Chemistry:Dacomitinib

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Short description: Drug for the treatment of lung carninoma
Dacomitinib
Dacomitinib.svg
Clinical data
Pronunciationdak" oh mi' ti nib
Trade namesVizimpro
Other namesPF-00299804
AHFS/Drugs.comMonograph
MedlinePlusa618055
License data
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Pharmacokinetic data
Bioavailability80%
Protein binding98%
MetabolismCYP2D6, CYP3A4
MetabolitesO-desmethyl-dacomitinib
Elimination half-life70 hrs
Excretion79% faeces, 3% urine
Identifiers
CAS Number
PubChem CID
IUPHAR/BPS
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
PDB ligand
Chemical and physical data
FormulaC24H25ClFN5O2
Molar mass469.95 g·mol−1
3D model (JSmol)

Dacomitinib, sold under the brand name Vizimpro, is a medication for the treatment of non-small-cell lung carcinoma (NSCLC). It is a selective and irreversible inhibitor of EGFR.[3]

Dacomitinib has advanced to several Phase III clinical trials.[when?] The January 2014 results of the first trials were disappointing, with a failure to meet the study goals.[4][5][6] Additional Phase III trials are ongoing[when?].[4]

In 2017, results of a trial comparing dacomitinib to gefitinib for NSCLC (driven by mutated EGFR) were announced.[7]

Dacomitinib was approved for medical use in the United States in September 2018,[8] in Japan in 2019, and in the European Union in 2019,[9] for the treatment of non-small cell lung cancer with epidermal growth factor receptor (EGFR) gene mutation.

References

  1. "Vizimpro Product information". 25 April 2012. https://health-products.canada.ca/dpd-bdpp/info.do?lang=en&code=97625. 
  2. "Summary Basis of Decision (SBD) for Verzenio". 23 October 2014. https://hpr-rps.hres.ca/reg-content/summary-basis-decision-detailTwo.php?linkID=SBD00447&lang=en. 
  3. "Dacomitinib". NCI Drug Dictionary. National Cancer Institute, U.S. Department of Health and Human Services. http://www.cancer.gov/drugdictionary?cdrid=462567. 
  4. 4.0 4.1 Chustecka, Zosia (January 27, 2014). "Dacomitinib Fails in Pretreated Non-small Cell Lung Cancer". Medscape. http://www.medscape.com/viewarticle/819761. 
  5. Taylor, Phil (28 January 2014). "Blow to Pfizer as dacomitinib fails in lung cancer trials". pmlive.com. http://www.pmlive.com/pharma_news/blow_to_pfizer_as_dacomitinib_fails_in_lung_cancer_trials_537815. 
  6. "Pfizer Announces Top-Line Results From Two Phase 3 Trials Of Dacomitinib In Patients With Refractory Advanced Non-Small Cell Lung Cancer". Pfizer Press Release. January 27, 2014. http://www.pfizer.com/news/press-release/press-release-detail/pfizer_announces_top_line_results_from_two_phase_3_trials_of_dacomitinib_in_patients_with_refractory_advanced_non_small_cell_lung_cancer. 
  7. Smith, Michael (6 June 2017). "Dacomitinib Sets PFS Record in Phase III NSCLC Trial". MedPage Today. https://www.medpagetoday.com/MeetingCoverage/ASCO/65818. 
  8. "Dacomitinib: First Global Approval". Drugs 78 (18): 1947–1953. December 2018. doi:10.1007/s40265-018-1028-x. PMID 30506139. 
  9. "Vizimpro EPAR". 5 June 2019. https://www.ema.europa.eu/en/medicines/human/EPAR/vizimpro. 

External links