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                                                                Synonyms: CM-4307 | CM4307 | Sorafenib-d3 | Zepsun®
                                 
                                                         
                            Compound class: 
                                                            Synthetic organic
                                 
                                
                                    
                                        Comment: Donafenib (CM-4307) is a deuterated derivative of the approved multikinase inhibitor sorafenib. Like sorafenib, it is orally active. Deuteration improves the stability of drug molecules thus extending half-life and increasing systemic exposure. This means that the effective drug dose may be shifted downward, with an associated improvement in tolerability. The medical formulation is donafenib tosylate.
                                    
                                 
                            
                            
                          
                                
                                    
                                
                          
                                   
                                   
                                  
                                    
                                    
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| References | 
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                                                                         1. Keam SJ, Duggan S. (2021)
                                         Donafenib: First Approval. Drugs, 81 (16): 1915-1920. [PMID:34591285]  | 
                                                                
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                                                                         2. Liu J, Li X, Zhang H, Chen G, Chen H, Hu Y, Niu J, Ding Y. (2019)
                                         Safety, pharmacokinetics and efficacy of donafenib in treating advanced hepatocellular carcinoma: report from a phase 1b trial. Pharmazie, 74 (11): 688-693. [PMID:31739839]  | 
                                                                
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                                                                         3. Qin S, Bi F, Gu S, Bai Y, Chen Z, Wang Z, Ying J, Lu Y, Meng Z, Pan H et al.. (2021)
                                         Donafenib Versus Sorafenib in First-Line Treatment of Unresectable or Metastatic Hepatocellular Carcinoma: A Randomized, Open-Label, Parallel-Controlled Phase II-III Trial. J Clin Oncol, 39 (27): 3002-3011. [PMID:34185551]  | 
                                                                
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                                                                         4. Wilhelm SM, Carter C, Tang L, Wilkie D, McNabola A, Rong H, Chen C, Zhang X, Vincent P, McHugh M et al.. (2004)
                                         BAY 43-9006 exhibits broad spectrum oral antitumor activity and targets the RAF/MEK/ERK pathway and receptor tyrosine kinases involved in tumor progression and angiogenesis. Cancer Res, 64 (19): 7099-109. [PMID:15466206]  |