Synonyms: ARRY-380 | Example 11 [WO2007059257A2] | ONT-380 | Tukysa®
tucatinib is an approved drug (FDA (2020), EMA (2021))
Compound class:
Synthetic organic
Comment: Tucatinib is an orally bioavailable ERBB2 (HER2) receptor tyrosine kinase inhibitor that was developed as a novel antineoplastic agent by Seattle Genetics [2]. The chemical structure is claimed as Example 11 in Array Biopharma patent WO2007059257A2 [3], and was exemplified as ARRY-380 in the later patent WO2013056183A1 [1]. Tucatinib contains a quinazoline core that is conserved in other tyrosine kinase inhibitors including lapatinib, erlotinib, and gefitinib [2].
The INN tucatinib replaced the earlier INN irbinitinib that was associated with this chemical entity. Ligand Activity Visualisation ChartsThese are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts. ✖ |
|
No information available. |
Summary of Clinical Use |
Early clinical trial data indicated that tucatinib produced marked antitumour activity in heavily pretreated HER2+ve metastatic breast cancer patients, and some of the side effects were diminished in comparison to contemporary dual HER2/EGFR inhibitors [4]. Several Phase 2 studies in breast cancer and other cancers with ERBB2 gene amplification were undertaken. Click here to link to the complete list of tucatinib trials that are registered at ClinicalTrials.gov. A FDA New Drug Application for tucatinib for locally advanced or metastatic HER2+ve breast cancer was submitted by Seattle Genetics in December 2019. The first full FDA approval was granted in April 2020. Under this approval tucatinib was indicated for advanced unresectable or metastatic HER2+ve breast cancer (including brain metastases) in combination with trastuzumab and capecitabine, in patients who had received ≥1 prior anti-HER2-based regimens for metastatic disease. In early 2023, the FDA issued accelerated approval for combined treatment with tucatinib plus trastuzumab for colorectal cancer (specifically for RAS wild-type HER2-positive unresectable or metastatic colorectal cancer), that has progressed after FOLFOXIRI chemotherapy (a fluoropyrimidine, oxaliplatin, and irinotecan). This decision was based on data from the MOUNTAINEER study (NCT03043313). |
Clinical Trials | |||||
Clinical Trial ID | Title | Type | Source | Comment | References |
NCT03043313 | Tucatinib Plus Trastuzumab in Patients With HER2+ Colorectal Cancer | Phase 2 Interventional | Seagen Inc. |