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| Stem definition | Drug id | CAS RN |
|---|---|---|
| tyrosine kinase inhibitors | 5290 | 606143-89-9 |
| Dose | Unit | Route |
|---|---|---|
| 90 | mg | O |
| Property | Value | Reference |
|---|---|---|
| BDDCS (Biopharmaceutical Drug Disposition Classification System) | 1 | Bocci G, Oprea TI, Benet LZ |
| BA (Bioavailability) | 0.71 % | Kawashima H, Watanabe R, Esaki T, Kuroda M, Nagao C, Natsume-Kitatani Y, Ohashi R, Komura H, Mizuguchi K |
| Property | Description | Value | Unit | Confidence | Similarity |
|---|---|---|---|---|---|
| azlogd74 | LogD at pH 7.4 | 2.088 | High | 1 | |
| caco2-efflux | Caco-2 efflux ratio (BA/AB) | 13.677 | High | 1 | |
| caco2-intrinsic-papp | Caco-2 intrinsic apparent permeability | 19.143 | 10^-6 cm/s | High | 1 |
| dh-clint | Dog hepatocyte intrinsic clearance | 2.897 | uL/min/10^6 cells | High | 1 |
| dppb | Dog plasma protein binding (% unbound) | 10.730 | % | High | 1 |
| fcs-ppb | Fetal calf serum protein binding (% unbound) | 19.100 | % | High | 1 |
| herg | hERG pIC50 | 4.512 | pIC50 | High | 1 |
| hh-clint | Human hepatocyte intrinsic clearance | 1.905 | uL/min/10^6 cells | High | 1 |
| hlm-clint | Human liver microsomal intrinsic clearance | 5.534 | uL/min/mg protein | High | 1 |
| hppb | Human plasma protein binding (% unbound) | 7.250 | % | High | 1 |
| kinase-safety-class | ABL2,ACVR2B,ALK,AURKA,AXL,BLK,BMX,BRAF,BTK,CAMK2B,CAMK2D,CDK1,CDK14,CDK16,CDK19,CDK2,CDK4,CDK5,CDK6,CDK7,CDK9,CLK4,CSF1R,DDR1,DYRK1B,EGFR,EPHA2,EPHB4,ERBB2,ERBB4,FGFR1,FLT1,FLT3,FYN,GAK,GRK2,GSK3B,IRAK1,ITK,JAK1,KDR,KIT,LCK,LYN,MAP2K1,MAP3K10,MAP3K21,MAP3K7,MAP4K1,MAP4K3,MAP4K5,MAPK1,MAPK11,MAPK14,MAPK7,MAPK9,MARK4,MET,NTRK1,PDGFRB,PDK1,PDK2,PDK4,PIK3CA,PIK3CB,PIK3CD,PIK3CG,PRKCD,PRKDC,RET,SIK2,SIK3,SRC,STK33,SYK,TEK,TGFBR1,TTK,ULK1,ULK2,YES1 | 81 | |||
| kinase-selectivity-class | ACVR2B,AURKA,AXL,BRAF,CAMK2D,CDK9,CSF1R,DDR1,EGFR,EPHB4,ERBB2,FLT1,FYN,GRK2,JAK1,KDR,KIT,LCK,LYN,MAP2K1,MAP3K21,MAP4K1,MAP4K3,MAPK1,MAPK7,MARK4,PRKCD,SIK2,SIK3,STK33,SYK,ULK1,YES1 | 33 | |||
| mdck-mdr1-bcrp-efflux | MDCK-MDR1-BCRP efflux ratio | 31.333 | High | 0.85 | |
| mdck-mdr1-efflux | MDCK-MDR1 efflux ratio | 23.496 | High | 1 | |
| mh-clint | Mouse hepatocyte intrinsic clearance | 17.338 | High | 1 | |
| mppb | Mouse plasma protein binding (% unbound) | 9.700 | High | 1 | |
| nih-mdck-mdr1-efflux | NIH MDCK-MDR1 efflux ratio | 38.994 | High | 1 | |
| pfas-class | PFAS structural alert (1 = True, 0 = False) | 0 | |||
| pppb | Pig plasma protein binding (% unbound) | 15.250 | % | High | 1 |
| rat-kpuu-brain | Rat brain Kpuu | 0.021 | % | High | 0.85 |
| rh-clint | Rat hepatocyte intrinsic clearance | 7.379 | uL/min/10^6 cells | High | 1 |
| rh-fuinc | Rat hepatocyte fraction unbound in incubation | 63.900 | % | High | 1 |
| rppb | Rat plasma protein binding (% unbound) | 7.890 | % | High | 1 |
| solubility-dd | Solubility at pH 7.4 in DMSO | 31.696 | uM | High | 1 |
| Date | Agency | Company | Orphan |
|---|---|---|---|
| Jan. 8, 2019 | PMDA | ONO PHARMACEUTICAL CO., LTD. | |
| June 27, 2018 | FDA | ARRAY BIOPHARMA INC | |
| Sept. 20, 2018 | EMA | Pierre Fabre Medicament |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Serous retinal detachment | 977.71 | 30.28 | 134 | 4712 | 500 | 90623101 |
| Neoplasm progression | 262.28 | 30.28 | 96 | 4750 | 44390 | 90579211 |
| Retinal detachment | 134.42 | 30.28 | 37 | 4809 | 6785 | 90616816 |
| Off label use | 122.11 | 30.28 | 213 | 4633 | 1102039 | 89521562 |
| Colitis | 119.02 | 30.28 | 63 | 4783 | 69879 | 90553722 |
| Serous retinopathy | 107.70 | 30.28 | 14 | 4832 | 30 | 90623571 |
| Pyrexia | 97.81 | 30.28 | 146 | 4700 | 660339 | 89963262 |
| Nausea | 81.69 | 30.28 | 181 | 4665 | 1110135 | 89513466 |
| Death | 76.24 | 30.28 | 107 | 4739 | 456444 | 90167157 |
| Vision blurred | 76.20 | 30.28 | 56 | 4790 | 110237 | 90513364 |
| Blood creatine phosphokinase increased | 67.48 | 30.28 | 34 | 4812 | 33989 | 90589612 |
| Hepatic function abnormal | 65.67 | 30.28 | 37 | 4809 | 46251 | 90577350 |
| Diarrhoea | 59.91 | 30.28 | 145 | 4701 | 939045 | 89684556 |
| Retinopathy | 59.71 | 30.28 | 17 | 4829 | 3517 | 90620084 |
| Macular oedema | 58.40 | 30.28 | 18 | 4828 | 4891 | 90618710 |
| Macular detachment | 57.18 | 30.28 | 9 | 4837 | 99 | 90623502 |
| Malignant neoplasm progression | 55.82 | 30.28 | 46 | 4800 | 106824 | 90516777 |
| Tumour lysis syndrome | 54.43 | 30.28 | 21 | 4825 | 11131 | 90612470 |
| Uveitis | 50.47 | 30.28 | 22 | 4824 | 15881 | 90607720 |
| Large intestinal ulcer | 49.30 | 30.28 | 15 | 4831 | 3902 | 90619699 |
| Second primary malignancy | 45.21 | 30.28 | 18 | 4828 | 10360 | 90613241 |
| Decreased appetite | 44.08 | 30.28 | 75 | 4771 | 376465 | 90247136 |
| Detachment of retinal pigment epithelium | 43.32 | 30.28 | 9 | 4837 | 496 | 90623105 |
| Dermatitis acneiform | 42.18 | 30.28 | 15 | 4831 | 6339 | 90617262 |
| Drug ineffective | 37.08 | 30.28 | 14 | 4832 | 1384284 | 89239317 |
| Alanine aminotransferase increased | 36.55 | 30.28 | 38 | 4808 | 118300 | 90505301 |
| Visual impairment | 36.47 | 30.28 | 40 | 4806 | 132325 | 90491276 |
| Immune-mediated hepatitis | 35.88 | 30.28 | 11 | 4835 | 2933 | 90620668 |
| Vomiting | 35.27 | 30.28 | 107 | 4739 | 788186 | 89835415 |
| Colour blindness acquired | 33.64 | 30.28 | 6 | 4840 | 146 | 90623455 |
| Hepatic cytolysis | 31.55 | 30.28 | 20 | 4826 | 30896 | 90592705 |
| Ocular toxicity | 31.54 | 30.28 | 8 | 4838 | 1069 | 90622532 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Serous retinal detachment | 805.31 | 24.47 | 133 | 5121 | 811 | 42615270 |
| Neoplasm progression | 268.14 | 24.47 | 109 | 5145 | 28891 | 42587190 |
| Serous retinopathy | 143.99 | 24.47 | 25 | 5229 | 211 | 42615870 |
| Second primary malignancy | 88.33 | 24.47 | 36 | 5218 | 9539 | 42606542 |
| Blood creatine phosphokinase increased | 77.93 | 24.47 | 57 | 5197 | 48281 | 42567800 |
| Death | 64.34 | 24.47 | 163 | 5091 | 471022 | 42145059 |
| Off label use | 62.90 | 24.47 | 196 | 5058 | 638139 | 41977942 |
| Pyrexia | 61.94 | 24.47 | 144 | 5110 | 393898 | 42222183 |
| Nausea | 60.18 | 24.47 | 143 | 5111 | 396656 | 42219425 |
| Vision blurred | 55.88 | 24.47 | 49 | 5205 | 53650 | 42562431 |
| Dermatitis acneiform | 54.41 | 24.47 | 24 | 5230 | 7715 | 42608366 |
| Visual impairment | 50.27 | 24.47 | 42 | 5212 | 43071 | 42573010 |
| Fatigue | 45.68 | 24.47 | 137 | 5117 | 435504 | 42180577 |
| Malignant neoplasm progression | 45.20 | 24.47 | 61 | 5193 | 108339 | 42507742 |
| Retinal detachment | 45.11 | 24.47 | 20 | 5234 | 6505 | 42609576 |
| Retinopathy | 44.95 | 24.47 | 15 | 5239 | 2266 | 42613815 |
| Macular oedema | 41.96 | 24.47 | 16 | 5238 | 3553 | 42612528 |
| Subretinal fluid | 41.77 | 24.47 | 11 | 5243 | 732 | 42615349 |
| Colitis | 39.66 | 24.47 | 38 | 5216 | 46534 | 42569547 |
| Uveitis | 38.45 | 24.47 | 20 | 5234 | 9238 | 42606843 |
| Diarrhoea | 38.38 | 24.47 | 134 | 5120 | 460715 | 42155366 |
| Detachment of retinal pigment epithelium | 34.15 | 24.47 | 9 | 5245 | 601 | 42615480 |
| Metastases to central nervous system | 33.61 | 24.47 | 19 | 5235 | 10336 | 42605745 |
| Liver disorder | 33.09 | 24.47 | 32 | 5222 | 39612 | 42576469 |
| Retinal oedema | 30.04 | 24.47 | 9 | 5245 | 959 | 42615122 |
| Hepatitis | 26.56 | 24.47 | 24 | 5230 | 27276 | 42588805 |
| Transient acantholytic dermatosis | 25.32 | 24.47 | 6 | 5248 | 259 | 42615822 |
| Large intestinal ulcer | 25.26 | 24.47 | 10 | 5244 | 2453 | 42613628 |
| Cystoid macular oedema | 25.26 | 24.47 | 8 | 5246 | 1025 | 42615056 |
| Renal impairment | 25.02 | 24.47 | 47 | 5207 | 110181 | 42505900 |
| Hepatic cytolysis | 24.94 | 24.47 | 23 | 5231 | 26821 | 42589260 |
| MedDRA adverse event term | Likelihood ratio | Likelihood ratio threshold | Patients taking drug having adverse event | Patients taking drug not having adverse event | Patients not taking drug having adverse event | Patients not taking drug not having adverse event |
|---|---|---|---|---|---|---|
| Serous retinal detachment | 1721.72 | 24.19 | 265 | 9596 | 1407 | 110578031 |
| Neoplasm progression | 506.49 | 24.19 | 197 | 9664 | 64398 | 110515040 |
| Serous retinopathy | 219.31 | 24.19 | 35 | 9826 | 240 | 110579198 |
| Death | 164.26 | 24.19 | 252 | 9609 | 698617 | 109880821 |
| Off label use | 161.21 | 24.19 | 387 | 9474 | 1499798 | 109079640 |
| Retinal detachment | 151.17 | 24.19 | 51 | 9810 | 11049 | 110568389 |
| Blood creatine phosphokinase increased | 145.32 | 24.19 | 87 | 9774 | 72990 | 110506448 |
| Colitis | 127.76 | 24.19 | 91 | 9770 | 102232 | 110477206 |
| Second primary malignancy | 126.94 | 24.19 | 51 | 9810 | 18017 | 110561421 |
| Vision blurred | 125.98 | 24.19 | 99 | 9762 | 128923 | 110450515 |
| Pyrexia | 125.52 | 24.19 | 258 | 9603 | 898007 | 109681431 |
| Nausea | 109.49 | 24.19 | 297 | 9564 | 1235393 | 109344045 |
| Retinopathy | 104.70 | 24.19 | 31 | 9830 | 4398 | 110575040 |
| Dermatitis acneiform | 103.81 | 24.19 | 40 | 9821 | 12655 | 110566783 |
| Malignant neoplasm progression | 90.91 | 24.19 | 94 | 9767 | 174473 | 110404965 |
| Macular oedema | 90.88 | 24.19 | 31 | 9830 | 6935 | 110572503 |
| Diarrhoea | 84.34 | 24.19 | 257 | 9604 | 1139248 | 109440190 |
| Uveitis | 80.12 | 24.19 | 39 | 9822 | 21671 | 110557767 |
| Hepatic function abnormal | 75.43 | 24.19 | 63 | 9798 | 89232 | 110490206 |
| Visual impairment | 72.88 | 24.19 | 74 | 9787 | 134354 | 110445084 |
| Detachment of retinal pigment epithelium | 67.06 | 24.19 | 16 | 9845 | 989 | 110578449 |
| Large intestinal ulcer | 64.98 | 24.19 | 23 | 9838 | 5738 | 110573700 |
| Macular detachment | 63.21 | 24.19 | 12 | 9849 | 244 | 110579194 |
| Subretinal fluid | 62.44 | 24.19 | 16 | 9845 | 1328 | 110578110 |
| Decreased appetite | 59.51 | 24.19 | 131 | 9730 | 475715 | 110103723 |
| Retinal oedema | 59.41 | 24.19 | 16 | 9845 | 1611 | 110577827 |
| Hepatic cytolysis | 55.30 | 24.19 | 43 | 9818 | 55010 | 110524428 |
| Drug ineffective | 52.35 | 24.19 | 36 | 9825 | 1520504 | 109058934 |
| Alanine aminotransferase increased | 49.64 | 24.19 | 71 | 9790 | 183702 | 110395736 |
| Metastases to central nervous system | 47.48 | 24.19 | 28 | 9833 | 22789 | 110556649 |
| Lipase increased | 47.15 | 24.19 | 26 | 9835 | 18646 | 110560792 |
| Tumour lysis syndrome | 46.92 | 24.19 | 31 | 9830 | 30770 | 110548668 |
| Renal impairment | 46.83 | 24.19 | 70 | 9791 | 188375 | 110391063 |
| Aspartate aminotransferase increased | 46.47 | 24.19 | 64 | 9797 | 159872 | 110419566 |
| Colour blindness acquired | 43.11 | 24.19 | 8 | 9853 | 143 | 110579295 |
| Fatigue | 41.20 | 24.19 | 215 | 9646 | 1215743 | 109363695 |
| Liver disorder | 39.94 | 24.19 | 56 | 9805 | 142187 | 110437251 |
| Cystoid macular oedema | 38.64 | 24.19 | 13 | 9848 | 2787 | 110576651 |
| Immune-mediated enterocolitis | 36.68 | 24.19 | 18 | 9843 | 10167 | 110569271 |
| Myalgia | 35.75 | 24.19 | 68 | 9793 | 222313 | 110357125 |
| Vomiting | 35.00 | 24.19 | 167 | 9694 | 910508 | 109668930 |
| Immune-mediated hepatitis | 33.93 | 24.19 | 15 | 9846 | 6696 | 110572742 |
| Demyelinating polyneuropathy | 33.26 | 24.19 | 11 | 9850 | 2238 | 110577200 |
| Gamma-glutamyltransferase increased | 30.05 | 24.19 | 32 | 9829 | 61277 | 110518161 |
| Rash maculo-papular | 29.95 | 24.19 | 35 | 9826 | 74187 | 110505251 |
| Eye symptom | 29.14 | 24.19 | 6 | 9855 | 187 | 110579251 |
| Hypothyroidism | 28.79 | 24.19 | 34 | 9827 | 72865 | 110506573 |
| Enterocolitis | 28.68 | 24.19 | 19 | 9842 | 18930 | 110560508 |
| Metamorphopsia | 28.27 | 24.19 | 9 | 9852 | 1624 | 110577814 |
| Eye disorder | 27.77 | 24.19 | 22 | 9839 | 28884 | 110550554 |
| Underdose | 27.38 | 24.19 | 31 | 9830 | 63523 | 110515915 |
| Melanocytic naevus | 26.55 | 24.19 | 12 | 9849 | 5642 | 110573796 |
| Skin toxicity | 25.94 | 24.19 | 15 | 9846 | 11768 | 110567670 |
| Disease progression | 25.82 | 24.19 | 63 | 9798 | 243971 | 110335467 |
| Hospice care | 25.15 | 24.19 | 15 | 9846 | 12458 | 110566980 |
| Blood lactate dehydrogenase increased | 25.09 | 24.19 | 25 | 9836 | 44309 | 110535129 |
| Blood creatinine increased | 24.67 | 24.19 | 52 | 9809 | 182837 | 110396601 |
| Pneumonitis | 24.31 | 24.19 | 32 | 9829 | 76499 | 110502939 |
| Joint swelling | 24.22 | 24.19 | 5 | 9856 | 442840 | 110136598 |
None
| Source | Code | Description |
|---|---|---|
| ATC | L01EE03 | ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS ANTINEOPLASTIC AGENTS PROTEIN KINASE INHIBITORS Mitogen-activated protein kinase (MEK) inhibitors |
| CHEBI has role | CHEBI:35610 | antineoplastic agent |
| CHEBI has role | CHEBI:35842 | antirheumatic drug |
| CHEBI has role | CHEBI:68495 | apoptosis inducer |
| CHEBI has role | CHEBI:79091 | EC 2.7.11.24 (mitogen-activated protein kinase) inhibitor |
| Disease | Relation | SNOMED_ID | DOID |
|---|---|---|---|
| Metastatic malignant melanoma | indication | 443493003 | |
| Unresectable malignant melanoma with BRAF gene mutation | indication | 830150003 | |
| BRAF mutation-positive colorectal cancer | indication |
None
None
| Dissociation level | Dissociation constant | Type (acidic/basic) |
|---|---|---|
| pKa1 | 8.84 | acidic |
| pKa2 | 4.05 | Basic |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Patent number | Patent expiration date | Patent use |
|---|---|---|---|---|---|---|---|---|---|---|
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 10005761 | Aug. 27, 2030 | INDICATED IN COMBINATION WITH ENCORAFENIB FOR THE TREATMENT OF MELANOMA |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 10005761 | Aug. 27, 2030 | MEKTOVI IS A KINASE INHIBITOR INDICATED IN COMBINATION WITH ENCORAFENIB, FOR THE TREATMENT OF PATIENTS WITH METASTATIC NON SMALL CELL LUNG CANCER WITH A BRAF V600E MUTATION, AS DETECTED BY AN FDA-APPROVED TEST |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 9850229 | Aug. 27, 2030 | INDICATED IN COMBINATION WITH ENCORAFENIB FOR THE TREATMENT OF MELANOMA WITH A BRAF MUTATION |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 9314464 | July 4, 2031 | INDICATED IN COMBINATION WITH ENCORAFENIB FOR THE TREATMENT OF MELANOMA MEDIATED BY A B-RAF PROTEIN KINASE |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 9314464 | July 4, 2031 | MEKTOVI IS A KINASE INHIBITOR INDICATED IN COMBINATION WITH ENCORAFENIB, FOR THE TREATMENT OF PATIENTS WITH METASTATIC NON SMALL CELL LUNG CANCER WITH A BRAF V600E MUTATION, AS DETECTED BY AN FDA-APPROVED TEST |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 9598376 | Oct. 18, 2033 | METHOD OF TREATING MELANOMA |
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | 9980944 | Oct. 18, 2033 | TREATMENT OF MELANOMA WITH A BRAF MUTATION |
| Formulation strength | Trade name | Applicant | Application number | Approval date | Type | Dose form | Route | Exclusivity date | Description |
|---|---|---|---|---|---|---|---|---|---|
| 15MG | MEKTOVI | ARRAY BIOPHARMA INC | N210498 | June 27, 2018 | RX | TABLET | ORAL | Oct. 11, 2026 | ENCORAFENIB IN COMBINATION WITH BINIMETINIB, IS INDICATED FOR THE TREATMENT OF ADULT PATIENTS WITH METASTATIC NON-SMALL CELL LUNG CANCER (NSCLC) WITH BRAF V600E MUTATION, AS DETECTED BY AN FDA-APPROVED TEST |
| Target | Class | Pharos | UniProt | Action | Type | Activity value (-log[M]) | Mechanism action | Bioact source | MoA source |
|---|---|---|---|---|---|---|---|---|---|
| Dual specificity mitogen-activated protein kinase kinase 1 | Kinase | INHIBITOR | IC50 | 7.90 | IUPHAR | DRUG LABEL | |||
| Dual specificity mitogen-activated protein kinase kinase 2 | Kinase | INHIBITOR | IC50 | 7.90 | IUPHAR | DRUG LABEL | |||
| Ribosyldihydronicotinamide dehydrogenase [quinone] | Enzyme | Kd | 4.83 | CHEMBL |
| ID | Source |
|---|---|
| 181R97MR71 | UNII |
| 4037645 | VANDF |
| C3899947 | UMLSCUI |
| CHEBI:145371 | CHEBI |
| QO7 | PDB_CHEM_ID |
| CHEMBL3187723 | ChEMBL_ID |
| 10288191 | PUBCHEM_CID |
| DB11967 | DRUGBANK_ID |
| D10604 | KEGG_DRUG |
| 9764 | INN_ID |
| C581313 | MESH_SUPPLEMENTAL_RECORD_UI |
| 7921 | IUPHAR_LIGAND_ID |
| 772095008 | SNOMEDCT_US |
| 772195005 | SNOMEDCT_US |
| 283903 | MMSL |
| 34461 | MMSL |
| d08818 | MMSL |
| 017616 | NDDF |
| 2049122 | RXNORM |
| 181R97MR71 | INXIGHT DRUGS |
| Product | Category | Ingredients | NDC | Form | Quantity | Route | Marketing | Label |
|---|---|---|---|---|---|---|---|---|
| MEKTOVI | HUMAN PRESCRIPTION DRUG LABEL | 1 | 70255-010 | TABLET, FILM COATED | 15 mg | ORAL | NDA | 29 sections |