mavorixafor   Click here for help

GtoPdb Ligand ID: 8580

Synonyms: AMD 070 | AMD-070 | AMD-11070 | AMD11070 | compound 2 [PMID: 20297846] | X4P-001 | X4P-001-IO | X4P-001-LD | Xolremdi®
Approved drug PDB Ligand Immunopharmacology Ligand
mavorixafor is an approved drug (FDA (2024))
Compound class: Synthetic organic
Comment: Mavorixafor (AMD070/AMD11070) is a potent, selective and bioavailable CXCR4 chemokine receptor allosteric antagonist [5]. Originally developed for HIV treatment [4], it was repurposed by X4 Pharmaceuticals as X4P-001 for the treatment of WHIM syndrome, a sub-type of a primary immunodeficiency disease caused by CXCR4 mutations. The compound is exemplified in a process patent US7332605 and as compound 89 from a series of 169 analogues in WO2003055876 but neither filing includes activity data.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 2
Rotatable bonds 7
Topological polar surface area 70.83
Molecular weight 349.23
XLogP 2.23
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 NCCCCN(C1CCCc2c1nccc2)Cc1nc2c([nH]1)cccc2
Isomeric SMILES NCCCCN([C@H]1CCCc2c1nccc2)Cc1nc2c([nH]1)cccc2
InChI InChI=1S/C21H27N5/c22-12-3-4-14-26(15-20-24-17-9-1-2-10-18(17)25-20)19-11-5-7-16-8-6-13-23-21(16)19/h1-2,6,8-10,13,19H,3-5,7,11-12,14-15,22H2,(H,24,25)/t19-/m0/s1
InChI Key WVLHHLRVNDMIAR-IBGZPJMESA-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
Mavorixafor was advanced to clinical trials in patients with WHIM (warts, hypogammaglobulinemia, infections and myelokathexis) syndrome, and with severe chronic neutropenia [2]. Click here to link to ClinicalTrials.gov's full list of mavorixafor studies. The FDA granted Orphan Designation as a treament for WHIM syndrome in October 2018 and the EMA followed suit in July of the following year. In November 2019 the US FDA granted mavorixafor Breakthrough Therapy Designation for this rare indication. Full FDA approval for the treament of WHIM syndrome was granted in April 2024 [3].
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT03995108 Efficacy and Safety Study of Mavorixafor in Participants With Warts, Hypogammaglobulinemia, Infections, and Myelokathexis (WHIM) Syndrome Phase 3 Interventional X4 Pharmaceuticals 1