pexidartinib

Trade name: Turalio

Small moleculeapprovedOrphan Drug FDABreakthrough Therapy FDA

Approved

Aug 2, 2019

Pexidartinib (PLX3397) is a small-molecule receptor tyrosine kinase (RTK) inhibitor with potential antineoplastic activity. Pexidartinib binds to and inhibits phosphorylation of stem cell factor receptor (KIT), colony-stimulating factor-1 receptor (CSF1R) and FMS-like tyrosine kinase 3 (FLT3), which may result in the inhibition of tumor cell proliferation and down-modulation of macrophages, osteoclasts and mast cells involved in the osteolytic metastatic disease. FDA has granted Breakthrough Therapy Designation to pexidartinib (PLX3397) for the treatment of tenosynovial giant cell tumor (TGCT) where surgical removal of the tumor would be associated with potentially worsening functional limitation or severe morbidity. In addition to Breakthrough Therapy Designation, pexidartinib (PLX3397) has been granted Orphan Drug Designation by FDA for the treatment of pigmented villonodular synovitis (PVNS) and giant cell tumor of the tendon sheath (GCT-TS). It also has received Orphan Designation from the European Commission for the treatment of TGCT. — NCATS

Clinical trial activity

31 trials · 22 clinical orgs · 1 marketing orgs

Phase 1
21
Phase 2
16
Phase 3
2
Phase 4
1

Earliest trial started Sep 1, 2009 (NCT01004861)

Timeline

2000s

  1. Jan 1, 2009

    Earliest Phase 1 Sponsor(trial)

2010s

  1. Jan 1, 2010

    Earliest Phase 2 Sponsor(trial)

  2. Feb 14, 2014

    Orphan Drug Designation

  3. Jan 1, 2015

    Daiichi Sankyo — Earliest Phase 3 Sponsor(trial)

  4. Aug 2, 2019

    Earliest FDA Approval

  5. Aug 2, 2019

    Daiichi Sankyo — Marketing Organization

  6. Aug 13, 2019

    Daiichi Sankyo — First NDA Organization

  7. Aug 13, 2019

    Daiichi Sankyo — NDA Organization

Indications

Mechanism of action

Approval history

  • approvedPriority reviewBreakthroughAug 2, 2019

Chemistry & pharmacology

Loading structure…

SMILES

FC(F)(F)c1ccc(CNc2ccc(Cc3c[nH]c4ncc(Cl)cc34)cn2)cn1
Mol. weight
417.82 g/mol
Lipinski Ro5
1 violation(s)
Rule of 3
No
Chirality
Achiral Molecule
Inorganic
No
Polymer
No
Delivery
Oral
Availability
Prescription Only

Oral

Yes

Parenteral

No

Topical

No

Black box warningFirst in class

Sources

Also known as

  • 5-((5-chloro-1h-pyrrolo(2,3-b)pyridin-3-yl)methyl)-n-((6-(trifluoromethyl)pyridin-3-yl)methyl)pyridin-2-amine
  • pexidartinib
  • pexidartinib
  • pexidartinib
  • plx3397
  • plx3397
  • plx3397
  • plx-3397
  • plx-3397

Clinical trials

NCT IDPhaseStart dateSponsor(s)
NCT06787144Phase 1Jan 23, 2025Enliven Therapeutics
NCT05304377Phase 1May 22, 2022Enliven Therapeutics
NCT04703322Phase 2Mar 15, 2021Daiichi Sankyo
NCT04526704Phase 4Oct 20, 2020Daiichi Sankyo
NCT04488822Phase 3Sep 2, 2020Daiichi Sankyo
NCT04223635Early Phase 1 (Phase 1)Dec 20, 2019Daiichi Sankyo
NCT03901313Phase 1Apr 1, 2019Daiichi Sankyo
NCT03291288Phase 1Feb 26, 2018Daiichi Sankyo
NCT03158103Phase 1Apr 15, 2017Array BioPharma, Cornell University, Plexxikon
NCT03138759Phase 1Feb 27, 2017Daiichi Sankyo
NCT02975700Phase 1/Phase 2 (Phase 2)Jan 1, 2017Plexxikon
NCT02777710Phase 1Jun 1, 2016AstraZeneca, Centre Leon Berard, Plexxikon
NCT02734433N/AJun 1, 2016Daiichi Sankyo, IQVIA
NCT02071940Phase 2Oct 1, 2015The Christie NHS Foundation Trust
NCT02452424Phase 1/Phase 2 (Phase 2)Jun 1, 2015Merck, Plexxikon
NCT02472275Phase 1Jun 1, 2015National Cancer Institute (NCI), Wayne State University
NCT02390752Phase 1/Phase 2 (Phase 2)Mar 6, 2015National Cancer Institute (NCI)
NCT02401815Phase 1/Phase 2 (Phase 2)Mar 1, 2015Plexxikon
NCT02371369Phase 3Mar 1, 2015Daiichi Sankyo
NCT02584647Phase 1/Phase 2 (Phase 2)Oct 1, 2014Columbia University, Plexxikon
Showing 20 of 31 trials
Page 1 / 2

Organizations

Research & Development (22)

OrganizationOrg typeTrialsAs lead sponsorPhasesEarliest year
PlexxikonFor profit161222009
Daiichi SankyoFor profit9952015
University of California, San FranciscoAcademic/Hospital3112010
Cornell UniversityAcademic/Hospital2122011
Enliven TherapeuticsFor profit2212022
National Cancer Institute (NCI)Government2122015
Array BioPharmaFor profit1012017
AstraZenecaFor profit1012016
Centre Leon BerardAcademic/Hospital1112016
Columbia UniversityAcademic/Hospital1112014
Harvard UniversityAcademic/Hospital1012011
IQVIAFor profit1012016
Johns Hopkins UniversityAcademic/Hospital1012011
MerckFor profit1012015
Northwestern UniversityAcademic/Hospital1012011
QuantumLeap Healthcare CollaborativeAcademic/Hospital1112010
State University of New York, BuffaloAcademic/Hospital1012011
Susan G. Komen Breast Cancer FoundationAcademic/Hospital1012012
The Christie NHS Foundation TrustAcademic/Hospital1112015
University of PennsylvaniaAcademic/Hospital1012011
22 organizations
Page 1 / 2

Marketing (2)

OrganizationOrg typeRelationshipDate
Daiichi SankyoFor profitMKTGAug 2, 2019
Daiichi SankyoFor profitNDAAug 13, 2019