Synonyms: AG-881 | AG881 | Voranigo®
vorasidenib is an approved drug (FDA (2024))
Compound class:
Synthetic organic
Comment: Vorasidenib (AG-881) inhibits mutant forms of the isocitrate dehydrogenases (IDH1 and IDH2) [4] that catalyse the generation of the oncogenic metabolite d-2-hydroxyglutarate (2-HG). This compound and others, and their use for treating cancer are claimed in patent US10028961 [5]. Vorasidenib can cross the blood-brain barrier, and is being proposed as a chemotherapeutic for IDH mutation +ve cancers including gliomas [3,9] and hematological malignancies [1]. X-ray cocrystal structures of vorasidenib with mutant IDH1 and mutant IDH2 have been deposited with the RCSB Protein Data Bank [4,6]. The X-ray structures show that vorasidenib binds at an allosteric pocket formed in IDH homodimers, at the interface of the two monomers.
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References |
1. Boddu P, Borthakur G. (2017)
Therapeutic targeting of isocitrate dehydrogenase mutant AML. Expert Opin Investig Drugs, 26 (5): 525-530. [PMID:28388242] |
2. Iunda IF, Gorpinchenko II. (1976)
[State of the neuro-humoral mechanism of regulation of sexual function in patients with chronic prostatitis and importence]. Urol Nefrol (Mosk), (2): 40-3. [PMID:10663] |
3. Karpel-Massler G, Nguyen TTT, Shang E, Siegelin MD. (2019)
Novel IDH1-Targeted Glioma Therapies. CNS Drugs, 33 (12): 1155-1166. [PMID:31768950] |
4. Konteatis Z, Artin E, Nicolay B, Straley K, Padyana AK, Jin L, Chen Y, Narayaraswamy R, Tong S, Wang F et al.. (2020)
Vorasidenib (AG-881): A First-in-Class, Brain-Penetrant Dual Inhibitor of Mutant IDH1 and 2 for Treatment of Glioma. ACS Med Chem Lett, 11 (2): 101-107. DOI: 10.1021/acsmedchemlett.9b00509 [PMID:32071674] |
5. Konteatis Zd, Popovici-Muller J, Travins JM, Zahler R, Cai Z, Zhou D. (2018)
Therapeutically active compounds and their methods of use. Patent number: US10028961B1. Assignee: Agios Pharmaceuticals. Priority date: 11/07/2013. Publication date: 24/07/2018. |
6. Ma R, Yun CH. (2018)
Crystal structures of pan-IDH inhibitor AG-881 in complex with mutant human IDH1 and IDH2. Biochem Biophys Res Commun, 503 (4): 2912-2917. [PMID:30131249] |
7. Mellinghoff IK, Penas-Prado M, Peters KB, Burris 3rd HA, Maher EA, Janku F, Cote GM, de la Fuente MI, Clarke JL, Ellingson BM et al.. (2021)
Vorasidenib, a Dual Inhibitor of Mutant IDH1/2, in Recurrent or Progressive Glioma; Results of a First-in-Human Phase I Trial. Clin Cancer Res, 27 (16): 4491-4499. [PMID:34078652] |
8. Mellinghoff IK, van den Bent MJ, Blumenthal DT, Touat M, Peters KB, Clarke J, Mendez J, Yust-Katz S, Welsh L, Mason WP et al.. (2023)
Vorasidenib in IDH1- or IDH2-Mutant Low-Grade Glioma. N Engl J Med, 389 (7): 589-601. [PMID:37272516] |
9. Sharma N, Mallela AN, Shi DD, Tang LW, Abou-Al-Shaar H, Gersey ZC, Zhang X, McBrayer SK, Abdullah KG. (2023)
Isocitrate dehydrogenase mutations in gliomas: A review of current understanding and trials. Neurooncol Adv, 5 (1): vdad053. [PMID:37287696] |