enzalutamide   Click here for help

GtoPdb Ligand ID: 6812

Synonyms: MDV-3100 | MDV3100 | Xtandi®
Approved drug
enzalutamide is an approved drug (FDA (2012), EMA (2013))
Compound class: Synthetic organic
Comment: Enzalutamide is an androgen receptor antagonist.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 1
Rotatable bonds 5
Topological polar surface area 108.53
Molecular weight 464.09
XLogP 4
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES CNC(=O)c1ccc(cc1F)N1C(=S)N(C(=O)C1(C)C)c1ccc(c(c1)C(F)(F)F)C#N
Isomeric SMILES CNC(=O)c1ccc(cc1F)N1C(=S)N(C(=O)C1(C)C)c1ccc(c(c1)C(F)(F)F)C#N
InChI InChI=1S/C21H16F4N4O2S/c1-20(2)18(31)28(12-5-4-11(10-26)15(8-12)21(23,24)25)19(32)29(20)13-6-7-14(16(22)9-13)17(30)27-3/h4-9H,1-3H3,(H,27,30)
InChI Key WXCXUHSOUPDCQV-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Enzalutamide was originally approved for the treatment of advanced (metastatic) prostate cancer where other treatments have failed or drug resistance has developed, including castration-resistant prostate cancer (CRPC). Treatment with enzalutamide delays the time before escalating to chemotherapy by around seventeen months [2]. In July 2018, the FDA expanded enzalutamide's approval to include treatment of patients with non-metastatic CRPC, based on results from clinical trial NCT02003924 [3]. December 2019 saw FDA approval expanded further to include treatment of metastatic castration-sensitive prostate cancer (mCSPC) following evaluation of results from the 'ARCHES' trial NCT02677896 [1].
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Enzalutamide treatment leads to apoptosis of cancer cells and reduced tumour volume by inhibiting androgen binding to its receptor, androgen receptor nuclear translocation, and subsequent interaction with DNA which culminates in reduced cell proliferation.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT02003924 Safety and Efficacy Study of Enzalutamide in Patients With Nonmetastatic Castration-Resistant Prostate Cancer Phase 3 Interventional Pfizer
NCT02677896 A Study of Enzalutamide Plus Androgen Deprivation Therapy (ADT) Versus Placebo Plus ADT in Patients With Metastatic Hormone Sensitive Prostate Cancer (mHSPC) Phase 3 Interventional Astellas Pharma Inc
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