voxelotor   Click here for help

GtoPdb Ligand ID: 10559

Synonyms: compound 36 [PMID: 28337324] | GBT-440 | GBT440 | Oxbryta®
Approved drug
voxelotor is an approved drug (FDA (2019), EMA (2022))
Compound class: Synthetic organic
Comment: Voxelotor (GBT440) is an orally bioavailable drug that acts allosterically to stabilise the relaxed (R)-state of sickle cell haemoglobin (HbS) in which it has high affinity for oxygen, and this mechanism reduces the HbS polymerisation that drives erythrocyte sickling [1].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 3
Hydrogen bond donors 1
Rotatable bonds 6
Topological polar surface area 77.24
Molecular weight 337.14
XLogP 3.61
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES O=Cc1c(cccc1O)OCc1cccnc1c1ccnn1C(C)C
Isomeric SMILES O=Cc1c(cccc1O)OCc1cccnc1c1ccnn1C(C)C
InChI InChI=1S/C19H19N3O3/c1-13(2)22-16(8-10-21-22)19-14(5-4-9-20-19)12-25-18-7-3-6-17(24)15(18)11-23/h3-11,13,24H,12H2,1-2H3
InChI Key FWCVZAQENIZVMY-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Phase 3 clinical trial results were published by Vichinsky et al. in August 2019 [2]. Voxelotor was granted FDA accelerated approval in November 2019, for the treatment of sickle cell disease in patients ≥12 years of age. In the EU, the EMA designated voxelotor as an orphan medicinal product for sickle cell disease in November 2016.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Voxelotor increases HbS' affinity for oxygen and acts to prevent HbS polymerisation and the resultant sickling and destruction of erythrocytes.