nirogacestat   Click here for help

GtoPdb Ligand ID: 7746

Synonyms: Ogsiveo® | PF-03084014 | PF3084014 | Z-3181
Approved drug
nirogacestat is an approved drug (FDA (2023))
Compound class: Synthetic organic
Comment: Nirogacestat (PF-3084014) is compound 14f in [2] where it is described as a centrally active γ-secretase inhibitor. It is a reversible, non-competitive, and orally bioactive agent. It was proposed an an anti-tumour agent [1,3,10-11].
PF-3084014 was also reported as an inhibitor of the NOTCH signalling pathway which bolstered its oncology credentials [7,10], since NOTCH inhibition promotes cell cycle arrest and induces apoptosis in tumour cells.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 3
Rotatable bonds 12
Topological polar surface area 70.98
Molecular weight 489.33
XLogP 5.14
No. Lipinski's rules broken 2
SMILES / InChI / InChIKey
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Canonical SMILES CCCC(C(=O)Nc1ncn(c1)C(CNCC(C)(C)C)(C)C)NC1CCc2c(C1)c(F)cc(c2)F
Isomeric SMILES CCC[C@@H](C(=O)Nc1ncn(c1)C(CNCC(C)(C)C)(C)C)N[C@H]1CCc2c(C1)c(F)cc(c2)F
InChI InChI=1S/C27H41F2N5O/c1-7-8-23(32-20-10-9-18-11-19(28)12-22(29)21(18)13-20)25(35)33-24-14-34(17-31-24)27(5,6)16-30-15-26(2,3)4/h11-12,14,17,20,23,30,32H,7-10,13,15-16H2,1-6H3,(H,33,35)/t20-,23-/m0/s1
InChI Key VFCRKLWBYMDAED-REWPJTCUSA-N
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Summary of Clinical Use Click here for help
This compound was assessed in clinical trials for the treatment of several types of cancer. Click here to view the full list of PF-03084014 trials registered with ClinicalTrials.gov. A number of PF-03084014 clinical trials appear to have been stopped or withdrawn, apparently for business reasons. Notes against these trials state that there were no safety/efficacy concerns behind the decisions. Development for desmoid tumours [8] (a rare and aggressive soft tissue sarcoma) was continued by SpringWorks Therapeutics. There were no FDA-approved treatments for desmoid tumours at the time. Based on efficacy data coming from clinical trials [9], nirogacestat was granted FDA orphan designation for this indication in mid-2018. EMA orphan drug designation followed in late 2019. In 2023, the FDA accepted nirogacestat for priority review as a treatment option for locally invasive, soft tissue desmoid tumours, and this culminated in full approval in November of that year [6]. Nirogacestat (Ogsiveo) was the first approved drug to reach the clinic as a treatment for desmoid tumours.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT04195399 A Study of a New Drug, Nirogacestat, for Treating Desmoid Tumors That Cannot be Removed by Surgery Phase 2 Interventional Children's Oncology Group
NCT01981551 Phase II Trial of the Gamma-Secretase Inhibitor PF-03084014 in Adults With Desmoid Tumors/Aggressive Fibromatosis Phase 2 Interventional National Institutes of Health Clinical Center (CC)
NCT03785964 Nirogacestat for Adults With Desmoid Tumor/Aggressive Fibromatosis (DT/AF) Phase 3 Interventional SpringWorks Therapeutics, Inc. 4-5
NCT05348356 Nirogacestat in Ovarian Granulosa Cell Tumors Phase 2 Interventional SpringWorks Therapeutics, Inc.