinical trials. | 2004-11 |
|
| [Multiple myeloma: from molecular pathogenensis to the development of molecular targeting therapies]. | 2004-11 |
|
| Clinical activity of farnesyl transferase inhibitors in hematologic malignancies: possible mechanisms of action. | 2004-11 |
|
| Phase III double-blind placebo-controlled study of farnesyl transferase inhibitor R115777 in patients with refractory advanced colorectal cancer. | 2004-10-01 |
|
| The farnesyl transferase inhibitor R115777 (Zarnestra) synergistically enhances growth inhibition and apoptosis induced on epidermoid cancer cells by Zoledronic acid (Zometa) and Pamidronate. | 2004-09-09 |
|
| Gateways to clinical trials. | 2004-09-07 |
|
| Gateways to clinical trials. | 2004-09 |
|
| Investigation of the effect of the farnesyl protein transferase inhibitor R115777 on isoprenylation and intracellular signalling by the prostacyclin receptor. | 2004-09 |
|
| Quantile estimation following non-parametric phase I clinical trials with ordinal response. | 2004-08-30 |
|
| Microarray analysis reveals genetic pathways modulated by tipifarnib in acute myeloid leukemia. | 2004-08-25 |
|
| Phase II study of the farnesyl transferase inhibitor R115777 in patients with sensitive relapse small-cell lung cancer. | 2004-08 |
|
| Influence of farnesyl transferase inhibitor treatment on epidermal growth factor receptor status. | 2004-08 |
|
| Pharmacogenetics of tipifarnib (R115777) transport and metabolism in cancer patients. | 2004-08 |
|
| Farnesyltransferase inhibitors as anticancer agents: critical crossroads. | 2004-07 |
|
| Studies of the isoprenoid-mediated inhibition of mevalonate synthesis applied to cancer chemotherapy and chemoprevention. | 2004-07 |
|
| Farnesyl transferase inhibitors for patients with lung cancer. | 2004-06-15 |
|
| Crystal structures of the anticancer clinical candidates R115777 (Tipifarnib) and BMS-214662 complexed with protein farnesyltransferase suggest a mechanism of FTI selectivity. | 2004-06-08 |
|
| Gateways to clinical trials. | 2004-06 |
|
| Phase I and pharmacokinetic study of the farnesyltransferase inhibitor R115777 in combination with irinotecan in patients with advanced cancer. | 2004-06 |
|
| Farnesyltransferase inhibitor tipifarnib is well tolerated, induces stabilization of disease, and inhibits farnesylation and oncogenic/tumor survival pathways in patients with advanced multiple myeloma. | 2004-05-01 |
|
| Farnesyl transferase inhibitor R115777 in myelodysplastic syndrome. | 2004-05 |
|
| Phase I and pharmacokinetic study of irinotecan in combination with R115777, a farnesyl protein transferase inhibitor. | 2004-04-19 |
|
| Phase III trial of gemcitabine plus tipifarnib compared with gemcitabine plus placebo in advanced pancreatic cancer. | 2004-04-15 |
|
| Phase II study of R115777, a farnesyl transferase inhibitor, in myelodysplastic syndrome. | 2004-04-01 |
|
| Targeted therapies in myelodysplastic syndromes: ASH 2003 review. | 2004-04 |
|
| Gateways to clinical trials. | 2004-04 |
|
| Gateways to clinical trials. | 2004-03 |
|
| R115777 induces Ras-independent apoptosis of myeloma cells via multiple intrinsic pathways. | 2004-02 |
|
| [Molecular pathogenesis of chronic myeloid leukemia and tyrosine kinase inhibitor]. | 2004-01 |
|
| New targets for therapy in breast cancer: farnesyltransferase inhibitors. | 2004 |
|
| Substituted azoloquinolines and -quinazolines as new potent farnesyl protein transferase inhibitors. | 2003-12-15 |
|
| 4-methyl-1,2,4-triazol-3-yl heterocycle as an alternative to the 1-methylimidazol-5-yl moiety in the farnesyltransferase inhibitor ZARNESTRA. | 2003-12-15 |
|
| Farnesyltransferase inhibitor R115777 in myelodysplastic syndrome: clinical and biologic activities in the phase 1 setting. | 2003-12-15 |
|
| The farnesyltransferase inhibitor R115777 reduces hypoxia and matrix metalloproteinase 2 expression in human glioma xenograft. | 2003-12-01 |
|
| Gateways to clinical trials. | 2003-11 |
|
| A phase I, pharmacokinetic, and biological study of the farnesyltransferase inhibitor tipifarnib in combination with gemcitabine in patients with advanced malignancies. | 2003-10-15 |
|
| Farnesyltransferase inhibitors and their potential in the treatment of breast carcinoma. | 2003-10 |
|
| Molecular neuro-oncology and development of targeted therapeutic strategies for brain tumors. Part 1: Growth factor and Ras signaling pathways. | 2003-10 |
|
| Primary and secondary prevention of non-small-cell lung cancer: the SPORE Trials of Lung Cancer Prevention. | 2003-09 |
|
| Gateways to clinical trials. | 2003-09 |
|
| Effects of the farnesyl transferase inhibitor R115777 on normal and leukemic hematopoiesis. | 2003-09 |
|
| Farnesyltransferase inhibitors in acute myeloid leukemia and myelodysplastic syndromes. | 2003-08 |
Sample Use Guides
Acute myeloid leukemia: 600 mg orally twice a day should be administered for the first 21 consecutive days, in 28-day cycles. Colorectal cancer: 300 mg should be given twice daily orally for 21 days every 28 days. Pancreatic cancer: tipifarnib is given at 200 mg twice daily orally continuously in combination with gemcitabine (1,000 mg/m(2) intravenously weekly x 7 for 8 weeks, then weekly x 3 every 4 weeks).
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/11196150
Tipifarnib was added to different cancer cell lines at concentrations ranging from 0.5–500 nm in 3 ul of DMSO. Cells were allowed to proliferate to high saturation densities beyond confluence for 4–7 days. The lowest IC50s were: 9.5 nM for SU86.86 (pancreatic cancer cell line with K-Ras mutation), 1.7 nM for HT-1197 (bladder cancer cell line with H-Ras mutation), 3.2 nM for WM-115 (melnoma, wild type), 6.5 nM for NCI-H292 (lung cancer cell line, wild type) and 3.9 nM for A673 (Rhabdomyo-sarcoma cell line, wild type).
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 18:08:48 GMT 2025
by
admin
on
Mon Mar 31 18:08:48 GMT 2025
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| Record UNII |
MAT637500A
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Validated (UNII)
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NCI_THESAURUS |
C2020
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EU-Orphan Drug |
EU/3/05/269
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FDA ORPHAN DRUG |
730720
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FDA ORPHAN DRUG |
187104
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FDA ORPHAN DRUG |
585317
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C402769
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192185-68-5
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100000085422
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m10884
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NN-43
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8066
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159324
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MAT637500A
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141969
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702818
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SUB22236
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CHEMBL289228
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DB04960
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192185-72-1
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TIPIFARNIB
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DTXSID5041140
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C1703
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