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

Details

Stereochemistry ABSOLUTE
Molecular Formula C21H25N5O4S
Molecular Weight 443.519
Optical Activity UNSPECIFIED
Defined Stereocenters 4 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of PEVONEDISTAT

SMILES

NS(=O)(=O)OC[C@@H]1C[C@H](C[C@@H]1O)N2C=CC3=C(N[C@H]4CCC5=CC=CC=C45)N=CN=C23

InChI

InChIKey=MPUQHZXIXSTTDU-QXGSTGNESA-N
InChI=1S/C21H25N5O4S/c22-31(28,29)30-11-14-9-15(10-19(14)27)26-8-7-17-20(23-12-24-21(17)26)25-18-6-5-13-3-1-2-4-16(13)18/h1-4,7-8,12,14-15,18-19,27H,5-6,9-11H2,(H2,22,28,29)(H,23,24,25)/t14-,15+,18-,19-/m0/s1

HIDE SMILES / InChI

Molecular Formula C21H25N5O4S
Molecular Weight 443.519
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 4 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including

Pevonedistat (MLN4924), discovered by Millennium, is a small molecule inhibitor of the NEDD8-Activating Enzyme (NAE), a key component of the protein homeostasis pathway. MLN4924 is a mechanism-based inhibitor of NAE and creates a covalent NEDD8-MLN4924 adduct catalyzed by the enzyme. The NEDD8-MLN4924 adduct resembles NEDD8 adenylate, the first intermediate in the NAE reaction cycle, but cannot be further utilized in subsequent intraenzyme reactions. The stability of the NEDD8-MLN4924 adduct within the NAE active site blocks enzyme activity, thereby accounting for the potent inhibition of the NEDD8 pathway by MLN4924. This drug is in phase II clinical trial for the treatment acute myeloid leukemia, chronic myelomonocytic leukemia and myelodysplastic syndromes. In addition in phase I for treatment acute lymphoblastic leukemia. The ability of MLN4924 to cross the blood-brain barrier, its low toxicity, and clinical efficacy in other cancers suggests that this drug is an attractive treatment against glioblastomas.

Originator

Curator's Comment: # Millennium: The Takeda Oncology Company

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1173 ng/mL
78 mg/m² 3 times / week multiple, intravenous
dose: 78 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
648 ng/mL
59 mg/m² 3 times / week multiple, intravenous
dose: 59 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1212 ng/mL
83 mg/m² 2 times / week multiple, intravenous
dose: 83 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2452 ng/mL
157 mg/m² 1 times / week multiple, intravenous
dose: 157 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3591 ng/mL
209 mg/m² 2 times / week multiple, intravenous
dose: 209 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
3857 ng × h/mL
78 mg/m² 3 times / week multiple, intravenous
dose: 78 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
2506 ng × h/mL
59 mg/m² 3 times / week multiple, intravenous
dose: 59 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3869 ng × h/mL
83 mg/m² 2 times / week multiple, intravenous
dose: 83 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
8932 ng × h/mL
157 mg/m² 1 times / week multiple, intravenous
dose: 157 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
12300 ng × h/mL
209 mg/m² 2 times / week multiple, intravenous
dose: 209 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
12 h
83 mg/m² 2 times / week multiple, intravenous
dose: 83 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
10.1 h
157 mg/m² 1 times / week multiple, intravenous
dose: 157 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
10.4 h
209 mg/m² 2 times / week multiple, intravenous
dose: 209 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
PEVONEDISTAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
278 mg/m2 2 times / week multiple, intravenous
Highest studied dose
Dose: 278 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 278 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Disc. AE: Blood creatinine increased, Blood bilirubin increased...
AEs leading to
discontinuation/dose reduction:
Blood creatinine increased (grade 3, 50%)
Blood bilirubin increased (grade 3, 50%)
Sources:
209 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 209 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 209 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
DLT: Aspartate aminotransferase increased, Brain natriuretic peptide increased...
Disc. AE: Acute renal failure, Acute hepatic failure...
Dose limiting toxicities:
Aspartate aminotransferase increased (grade 1, 9%)
Brain natriuretic peptide increased (grade 1, 9%)
AEs leading to
discontinuation/dose reduction:
Acute renal failure (grade 5, 9%)
Acute hepatic failure (grade 4, 9%)
Sources:
59 mg/m2 3 times / week multiple, intravenous
MTD
Dose: 59 mg/m2, 3 times / week
Route: intravenous
Route: multiple
Dose: 59 mg/m2, 3 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
83 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 83 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 83 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
147 mg/m2 2 times / week multiple, intravenous
Studied dose
Dose: 147 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 147 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Disc. AE: Multi-organ failure, Heart failure...
AEs leading to
discontinuation/dose reduction:
Multi-organ failure (grade 5, 33.3%)
Heart failure (33.3%)
Sources:
157 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 157 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 157 mg/m2, 1 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
DLT: Acute myocarditis, Acute renal failure...
Dose limiting toxicities:
Acute myocarditis (grade 3, 9%)
Acute renal failure (grade 2, 9%)
Hyperbilirubinemia (grade 2, 9%)
Sources:
78 mg/m2 3 times / week multiple, intravenous
Studied dose
Dose: 78 mg/m2, 3 times / week
Route: intravenous
Route: multiple
Dose: 78 mg/m2, 3 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
DLT: Transaminases increased, Sepsis syndrome...
Dose limiting toxicities:
Transaminases increased (50%)
Sepsis syndrome (grade 5, 25%)
Multiorgan failure (grade 5, 25%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Blood bilirubin increased grade 3, 50%
Disc. AE
278 mg/m2 2 times / week multiple, intravenous
Highest studied dose
Dose: 278 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 278 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Blood creatinine increased grade 3, 50%
Disc. AE
278 mg/m2 2 times / week multiple, intravenous
Highest studied dose
Dose: 278 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 278 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Aspartate aminotransferase increased grade 1, 9%
DLT, Disc. AE
209 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 209 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 209 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Brain natriuretic peptide increased grade 1, 9%
DLT, Disc. AE
209 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 209 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 209 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Acute hepatic failure grade 4, 9%
Disc. AE
209 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 209 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 209 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Acute renal failure grade 5, 9%
Disc. AE
209 mg/m2 2 times / week multiple, intravenous
MTD
Dose: 209 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 209 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Heart failure 33.3%
Disc. AE
147 mg/m2 2 times / week multiple, intravenous
Studied dose
Dose: 147 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 147 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Multi-organ failure grade 5, 33.3%
Disc. AE
147 mg/m2 2 times / week multiple, intravenous
Studied dose
Dose: 147 mg/m2, 2 times / week
Route: intravenous
Route: multiple
Dose: 147 mg/m2, 2 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Acute renal failure grade 2, 9%
DLT, Disc. AE
157 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 157 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 157 mg/m2, 1 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Hyperbilirubinemia grade 2, 9%
DLT, Disc. AE
157 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 157 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 157 mg/m2, 1 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Acute myocarditis grade 3, 9%
DLT, Disc. AE
157 mg/m2 1 times / week multiple, intravenous
Studied dose
Dose: 157 mg/m2, 1 times / week
Route: intravenous
Route: multiple
Dose: 157 mg/m2, 1 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Transaminases increased 50%
DLT
78 mg/m2 3 times / week multiple, intravenous
Studied dose
Dose: 78 mg/m2, 3 times / week
Route: intravenous
Route: multiple
Dose: 78 mg/m2, 3 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Multiorgan failure grade 5, 25%
DLT, Disc. AE
78 mg/m2 3 times / week multiple, intravenous
Studied dose
Dose: 78 mg/m2, 3 times / week
Route: intravenous
Route: multiple
Dose: 78 mg/m2, 3 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Sepsis syndrome grade 5, 25%
DLT, Disc. AE
78 mg/m2 3 times / week multiple, intravenous
Studied dose
Dose: 78 mg/m2, 3 times / week
Route: intravenous
Route: multiple
Dose: 78 mg/m2, 3 times / week
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
Overview

Overview

OverviewOther

Other InhibitorOther SubstrateOther Inducer



Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: Fluconazole and itraconazole increased AUCinf by 11% and 14%.
yes
yes
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Rictor Undergoes Glycogen Synthase Kinase 3 (GSK3)-dependent, FBXW7-mediated Ubiquitination and Proteasomal Degradation.
2015-05-29
Inactivation of SAG E3 ubiquitin ligase blocks embryonic stem cell differentiation and sensitizes leukemia cells to retinoid acid.
2011
NEDD8-targeting drug MLN4924 elicits DNA rereplication by stabilizing Cdt1 in S phase, triggering checkpoint activation, apoptosis, and senescence in cancer cells.
2010-12-15
Dynamics of cullin-RING ubiquitin ligase network revealed by systematic quantitative proteomics.
2010-12-10
MLN4924, a NEDD8-activating enzyme inhibitor, is active in diffuse large B-cell lymphoma models: rationale for treatment of NF-{kappa}B-dependent lymphoma.
2010-09-02
Biochemical and cellular effects of inhibiting Nedd8 conjugation.
2010-07-30
Inhibition of NEDD8-activating enzyme: a novel approach for the treatment of acute myeloid leukemia.
2010-05-06
SUMO, Ubiquitin, UBL Proteins: Implications For Human Diseases - Fifth International Conference.
2010-04
Substrate-assisted inhibition of ubiquitin-like protein-activating enzymes: the NEDD8 E1 inhibitor MLN4924 forms a NEDD8-AMP mimetic in situ.
2010-01-15
Targeting NEDD8-activated cullin-RING ligases for the treatment of cancer.
2009-06-15
An inhibitor of NEDD8-activating enzyme as a new approach to treat cancer.
2009-04-09
Patents

Sample Use Guides

Azacitidine 75 mg/m^2, intravenously or subcutaneously, on Days 1 to 5, Days 8 and 9 and pevonedistat 20 mg/m^2, 60-minute (±10) infusion, intravenously, on Days 1, 3, and 5 in 28-day treatment cycles.
Route of Administration: Intravenous
In Vitro Use Guide
Curator's Comment: MLN4924 induces apoptosis and cell cycle arrest, as well as activation of cell stress responses in human UC (urothelial carcinoma ). MLN4924 induced dose-dependent cytotoxicity, anti-proliferation, anti-migration, anti-invasion and apoptosis in human UC cells, accompanied by activations of Bad, phospho-histone H2A.X, caspase-3, 7 and PARP, decreased level of phospho-Bcl2, and caused cell cycle retardation at the G2M phase. Moreover, MLN4924 activated endoplasmic reticulum stress-related molecules (caspase-4, phospho-eIF2α, ATF-4 and CHOP) and other stress responses (JNK and c-Jun activations).
Unknown
Substance Class Chemical
Created
by admin
on Mon Mar 31 20:17:15 GMT 2025
Edited
by admin
on Mon Mar 31 20:17:15 GMT 2025
Record UNII
S3AZD8D215
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
pevonedistat [INN]
Preferred Name English
PEVONEDISTAT
INN   USAN   WHO-DD  
INN   USAN  
Official Name English
SULFAMIC ACID, ((1S,2S,4R)-4-(4-(((1S)-2,3-DIHYDRO-1H-INDEN-1-YL)AMINO)-7H-PYRROLO(2,3-D)PYRIMIDIN-7-YL)-2-HYDROXYCYCLOPENTYL)METHYL ESTER
Common Name English
((1S,2S,4R)-4-(4-(((1S)-2,3-DIHYDRO-1H-INDEN-1-YL)AMINO(-7H-PYRROLO(2,3-D)PYRIMIDIN-7-YL)-2-HYDROXYCYCLOPENTYL)METHYL SULFAMATE
Common Name English
MLN4924
Code English
PEVONEDISTAT [USAN]
Common Name English
MLN 4924
Code English
MLN-4924
Code English
MLN-4924003
Code English
Pevonedistat [WHO-DD]
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 331310
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
EU-Orphan Drug EU/3/18/2120
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
FDA ORPHAN DRUG 331510
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
NCI_THESAURUS C471
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
Code System Code Type Description
FDA UNII
S3AZD8D215
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
USAN
YY-149
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
CAS
905579-51-3
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
EPA CompTox
DTXSID701022549
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
EVMPD
SUB179279
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
INN
9605
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
PUBCHEM
16720766
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
ChEMBL
CHEMBL1231160
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
NCI_THESAURUS
C77906
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
SMS_ID
100000164689
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
DRUG BANK
DB11759
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
CHEBI
145535
Created by admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
PRIMARY
Related Record Type Details
SALT/SOLVATE -> PARENT
Related Record Type Details
ACTIVE MOIETY