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Perifosine

From Wikipedia, the free encyclopedia
Perifosine
Skeletal formula of perifosine
Space-filling model of the perifosine zwitterion
Names
IUPAC name
1,1-Dimethylpiperidinium-4-yl octadecyl phosphate
Other names
D 21266; KRX 0401
Identifiers
3D model (JSmol)
ChEMBL
ChemSpider
ECHA InfoCard100.217.789Edit this at Wikidata
UNII
  • InChI=1S/C25H52NO4P/c1-4-5-6-7-8-9-10-11-12-13-14-15-16-17-18-19-24-29-31(27,28)30-25-20-22-26(2,3)23-21-25/h25H,4-24H2,1-3H3
  • [O-]P(=O)(OCCCCCCCCCCCCCCCCCC)OC1CC[N+](C)(C)CC1
Properties
C25H52NO4P
Molar mass461.668 g·mol−1
Except where otherwise noted, data are given for materials in theirstandard state (at 25 °C [77 °F], 100 kPa).
Chemical compound

Perifosine (alsoKRX-0401) is a former drug candidate that was under development for a variety of cancer indications. It is an alkyl-phospholipid[1] structurally related tomiltefosine. Perifosine interrupts thePI3K/AKT/mTOR pathway by acting as anallostericAKT inhibitor targeting thepleckstrin homology domain of AKT.[2] It was being developed by Keryx Biopharmaceuticals who had licensed it fromÆterna Zentaris Inc.[3]

In 2010, perifosine receivedorphan drug status in the U.S. for the treatment of multiple myeloma andneuroblastoma, and for multiple myeloma in the EU.[4] However, both were later withdrawn.[5][6]

In 2011 it was in a phase III trial forcolorectal cancer,[7] and another formultiple myeloma.[4][8] On April 2, 2012, it was announced that perifosine failed its phase III clinical trial for treatment of colon cancer.[9] Detailed results were released in June 2012.[10] On March 11, 2013 Aeterna Zentaris announced the discontinuing of Phase 3 clinical trial of perifosine for the treatment of relapsed and refractory multiple myeloma.[11]

References

[edit]
  1. ^Kondapaka; et al. (Nov 2003)."Perifosine, a novel alkylphospholipid, inhibits protein kinase B activation".Molecular Cancer Therapeutics.2 (11). Mol Cancer Ther:1093–103.PMID 14617782.
  2. ^Keane, N. A.; Glavey, S. V.; Krawczyk, J.; O'Dwyer, M. (2014). "AKT as a therapeutic target in multiple myeloma".Expert Opinion on Therapeutic Targets.18 (8):897–915.doi:10.1517/14728222.2014.924507.PMID 24905897.S2CID 873910.
  3. ^Smartoncology newsletterArchived 2011-07-16 at theWayback Machine, Feb 2010
  4. ^ab"Yakult Pays Aeterna Zentaris $8.3M for Japanese Rights to Pivotal-Stage Cancer Drug". 9 March 2011.
  5. ^"FDA Orphan Drug Designations and Approvals: Perifosine".
  6. ^"EU/3/10/740: Orphan designation for the treatment of multiple myeloma: Perifosine". 17 September 2018.
  7. ^"Perifosine Plus Capecitabine Versus Placebo Plus Capecitabine in Patients with Refractory Advanced Colorectal Cancer - Full Text View - ClinicalTrials.gov". Archived fromthe original on 2011-07-27. Retrieved2011-03-24.
  8. ^Clinical trial numberNCT01002248 for "Assessment of Efficacy and Safety of Perifosine, Bortezomib and Dexamethasone in Multiple Myeloma Patients" atClinicalTrials.gov
  9. ^"Aeterna Zentaris Regains North American Rights to Akt Inhibitor from Keryx". May 2012.
  10. ^"Aeterna Zentaris: Phase 3 Data for Perifosine in Colorectal Cancer Presented at ASCO Meeting". 4 June 2012. Archived fromthe original on 16 January 2013. Retrieved13 November 2012.
  11. ^"Æterna Zentaris Inc". Archived fromthe original on 2014-02-02. Retrieved2014-01-22.
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