molecular formula C28H22F3N7O B1678881 Nilotinib CAS No. 641571-10-0

Nilotinib

货号: B1678881
CAS 编号: 641571-10-0
分子量: 529.5 g/mol
InChI 键: HHZIURLSWUIHRB-UHFFFAOYSA-N
注意: 仅供研究使用。不适用于人类或兽医用途。
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描述

尼洛替尼是一种第二代酪氨酸激酶抑制剂,主要用于治疗费城染色体阳性的慢性髓系白血病(CML)。它以商品名 Tasigna 出售。 尼洛替尼通过抑制 BCR-ABL 酪氨酸激酶发挥作用,BCR-ABL 酪氨酸激酶是由费城染色体异常产生的,并负责白血病细胞的无控制增殖 .

化学反应分析

尼洛替尼经历着各种化学反应,包括氧化、还原和取代。这些反应中常用的试剂包括氧化剂、还原剂和亲核试剂。 例如,尼洛替尼可以通过在水中使用天然化学连接 (NCL) 化学方法进行苯酰胺形成合成 . 该方法涉及苯甲酰基和巯基苯胺片段的偶联,形成芳香酰胺键。这些反应形成的主要产物包括尼洛替尼的各种衍生物,具有潜在的治疗应用。

科学研究应用

Treatment of Chronic Myeloid Leukemia

Clinical Efficacy
Nilotinib has been extensively studied for its efficacy in treating newly diagnosed chronic-phase CML. The ENESTnd study demonstrated that patients receiving this compound achieved significantly higher rates of major molecular response compared to those treated with imatinib. Specifically, at 12 months, the rates were 44% and 43% for this compound doses of 300 mg and 400 mg twice daily, respectively, versus 22% for imatinib (p < 0.001) .

Long-Term Outcomes
In a phase 2 study involving 122 patients treated with this compound (400 mg twice daily), long-term follow-up indicated that 91% achieved a complete cytogenetic response, with significant event-free survival rates at 89% and overall survival rates at 93% after five years .

Table 1: Summary of Clinical Trials for this compound in CML

StudyPatient PopulationThis compound DoseMajor Molecular Response RateEvent-Free Survival (5 years)Overall Survival (5 years)
ENESTndNewly diagnosed CML300 mg & 400 mg BID44% (300 mg), 43% (400 mg)Not specifiedNot specified
Phase 2Newly diagnosed CML400 mg BID91%89%93%

Potential Applications in Neurodegenerative Diseases

Parkinson's Disease
this compound is being investigated for its potential to alleviate symptoms of Parkinson's disease. A phase II trial indicated that while this compound was generally safe and tolerable, it did not demonstrate significant clinical benefits compared to placebo . The study involved multiple sites and assessed safety across different dosages, revealing more adverse events than the placebo group.

Alzheimer's Disease
Research has also explored this compound's neuroprotective properties in Alzheimer's disease. Preclinical studies suggest that this compound can reduce levels of amyloid-β and prevent neuronal degeneration by inhibiting c-Abl signaling pathways . However, clinical trials have yet to yield robust evidence supporting its efficacy in humans.

Table 2: Summary of this compound Studies in Neurodegenerative Diseases

StudyConditionFindings
NILO-PDParkinson's DiseaseSafe but no significant clinical benefitNot recommended for use
PreclinicalAlzheimer's DiseaseReduces amyloid-β levels; prevents neuron lossPromising but unproven in humans

Safety Profile and Adverse Effects

While this compound is effective against CML, its safety profile warrants attention. Common adverse effects include cardiovascular events, rash, elevated bilirubin, and aminotransferases . In studies involving CML patients, treatment discontinuation due to toxicity occurred in approximately 19% of cases.

Table 3: Adverse Effects Reported in Clinical Trials

Adverse EffectPercentage of Patients Affected
Rash55%
Elevated Bilirubin57%
Elevated Aminotransferases48%
Cardiovascular Events10%

作用机制

尼洛替尼通过选择性抑制 BCR-ABL 酪氨酸激酶、c-KIT 和血小板衍生生长因子受体 (PDGFR) 发挥作用 . 它与 BCR-ABL 的 ATP 结合位点结合,并抑制其酪氨酸激酶活性,从而阻止参与细胞增殖和存活的下游信号通路的磷酸化和激活。 尼洛替尼对对伊马替尼(另一种酪氨酸激酶抑制剂)耐药的慢性髓系白血病病例特别有效 .

生物活性

Nilotinib is a potent, second-generation tyrosine kinase inhibitor (TKI) primarily used in the treatment of chronic myeloid leukemia (CML). It selectively inhibits the BCR-ABL1 fusion protein, which is responsible for the uncontrolled proliferation of myeloid cells in CML. This article explores the biological activity of this compound, focusing on its mechanisms of action, effects on various cell types, clinical efficacy, and associated adverse effects.

This compound works by binding to the ATP-binding site of the BCR-ABL1 protein, inhibiting its kinase activity. This inhibition prevents the phosphorylation of downstream signaling molecules involved in cell proliferation and survival pathways. The specificity of this compound for the BCR-ABL1 kinase also contributes to its effectiveness and reduced off-target effects compared to earlier TKIs like imatinib.

Effects on Endothelial Cells

Recent studies have highlighted this compound's impact on endothelial cell function, which is critical for vascular health. Research utilizing human induced pluripotent stem cells (hiPSCs) has shown that this compound adversely affects endothelial cell proliferation and migration while increasing intracellular nitric oxide levels. Notably, these effects were independent of ABL1 inhibition, suggesting that this compound may exert off-target effects that compromise endothelial function and contribute to this compound-induced arterial disease (NAD) in some patients .

Endothelial Cell Function Effect of this compound
ProliferationDecreased
MigrationDecreased
Intracellular Nitric OxideIncreased
Barrier FunctionNo effect
Lipid UptakeNo effect

Clinical Efficacy

This compound has demonstrated significant efficacy in treating CML. In the ENEST1st trial, which included 1089 patients with newly diagnosed CML in chronic phase, this compound achieved a major molecular response (MMR) rate of 38.4% at 18 months . Long-term follow-up studies have confirmed sustained efficacy, with 91% of patients achieving a complete cytogenetic response and a significant proportion reaching deep molecular responses (MR4 and MR4.5) .

Case Study: Long-Term Efficacy

A phase 2 study involving 122 patients treated with this compound at 400 mg twice daily reported:

  • Event-Free Survival : 89% at 5 years
  • Overall Survival : 93% at 5 years
  • Sustained MR4.5 : Achieved by 59% of patients beyond 2 years
  • Adverse Events : Cardiovascular events occurred in 10% of patients .

Adverse Effects

Despite its efficacy, this compound is associated with several adverse effects, particularly cardiovascular complications. In clinical trials, ischemic cardiovascular events were reported in approximately 6-10% of patients . Other common side effects include:

  • Rash: 55%
  • Elevated bilirubin: 57%
  • Elevated aminotransferases: 48%

These adverse effects necessitate careful monitoring during treatment.

常见问题

Basic Research Questions

Q. What are the primary methodologies for investigating nilotinib’s mechanism of action in preclinical studies?

  • Methodological Answer: Preclinical studies should employ kinase inhibition assays (e.g., KINOMEscan® platform) to profile this compound’s selectivity across 442 kinases . Cell culture models (e.g., endothelial angiogenesis assays) and in vivo murine models are critical for validating on-target BCR-ABL inhibition and off-target effects (e.g., EGFR or FRK signaling) . Ensure characterization of pharmacokinetics, including cerebrospinal fluid (CSF) penetration, to assess bioavailability in neurological studies .

Q. How should researchers design phase 3 trials to evaluate this compound’s efficacy in chronic myeloid leukemia (CML)?

  • Methodological Answer: Use randomized controlled trials (RCTs) with comparator arms (e.g., imatinib or dasatinib) and predefined endpoints: major cytogenetic response (MCyR), complete cytogenetic response (CCyR), and progression-free survival (PFS). Account for cross-trial variability by standardizing inclusion criteria (e.g., newly diagnosed chronic-phase CML) and adjusting for geographical/ethnic differences in patient responses .

Q. What statistical methods are recommended for analyzing this compound’s safety and tolerability data?

  • Methodological Answer: Apply survival analysis (Kaplan-Meier curves) for time-to-event outcomes (e.g., cardiotoxicity incidence). Use multivariate regression to control for confounders like age, prior cardiovascular disease, or genetic polymorphisms linked to KCNH2 channel dysfunction . Report adverse events with Clopper-Pearson confidence intervals for binary outcomes .

Advanced Research Questions

Q. How can conflicting data on this compound’s cardiotoxicity be resolved in meta-analyses?

  • Methodological Answer: Conduct systematic reviews with strict inclusion criteria (e.g., 10-year span, peer-reviewed phase 3 trials) . Stratify studies by patient subgroups (e.g., those with preexisting cardiovascular risk factors) and use GRADE criteria to assess evidence quality. Highlight genetic predispositions (e.g., KCNH2 variants) that may explain heterogeneous toxicity profiles .

Q. What experimental strategies differentiate this compound’s efficacy from other BCR-ABL inhibitors in mutation-driven resistance?

  • Methodological Answer: Perform in vitro kinase assays to compare this compound’s binding affinity against BCR-ABL mutants (e.g., T315I) with dasatinib or ponatinib . Use structural biology (e.g., X-ray crystallography) to map resistance-conferring mutations. In clinical studies, prioritize patients with confirmed mutation status via Sanger sequencing or ddPCR .

Q. How can researchers address this compound’s off-target effects on angiogenesis in endothelial cell models?

  • Methodological Answer: Employ VEGF-induced angiogenesis assays and phosphoproteomics to identify signaling pathways (e.g., VEGFR2 inhibition by ponatinib vs. EGFR activation by this compound) . Validate findings with siRNA knockdown of proposed off-target kinases (e.g., FRK) and correlate with clinical biomarkers (e.g., HVA/DOAPC levels in CSF) .

Q. What are best practices for reconciling cross-trial discrepancies in this compound’s long-term outcomes?

  • Methodological Answer: Use individual patient data (IPD) meta-analysis to harmonize endpoints (e.g., PFS definitions) and adjust for trial design heterogeneity (e.g., dosing schedules, follow-up duration) . Apply counterfactual frameworks to estimate outcomes if crossover between trial arms (e.g., imatinib to this compound) had not occurred .

Q. Methodological Frameworks

Q. How to formulate a PICOT research question for this compound’s role in Parkinson’s disease (PD)?

  • Population: Patients with PD and CSF-confirmed dopamine deficiency.
  • Intervention: this compound 150–300 mg/day.
  • Comparison: Placebo or standard PD therapy.
  • Outcome: Change in CSF HVA/DOAPC levels at 12 months.
  • Time: 24-month follow-up for safety/tolerability .

Q. What guidelines ensure reproducibility in this compound preclinical studies?

  • Follow NIH preclinical reporting standards (e.g., ARRIVE guidelines) for animal studies, including valve calcification assays in murine models . For cell-based work, document passage numbers, serum batches, and assay controls (e.g., imatinib as a comparator) .

Q. Data Analysis and Interpretation

Q. How to interpret this compound’s dual role in promoting autophagy and valvular calcification?

  • Use transcriptomics (RNA-seq) to identify gene networks (e.g., osteogenic vs. autophagic pathways) in valvular interstitial cells . Validate with immunohistochemistry (e.g., LC3B for autophagy, RUNX2 for calcification) and correlate findings with clinical echocardiography data .

属性

IUPAC Name

4-methyl-N-[3-(4-methylimidazol-1-yl)-5-(trifluoromethyl)phenyl]-3-[(4-pyridin-3-ylpyrimidin-2-yl)amino]benzamide
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InChI

InChI=1S/C28H22F3N7O/c1-17-5-6-19(10-25(17)37-27-33-9-7-24(36-27)20-4-3-8-32-14-20)26(39)35-22-11-21(28(29,30)31)12-23(13-22)38-15-18(2)34-16-38/h3-16H,1-2H3,(H,35,39)(H,33,36,37)
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InChI Key

HHZIURLSWUIHRB-UHFFFAOYSA-N
Source PubChem
URL https://pubchem.ncbi.nlm.nih.gov
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Canonical SMILES

CC1=C(C=C(C=C1)C(=O)NC2=CC(=CC(=C2)C(F)(F)F)N3C=C(N=C3)C)NC4=NC=CC(=N4)C5=CN=CC=C5
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Molecular Formula

C28H22F3N7O
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DSSTOX Substance ID

DTXSID5042663
Record name Nilotinib
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Molecular Weight

529.5 g/mol
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Physical Description

Solid
Record name Nilotinib
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Solubility

The solubility ... in aqueous solutions decreases with increasing pH, 2.01e-03 g/L
Record name Nilotinib
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Mechanism of Action

Chronic myelogenous leukaemia (CML) is caused by the BCR-ABL oncogene. Nilotinib inhibits the tyrosine kinase activity of the BCR-ABL protein. Nilotinib fits into the ATP-binding site of the BCR-ABL protein with higher affinity than imatinib, over-riding resistance caused by mutations. The ability of AMN107 to inhibit TEL-platelet-derived growth factor receptor-beta (TEL-PDGFRbeta), which causes chronic myelomonocytic leukaemia, and FIP1-like-1-PDGFRalpha, which causes hypereosinophilic syndrome, suggests potential use of AMN107 for myeloproliferative diseases characterised by these kinase fusions (Stover et al, 2005; Weisberg et al, 2005). AMN107 also inhibits the c-Kit receptor kinase, including the D816V-mutated variant of KIT, at pharmacologically achievable concentrations, supporting potential utility in the treatment of mastocytosis, and gastrointestinal stromal tumours (Weisberg et al, 2005; von Bubnoff et al, 2005; Gleixner et al, 2006)., Nilotinib, an inhibitor of Bcr-Abl tyrosine kinase, is an antineoplastic agent. Chronic myelogenous leukemia (CML) is a clonal myeloproliferative disorder characterized by the expansion of hematopoietic cells carrying the Philadelphia chromosome (Ph), resulting from a reciprocal translocation of the long arms of chromosomes 9 and 22. A novel fusion gene is formed, Bcr-Abl, which encodes a constitutively active, cytoplasmic form of protein tyrosine kinase. The unregulated activity of the Abl tyrosine kinase in Bcr-Abl is the cause of CML. Nilotinib is an orally active aminopyrimidine-derivative tyrosine kinase inhibitor that functions through competitive inhibition at the ATP-binding site of Bcr-Abl, leading to the inhibition of tyrosine phosphorylation of proteins that are involved in the intracellular signal transduction that Bcr-Abl mediates., Clinical resistance to imatinib in CML has been attributed to several mechanisms, but point mutations in the Bcr-Abl kinase domain appear to the most common, occurring in 30-90% of patients who develop resistance. The ability of nilotinib to overcome imatinib resistance resulting from Bcr-Abl kinase domain mutations has been demonstrated in vitro. In preclinical studies in cell-line models, nilotinib inhibited most (32 of 33) imatinib-resistant Bcr-Abl kinase domain mutant forms., Nilotinib binds to and stabilizes the inactive conformation of the kinase domain of Abl protein. In vitro, nilotinib inhibited Bcr-Abl mediated proliferation of murine leukemic cell lines and human cell lines derived from patients with Ph+ CML. Under the conditions of the assays, nilotinib was able to overcome imatinib resistance resulting from Bcr-Abl kinase mutations, in 32 out of 33 mutations tested. In vivo, nilotinib reduced the tumor size in a murine Bcr-Abl xenograft model. Nilotinib inhibited the autophosphorylation of the following kinases at IC50 values as indicated: Bcr-Abl (20-60 nM), PDGFR (69 nM), c-Kit (210 nM), CSF-1R (125-250 nM) and DDR (3.7 nM)., It is an important challenge to better understand the mechanisms of tyrosine kinase inhibitors-induced apoptosis in CML cells. Thus, /the authors/ have investigated how this apoptosis can be modulated by extracellular factors. Apoptosis induced by imatinib and nilotinib was determined in BCR-ABL expressing cell lines and primary CML CD34+ cells. Both molecules induced apoptosis of BCR-ABL expressing cells. This apoptosis was inhibited by protein synthesis inhibition in both K562 and CML CD34+ cells. In K562, 80% inhibition of the BCR-ABL auto-phosphorylation by either imatinib or nilotinib induced a two fold increase in Bim-EL expression and induction of apoptosis in 48 hr. Bim accumulation preceded apoptosis induction which was completely abolished by depletion in Bim using shRNA. However, the anti-proliferative effect of imatinib was preserved in Bim-depleted cells. When K562 cells were cultured in a cytokine containing medium, the pro-apoptotic effect of nilotinib was decreased by 68% and this was related to a decrease in Bim-EL dephosphorylation and accumulation. Similarly, the presence of a combination of cytokines inhibited 88% of NIL- and 39% of IMA-induced apoptosis in primary CML CD34+ cells. In conclusion, both nilotinib and imatinib induce apoptosis through Bim accumulation independently of cell cycle arrest. However, the pro-apoptotic effect of both molecules can be attenuated by the presence of cytokines and growth factors, particularly concerning nilotinib. Thus BCR-ABL inhibition restores the cytokine dependence but is not sufficient to induce apoptosis when other signaling pathways are activated., For more Mechanism of Action (Complete) data for Nilotinib (7 total), please visit the HSDB record page.
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Color/Form

White to slightly yellowish to slightly greenish yellow powder

CAS No.

641571-10-0, 923288-90-8
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Record name 4-methyl-N-[3-(4-methyl-1H-imidazol-1-yl)-5-(trifluoromethyl)phenyl]-3-{[4-(pyridin-3-yl)pyrimidin-2-yl]amino}benzamide
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Synthesis routes and methods I

Procedure details

To a 1 liter reactor was fed 40 g of 4-methyl-3-(4-(pyridine-3-yl)pyrimidin-2-ylamino)benzoic acid (0.13 mol), 200 ml of N-methylpyrrolidone (NMP) (5V) and 13 ml of thionyl chloride (0.18 mol). The reactor was heated to 60° C. and maintained at 60° C. for 1.5 hr. After 1.5 hr of heating, 31.5 g of 3-(trifluoromethyl)-5-(4-methyl-1H-imidazol-1-yl)benzenamine (0.13 mol) was fed into the reactor. The reactor was then heated to 90° C., and maintained for 30 minutes at this temperature. Then 200 ml (5V) of water was added. The resulting mixture was maintained for 2 hours at 90° C. Then, an additional 240 ml (6V) of N-methylpyrrolidone was added, followed by 26.5 ml of sodium hydroxide (47% aqueous) to raise the pH to 6.5-7. The reactor was then cooled to 40° C. and maintained for 3 hours. The mixture was then filtered and the filter cake was washed with ethanol and water. The washed material was then dried in a vacuum tray oven overnight to provide dry Nilotinib base (62.1 g, Yield 90%)
Quantity
40 g
Type
reactant
Reaction Step One
Quantity
13 mL
Type
reactant
Reaction Step Two
Quantity
31.5 g
Type
reactant
Reaction Step Three
Quantity
26.5 mL
Type
reactant
Reaction Step Four
Quantity
240 mL
Type
solvent
Reaction Step Five
Name
Quantity
200 mL
Type
solvent
Reaction Step Six
Quantity
200 mL
Type
solvent
Reaction Step Seven
Yield
90%

Synthesis routes and methods II

Procedure details

36.0 g 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide hydrochloride is dissolved in a solvent mixture of 576 mL of methanol and 44.61 mL of water at 52° C. The solution is heated up to 64-66° C. in 15 minutes and kept for 5 minutes at 66° C. Then the solution is cooled down at 42° C. in minutes and the solution is seeded. The suspension is kept for 2.5 hours at 42° C., cooled down within 7 hours at 20° C., and maintained at this temperature for 11 hours. The methanol solvate form SC of the hydrochloride salt of 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide is obtained.
Quantity
576 mL
Type
solvent
Reaction Step One
Name
Quantity
44.61 mL
Type
solvent
Reaction Step One

Synthesis routes and methods III

Procedure details

12 g 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide hydrochloride is dissolved in 192 mL of methanol and 21 ml of water at 52° C. The solution is heated to 64-66° C. in 10 minutes and let stand for 45 minutes. The solution is then cooled down in 3 hours at 0° C. The solution spontaneously crystallized before 0° C.; therefore, the cooling ramp was stopped at 20° C. and let stand with stirring for 2 days. The suspension is cooled down to 0° C. in 2 hours before filtration under vacuum to obtain form A of the hydrochloride salt of 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide.

Synthesis routes and methods IV

Procedure details

4.0 g 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide free base is dissolved in 60 mL methanol at 50° C. 1.05 equivalent (688.7 μL) of hydrochloric acid is added as a solution in 2 mL of methanol. The solution is let stand for 60 minutes at 50° C. The solution is cooled down to 42° C. and kept at this temperature for 15 minutes. A suspension of 4 mg of 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide hydrochloride in methanol (40 mg)/water (0.4 mg) homogenized for 10 seconds in an ultrasonic bath is added. The suspension is let stand for 2.5 hours at 42° C., then cooled down in 7 hours at 20° C. The suspension remains at 20° C. for 56 hours. The suspension is not filtrated before analysis. The dimethanol solvate form SB of the hydrochloride salt of 4-methyl-N-[3-(4-methyl-imidazol-1-yl)-5-trifluoromethyl-phenyl]-3-(4-pyridin-3-yl-pyrimidin-2-ylamino)-benzamide is obtained.
Quantity
60 mL
Type
reactant
Reaction Step One
Quantity
688.7 μL
Type
reactant
Reaction Step Two
Quantity
2 mL
Type
reactant
Reaction Step Two
Name
Quantity
0.4 mg
Type
reactant
Reaction Step Three
Quantity
40 mg
Type
reactant
Reaction Step Three

Retrosynthesis Analysis

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Min. plausibility 0.01
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Top-N result to add to graph 6

Feasible Synthetic Routes

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