mitotane   Click here for help

GtoPdb Ligand ID: 6957

Synonyms: CB-313 | Lysodren®
Approved drug
mitotane is an approved drug (FDA (1970), EMA (2004))
Compound class: Synthetic organic
Comment: The molecular mechanism underlying mitotane's clinical effects is complex and poorly understood [1].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 0
Hydrogen bond donors 0
Rotatable bonds 3
Topological polar surface area 0
Molecular weight 317.95
XLogP 6
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES ClC(C(c1ccccc1Cl)c1ccc(cc1)Cl)Cl
Isomeric SMILES ClC(C(c1ccccc1Cl)c1ccc(cc1)Cl)Cl
InChI InChI=1S/C14H10Cl4/c15-10-7-5-9(6-8-10)13(14(17)18)11-3-1-2-4-12(11)16/h1-8,13-14H
InChI Key JWBOIMRXGHLCPP-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Used to treat inoperable adrenal cortical carcinoma (ACC), where it specifically causes the death of these cells and inhibits their production of steroid hormones.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
The precise molecular mechanism underlying mitotane's clinical effects has not been fully resolved, but may include: inhibition of steroidognesis as it is believed to inhibit two of the cytochrome P450 enzymes (CYP11A1 and CYP11B1) [2] essential for initiating steroid hormone biosynthesis and the drug may also cause apoptosis via activation of caspases 3 and 7 [1].
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