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Details

Stereochemistry ABSOLUTE
Molecular Formula C27H41NO5S
Molecular Weight 491.683
Optical Activity ( - )
Defined Stereocenters 5 / 5
E/Z Centers 1
Charge 0

SHOW SMILES / InChI
Structure of EPOTHILONE D

SMILES

C[C@H]1CCCC(C)=CC[C@H](OC(=O)C[C@H](O)C(C)(C)C(=O)[C@H](C)[C@H]1O)C(\C)=C\C2=CSC(C)=N2

InChI

InChIKey=XOZIUKBZLSUILX-GIQCAXHBSA-N
InChI=1S/C27H41NO5S/c1-16-9-8-10-17(2)25(31)19(4)26(32)27(6,7)23(29)14-24(30)33-22(12-11-16)18(3)13-21-15-34-20(5)28-21/h11,13,15,17,19,22-23,25,29,31H,8-10,12,14H2,1-7H3/b16-11-,18-13+/t17-,19+,22-,23-,25-/m0/s1

HIDE SMILES / InChI

Molecular Formula C27H41NO5S
Molecular Weight 491.683
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 5 / 5
E/Z Centers 1
Optical Activity UNSPECIFIED

Epothilone D (KOS-862 or BMS-241027) is an intermediary obtained in the synthesis of members of the epothilone family and is a small-molecule microtubule stabilizer. It was investigated in Phase II trials in colorectal, metastatic breast and non-small-cell lung cancers. However, development was discontinued in 2007 in favor of a second-generation analog with a better safety profile. This drug also was studied for the treatment of Alzheimer's disease. The study ended in October 2013, and evaluation of epothilone D for Alzheimer's disease was subsequently discontinued. The mechanism by which epothilones induce microtubule polymerization appears to be similar to that of paclitaxel, in that epothilones compete with paclitaxel for binding to microtubules and suppress microtubule dynamics in a manner similar to that of paclitaxel.

CNS Activity

Curator's Comment: Known to be CNS penetrant in rat. Human data not available

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
2737.2 ng/mL
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
4037 ng/mL
100 mg/m² 1 times / week multiple, intravenous
dose: 100 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
3001.6 ng/mL
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D HYDROLYTIC METABOLITE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
9451.7 μg × h/L
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
12093 ng × h/mL
100 mg/m² 1 times / week multiple, intravenous
dose: 100 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
16928.2 μg × h/L
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D HYDROLYTIC METABOLITE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
15 h
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
9.1 h
100 mg/m² 1 times / week multiple, intravenous
dose: 100 mg/m²
route of administration: Intravenous
experiment type: MULTIPLE
co-administered:
EPOTHILONE D plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
23.2 h
125 mg/m² single, intravenous
dose: 125 mg/m²
route of administration: Intravenous
experiment type: SINGLE
co-administered:
EPOTHILONE D HYDROLYTIC METABOLITE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
DLT: Visual Hallucination, Dehydration...
Other AEs: Syncope...
Dose limiting toxicities:
Visual Hallucination (1 pt)
Dehydration (1 pt)
Diarrhea (severe, 1 pt)
Nausea (severe, 1 pt)
Vomiting (severe, 1 pt)
Other AEs:
Syncope (1 pt)
Sources:
100 mg/m2 2 times / 3 weeks multiple, intravenous (total daily dose)
Studied dose
Dose: 100 mg/m2, 2 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 100 mg/m2, 2 times / 3 weeks
Sources:
unhealthy
n = 10
Health Status: unhealthy
Condition: solid tumours
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources:
DLT: visual hallucination, Peripheral sensory neuropathy...
Dose limiting toxicities:
visual hallucination (grade 2, 2 patients)
Peripheral sensory neuropathy (grade 2, 2 patients)
Sources:
100 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Studied dose
Dose: 100 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 100 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 10
Health Status: unhealthy
Condition: tumor cancer
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources:
DLT: Peripheral sensory neuropathy...
Dose limiting toxicities:
Peripheral sensory neuropathy (grade 2, 1 pt)
Sources:
AEs

AEs

AESignificanceDosePopulation
Syncope 1 pt
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Visual Hallucination 1 pt
DLT
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Dehydration 1 pt
DLT, Disc. AE
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Diarrhea severe, 1 pt
DLT
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Nausea severe, 1 pt
DLT
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Vomiting severe, 1 pt
DLT
120 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Highest studied dose
Dose: 120 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 120 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 2
Health Status: unhealthy
Condition: solid tumors
Sex: M+F
Food Status: UNKNOWN
Population Size: 2
Sources:
Peripheral sensory neuropathy grade 2, 2 patients
DLT
100 mg/m2 2 times / 3 weeks multiple, intravenous (total daily dose)
Studied dose
Dose: 100 mg/m2, 2 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 100 mg/m2, 2 times / 3 weeks
Sources:
unhealthy
n = 10
Health Status: unhealthy
Condition: solid tumours
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources:
visual hallucination grade 2, 2 patients
DLT
100 mg/m2 2 times / 3 weeks multiple, intravenous (total daily dose)
Studied dose
Dose: 100 mg/m2, 2 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 100 mg/m2, 2 times / 3 weeks
Sources:
unhealthy
n = 10
Health Status: unhealthy
Condition: solid tumours
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources:
Peripheral sensory neuropathy grade 2, 1 pt
DLT
100 mg/m2 3 times / 3 weeks multiple, intravenous (total daily dose)
Studied dose
Dose: 100 mg/m2, 3 times / 3 weeks
Route: intravenous
Route: multiple
Dose: 100 mg/m2, 3 times / 3 weeks
Sources:
unhealthy
n = 10
Health Status: unhealthy
Condition: tumor cancer
Sex: M+F
Food Status: UNKNOWN
Population Size: 10
Sources:
PubMed

PubMed

TitleDatePubMed
Epothilones, a new class of microtubule-stabilizing agents with a taxol-like mechanism of action.
1995 Jun 1
Epothilones: mechanism of action and biologic activity.
2004 May 15
Patents

Sample Use Guides

Alzheimer's Disease: BMS-241027 (Epothilone D) in 40 patients with mild Alzheimer's disease whose MMSE at screening was between 20 and 26. The trial compares 0.003, 0.01, and 0.03 mg/kg infused once a week for nine weeks to placebo.
Route of Administration: Intravenous
The effects of 1, 10 and 100 nM concentrations of epothilone (EPO) D in four malignant human glioma cell lines were measured using a microtiter-tetrazolium assay. In all four human glioma cell lines, 10 and 100 nM concentrations of the drug, applied for 96 h, leading to a highly significant decrease in the viable cell number (p < 0.001). A mean reduction of the viable cell number between 30% and 40% (60% and 90%) was observed for a drug concentration of 10 nM (100 nM). A round cell morphology occurred in most EPO treated cells and the organized network of microtubules was shrunk in these round cells. These results prove that EPOs have antiproliferative effects in glioma cells and affect their tubulin cytoskeleton, as it was previously observed in several types of carcinoma cells.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:29:43 GMT 2023
Edited
by admin
on Fri Dec 15 15:29:43 GMT 2023
Record UNII
T0358E0YUF
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
EPOTHILONE D
MI   WHO-DD  
Common Name English
OXACYCLOHEXADEC-13-ENE-2,6-DIONE, 4,8-DIHYDROXY-5,5,7,9,13-PENTAMETHYL-16-((1E)-1-METHYL-2-(2-METHYL-4-THIAZOLYL)ETHENYL)-, (4S,7R,8S,9S,13Z,16S)-
Systematic Name English
12,13-DESOXYEPOTHILONE B, CIS
Common Name English
(-)-DESOXYEPOTHILONE B
Common Name English
EPOTHILONE D [MI]
Common Name English
12,13-DESOXYEPOTHILONE B
Common Name English
KOS-862
Code English
NSC-703147
Code English
R1492
Code English
DESOXYEPOTHILONE B
Common Name English
Epothilone D [WHO-DD]
Common Name English
R-1492
Code English
Classification Tree Code System Code
NCI_THESAURUS C1922
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
NCI_THESAURUS C67437
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
Code System Code Type Description
CHEBI
29579
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
DRUG BANK
DB01873
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
FDA UNII
T0358E0YUF
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
CAS
189453-10-9
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
SMS_ID
100000177894
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
NCI_THESAURUS
C2672
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
NSC
703147
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
EVMPD
SUB77416
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
MERCK INDEX
m4954
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY Merck Index
PUBCHEM
447865
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
EPA CompTox
DTXSID70880053
Created by admin on Fri Dec 15 15:29:43 GMT 2023 , Edited by admin on Fri Dec 15 15:29:43 GMT 2023
PRIMARY
Related Record Type Details
ACTIVE MOIETY