Synonyms: CDZ-173 | CDZ173 | Example 67 [WO2012004299] | Joenja®
leniolisib is an approved drug (FDA (2023))
Compound class:
Synthetic organic
Comment: Leniolisib (CDZ173) is an orally bioavailable, potent phosphatidylinositol 3-kinase inhibitor (PI3K) inhibitor, with selectivity for the PI3Kδ isoform [3]. Novartis originally developed CDZ173 as a treatment for autoimmune diseases, but has rapidly repurposed it for its potential in patients with Activated PI3K Delta Syndrome (APDS, a.k.a. p110 delta activating mutation causing senescent T cells, lymphadenopathy and immunodeficiency, or PASLI). APDS is an ultra-rare genetic immunodeficiency disease characterised by lymphoproliferation, recurrent infections from childhood, and an increased risk of EBV-associated lymphoma. APDS is known to be caused by autosomal dominant, gain-of-function mutations in the PIK3CD gene which encodes the PI3Kδ protein [4,7].
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. ✖ |
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Immunopharmacology Comments |
In Phase 1 clinical trial, leniolisib effectively inhibits excessive lymphoproliferation and immune dysregulation mediated by gain-of-function PI3Kδ mutants in APDS patients [6]. |
Immunopharmacology Disease | |||
Disease | X-Refs | Comment | References |
Activated PI3K delta syndrome |
OMIM:
615513 Orphanet: ORPHA397596 |
Phase 1 clinical lead for APDS. Early clinical trial (NCT02435173) results are published. Lymphoproliferation and immune dysregulation are ameliorated in APDS patients following 12 weeks of leniolisib treatment. | 6 |
Sjögren's syndrome |
Orphanet:
ORPHA378 |
Completed Phase 2 clinical trial NCT02775916 as monotherapy for primary SS. |