enasidenib
Trade name: idhifa
Approved
Aug 1, 2017
Enasidenib, aslo known as AG-221 and CC-90007, is a potent and selective IDH2 inhibitor with potential anticancer activity (IDH2 = Isocitrate dehydrogenase 2). The mutations of IDH2 present in certain cancer cells result in a new ability of the enzyme to catalyze the NAPH-dependent reduction of α-ketoglutarate to R(-)-2-hydroxyglutarate (2HG). The production of 2HG is believed to contribute to the formation and progression of cancer. The inhibition of mutant IDH2 and its neoactivity is therefore a potential therapeutic treatment for cancer. Enasidenib is an orally available, selective, potent inhibitor of the mutated IDH2 protein, making it a highly targeted investigational medicine for the potential treatment of patients with cancers that harbor an IDH2 mutation. Enasidenib has received orphan drug and fast track designations from the U.S. FDA. Enasidenib mesylate is in phase II clinical trials for Solid tumours and phase III clinical trials for the treatment of acute myeloid leukaemia. — NCATS
Clinical trial activity
42 trials · 38 clinical orgs · 2 marketing orgs
Earliest trial started Aug 27, 2013 (NCT01915498)
Timeline
2010s
- Jan 1, 2013
- Jun 12, 2014
Orphan Drug Designation
- Jan 1, 2015
- Aug 1, 2017
Celgene — Earliest FDA Approval
- Aug 1, 2017
Celgene — NDA Secondary Org
- Aug 1, 2017
Bristol-Myers Squibb — Marketing Organization
- Aug 1, 2017
Celgene — NDA Organization
- Aug 1, 2017
Bristol-Myers Squibb — NDA Secondary Org
- Jan 1, 2018
Earliest Phase 2 Sponsor(trial)
Indications
Approved for
Studied for
- Bone Marrow Cells · Phase 2
- Carcinoma · Phase 2
- Cholangiocarcinoma · Phase 1/Phase 2
- Chondrosarcoma · Phase 2
- Clonal Hematopoiesis · Phase 2
- Drugs, Investigational · Phase 2
- Glioma · Phase 1/Phase 2
- Healthy Volunteers · Phase 1
- Hematologic Neoplasms · Phase 1/Phase 2
- Isocitrate Dehydrogenase · Phase 3
- Leukemia · Phase 2
- Leukemia, Biphenotypic, Acute · Phase 2
- Leukemia, Monocytic, Acute · Phase 1/Phase 2
- Leukemia, Myeloid · Phase 3
- Leukemia, Myeloid, Acute · Phase 3
- Leukemia, Myelomonocytic, Chronic · Phase 2
- Liver Diseases · Phase 1
- Lymphoma, T-Cell · Phase 2
- Multiple Myeloma · Phase 1/Phase 2
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 3
- Myeloproliferative Disorders · Phase 2
- Neoplasm Metastasis · Phase 2
- Neoplasms · Phase 1/Phase 2
- Neuroblastoma · Phase 2
- Neuroendocrine Tumors · Phase 2
- Primary Myelofibrosis · Phase 2
Mechanism of action
IDH2 inhibitor
Approval history
- approvedPriority reviewFast trackAug 1, 2017
Chemistry & pharmacology
SMILES
CC(C)(O)CNc1nc(Nc2ccnc(C(F)(F)F)c2)nc(-c2cccc(C(F)(F)F)n2)n1- Mol. weight
- 473.38 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL3989908 ↗
- WikipediaEnasidenib ↗
- NCATS3T1SS4E7AG ↗
- ChEMBLCHEMBL3989931 ↗
Also known as
- 2-methyl-1-(4-(6-(trifluoromethyl)pyridin-2-yl)-6-(2-(trifluoromethyl)pyridin-4-ylamino)-1,3,5-triazin-2-ylamino)propan-2-ol
- 2-methyl-1-(4-(6-(trifluoromethyl)pyridin-2-yl)-6-(2-(trifluoromethyl)pyridin-4-ylamino)-1,3,5-triazin-2-ylamino)propan-2-ol
- 2-propanol, 2-methyl-1-((4-(6-(trifluoromethyl)-2-pyridinyl)-6-((2-(trifluoromethyl)-4-pyridinyl)amino)-1,3,5-triazin-2-yl)amino)-
- 2-propanol, 2-methyl-1-((4-(6-(trifluoromethyl)-2-pyridinyl)-6-((2-(trifluoromethyl)-4-pyridinyl)amino)-1,3,5-triazin-2-yl)amino)-
- ag221
- ag221
- ag-221
- ag-221
- ag-221
- enasidenib
- enasidenib
- enasidenib
- enasidenib
- enasidenib mesylate
- enasidenib mesylate
- enasidenib mesylate
- idhifa
- idhifa
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06672146 | Phase 2 | Feb 3, 2025 | National Cancer Institute (NCI), SWOG Cancer Research Network |
| NCT06577441 | Phase 2 | Jan 17, 2025 | National Cancer Institute (NCI) |
| NCT06756308 | Phase 2 | Dec 24, 2024 | Bristol-Myers Squibb, Memorial Sloan-Kettering Cancer Center, The Leukemia and Lymphoma Society |
| NCT06240754 | Phase 2 | Oct 10, 2024 | Bristol-Myers Squibb, Damon Runyon Cancer Research Foundation, Washington University in St. Louis |
| NCT06176989 | Phase 2 | Jan 3, 2024 | National Cancer Institute (NCI) |
| NCT05756777 | Phase 1 | Jun 26, 2023 | Astellas, Memorial Sloan-Kettering Cancer Center |
| NCT05441514 | Phase 1 | Nov 3, 2022 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT05401097 | Phase 2 | Aug 1, 2022 | Ohio State University |
| NCT05282459 | Phase 1/Phase 2 (Phase 2) | Jan 12, 2022 | Celgene, Stanford University |
| NCT04955938 | Phase 1 | Oct 29, 2021 | University of Chicago |
| NCT05010772 | Phase 1 | Oct 25, 2021 | National Cancer Institute (NCI), University of Texas at Houston |
| NCT05102370 | Phase 1 | Oct 6, 2021 | Memorial Sloan-Kettering Cancer Center |
| NCT04774393 | Phase 1/Phase 2 (Phase 2) | May 24, 2021 | University of Texas at Houston |
| NCT04655391 | Phase 1 | Dec 15, 2020 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT04573582 | Phase 1 | Oct 1, 2020 | Bristol-Myers Squibb, Celgene |
| NCT04522895 | Phase 2 | Aug 27, 2020 | Celgene, University of Duesseldorf |
| NCT04281498 | Phase 2 | Mar 31, 2020 | Celgene, Icahn School of Medicine at Mount Sinai, Incyte, Myeloproliferative Neoplasms Research Consortium, National Cancer Institute (NCI), National Institutes of Health (NIH), University of Texas, San Antonio |
| NCT04203316 | Phase 2 | Jan 4, 2020 | National Cancer Institute (NCI) |
| NCT04092179 | Phase 1/Phase 2 (Phase 2) | Dec 31, 2019 | AbbVie, Celgene, University of Toronto |
| NCT04075747 | Phase 1 | Oct 31, 2019 | Jazz Pharmaceuticals |
Organizations
Research & Development (38)
Marketing (4)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Bristol-Myers Squibb | For profit | MKTG | Aug 1, 2017 |
| Bristol-Myers Squibb | For profit | NDA2 | Aug 1, 2017 |
| Celgene | For profit | NDA2 | Aug 1, 2017 |
| Celgene | For profit | NDA | Aug 1, 2017 |