leniolisib   Click here for help

GtoPdb Ligand ID: 9424

Synonyms: CDZ-173 | CDZ173 | Example 67 [WO2012004299] | Joenja®
Approved drug PDB Ligand Immunopharmacology Ligand
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].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 7
Hydrogen bond donors 1
Rotatable bonds 7
Topological polar surface area 83.48
Molecular weight 450.2
XLogP 2.47
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES CCC(=O)N1CCC(C1)Nc1ncnc2c1CN(CC2)c1cnc(c(c1)C(F)(F)F)OC
Isomeric SMILES CCC(=O)N1CC[C@@H](C1)Nc1ncnc2c1CN(CC2)c1cnc(c(c1)C(F)(F)F)OC
InChI InChI=1S/C21H25F3N6O2/c1-3-18(31)30-6-4-13(10-30)28-19-15-11-29(7-5-17(15)26-12-27-19)14-8-16(21(22,23)24)20(32-2)25-9-14/h8-9,12-13H,3-7,10-11H2,1-2H3,(H,26,27,28)/t13-/m0/s1
InChI Key MWKYMZXCGYXLPL-ZDUSSCGKSA-N
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.