MDL | MFCD28144685 |
---|---|
Molecular Weight | 552.71 |
Molecular Formula | C29H44N8O3 |
SMILES | NC(C1=NC(CC)=C(NC2CCOCC2)N=C1NC3=CC(OC)=C(N4CCC(N5CCN(C)CC5)CC4)C=C3)=O |
Gilteritinib (ASP2215) is a potent and ATP-competitive FLT3 / AXL inhibitor with IC 50 s of 0.29 nM/0.73 nM, respectively.
Of the 78 tyrosine kinases tested, Gilteritinib (ASP2215) inhibits FLT3, leukocyte tyrosine kinase (LTK), anaplastic lymphoma kinase (ALK), and AXL kinases by over 50% at 1 nM with an IC 50 value of 0.29 nM for FLT3, approximately 800-fold more potent than for c-KIT [1] . Gilteritinib inhibits the activity of eight of the 78 tested kinases by over 50% at concentrations of either 1 nM (FLT3, LTK, ALK, and AXL) or 5 nM (TRKA, ROS, RET, and MER). The IC 50 s are 0.29 nM for FLT3 and 0.73 nM for AXL. Gilteritinib inhibits FLT3 at an IC 50 that is approximately 800-fold more potent than the concentration required to inhibit c-KIT (230 nM). The antiproliferative activity of Gilteritinib is evaluated against MV4-11 and MOLM-13 cells, which endogenously express FLT3-ITD. After 5 days of treatment, Gilteritinib inhibits the growth of MV4-11 and MOLM-13 cells with mean IC 50 s of 0.92 nM (95% CI: 0.23-3.6 nM) and 2.9 nM (95% CI: 1.4-5.8 nM), respectively. Growth suppression of MV4-11 cells is accompanied by inhibition of FLT3 phosphorylation. Relative to vehicle control cells, phosphorylated FLT3 levels are 57%, 8%, and 1% after 2 h of treatment with 0.1 nM, 1 nM, and 10 nM Gilteritinib, respectively. In addition, doses as low as 0.1 nM or 1 nM result in the suppression of phosphorylated ERK, STAT5, and AKT, all of which are downstream targets of FLT3 activation. To investigate the effects of Gilteritinib on AXL inhibition, MV4-11 cells that expressed exogenous AXL are treated with Gilteritinib. At concentrations of 1 nM, 10 nM, and 100 nM for 4 h, Gilteritinib treatment decreases phosphorylated AXL levels by 38%, 29%, and 22%, respectively [2] .
MCE has not independently confirmed the accuracy of these methods. They are for reference only.
In MV4-11 xenografted-mice, the concentration of Gilteritinib (ASP2215) in tumors is more than 20-fold higher than that in plasma with oral administration of Gilteritinib at 10 mg/kg for 4 days. Treatment of Gilteritinib for 28 days results in dose-dependent inhibition of MV4-11 tumor growth and induces complete tumor regression at more than 6 mg/kg. Further, Gilteritinib decreases tumor burden in bone marrow and prolonged the survival of mice intravenously transplanted with MV4-11 cells [1] .
MCE has not independently confirmed the accuracy of these methods. They are for reference only.
NCT Number | Sponsor | Condition | Start Date | Phase |
---|---|---|---|---|
NCT02927262 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) + Internal Tandem Duplication (ITD) Mutation
|
January 10, 2017 | Phase 2 |
NCT05520567 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|FLT3-mutated Acute Myeloid Leukemia
|
November 2, 2022 | Phase 1|Phase 2 |
NCT02752035 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) Mutation
|
August 1, 2016 | Phase 3 |
NCT03964038 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Healthy Volunteer
|
May 21, 2019 | Phase 1 |
NCT03070093 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|FMS-like Tyrosine Kinase-3 (FLT3) Mutations
|
||
NCT04140487 | M.D. Anderson Cancer Center |
Recurrent Acute Myeloid Leukemia|Recurrent Chronic Myelomonocytic Leukemia|Recurrent Myelodysplastic+Myeloproliferative Neoplasm|Refractory Acute Myeloid Leukemia|Refractory Chronic Myelomonocytic Leukemia|Refractory Myelodysplastic+Myeloproliferative Neoplasm
|
December 17, 2019 | Phase 1|Phase 2 |
NCT02997202 | Astellas Pharma Global Development, Inc.|National Heart, Lung, and Blood Institute (NHLBI)|Blood and Marrow Transplant Clinical Trials Network|Astellas Pharma Inc |
Acute Myeloid Leukemia
|
June 7, 2017 | Phase 3 |
NCT05024552 | H. Lee Moffitt Cancer Center and Research Institute|Jazz Pharmaceuticals |
Acute Myeloid Leukemia With FLT3+ITD Mutation
|
August 23, 2021 | Phase 1 |
NCT02115295 | M.D. Anderson Cancer Center|National Cancer Institute (NCI) |
Acute Biphenotypic Leukemia|Acute Myeloid Leukemia|Blast Phase Chronic Myelogenous Leukemia, BCR-ABL1 Positive|Blasts 10 Percent or More of Bone Marrow Nucleated Cells|Blasts 10 Percent or More of Peripheral Blood White Cells|de Novo Myelodysplastic Syndrome|Myelodysplastic Syndrome|Previously Treated Myelodysplastic Syndrome|Recurrent Acute Myeloid Leukemia|Recurrent Chronic Myelogenous Leukemia, BCR-ABL1 Positive|Refractory Acute Myeloid Leukemia|Refractory Chronic Myelogenous Leukemia, BCR-ABL1 Positive|Secondary Acute Myeloid Leukemia|Untreated Adult Acute Myeloid Leukemia
|
May 19, 2014 | Phase 2 |
NCT02456883 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Advanced Solid Tumors|Pharmacokinetics of 14C-labeled Gilteritinib
|
March 4, 2016 | Phase 1 |
NCT03730012 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) Mutation
|
June 19, 2019 | Phase 1|Phase 2 |
NCT03625505 | AbbVie|Astellas Pharma Inc|Genentech, Inc. |
Acute Myeloid Leukemia (AML)
|
October 18, 2018 | Phase 1 |
NCT05199051 | Centre Antoine Lacassagne|Acute Leukemia French Association |
AML
|
October 30, 2022 | Phase 2 |
NCT05010772 | M.D. Anderson Cancer Center|National Cancer Institute (NCI) |
Acute Myeloid Leukemia
|
October 25, 2021 | Phase 1 |
NCT05010122 | M.D. Anderson Cancer Center |
Acute Myeloid Leukemia|Myelodysplastic Syndrome|Recurrent Acute Myeloid Leukemia|Refractory Acute Myeloid Leukemia
|
July 8, 2021 | Phase 1|Phase 2 |
NCT04655391 | City of Hope Medical Center|National Cancer Institute (NCI) |
Recurrent Acute Myeloid Leukemia
|
June 25, 2022 | Phase 1 |
NCT02181660 | Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)
|
June 16, 2014 | Phase 1 |
NCT05546580 | Oryzon Genomics S.A. |
Acute Myeloid Leukemia, in Relapse|Acute Myeloid Leukemia Refractory
|
October 15, 2022 | Phase 1 |
NCT05330377 | Ayman H Qasrawi|Astellas Pharma Inc|University of Kentucky |
Acute Myeloid Leukemia
|
March 2023 | Phase 1 |
NCT04240002 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|Acute Myeloid Leukemia With FMS-like Tyrosine Kinase 3 (FLT3) Mutation + Internal Tandem Duplication (ITD)
|
February 27, 2020 | Phase 1|Phase 2 |
NCT02310321 | Astellas Pharma Inc |
Acute Myeloid Leukemia|FLT3-mutated Acute Myeloid Leukemia
|
February 26, 2015 | Phase 1|Phase 2 |
NCT02421939 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Leukemia, Acute Myeloid (AML)
|
October 20, 2015 | Phase 3 |
NCT05312112 | Guy´s and St Thomas´ NHS Foundation Trust|King´s College London |
Acute Myeloid Leukemia
|
May 1, 2022 | |
NCT03836209 | PrECOG, LLC.|Astellas Pharma Inc |
Acute Myeloid Leukemia
|
December 6, 2019 | Phase 2 |
NCT05279859 | Erasca, Inc. |
Acute Myeloid Leukemia
|
March 15, 2022 | Phase 1|Phase 2 |
NCT04691648 | Astellas Pharma Korea, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) Mutation
|
June 17, 2022 | |
NCT03315299 | Children´s Hospital Los Angeles|Astellas Pharma Global Development, Inc. |
AML
|
||
NCT04699877 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Renal Impaired|Gilteritinib|Normal Renal Function|Pharmacokinetics of ASP2215
|
January 28, 2021 | Phase 1 |
NCT04293562 | Children´s Oncology Group|National Cancer Institute (NCI) |
Acute Myeloid Leukemia
|
July 20, 2020 | Phase 3 |
NCT05028751 | Kronos Bio |
Acute Myeloid Leukemia|Relapsed Acute Myeloid Leukemia|Refractory Acute Myeloid Leukemia
|
August 5, 2022 | Phase 1|Phase 2 |
NCT03409081 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia (AML)|FMS-like Tyrosine Kinase-3 (FLT3) Mutations
|
||
NCT04027309 | Stichting Hemato-Oncologie voor Volwassenen Nederland|Deutsch-Österreichische Studiengruppe Akute Myeloische Leukämie (AMLSG)|Astellas Pharma Global Development, Inc. |
Acute Myeloid Leukemia|Myelodysplastic Syndrome With Excess Blasts-2
|
December 20, 2019 | Phase 3 |
NCT02571816 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Hepatic Impairment|Healthy
|
October 23, 2015 | Phase 1 |
NCT03013998 | Beat AML, LLC |
Previously Untreated Acute Myeloid Leukemia
|
November 2016 | Phase 1|Phase 2 |
NCT02561455 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Advanced Solid Tumors|Acute Myeloid Leukemia
|
May 3, 2016 | Phase 1|Phase 2 |
NCT04336982 | Celgene|AbbVie |
Leukemia, Myeloid, Acute
|
August 5, 2020 | Phase 1|Phase 2 |
NCT02014558 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia
|
October 9, 2013 | Phase 1|Phase 2 |
NCT02236013 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Acute Myeloid Leukemia
|
January 7, 2015 | Phase 1 |
NCT03182244 | Astellas Pharma Inc |
Acute Myeloid Leukemia With FMS-like Tyrosine Kinase (FLT3) Mutation
|
January 15, 2018 | Phase 3 |
NCT02495233 | Astellas Pharma Global Development, Inc.|Astellas Pharma Inc |
Non-Small-Cell Lung Cancer
|
September 8, 2015 | Phase 1|Phase 2 |
Solid
Room temperature in continental US; may vary elsewhere.
4°C, stored under nitrogen
* In solvent : -80°C, 6 months; -20°C, 1 month (stored under nitrogen)
Ethanol : 100 mg/mL ( 180.93 mM ; ultrasonic and adjust pH to 2 with HCl)
DMSO : 2 mg/mL ( 3.62 mM ; Need ultrasonic)
Concentration Solvent Mass | 1 mg | 5 mg | 10 mg |
---|
1 mM | 1.8093 mL | 9.0463 mL | 18.0927 mL |
5 mM | 0.3619 mL | 1.8093 mL | 3.6185 mL |
10 mM | 0.1809 mL | 0.9046 mL | 1.8093 mL |
Add each solvent one by one: 50% PEG300 >> 50% saline
Solubility: 10 mg/mL (18.09 mM); Suspended solution; Need ultrasonic
Add each solvent one by one: 10% EtOH >> 90% (20% SBE-β-CD in saline)
Solubility: ≥ 2.5 mg/mL (4.52 mM); Clear solution
Add each solvent one by one: 10% EtOH >> 90% corn oil
Solubility: ≥ 2.5 mg/mL (4.52 mM); Clear solution