pexidartinib
Trade name: Turalio
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
Earliest trial started Sep 1, 2009 (NCT01004861)
Timeline
2000s
- Jan 1, 2009
Earliest Phase 1 Sponsor(trial)
2010s
- Jan 1, 2010
Earliest Phase 2 Sponsor(trial)
- Feb 14, 2014
Orphan Drug Designation
- Jan 1, 2015
Daiichi Sankyo — Earliest Phase 3 Sponsor(trial)
- Aug 2, 2019
Earliest FDA Approval
- Aug 2, 2019
Daiichi Sankyo — Marketing Organization
- Aug 13, 2019
Daiichi Sankyo — First NDA Organization
- Aug 13, 2019
Daiichi Sankyo — NDA Organization
Indications
Studied for
- Arthritis, Rheumatoid · Phase 1
- Breast Neoplasms · Phase 2
- Carcinoma, Giant Cell · Phase 3
- Carcinoma, Non-Small-Cell Lung · Phase 1/Phase 2
- Colorectal Neoplasms · Phase 1
- Drug Interactions · Phase 1
- Gastrointestinal Stromal Tumors · Phase 1/Phase 2
- Giant Cell Tumor of Tendon Sheath · Phase 4
- Giant Cell Tumors · Phase 3
- Glioblastoma · Phase 2
- Healthy Volunteers · Phase 1
- Hemangiosarcoma · Phase 2
- Hodgkin Disease · Phase 2
- Intestinal Neoplasms · Phase 1/Phase 2
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1
- Leukemia, Myeloid · Phase 1
- Leukemia, Myeloid, Acute · Phase 1/Phase 2
- Leukemia, Myeloid, Chronic-Phase · Phase 1
- Leukemia, Promyelocytic, Acute · Phase 1/Phase 2
- Liver Diseases · Early Phase 1
- Melanoma · Phase 2
- Neoplasms · Phase 2
- Neurofibroma, Plexiform · Phase 1/Phase 2
- Neurofibrosarcoma · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 1/Phase 2
- Pancreatic Neoplasms · Phase 1
- Precursor Cell Lymphoblastic Leukemia-Lymphoma · Phase 1/Phase 2
- Prostatic Neoplasms · Phase 2
- Sarcoma · Phase 1/Phase 2
- Squamous Cell Carcinoma of Head and Neck · Phase 1/Phase 2
- Synovitis, Pigmented Villonodular · Phase 3
Mechanism of action
- Stem cell growth factor receptorINHIBITOR
KIT inhibitor
CSF1R inhibitor
FLT3 inhibitor
Approval history
- approvedPriority reviewBreakthroughAug 2, 2019
Chemistry & pharmacology
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
Sources
- ChEMBLCHEMBL3813873 ↗
- WikipediaPexidartinib ↗
- NCATS6783M2LV5X ↗
- ChEMBLCHEMBL3989973 ↗
- ChEMBLCHEMBL3545158 ↗
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 ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06787144 | Phase 1 | Jan 23, 2025 | Enliven Therapeutics |
| NCT05304377 | Phase 1 | May 22, 2022 | Enliven Therapeutics |
| NCT04703322 | Phase 2 | Mar 15, 2021 | Daiichi Sankyo |
| NCT04526704 | Phase 4 | Oct 20, 2020 | Daiichi Sankyo |
| NCT04488822 | Phase 3 | Sep 2, 2020 | Daiichi Sankyo |
| NCT04223635 | Early Phase 1 (Phase 1) | Dec 20, 2019 | Daiichi Sankyo |
| NCT03901313 | Phase 1 | Apr 1, 2019 | Daiichi Sankyo |
| NCT03291288 | Phase 1 | Feb 26, 2018 | Daiichi Sankyo |
| NCT03158103 | Phase 1 | Apr 15, 2017 | Array BioPharma, Cornell University, Plexxikon |
| NCT03138759 | Phase 1 | Feb 27, 2017 | Daiichi Sankyo |
| NCT02975700 | Phase 1/Phase 2 (Phase 2) | Jan 1, 2017 | Plexxikon |
| NCT02777710 | Phase 1 | Jun 1, 2016 | AstraZeneca, Centre Leon Berard, Plexxikon |
| NCT02734433 | N/A | Jun 1, 2016 | Daiichi Sankyo, IQVIA |
| NCT02071940 | Phase 2 | Oct 1, 2015 | The Christie NHS Foundation Trust |
| NCT02452424 | Phase 1/Phase 2 (Phase 2) | Jun 1, 2015 | Merck, Plexxikon |
| NCT02472275 | Phase 1 | Jun 1, 2015 | National Cancer Institute (NCI), Wayne State University |
| NCT02390752 | Phase 1/Phase 2 (Phase 2) | Mar 6, 2015 | National Cancer Institute (NCI) |
| NCT02401815 | Phase 1/Phase 2 (Phase 2) | Mar 1, 2015 | Plexxikon |
| NCT02371369 | Phase 3 | Mar 1, 2015 | Daiichi Sankyo |
| NCT02584647 | Phase 1/Phase 2 (Phase 2) | Oct 1, 2014 | Columbia University, Plexxikon |
Organizations
Research & Development (22)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Plexxikon | For profit | 16 | 12 | 2 | 2009 |
| Daiichi Sankyo | For profit | 9 | 9 | 5 | 2015 |
| University of California, San Francisco | Academic/Hospital | 3 | 1 | 1 | 2010 |
| Cornell University | Academic/Hospital | 2 | 1 | 2 | 2011 |
| Enliven Therapeutics | For profit | 2 | 2 | 1 | 2022 |
| National Cancer Institute (NCI) | Government | 2 | 1 | 2 | 2015 |
| Array BioPharma | For profit | 1 | 0 | 1 | 2017 |
| AstraZeneca | For profit | 1 | 0 | 1 | 2016 |
| Centre Leon Berard | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Columbia University | Academic/Hospital | 1 | 1 | 1 | 2014 |
| Harvard University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| IQVIA | For profit | 1 | 0 | 1 | 2016 |
| Johns Hopkins University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Merck | For profit | 1 | 0 | 1 | 2015 |
| Northwestern University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| QuantumLeap Healthcare Collaborative | Academic/Hospital | 1 | 1 | 1 | 2010 |
| State University of New York, Buffalo | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Susan G. Komen Breast Cancer Foundation | Academic/Hospital | 1 | 0 | 1 | 2012 |
| The Christie NHS Foundation Trust | Academic/Hospital | 1 | 1 | 1 | 2015 |
| University of Pennsylvania | Academic/Hospital | 1 | 0 | 1 | 2011 |
Marketing (2)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Daiichi Sankyo | For profit | MKTG | Aug 2, 2019 |
| Daiichi Sankyo | For profit | NDA | Aug 13, 2019 |