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
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
| 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 |
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.
CNS Activity
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2016430 Sources: https://www.ncbi.nlm.nih.gov/pubmed/20129059 |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Unknown Approved UseUnknown |
|||
| 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 |
|---|---|---|---|---|
1173 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3857 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
12 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/25733005 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27056178 |
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
| Dose | Population | Adverse 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%) Sources: Blood bilirubin increased (grade 3, 50%) |
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%) AEs leading toBrain natriuretic peptide increased (grade 1, 9%) discontinuation/dose reduction: Acute renal failure (grade 5, 9%) Sources: Acute hepatic failure (grade 4, 9%) |
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%) Sources: Heart failure (33.3%) |
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%) Sources: Acute renal failure (grade 2, 9%) Hyperbilirubinemia (grade 2, 9%) |
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%) Sources: Sepsis syndrome (grade 5, 25%) Multiorgan failure (grade 5, 25%) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| 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
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| inconclusive [IC50 9.2 uM] | ||||
| no | ||||
| yes [IC50 21.3174 uM] | ||||
| yes [IC50 8.4866 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| major | yes (co-administration study) Comment: Fluconazole and itraconazole increased AUCinf by 11% and 14%. Sources: https://pubmed.ncbi.nlm.nih.gov/30845347/ |
|||
| yes | ||||
| yes |
PubMed
| Title | Date | PubMed |
|---|---|---|
| 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 |
Sample Use Guides
In Vivo Use Guide
Sources: https://clinicaltrials.gov/ct2/show/NCT02610777
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
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25615422
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
Edited
Mon Mar 31 20:17:15 GMT 2025
by
admin
on
Mon Mar 31 20:17:15 GMT 2025
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| Record UNII |
S3AZD8D215
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| Record Status |
Validated (UNII)
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| Record Version |
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-
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| Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
331310
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EU-Orphan Drug |
EU/3/18/2120
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admin on Mon Mar 31 20:17:15 GMT 2025 , Edited by admin on Mon Mar 31 20:17:15 GMT 2025
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FDA ORPHAN DRUG |
331510
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NCI_THESAURUS |
C471
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S3AZD8D215
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YY-149
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905579-51-3
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DTXSID701022549
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SUB179279
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16720766
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CHEMBL1231160
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C77906
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100000164689
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DB11759
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145535
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SALT/SOLVATE -> PARENT |
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ACTIVE MOIETY |