pralatrexate
Trade name: folotyn
Approved
Sep 24, 2009
Pralatrexate (PDX or 10-propargyl-10-deazaaminopterin) is a folate analogue that is internalised by the reduced folate carrier 1 (RFC-1) protein, and polyglutamylated by the enzyme folylpolyglutamyl synthetase (FPGS), resulting in accumulation of the antifolate. Pralatrexate, a methotrexate analogue, is intended as an inhibitor of dihydrofolate reductase (DHFR), an enzyme which catalyses the reduction of dihydrofolic acid to tetrahydrofolic acid. Inhibition of DHFR leads to a depletion of intracellular reduced folate stores, thereby leading to a disruption of DNA synthesis. Preclinical studies in vitro and in models of B-cell lymphomas, T-cell lymphomas and NSCLC indicated that pralatrexate exhibited antitumor activity that was superior to the activity of other antifolates. FOLOTYN (pralatrexate injection) is indicated for the treatment of patients with relapsed or refractory peripheral T-cell lymphoma. — NCATS
Clinical trial activity
42 trials · 32 clinical orgs · 5 marketing orgs
Earliest trial started Jul 1, 1999 (NCT00004238)
Timeline
1990s
- Jan 1, 1999
Earliest Phase 2 Sponsor(trial)
2000s
- Jan 1, 2001
Earliest Phase 1 Sponsor(trial)
- Jul 20, 2006
Orphan Drug Designation
- Sep 24, 2009
Allos Therapeutics — Earliest FDA Approval
- Sep 24, 2009
Allos Therapeutics — NDA Organization
- Sep 24, 2009
Aurobindo Pharma — Marketing Organization
- Sep 24, 2009
Acrotech Biopharma LLC — Marketing Organization
- Sep 24, 2009
Acrotech Biopharma LLC — NDA Secondary Org
2020s
- Mar 10, 2025
Dr. Reddy's Laboratories — Marketing Organization
Indications
Approved for
Studied for
- Breast Neoplasms · Phase 2
- Carcinoma, Non-Small-Cell Lung · Phase 2
- Carcinoma, Transitional Cell · Phase 2
- Disease Progression · Phase 4
- Esophageal Neoplasms · Phase 2
- Esophageal Squamous Cell Carcinoma · Phase 2
- Fallopian Tube Neoplasms · Phase 1/Phase 2
- Hamartoma · Phase 1/Phase 2
- Head and Neck Neoplasms · Phase 2
- Hematologic Neoplasms · Phase 1
- Hodgkin Disease · Phase 1/Phase 2
- Intestinal Neoplasms · Phase 1/Phase 2
- Leukemia · Early Phase 1
- Leukemia-Lymphoma, Adult T-Cell · Phase 2
- Lung Neoplasms · Phase 2
- Lymphoma · Phase 2
- Lymphoma, B-Cell · Phase 2
- Lymphoma, Follicular · Phase 3
- Lymphoma, Large-Cell, Anaplastic · Phase 3
- Lymphoma, Non-Hodgkin · Phase 1/Phase 2
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Lymphoma, T-Cell · Phase 3
- Lymphoma, T-Cell, Cutaneous · Phase 1
- Multiple Myeloma · Phase 1/Phase 2
- Mycosis Fungoides · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 1/Phase 2
- Sezary Syndrome · Phase 1
- Stomach Neoplasms · Phase 2
- Urinary Bladder Neoplasms · Phase 2
- Waldenstrom Macroglobulinemia · Phase 1/Phase 2
Mechanism of action
- Dihydrofolate reductaseINHIBITOR
DHFR inhibitor
Approval history
- approvedPriority reviewAcceleratedSep 24, 2009
Chemistry & pharmacology
SMILES
NC1=NC(N)=C2N=C(CC(CC#C)C3=CC=C(C=C3)C(=O)N[C@@H](CCC(O)=O)C(O)=O)C=NC2=N1- Mol. weight
- 477.4726 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Racemic Mixture
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Prescription Only
Oral
No
Parenteral
Yes
Topical
No
Sources
- WikipediaPralatrexate ↗
- NCATSA8Q8I19Q20 ↗
- ChEMBLCHEMBL1201746 ↗
Also known as
- 10-propargyl-10-deazaaminopterin
- 10-propargyl-10-deazaaminopterin
- 10-propargyl-10-deazaaminopterin
- (2s)-2-({4-[1-(2,4-diaminopteridin-6-yl)pent-4-yn-2-yl]benzoyl}amino)pentanedioic acid
- (2s)-2-({4-[1-(2,4-diaminopteridin-6-yl)pent-4-yn-2-yl]benzoyl}amino)pentanedioic acid
- (2s)-2-((4-((1rs)-1-((2,4-diaminopteridin-6-yl)methyl)but-3-ynyl)benzoyl)amino)pentanedioic acid
- (2s)-2-((4-((1rs)-1-((2,4-diaminopteridin-6-yl)methyl)but-3-ynyl)benzoyl)amino)pentanedioic acid
- folotyn
- folotyn
- folotyn
- folotyn
- folotyn
- n-(4-(1-((2,4-diamino-6-pteridinyl)methyl)-3-butynyl)benzoyl)-l-glutamic acid
- n-(4-(1-((2,4-diamino-6-pteridinyl)methyl)-3-butynyl)benzoyl)-l-glutamic acid
- pdx
- pdx
- pdx
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexate
- pralatrexato
- pralatrexato
- pralatrexatum
- pralatrexatum
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07225985 | Phase 1/Phase 2 (Phase 2) | May 1, 2026 | University of Washington |
| NCT06671717 | N/A | Dec 31, 2024 | Huazhong University of Science and Technology, Jiao Tong University, Peking University, Sichuan University |
| NCT06561048 | Phase 3 | Oct 2, 2024 | Corvus Pharmaceuticals, Inc. |
| NCT07234162 | Phase 3 | May 13, 2024 | Dizal (Jiangsu) Pharmaceutical Co., Ltd., Jiao Tong University |
| NCT06072131 | Phase 3 | Oct 4, 2023 | Acrotech Biopharma LLC |
| NCT07036133 | Phase 1 | Dec 28, 2022 | Acrotech Biopharma LLC |
| NCT04747236 | Phase 2 | Feb 19, 2021 | Celgene, University of Virginia |
| NCT03719105 | Early Phase 1 (Phase 1) | Mar 1, 2019 | New York Medical College, University of Alabama, Birmingham |
| NCT03598998 | Phase 1/Phase 2 (Phase 2) | Oct 27, 2018 | City of Hope National Medical Center, National Cancer Institute (NCI) |
| NCT03355768 | Phase 3 | Sep 30, 2018 | Columbia University |
| NCT03240211 | Phase 1 | Jun 1, 2018 | Columbia University, Merck, Sungkyunkwan University, University of Bologna |
| NCT03161223 | Phase 1/Phase 2 (Phase 2) | Jun 15, 2017 | Columbia University |
| NCT03150602 | Phase 4 | Aug 30, 2016 | Mundipharma, National Taiwan University |
| NCT02594267 | Phase 1 | Oct 1, 2015 | Spectrum Pharmaceuticals |
| NCT03349333 | Phase 3 | Sep 10, 2015 | Mundipharma |
| NCT02106650 | Phase 2 | Jul 1, 2014 | Spectrum Pharmaceuticals |
| NCT02013362 | Phase 1/Phase 2 (Phase 2) | Dec 1, 2013 | Mundipharma |
| NCT01947140 | Phase 1/Phase 2 (Phase 2) | Sep 9, 2013 | Columbia University |
| NCT01820091 | Phase 1 | Apr 1, 2013 | Spectrum Pharmaceuticals |
| NCT01789723 | Phase 1 | Mar 1, 2013 | Columbia University, Spectrum Pharmaceuticals |
Organizations
Research & Development (32)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Spectrum Pharmaceuticals | For profit | 15 | 13 | 3 | 2006 |
| National Cancer Institute (NCI) | Government | 7 | 0 | 2 | 1999 |
| Columbia University | Academic/Hospital | 6 | 4 | 3 | 2006 |
| National Comprehensive Cancer Network | Academic/Hospital | 5 | 0 | 2 | 2010 |
| Cornell University | Academic/Hospital | 4 | 4 | 2 | 1999 |
| Mundipharma | For profit | 3 | 3 | 3 | 2013 |
| Acrotech Biopharma LLC | For profit | 2 | 2 | 2 | 2022 |
| Jiao Tong University | Academic/Hospital | 2 | 0 | 2 | 2024 |
| University of Nebraska | Academic/Hospital | 2 | 2 | 2 | 2010 |
| Celgene | For profit | 1 | 0 | 1 | 2021 |
| City of Hope National Medical Center | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Corvus Pharmaceuticals, Inc. | For profit | 1 | 1 | 1 | 2024 |
| Dizal (Jiangsu) Pharmaceutical Co., Ltd. | For profit | 1 | 1 | 1 | 2024 |
| Harvard University | Academic/Hospital | 1 | 1 | 1 | 2010 |
| Huazhong University of Science and Technology | Academic/Hospital | 1 | 0 | 1 | 2024 |
| Kyowa Hakko Kirin | For profit | 1 | 1 | 1 | 2012 |
| Merck | For profit | 1 | 0 | 1 | 2018 |
| Millennium Pharmaceuticals | For profit | 1 | 1 | 1 | 2012 |
| National Taiwan University | Academic/Hospital | 1 | 0 | 1 | 2016 |
| New York Medical College | Academic/Hospital | 1 | 1 | 1 | 2019 |
Marketing (6)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Acrotech Biopharma LLC | For profit | MKTG | Sep 24, 2009 |
| Acrotech Biopharma LLC | For profit | NDA2 | Sep 24, 2009 |
| Allos Therapeutics | For profit | NDA | Sep 24, 2009 |
| Aurobindo Pharma | For profit | MKTG | Sep 24, 2009 |
| Dr. Reddy's Laboratories | For profit | MKTG | Mar 10, 2025 |
| Teva | For profit | MKTG | Jan 21, 2016 |