quizartinib   Click here for help

GtoPdb Ligand ID: 5658

Synonyms: AC 010220 | AC 220 | AC220 | Vanflyta®
Approved drug PDB Ligand
quizartinib is an approved drug (Japan (2019), FDA (2023))
Compound class: Synthetic organic
Comment: Quizartinib (AC220) is an inhibitor of class III receptor tyrosine kinases (FLT3, CSF1 receptor, KIT, PDGF receptors). It was developed to treat oncogenic FLT3 activation in acute myeloid leukemia. It is compound 7 in [1].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 2
Rotatable bonds 10
Topological polar surface area 134.4
Molecular weight 560.22
XLogP 4.14
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES O=C(Nc1noc(c1)C(C)(C)C)Nc1ccc(cc1)c1cn2c(n1)sc1c2ccc(c1)OCCN1CCOCC1
Isomeric SMILES O=C(Nc1noc(c1)C(C)(C)C)Nc1ccc(cc1)c1cn2c(n1)sc1c2ccc(c1)OCCN1CCOCC1
InChI InChI=1S/C29H32N6O4S/c1-29(2,3)25-17-26(33-39-25)32-27(36)30-20-6-4-19(5-7-20)22-18-35-23-9-8-21(16-24(23)40-28(35)31-22)38-15-12-34-10-13-37-14-11-34/h4-9,16-18H,10-15H2,1-3H3,(H2,30,32,33,36)
InChI Key CVWXJKQAOSCOAB-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Quizartinib was progressed through clinical trials to determine efficacy in acute myeloid leukemia (AML), including newly diagnosed FLT3-ITD +ve AML. Phase 2 and phase 3 results were published in 2019 [2,5]. First approval was granted by the Japanese Ministry of Health, Labor and Welfare (MHLW) in June 2019, for use of quizartinib in therapy regimens for FLT3-ITD +ve AML. US FDA approval for this indication was issued in July 2023. Quizartinib was recommended for EU approval in September 2023, for the treatment of newly diagnosed FLT3-ITD +ve AML [4].
Mechanism Of Action and Pharmacodynamic Effects Click here for help
The molecular target of quizartinib is the type III receptor tyrosine kinase FLT3 (fms-related tyrosine kinase 3) [1].
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT00001693 Phase I-II Multiple-Dose Safety and Efficacy Study of a Selective Inhibitor of Cyclooxygenase - 2 (SC-58635) in Hereditary Non-Polyposis Colorectal Cancer (HNPCC) Patients and Carriers Phase 1 Interventional National Institutes of Health Clinical Center (CC)