omacetaxine mepesuccinate 🐶 Veterinary Use | Indications/Contra | FAERs-F | FAERs-M | Orange Bk | PK/Tox | Related Drugs | BioActivity |

Stem definitionDrug idCAS RN
4677 26833-87-4

Description:

MoleculeDescription

Molfile Inchi Smiles

Synonyms:

  • omacetaxine mepesuccinate
  • synribo
  • homoharringtonine
  • CGX-635
  • NSC 141633
  • NSC-141633
Semisynthetic derivative of harringtonine that acts as a protein synthesis inhibitor and induces APOPTOSIS in tumor cells. It is used in the treatment of MYELOID LEUKEMIA, CHRONIC.
  • Molecular weight: 545.63
  • Formula: C29H39NO9
  • CLOGP: 1.76
  • LIPINSKI: 1
  • HAC: 10
  • HDO: 2
  • TPSA: 123.99
  • ALOGS: -3.70
  • ROTB: 11

  • Status: OFM

  • Legend:
    OFP - off patent
    OFM - off market
    ONP - on patent

Drug dosage:

None

ADMET properties:

PropertyValueReference
Vd (Volume of distribution) 1.80 L/kg Lombardo F, Berellini G, Obach RS
CL (Clearance) 2.96 mL/min/kg Lombardo F, Berellini G, Obach RS
t_half (Half-life) 9.80 hours Lombardo F, Berellini G, Obach RS

Predicted pharmacokinetic/toxicological properties (PK-AZ):

PropertyDescriptionValueUnitConfidenceSimilarity
kinase-safety-class ACVR2B,AXL,BRAF,BTK,CAMK2B,CAMK2D,CDK5,CDK9,EIF2AK3,EPHB4,ERBB2,GRK2,ITK,MAP3K7,MAPK7,NTRK2,PDK1,PDK2,PDK4,PIK3CA,PIK3CB,PRKDC,SYK,TEK,TGFBR1,ZAP70 26
pfas-class PFAS structural alert (1 = True, 0 = False) 0

Approvals:

DateAgencyCompanyOrphan
Oct. 26, 2012 FDA IVAX INTL

FDA Adverse Event Reporting System (Female)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelosuppression 387.09 50.52 90 718 53501 90574138
Platelet count decreased 94.71 50.52 38 770 136931 90490708
Bone marrow failure 61.15 50.52 19 789 32202 90595437

FDA Adverse Event Reporting System (Male)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelosuppression 457.47 51.39 115 783 40346 42580091
Platelet count decreased 68.39 51.39 40 858 138541 42481896

FDA Adverse Event Reporting System (Geriatric)

MedDRA adverse event termLikelihood ratioLikelihood ratio thresholdPatients taking drug having adverse eventPatients taking drug not having adverse eventPatients not taking drug having adverse eventPatients not taking drug not having adverse event
Myelosuppression 826.15 48.38 202 1367 94138 110493592
Platelet count decreased 143.00 48.38 68 1501 230375 110357355
Granulocyte count decreased 68.88 48.38 15 1554 3959 110583771
Bone marrow failure 68.36 48.38 27 1542 57821 110529909
Nausea 66.59 48.38 84 1485 1235606 109352124
White blood cell count decreased 66.59 48.38 41 1528 229349 110358381

FDA Adverse Event Reporting System (Pediatric)

None

Pharmacologic Action:

SourceCodeDescription
ATC L01XX40 ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
ANTINEOPLASTIC AGENTS
OTHER ANTINEOPLASTIC AGENTS
Other antineoplastic agents
MeSH PA D000970 Antineoplastic Agents
MeSH PA D000972 Antineoplastic Agents, Phytogenic
MeSH PA D004791 Enzyme Inhibitors
MeSH PA D011500 Protein Synthesis Inhibitors
CHEBI has role CHEBI:35610 antineoplastic agent
CHEBI has role CHEBI:48001 protein synthesis inhibitor
CHEBI has role CHEBI:68495 apoptosis inducer
CHEBI has role CHEBI:149553 anticoronaviral agent

Related Drugs by ATC class:

L01XX Other antineoplastic agents 33 drugs

Drug Use | Suggest Off label Use Form| |View source of the data|

DiseaseRelationSNOMED_IDDOID
Chronic myeloid leukemia indication 92818009 DOID:8552




🐶 Veterinary Drug Use

None

🐶 Veterinary products

None

Acid dissociation constants calculated using MoKa v3.0.0

Dissociation levelDissociation constantType (acidic/basic)
pKa1 12.86 acidic
pKa2 8.15 Basic

Orange Book patent data (new drug applications)

Formulation strengthTrade nameApplicantApplication numberApproval dateTypeDose formRoutePatent numberPatent expiration datePatent use
3.5MG/VIAL SYNRIBO TEVA PHARMS INTL N203585 Oct. 26, 2012 DISCN POWDER SUBCUTANEOUS 6987103 Oct. 26, 2026 TREATMENT OF PATIENTS WITH TYROSINE KINASE INHIBITOR (TKI) RESISTANT OR INTOLERANT CHRONIC MYELOID/MYELOGENOUS LEUKEMIA (CML)

Orange Book exclusivity data (new drug applications)

None

Bioactivity Summary:

None

External reference:

IDSource
D08956 KEGG_DRUG
4031782 VUID
N0000186058 NUI
4031782 VANDF
4031814 VANDF
CHEBI:71019 CHEBI
HMT PDB_CHEM_ID
CHEMBL46286 ChEMBL_ID
7454 IUPHAR_LIGAND_ID
8885 INN_ID
DB04865 DRUGBANK_ID
6FG8041S5B UNII
1356689 RXNORM
194347 MMSL
27023 MMSL
d07573 MMSL
009753 NDDF
421021001 SNOMEDCT_US
421815001 SNOMEDCT_US
C0062941 UMLSCUI
C3528000 UMLSCUI
D000077863 MESH_DESCRIPTOR_UI
285033 PUBCHEM_CID
24316-19-6 SECONDARY_CAS_RN
65305 PUBCHEM_CID
84MI6OYN4Z UNII
6FG8041S5B INXIGHT DRUGS
84MI6OYN4Z INXIGHT DRUGS

Pharmaceutical products:

None