Fostamatinib

Fostamatinib

Fostamatinib

Fostamatinib disodium
Names
IUPAC name
[6-({5-Fluoro-2-[(3,4,5-trimethoxyphenyl)amino]pyrimidin-4-yl}amino)-2,2-dimethyl-3-oxo-2,3-dihydro-4H-pyrido[3,2-b][1,4]oxazin-4-yl]methyl dihydrogen phosphate
Other names
Tamatinib fosdium; R-788; NSC-745942; R-935788
Identifiers
901119-35-5 YesY
1025687-58-4 (fostamatinib disodium) YesY
ChEMBL ChEMBL2103830
ChemSpider 9846198
7796
Jmol interactive 3D Image
PubChem 11671467
25008120 (fostamatinib disodium)
UNII SQ8A3S5101
Properties
C23H26FN6O9P
Molar mass 580.47 g·mol−1
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
Infobox references

Fostamatinib is an experimental drug candidate for the treatment of a variety of diseases, originally developed by Rigel Pharmaceuticals. The drug is administered orally as a disodium salt, and is a prodrug of the active compound tamatinib (R-406),[1] which is an inhibitor of the enzyme spleen tyrosine kinase (Syk),[2] hence it is an syk inhibitor.

Clinical trials

Fostamatinib has been in phase II trials for rheumatoid arthritis, autoimmune thrombocytopenia and lymphoma.[1][3]

A phase II study of rheumatoid arthritis patients failing to respond to a biologic agent showed little efficacy as compared to placebo, but the drug was well tolerated. In patients with high inflammatory burden, measured by levels of C-reactive protein, ACR20 was achieved by a significantly higher portion of those in the fostamatinib group (42%) versus the placebo group (26%).[4]

On June 4, 2013, Astra Zeneca announced they were giving up future development on the compound, and terminated their license with Rigel after early results from a Phase IIb study for rheumatoid arthritis. Astra Zeneca is estimated to lose $140 million as part of the contract termination.[5] Rigel is currently conducting two phase III studies on fostamatnib for ITP. Results are expected in the middle of 2016.

External links

References

  1. 1 2 S.P. McAdoo and F.W.K. Tam (2011). "Fostamatinib Disodium". Drugs of the Future 36 (4): 273–280.
  2. Braselmann, S; Taylor, V; Zhao, H; Wang, S; Sylvain, C; Baluom, M; Qu, K; Herlaar, E; et al. (2006). "R406, an orally available spleen tyrosine kinase inhibitor blocks fc receptor signaling and reduces immune complex-mediated inflammation". The Journal of Pharmacology and Experimental Therapeutics 319 (3): 998–1008. doi:10.1124/jpet.106.109058. PMID 16946104.
  3. Morales-Torres, Jorge (2010). "R788 (fostamatinib disodium): a novel approach for the treatment of rheumatoid arthritis". International Journal of Clinical Rheumatology 5 (1): 9–15. doi:10.2217/ijr.09.69.
  4. "Fostamatinib Shown to Be Safe but Not Effective in Rheumatoid Arthritis Patients Unresponsive to Biologic Agents". Science Daily. Jan 27, 2011. Retrieved Dec 13, 2012.
  5. Rigel to cut 30 jobs, focus on three drug programs, Sept 5th 2013, http://www.bizjournals.com/sanfrancisco/blog/biotech/2013/09/rigel-fostamatinib-itp-rigl-layoffs.html
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