ACT001   Click here for help

GtoPdb Ligand ID: 13291

Synonyms: ACT-001
Compound class: Synthetic organic
Comment: ACT001 inhibits PD-L1 expression in neutrophils, and releases immune system suppression by the PD-1/PD-L1 checkpoint. It has potent anticancer and anti-inflammatory activities, and can cross the blood-brain barrier. The molecular mechanism of ACT001 is reported to involve direct interaction with the STAT3 transcription factor and inhibition of STAT3 phosphorylation [3,5]. In cancers that overexpress PD-L1 and escape immune surveillance, this offers a therapeutic strategy to enhance anti-tumour immune response. Some microbial pathogens upregulate PD-L1 expression in their hosts as a mechanism to negatively regulate the host anti-pathogen immune response [1-2,4,6-7]. By blocking PD-L1 expression ACT001 has been shown effective against systemic C. albicans infection [7]. However ACT001's high CNS permeability and strong cytotoxicity limit its use in the treatment of microbial infections. A sulphide ACT001 prodrug with an improved safety profile has been designed [3].
2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 1
Rotatable bonds 2
Topological polar surface area 49.77
Molecular weight 293.4
XLogP 0.84
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES CC1=C2CC[C@](C)([C@]2([H])[C@@H]3[C@@H](CC1)[C@H](CN(C)C)C(=O)O3)O
Isomeric SMILES [H][C@@]12[C@H]3OC(=O)[C@@H](CN(C)C)[C@@H]3CCC(C)=C1CC[C@@]2(C)O
InChI InChI=1S/C17H27NO3/c1-10-5-6-12-13(9-18(3)4)16(19)21-15(12)14-11(10)7-8-17(14,2)20/h12-15,20H,5-9H2,1-4H3/t12-,13-,14-,15-,17+/m0/s1
InChI Key ZPBIJIIQXPRJSS-WNZSCWOMSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
ACT001 was a clinical candidate for advanced glioblastoma multiforme, and the FDA had designated it (as dimethylaminomicheliolide fumarate) as an orphan drug for this indication in early 2022.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT05053880 A Study to Evaluate Safety and Efficacy of ACT001 and Anti-PD-1 in Patients With Surgically Accessible Recurrent Glioblastoma Multiforme Phase 1/Phase 2 Interventional Accendatech USA Inc.