Chemistry:Pyrilutamide

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Short description: Chemical compound
Pyrilutamide
Pyrilutamide high res.png
Clinical data
Other namesKX-826
Routes of
administration
Topical
Drug classNonsteroidal antiandrogen
ATC code
  • None
Identifiers
Chemical and physical data
FormulaC21H15F5N4O2S
Molar mass482.43 g·mol−1
3D model (JSmol)

Pyrilutamide (developmental code name KX-826) is a nonsteroidal antiandrogen (NSAA) – specifically, a selective high-affinity silent antagonist of the androgen receptor (AR) – which is under development by Suzhou Kintor Pharmaceuticals, inc., a subsidiary of Kintor Pharmaceutical Limited, for the potential treatment of androgenic alopecia (androgen-dependent scalp hair loss)[1][2][3] As of October 2022, it is in phase 3 clinical trials for androgenic alopecia and phase 2 trials for acne.[2]

Development

The primary endpoint is the change from baseline in non-vellus target area hair count (TAHC) at the end of week 24. The drug will be dosed at 10 mg (0.5% BID) per patient per day in the trial.[4]

Adverse effects

Pyrilutamide is generally well-tolerated. The most common adverse event is contact dermatitis.[5]

Pharmacology

Plasma concentration of pyrilutamide and metabolite KX-982 in different dose groups in phase Ib clinical trials in China

Pharmacodynamics

Pyrilutamide binds to the androgen receptor with a very high affinity with an IC50 of 0.28 nM. [3] Reference drug bicalutamide had an IC50 of 3.1 nM. [3]

References

  1. "What's New in Therapy for Male Androgenetic Alopecia?". American Journal of Clinical Dermatology 24 (1): 15–24. January 2023. doi:10.1007/s40257-022-00730-y. PMID 36169916. 
  2. 2.0 2.1 "Pyrilutamide - Suzhou Kintor Pharmaceuticals". AdisInsight. Springer Nature Switzerland AG. https://adisinsight.springer.com/drugs/800053879. 
  3. 3.0 3.1 3.2 Tong Y, "Substituted Thioimidazolidinone Androgen Receptor Antagonists and Uses Thereof", CA patent 2829322, published 2012-03-08, issued 2017-01-10, assigned to Suzhou Kintor Pharmaceuticals, Inc
  4. "Kintor Pharma Announces the Primary Endpoint of Phase II Clinical Study for KX-826's Treatment of Androgenetic Alopecia Was Met". https://en.kintor.com.cn/news/190.html. 
  5. "Kintor Pharmaceutical (9939 HK) Specializing in AR-related innovative therapies". http://pdf.dfcfw.com/pdf/H3_AP202007241393752560_1.pdf.