1257044-40-8 Usage
Uses
Used in Oncology:
ABT-199 is used as an anti-cancer agent for the treatment of chronic lymphocytic leukemia (CLL) cells and estrogen receptor-positive breast cancer. It is particularly effective in patients with the 17p deletion genetic mutation, as it restores the ability of malignant cells to undergo apoptosis by selectively inhibiting the overexpressed B cell lymphoma subtype 2 (BCL-2) protein.
Used in Clinical Trials:
ABT-199 is also being considered for approval in Europe and Canada for similar indications and is in various stages of development for the treatment of non-Hodgkin lymphomas (NHL), acute myeloid leukemia (AML), multiple myeloma (MM), and several other disorders, either as a combination therapy or a stand-alone treatment.
BCL-2 inhibitor
Venetoclax is a first-in-class, oral, selective BCL-2 inhibitor (BH3-only mimetic). The drug is approved in numerous countries, including those of the EU and in the USA, for the treatment of adults with relapsed or refractory (RR) CLL. The drug arose from research by Abbott Laboratories (now AbbVie) during a collaboration with Genentech and is being codeveloped by AbbVie and Genentech/Roche primarily.
Mechanism of action
Venetoclax has high affinity for BCL-2, binding to the protein with an affinity more than three orders of magnitude greater than to BCL-XL or BCL-W in vitro. By binding to BCL-2, the drug displaces BCL-2-bound proapoptotic proteins (such as BIM), resulting in the permeabilization of mitochondrial outer membranes, activation of caspases, and restoration of cancer cell apoptosis, with this process requiring the apoptosis regulators BAX or BAK.
Clinical evaluation
As a specific Bcl-2 inhibitor of Bcl-2, ABT-199 was approved by FDA to treat CLL in 2015. ABT-199 was designed to avoid the nonselective binding of ABT-263 with Bcl-XL, which could induce the adverse effect of thrombocytopenia. The X-ray crystal structure of a Bcl-2 dimer in complex with ABT-263 and that with a modified ABT-263 lacking the thiophenyl moiety elucidated an alternative bind site in the hotspot p4-binding pocket that could be utilized for selective binding of Bcl-2. This led to the development of ABT-199 that tightly binds to Bcl-2 but not Bcl-XL. Consistent with its lower affinity to Bcl-XL, ABT-199 spared human platelets both in vivo and in vitro. In clinical trials, ABT-199 exhibited immediate antileukemic activity after a single dose in three refractory CLL patients with only minor changes in platelet counts. ABT-199 as a single agent showed promising clinical response in many malignancies, such as diffused large B-cell lymphoma, follicular lymphoma, CLL, acute myeloblastic leukemia (AML), and multiple myeloma. Studies also showed that ABT-199 had a significant sensitizing effect in combination with other antitumor drugs, such as rituximab, obinutuzumab, in CLL and AML patients. However, ABT-199 did show adverse effects, especially tumor lysis syndrome (TLS). Furthermore, neutropenia or infections have also been observed in patients using ABT-199.Chapter 10?-?Bcl-2 Inhibitors as Sensitizing Agents for Cancer Chemotherapy
Cytotoxic Activity
Venetoclax displayed cytotoxic activity in various tumour samples/cell lines, including some derived from CLLs, various other NHL subtypes, acute lymphoblastic leukaemias (ALLs), AMLs, chronic myeloid leukaemias (CMLs) and MMs. Notably, the sensitivity of venetoclax correlated with higher BCL-2 expression, with a BCL-2 high status [i.e. BCL-2 gains, BCL-2 amplifications, or the t translocation, which is a notable cause of deregulated BCL-2 expression] and higher BCL-2/MCL-1 ratios being potentially predictive of sensitivity to the drug.
References
https://en.wikipedia.org/wiki/VenetoclaxVogler, M, et al. "ABT-199 selectively inhibits BCL2 but not BCL2L1 and efficiently induces apoptosis of chronic lymphocytic leukaemic cells but not platelets." British Journal of Haematology 163.1(2013):139-42.Vaillant, François, et al. "Targeting BCL-2 with the BH3 Mimetic ABT-199 in Estrogen Receptor-Positive Breast Cancer." Cancer Cell 24.1(2013):120-9.Lindeman, G. J., et al. "Abstract P2-09-01: Targeting BCL-2 with the BH3 mimetic ABT-199 in ER-positive breast cancer." Cancer Research 73.24 Supplement (2013):P2-09-01-P2-09-01.
Clinical Use
Selective inhibitor of B-cell lymphoma protein: Treatment of chronic lymphocytic leukaemia
Synthesis
The manufacturing route to venetoclax takes place by
coupling of three key structural subunits: azaindole 162,
sulfonamide 165, and piperazine 172. The first of these
subunits was generated in two steps from commercially
available 4-bromo-2-fluoro-1-iodo-benzene (159).
Grignard formation of iodide 159 (i-PrMgCl) followed by
quenching with Boc2O provided the desired tert-butyl ester 160
without the need for chromatographic purification. Aromatic
substitution of crude 160 with azaindole 161 provided access to
162 in 86% yield after recrystallization from EtOAc/heptane. Sulfonamide 165 was
formed in 91% yield and 99.9% purity via aromatic substitution
of commercially available 163 with amine 164 at 80 °C
(DIPEA, MeCN).
Synthesis of the third venetoclax subunit, piperazine amine
hydrochloride salt 172, began with commercial cyclohexanone
166. Vilsmeier-Haack formylation of the
sterically more accessible enol tautomer of 166 delivered vinyl
chloride 167 in quantitative yield. Coupling of this chloride
with commercial aryl boronate 168 gave rise to transient enal
169 in 87% assay yield, which was not isolated. Crude 169 was
then carried into a reductive amination reaction with
commercial N-Boc piperazine (170). Precipitation and
recrystallization from acetonitrile ultimately furnished piperazinyl
alkene 171 in 74% yield from 167. Finally, subunit 172
was obtained via Boc removal with concentrated HCl in IPA at
65 °C and subsequent filtration, conditions that provided a 95%
yield of high purity intermediate 172 (>99.5%).The final approach to venetoclax involved a palladiumcatalyzed
coupling of amine 172 with aryl bromide 162, ester
hydrolysis, and coupling of the resulting carboxylic acid with
sulfonamide 165. In practice, Buchwald-Hartwig amination of 162 with 172 proceeded smoothly and
relied upon workup with cysteine to enable cleansing of
residual palladium from the reaction mixture. This reaction
gave rise to advanced intermediate 173 in 89% yield after
crystallization from cyclohexane. Treatment of 173 with t-
BuOK/H2O/2-MeTHF at 55 °C provided the corresponding
free acid, which was immediately activated with EDC/DMAP/
Et3N to promote coupling with sulfonamide 165 at room
temperature. The final drug target could be accessed by
crystallization from EtOAc and washing with 1:1 DCM/EtOAc,
yielding venetoclax (XVIII) in free base form in 71% over
the two final steps. This synthetic route was capable of
fashioning the drug target in 52% overall yield based on the
longest linear sequence (7 steps).
Drug interactions
Potentially hazardous interactions with other drugs
Antibacterials: concentration possibly increased by
ciprofloxacin, clarithromycin and erythromycin -
reduce venetoclax dose; avoid with rifampicin.
Anticoagulants: avoid with dabigatran; concentration
of warfarin increased.
Antidepressants: avoid with St John’s wort.
Antiepileptics: concentration possibly reduced by
carbamazepine, fosphenytoin and phenytoin - avoid.
Antifungals: concentration possibly increased by
fluconazole, itraconazole, ketoconazole, posaconazole
and voriconazole - reduce venetoclax dose.
Antipsychotics: increased risk of agranulocytosis
with clozapine - avoid.
Antivirals: concentration possibly reduced by
efavirenz and etravirine - avoid; concentration
possibly increased by ritonavir - reduce venetoclax
dose.
Bosentan: concentration of venetoclax possibly
reduced by bosentan - avoid.
Calcium channel blockers: concentration possibly
increased by diltiazem and verapamil - reduce
venetoclax dose.
Cardiac glycosides: avoid with digoxin.
Cytotoxics: avoid with everolimus.
Grapefruit juice: avoid concomitant use.
Modafinil: concentration of venetoclax possibly
reduced - avoid.
Sirolimus: avoid concomitant use.
Vaccines: avoid with live vaccines.
Metabolism
In vitro studies show that venetoclax is mainly
metabolised by cytochrome P450 CYP3A4. M27 was
identified as a major metabolite in plasma with an
inhibitory activity against BCL-2 that is at least 58-fold
lower than venetoclax in vitro.
Excretion is mainly by the faecal route (>99.9%; 20.8%
unchanged).
Check Digit Verification of cas no
The CAS Registry Mumber 1257044-40-8 includes 10 digits separated into 3 groups by hyphens. The first part of the number,starting from the left, has 7 digits, 1,2,5,7,0,4 and 4 respectively; the second part has 2 digits, 4 and 0 respectively.
Calculate Digit Verification of CAS Registry Number 1257044-40:
(9*1)+(8*2)+(7*5)+(6*7)+(5*0)+(4*4)+(3*4)+(2*4)+(1*0)=138
138 % 10 = 8
So 1257044-40-8 is a valid CAS Registry Number.
1257044-40-8Relevant articles and documents
Anti-apoptosis protein Bcl - 2 inhibitor as well as preparation method and application thereof
-
Paragraph 0101-0102; 0106; 0110, (2021/09/29)
The invention provides an anti-apoptotic protein Bcl - 2 inhibitor and a preparation method and application thereof, and particularly provides a compound shown by the following formula (I) or an optical isomer thereof. A tautomer, or a pharmaceutically acceptable salt thereof. The compounds have excellent Bcl - 2 inhibitory activity and are therefore useful in the treatment or prevention of related mammalian diseases or disorders due to abnormal expression of anti-apoptotic protein Bcl - 2.
A PROCESS FOR THE PREPARATION OF VENETOCLAX AND ITS POLYMORPHS THEREOF
-
Page/Page column 12-13, (2021/02/12)
The present invention relates to a process for the preparation of 4-(4-{[2-(4-chlorophenyl)-4,4dimethylcyclohex-1-en-1-yl]methyl}piperazin-1-yl)-N-({3-nitro-4-[(tetrahydro-2H-pyran-4ylmethyl)amino]phenyl}sulfonyl)-2-(1H-pyrrolo[2,3-b] pyridin-5-yloxy)benzamide) compound of formula-1 which is represented by the following structural formula: Formula-1.
SUBSTANTIALLY PURE VENETOCLAX AND AMORPHOUS VENETOCLAX IN A FREE DRUG PARTICULATE FORM
-
, (2021/01/23)
The present invention provides substantially pure venetoclax, process for the preparation of substantially pure venetoclax and pharmaceutical formulation of substantially pure venetoclax. In another aspect present invention provides amorphous venetoclax in a free drug particulate form, process for the preparation of amorphous venetoclax in a free drug particulate form and pharmaceutical formulation of amorphous venetoclax in a free drug particulate form.
AN IMPROVED PROCESS FOR THE PREPARATION OF VENETOCLAX
-
, (2020/01/24)
An improved process for the preparation of Venetoclax. The present invention also relates to an improved process for the preparation of a compound of formula I or its salts, (I) wherein R is C1-4 alkyl; and its use for the preparation of the compound of formula V. (v)
PROCESS FOR THE PREPARATION OF 4-(4-{[2-(4-CHLOROPHENYL)-4,4-DIMETHYLCYCLOHEX-1-EN-1- YL]METHYL}PIPERAZIN-1-YL)-N-({3-NITRO-4-[(TETRAHYDRO-2H-PYRAN-4-YLMETHYL)AMINO] PHENYL}SULFONYL)-2-(1H-PYRROLO[2,3-B]PYRIDIN-5-YLOXY)BENZAMIDE)
-
Page/Page column 32; 38, (2020/03/29)
The present invention relates to novel crystalline forms of 4-(4-{[2-(4-chlorophenyl)-4,4-dimethylcyclohex-1-en-1-yl]methyl}piperazin-1-yl)-N-({3-nitro-4-[(tetrahydro-2H-pyran -4-ylmethyl)amino]phenyl}sulfonyl)-2-(1H-pyrrolo[2,3-b]pyridin-5-yloxy)benzamide compound of formula-1 represented by the following structural formula-1, which is referred to as Venetoclax Formula-1 The present invention also relates to an improved process for the preparation of Venetoclax compound of formula-1 which is free of Impurity-I, Impurity-II, Impurity-III and Impurity-IV.
PHARMACEUTICAL COMPOSITION COMPRISING VENETOCLAX
-
Page/Page column 37-38, (2020/11/23)
The present subject matter provides amorphous solid dispersions of venetoclax or a pharmaceutically acceptable salt thereof, and pharmaceutical compositions comprising said amorphous solid dispersions. The present subject matter also provides methods for the preparation of said solid dispersions and compositions. The present subject matter further provides pharmaceutical compositions comprising mixture of solid dispersions.
Preparation method of BCL-2 inhibitor venetoclax
-
Paragraph 0055; 0066-0067, (2020/03/23)
The invention discloses a preparation method of a BCL-2 inhibitor venetoclax. The method mainly comprises the following six steps: 1) VM1 and VM2 used as reaction starting materials undergo a dockingreaction under the catalytic action of an alkali to prepare an intermediate V1; 2) the intermediate V1 reacts with Boc piperazine under the catalytic action of the alkali to prepare an intermediate V2; 3) Boc protection is removed from the intermediate V2 under the action of an acid reagent to prepare an intermediate V3; 4) the intermediates V3 and VM3 are heated to react to form a Schiff base, and the Schiff base is converted into secondary amine under the action of a reducing agent to prepare an intermediate V4; 5) the intermediate V4 reacts with the intermediate VM4 under the action of a condensing agent to prepare an amide compound intermediate V5; and 6) a phenylsulfonyl protecting group is removed from the intermediate V5 under the catalysis of a catalyst to obtain the final productvenetoclax. Compared with the prior art, the preparation method has the advantages of short steps, simple and feasible reaction, and suitableness for large-scale industrial production.
VENETOCLAX BASIC SALTS AND PROCESSES FOR THE PURIFICATION OF VENETOCLAX
-
Page/Page column 20-22, (2020/02/16)
The invention relates to basic salts of Venetoclax and processes for the purification of Venetoclax through said salts.
Development of a Convergent Large-Scale Synthesis for Venetoclax, a First-in-Class BCL-2 Selective Inhibitor
Ku, Yi-Yin,Chan, Vincent S.,Christesen, Alan,Grieme, Timothy,Mulhern, Mathew,Pu, Yu-Ming,Wendt, Michael D.
, p. 4814 - 4829 (2019/02/05)
The process development of a new synthetic route leading to an efficient and robust synthetic process for venetoclax (1: the active pharmaceutical ingredient (API) in Venclexta) is described. The redesigned synthesis features a Buchwald-Hartwig amination to construct the core ester 23c in a convergent fashion by connecting two key building blocks (4c and 26), which is then followed by a uniquely effective saponification reaction of 23c using anhydrous hydroxide generated in situ to obtain 2. Finally, the coupling of the penultimate core acid 2 with sulfonamide 3 furnishes drug substance 1 with consistently high quality. The challenges and solutions for the key Pd-catalyzed C-N cross-coupling will also be discussed in detail. The improved synthesis overcomes many of the initial scale-up challenges and was accomplished in 46% overall yield from 3,3-dimethyldicyclohexanone (6), more than doubling the overall yield of the first generation route. The new process was successfully implemented for producing large quantities of 1 with >99% area purity.
Solid dispersions containing an apoptosis-inducing agent
-
, (2019/03/15)
A pro-apoptotic solid dispersion comprises, in essentially non-crystalline form, a Bcl-2 family protein inhibitory compound of Formula I as defined herein, dispersed in a solid matrix that comprises (a) a pharmaceutically acceptable water-soluble polymeric carrier and (b) a pharmaceutically acceptable surfactant. A process for preparing such a solid dispersion comprises dissolving the compound, the polymeric carrier and the surfactant in a suitable solvent, and removing the solvent to provide a solid matrix comprising the polymeric carrier and the surfactant and having the compound dispersed in essentially non-crystalline form therein. The solid dispersion is suitable for oral administration to a subject in need thereof for treatment of a disease characterized by overexpression of one or more anti-apoptotic Bcl-2 family proteins, for example cancer.