entrectinib   Click here for help

GtoPdb Ligand ID: 8290

Synonyms: NMS-E628 | Rozlytrek® | RXDX-101
Approved drug PDB Ligand
entrectinib is an approved drug (Japan and FDA (2019), EMA (2020))
Compound class: Synthetic organic
Comment: Entrectinib is an oral, brain penetrant, receptor tyrosine kinase (RTK) inhibitor that targets solid tumours that harbour activating alterations in NTRK1, NTRK2, NTRK3 (the Trk family RTKs), ROS1 or ALK [6]. NTRK1 fusion proteins are becoming recognised as oncogenic-drivers in NSCLC [3], so the ability of the compound to target these and ALK- and ROS1-rearrangements suggests it has the potential to become a useful oncology agent.
More recently entrectinib has been shown to inhibit NLRP3 inflammasome assembly and activation via a direct interaction with NIMA related kinase 7 (NEK7) that disrupts the NLRP3-NEK7 interaction [5]. This discovery suggests a role for entrectinib as an intervention for inflammasome-related diseases.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 7
Hydrogen bond donors 3
Rotatable bonds 8
Topological polar surface area 85.52
Molecular weight 560.27
XLogP 6.13
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES CN1CCN(CC1)c1ccc(c(c1)NC1CCOCC1)C(=O)Nc1n[nH]c2c1cc(cc2)Cc1cc(F)cc(c1)F
Isomeric SMILES CN1CCN(CC1)c1ccc(c(c1)NC1CCOCC1)C(=O)Nc1n[nH]c2c1cc(cc2)Cc1cc(F)cc(c1)F
InChI InChI=1S/C31H34F2N6O2/c1-38-8-10-39(11-9-38)25-3-4-26(29(19-25)34-24-6-12-41-13-7-24)31(40)35-30-27-17-20(2-5-28(27)36-37-30)14-21-15-22(32)18-23(33)16-21/h2-5,15-19,24,34H,6-14H2,1H3,(H2,35,36,37,40)
InChI Key HAYYBYPASCDWEQ-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Entrectinib was evaluated in clinical trials as a potential treatment for locally advanced or metastatic solid tumours carrying NTRK1/2/3, ROS1, or ALK gene rearrangements (fusions). While trials were ongoing it was granted US FDA orphan drug (OD) designation and rare pediatric disease designation for the treatment of neuroblastoma, and OD designation for TrkA+ve, TrkB+ve, TrkC+ve, ROS1+ve and ALK+ve non-small cell lung cancer (NSCLC). Entrectinib received its first global approval in Japan in June 2019, indicated for the treatment of adult and paediatric patients with NTRK fusion+ve, advanced or recurrent solid tumours[1]. FDA approval followed in August 2019, with entrectinib indicated as a treatment for ROS1+ve, metastatic non-small cell lung cancer (NSCLC), At the same time the FDA granted accelerated approval for the treatment of metastatic/unresectable solid tumours carrying NTRK gene fusions in both adults and paediatric patients ≥12 years of age.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Entrectinib is an orally available inhibitor of the tyrosine kinases TrkA, TrkB, TrkC, ROS1, and ALK. The properties and potential utility of this compound are discussed in [4] and [2].