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Pacritinib

From Wikipedia, the free encyclopedia
Medication used to treat myelofibrosis

Pharmaceutical compound
Pacritinib
Clinical data
Trade namesVonjo
Other namesSB1518
License data
Routes of
administration
By mouth
ATC code
Legal status
Legal status
Identifiers
  • (16E)-11-[2-(1-Pyrrolidinyl)ethoxy]-14,19-dioxa-5,7,26-triazatetracyclo[19.3.1.12,6.18,12]heptacosa-1(25),2(26),3,5,8,10,12(27),16,21,23-decaene
CAS Number
PubChemCID
DrugBank
ChemSpider
UNII
KEGG
ChEBI
ChEMBL
PDB ligand
CompTox Dashboard(EPA)
Chemical and physical data
FormulaC28H32N4O3
Molar mass472.589 g·mol−1
3D model (JSmol)
  • c1cc2cc(c1)-c3ccnc(n3)Nc4ccc(c(c4)COC/C=C/COC2)OCCN5CCCC5
  • InChI=1S/C28H32N4O3/c1-2-13-32(12-1)14-17-35-27-9-8-25-19-24(27)21-34-16-4-3-15-33-20-22-6-5-7-23(18-22)26-10-11-29-28(30-25)31-26/h3-11,18-19H,1-2,12-17,20-21H2,(H,29,30,31)/b4-3+
  • Key:HWXVIOGONBBTBY-ONEGZZNKSA-N

Pacritinib, sold under the brand nameVonjo, is ananti-cancer medication used to treatmyelofibrosis.[1][2][3][4]

It is amacrocyclicprotein kinase inhibitor. It mainly inhibitsJanus kinase 2 (JAK2) andFms-like tyrosine kinase 3\CD135 (FLT3).

Common side effects include diarrhea, low platelet counts, nausea, anemia, and swelling in legs.[2]

Medical uses

[edit]

Pacritinib inindicated to treat adults who have a rare form of a bone marrow disorder known as intermediate or high-risk primary or secondary myelofibrosis and who have platelet (blood clotting cells) levels below 50,000/μL.[1][2]

History

[edit]

The effectiveness and safety of pacritinib were demonstrated in a study that included 63 participants with intermediate or high-risk primary or secondary myelofibrosis and low platelets who received pacritinib 200 mg twice daily or standard treatment.[2] Effectiveness was determined based upon the proportion of participants who had a 35% or greater spleen volume reduction from baseline to week 24.[2] Nine participants (29%) in the pacritinib treatment group had a 35% or greater spleen volume reduction, compared to one participant (3%) in the standard treatment group.[2]

The U.S.Food and Drug Administration (FDA) granted the application for pacritinibpriority review,fast track, andorphan drug designations.[2][5]

Society and culture

[edit]

Names

[edit]

Pacritinib is theInternational nonproprietary name (INN).[6][7]

References

[edit]
  1. ^abc"Vonjo- pacritinib capsule".DailyMed. 7 March 2022. Retrieved24 March 2022.
  2. ^abcdefgh"FDA approves drug for adults with rare form of bone marrow disorder".U.S. Food and Drug Administration. 1 March 2022. Archived fromthe original on 1 March 2022. Retrieved3 March 2022.Public Domain This article incorporates text from this source, which is in thepublic domain.
  3. ^Mascarenhas J (August 2022). "Pacritinib for the treatment of patients with myelofibrosis and thrombocytopenia".Expert Review of Hematology.15 (8):671–684.doi:10.1080/17474086.2022.2112565.PMID 35983661.
  4. ^Yang DH, Lu Q, Zhu Z, Huang G, Young K (December 2022). "Pacritinib for myelofibrosis in adults with thrombocytopenia".Drugs of Today.58 (12):577–589.doi:10.1358/dot.2022.58.12.3474538.PMID 36651066.
  5. ^Lamb YN (May 2022)."Pacritinib: First Approval".Drugs.82 (7):831–838.doi:10.1007/s40265-022-01718-y.PMID 35567653.
  6. ^"International nonproprietary names for pharmaceutical substances (INN). proposed INN: list 104"(PDF).WHO Drug Information.24 (4): 386. 2010.hdl:10665/74579.
  7. ^"International nonproprietary names for pharmaceutical substances (INN): recommended INN: list 66".WHO Drug Information.25 (3). 2011.hdl:10665/74683.

External links

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