Details
Stereochemistry | ACHIRAL |
Molecular Formula | C28H54N8 |
Molecular Weight | 502.782 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C(N1CCCNCCNCCCNCC1)C2=CC=C(CN3CCCNCCNCCCNCC3)C=C2
InChI
InChIKey=YIQPUIGJQJDJOS-UHFFFAOYSA-N
InChI=1S/C28H54N8/c1-9-29-15-17-31-13-3-21-35(23-19-33-11-1)25-27-5-7-28(8-6-27)26-36-22-4-14-32-18-16-30-10-2-12-34-20-24-36/h5-8,29-34H,1-4,9-26H2
Molecular Formula | C28H54N8 |
Molecular Weight | 502.782 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Plerixafor is a bicyclam molecule, which has been identified as a specific antagonist of CXCR4. It had originally been developed as an inhibitor of T-tropic human immunodeficiency virus, but later demonstrated to be an effective mobilizer of hematopoietic stem cells. Plerixafor was approved by FDA for autologous transplantation (in combination with granulocyte-colony stimulating factor) in patients with non-Hodgkin's lymphoma and multiple myeloma under the name Mozobil.
CNS Activity
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: P61073 Gene ID: 7852.0 Gene Symbol: CXCR4 Target Organism: Homo sapiens (Human) |
44.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | MOZOBIL Approved UseMozobil (plerixafor) injection is indicated in combination with granulocyte-colony stimulating factor (G-CSF) to mobilize hematopoietic stem cells (HSCs) to the peripheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin's lymphoma (NHL) and multiple myeloma (MM). Launch Date1.22929925E12 |
|||
Primary | MOZOBIL Approved UseMozobil (plerixafor) injection is indicated in combination with granulocyte-colony stimulating factor (G-CSF) to mobilize hematopoietic stem cells (HSCs) to the peripheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin's lymphoma (NHL) and multiple myeloma (MM). Launch Date1.22929925E12 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1029 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19135941 |
240 μg/kg bw single, subcutaneous dose: 240 μg/kg bw route of administration: Subcutaneous experiment type: SINGLE co-administered: |
PLERIXAFOR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5260 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19135941 |
240 μg/kg bw single, subcutaneous dose: 240 μg/kg bw route of administration: Subcutaneous experiment type: SINGLE co-administered: |
PLERIXAFOR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5.6 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/19135941 |
240 μg/kg bw single, subcutaneous dose: 240 μg/kg bw route of administration: Subcutaneous experiment type: SINGLE co-administered: |
PLERIXAFOR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
160 ug/kg/h multiple, intravenous Highest studied dose Dose: 160 ug/kg/h Route: intravenous Route: multiple Dose: 160 ug/kg/h Sources: |
unhealthy, 40.2 years n = 3 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 3 Sources: |
Disc. AE: Premature ventricular contractions... AEs leading to discontinuation/dose reduction: Premature ventricular contractions (1 patient) Sources: |
20 ug/kg/h multiple, intravenous Dose: 20 ug/kg/h Route: intravenous Route: multiple Dose: 20 ug/kg/h Sources: |
unhealthy, 40.2 years n = 8 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 8 Sources: |
Disc. AE: Hepatic enzyme increased, Orthostatic hypotension... AEs leading to discontinuation/dose reduction: Hepatic enzyme increased (1 patient) Sources: Orthostatic hypotension (1 patient) |
40 ug/kg/h multiple, intravenous Dose: 40 ug/kg/h Route: intravenous Route: multiple Dose: 40 ug/kg/h Sources: |
unhealthy, 40.2 years n = 8 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 8 Sources: |
Disc. AE: Ventricular ectopics... AEs leading to discontinuation/dose reduction: Ventricular ectopics (1 patient) Sources: |
5 ug/kg/h multiple, intravenous Dose: 5 ug/kg/h Route: intravenous Route: multiple Dose: 5 ug/kg/h Sources: |
unhealthy, 40.2 years n = 7 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 7 Sources: |
Disc. AE: Thrombocytopenia... AEs leading to discontinuation/dose reduction: Thrombocytopenia (serious, 1 patient) Sources: |
80 ug/kg/h multiple, intravenous Dose: 80 ug/kg/h Route: intravenous Route: multiple Dose: 80 ug/kg/h Sources: |
unhealthy, 40.2 years n = 5 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 5 Sources: |
Disc. AE: Paresthesia... AEs leading to discontinuation/dose reduction: Paresthesia (1 patient) Sources: |
160 ug/kg single, oral Dose: 160 ug/kg Route: oral Route: single Dose: 160 ug/kg Sources: |
healthy, >18 years n = 3 Health Status: healthy Age Group: >18 years Sex: M+F Population Size: 3 Sources: |
|
80 ug/kg single, intravenous Dose: 80 ug/kg Route: intravenous Route: single Dose: 80 ug/kg Sources: |
healthy, >18 years n = 12 Health Status: healthy Age Group: >18 years Sex: M+F Population Size: 12 Sources: |
Other AEs: Diaphoresis... |
320 ug/kg single, subcutaneous Highest studied dose Dose: 320 ug/kg Route: subcutaneous Route: single Dose: 320 ug/kg Sources: Page: p. 83 |
healthy, adult n = 10 Health Status: healthy Age Group: adult Population Size: 10 Sources: Page: p. 83 |
Other AEs: Injection site erythema, Paresthesia... Other AEs: Injection site erythema Sources: Page: p. 83Paresthesia Chest discomfort |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Disc. AE: Anxiety, Arrhythmia... AEs leading to discontinuation/dose reduction: Anxiety (1 patient) Sources: Page: p.97Arrhythmia (1 patient) Erythema (1 patient) Decreased appetite (1 patient) Eructation (1 patient) Liver function test abnormal (1 patient) Nausea (2 patients) Vomiting (2 patients) Postural hypotension (1 patient) Sinus tachycardia (1 patient) Staphylococcal bacteremia (1 patient) Insomnia (1 patient) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Premature ventricular contractions | 1 patient Disc. AE |
160 ug/kg/h multiple, intravenous Highest studied dose Dose: 160 ug/kg/h Route: intravenous Route: multiple Dose: 160 ug/kg/h Sources: |
unhealthy, 40.2 years n = 3 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 3 Sources: |
Hepatic enzyme increased | 1 patient Disc. AE |
20 ug/kg/h multiple, intravenous Dose: 20 ug/kg/h Route: intravenous Route: multiple Dose: 20 ug/kg/h Sources: |
unhealthy, 40.2 years n = 8 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 8 Sources: |
Orthostatic hypotension | 1 patient Disc. AE |
20 ug/kg/h multiple, intravenous Dose: 20 ug/kg/h Route: intravenous Route: multiple Dose: 20 ug/kg/h Sources: |
unhealthy, 40.2 years n = 8 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 8 Sources: |
Ventricular ectopics | 1 patient Disc. AE |
40 ug/kg/h multiple, intravenous Dose: 40 ug/kg/h Route: intravenous Route: multiple Dose: 40 ug/kg/h Sources: |
unhealthy, 40.2 years n = 8 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 8 Sources: |
Thrombocytopenia | serious, 1 patient Disc. AE |
5 ug/kg/h multiple, intravenous Dose: 5 ug/kg/h Route: intravenous Route: multiple Dose: 5 ug/kg/h Sources: |
unhealthy, 40.2 years n = 7 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 7 Sources: |
Paresthesia | 1 patient Disc. AE |
80 ug/kg/h multiple, intravenous Dose: 80 ug/kg/h Route: intravenous Route: multiple Dose: 80 ug/kg/h Sources: |
unhealthy, 40.2 years n = 5 Health Status: unhealthy Condition: HIV-1 Infection Age Group: 40.2 years Sex: M+F Population Size: 5 Sources: |
Diaphoresis | 1 patient | 80 ug/kg single, intravenous Dose: 80 ug/kg Route: intravenous Route: single Dose: 80 ug/kg Sources: |
healthy, >18 years n = 12 Health Status: healthy Age Group: >18 years Sex: M+F Population Size: 12 Sources: |
Chest discomfort | 320 ug/kg single, subcutaneous Highest studied dose Dose: 320 ug/kg Route: subcutaneous Route: single Dose: 320 ug/kg Sources: Page: p. 83 |
healthy, adult n = 10 Health Status: healthy Age Group: adult Population Size: 10 Sources: Page: p. 83 |
|
Injection site erythema | 320 ug/kg single, subcutaneous Highest studied dose Dose: 320 ug/kg Route: subcutaneous Route: single Dose: 320 ug/kg Sources: Page: p. 83 |
healthy, adult n = 10 Health Status: healthy Age Group: adult Population Size: 10 Sources: Page: p. 83 |
|
Paresthesia | 320 ug/kg single, subcutaneous Highest studied dose Dose: 320 ug/kg Route: subcutaneous Route: single Dose: 320 ug/kg Sources: Page: p. 83 |
healthy, adult n = 10 Health Status: healthy Age Group: adult Population Size: 10 Sources: Page: p. 83 |
|
Anxiety | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Arrhythmia | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Decreased appetite | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Eructation | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Erythema | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Insomnia | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Liver function test abnormal | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Postural hypotension | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Sinus tachycardia | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Staphylococcal bacteremia | 1 patient Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Nausea | 2 patients Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Vomiting | 2 patients Disc. AE |
0.24 mg/kg 1 times / day multiple, subcutaneous Recommended Dose: 0.24 mg/kg, 1 times / day Route: subcutaneous Route: multiple Dose: 0.24 mg/kg, 1 times / day Sources: Page: p.97 |
unhealthy, adult n = 72 Health Status: unhealthy Age Group: adult Population Size: 72 Sources: Page: p.97 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 60, 104 |
inconclusive | |||
Page: 58, 104 |
inconclusive | |||
Page: 9, 42, 80 |
no [IC50 >100 uM] | |||
Page: 9, 42, 80 |
no [IC50 >100 uM] | |||
Page: 9, 42, 80 |
no [IC50 >100 uM] | |||
Page: 9, 42, 80 |
no [IC50 >100 uM] | |||
Page: 55.0 |
no [IC50 >100 uM] | |||
Page: 9, 42, 80 |
no [IC50 >100 uM] | |||
Page: 55.0 |
no [IC50 >100 uM] | |||
Page: 80.0 |
no | |||
Page: 11.0 |
no | |||
Page: 59.0 |
no | |||
Page: 11.0 |
no | |||
Page: 80.0 |
no | |||
Page: 11.0 |
no | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no | |||
Page: 80.0 |
no |
Drug as victim
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 58, 104 |
inconclusive | |||
Page: 15, 102 |
no |
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Page: 17, 34, 40 |
PubMed
Title | Date | PubMed |
---|---|---|
Resistance of the human immunodeficiency virus to the inhibitory action of negatively charged albumins on virus binding to CD4. | 1999 Nov 20 |
|
Viral entry through CXCR4 is a pathogenic factor and therapeutic target in human immunodeficiency virus type 1 disease. | 2000 Jan |
|
A point mutation that confers constitutive activity to CXCR4 reveals that T140 is an inverse agonist and that AMD3100 and ALX40-4C are weak partial agonists. | 2002 Jul 5 |
|
The CCR5 and CXCR4 coreceptors are both used by human immunodeficiency virus type 1 primary isolates from subtype C. | 2003 Apr |
|
A duodenally absorbable CXC chemokine receptor 4 antagonist, KRH-1636, exhibits a potent and selective anti-HIV-1 activity. | 2003 Apr 1 |
|
Characterization of the molecular pharmacology of AMD3100: a specific antagonist of the G-protein coupled chemokine receptor, CXCR4. | 2006 Aug 28 |
|
Carbohydrate-binding agents efficiently prevent dendritic cell-specific intercellular adhesion molecule-3-grabbing nonintegrin (DC-SIGN)-directed HIV-1 transmission to T lymphocytes. | 2007 Jan |
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Microenvironmental considerations in the application of human mesenchymal stem cells in regenerative therapies. | 2008 Dec |
|
Plerixafor: in patients with non-Hodgkin's lymphoma or multiple myeloma. | 2009 |
|
CXCR4 chemokine receptor antagonists: perspectives in SCLC. | 2009 Apr |
|
Tumor biology and cancer therapy - an evolving relationship. | 2009 Aug 13 |
|
BIO5192, a small molecule inhibitor of VLA-4, mobilizes hematopoietic stem and progenitor cells. | 2009 Aug 13 |
|
Successful stem cell remobilization using plerixafor (mozobil) plus granulocyte colony-stimulating factor in patients with non-hodgkin lymphoma: results from the plerixafor NHL phase 3 study rescue protocol. | 2009 Dec |
|
AMD3100 is a CXCR7 ligand with allosteric agonist properties. | 2009 May |
|
Mantle cell lymphoma cells express high levels of CXCR4, CXCR5, and VLA-4 (CD49d): importance for interactions with the stromal microenvironment and specific targeting. | 2009 May 7 |
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International myeloma working group (IMWG) consensus statement and guidelines regarding the current status of stem cell collection and high-dose therapy for multiple myeloma and the role of plerixafor (AMD 3100). | 2009 Oct |
|
Anticancer Role of PPARgamma Agonists in Hematological Malignancies Found in the Vasculature, Marrow, and Eyes. | 2010 |
|
Binding of multivalent anionic porphyrins to V3 loop fragments of an HIV-1 envelope and their antiviral activity. | 2010 Apr 1 |
|
Mobilization of peripheral blood stem cells for autologous transplant in non-Hodgkin's lymphoma and multiple myeloma patients by plerixafor and G-CSF and detection of tumor cell mobilization by PCR in multiple myeloma patients. | 2010 Feb |
|
Plerixafor for stem cell mobilization in patients with non-Hodgkin's lymphoma and multiple myeloma. | 2010 Jan |
|
Plerixafor given before the third leukapheresis to rescue an unsuccessful stem cell mobilization with CY and G-CSF. | 2010 Jun |
Patents
Sample Use Guides
Begin treatment with plerixafor (Mozobil) after the patient has received G-CSF once daily for four days. The recommended dose of plerixafor by subcutaneous injection is based on body weight: 20 mg fixed dose or 0.24 mg/kg of body weight for patients weighing ≤83 kg; 0.24 mg/kg of body weight for patients weighing >83 kg. Administer by subcutaneous injection approximately 11 hours prior to initiation of apheresis.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/18416455
Human colorectal cancer cell line SW480 was
treated with plerixafor at different final concentrations (10, 100, 1000 ng/ml) for 2h. Then, CXCL12 was added daily at 20 ng/mL. MTT assays were performed after 24, 48 and 72 h of plerixafor treatment. Cell viability was significantly suppressed by the drug in a dose-dependent manner. The drug (100 and 1000 ng/mL) significantly inhibited the invasion ability of SW480 cells.
Substance Class |
Chemical
Created
by
admin
on
Edited
Fri Dec 16 19:42:50 UTC 2022
by
admin
on
Fri Dec 16 19:42:50 UTC 2022
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Record UNII |
S915P5499N
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Record Status |
Validated (UNII)
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Record Version |
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
167903
Created by
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FDA ORPHAN DRUG |
346111
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WHO-VATC |
QL03AX16
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EMA ASSESSMENT REPORTS |
MOZOBIL (AUTHORIZED: HEMATOPOIETIC STEM CELL TRANSPLANTATION)
Created by
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NDF-RT |
N0000178324
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WHO-ATC |
L03AX16
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EMA ASSESSMENT REPORTS |
MOZOBIL (AUTHORIZED: LYMPHOMA)
Created by
admin on Fri Dec 16 19:42:50 UTC 2022 , Edited by admin on Fri Dec 16 19:42:50 UTC 2022
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EMA ASSESSMENT REPORTS |
MOZOBIL (AUTHORIZED: MULTIPLE MYELOMA)
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EU-Orphan Drug |
EU/3/11/931
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NDF-RT |
N0000178326
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NCI_THESAURUS |
C63817
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SUB28849
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844
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65015
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DTXSID70869520
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733003
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4410
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CHEMBL18442
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110078-46-1
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DB06809
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C1777
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S915P5499N
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125354
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8513
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S915P5499N
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PP-79
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PLERIXAFOR
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M8919
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URINE
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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SC DOSE |
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Volume of Distribution | PHARMACOKINETIC |
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