abiraterone
Trade name: zytiga
Approved
Apr 28, 2011
Abiraterone acetate (trade name Zytiga) is a prodrug to the abiraterone, steroidal compound with antiandrogen activity and a 17 α-hydroxylase/C17,20-lyase (CYP17) inhibitor. It is indicated in combination with prednisone for the treatment of patients with metastatic castration-resistant prostate cancer. Abiraterone acetate is converted in vivo to abiraterone which inhibits CYP17, enzyme expressed in testicular, adrenal, and prostatic tumor tissues and required for androgen biosynthesis. Administration of this agent may suppress testosterone production by both the testes and the adrenals to castrate-range levels. Androgen sensitive prostatic carcinoma responds to treatment that decreases androgen levels. Androgen deprivation therapies, such as treatment with GnRH agonists or orchiectomy, decrease androgen production in the testes but do not affect androgen production by the adrenals or in the tumor. — NCATS
Clinical trial activity
315 trials · 214 clinical orgs · 17 marketing orgs
Earliest trial started Sep 1, 2005 (NCT00268476)
Timeline
2000s
2010s
- Apr 28, 2011
Johnson and Johnson — Earliest FDA Approval
- Apr 28, 2011
Johnson and Johnson — NDA Secondary Org
- Apr 28, 2011
Johnson and Johnson — NDA Organization
- May 22, 2018
Sun Pharmaceuticals — Marketing Organization
- May 22, 2018
Sun Pharmaceuticals — NDA Secondary Org
- Oct 31, 2018
Apotex — Marketing Organization
- Oct 31, 2018
Hikma — Marketing Organization
- Oct 31, 2018
Mylan — Marketing Organization
- Oct 31, 2018
Teva — Marketing Organization
- Jan 7, 2019
Amneal Pharmaceuticals — Marketing Organization
- Jan 22, 2019
Glenmark Pharmaceuticals — Marketing Organization
- Feb 25, 2019
Rising Pharmaceuticals — Marketing Organization
- Feb 27, 2019
Wockhardt — Marketing Organization
- Jul 10, 2019
MSN Laboratories — Marketing Organization
- Sep 27, 2019
Qilu Pharmaceutical Co., Ltd. — Marketing Organization
2020s
- May 18, 2020
Dr. Reddy's Laboratories — Marketing Organization
- Jan 5, 2022
oncogen — Marketing Organization
- Jan 5, 2022
SciTech Development, LLC — Marketing Organization
- Mar 23, 2023
Lachman Consultants — Marketing Organization
Indications
Studied for
- Abiraterone Acetate · Phase 3
- Adrenal Hyperplasia, Congenital · Phase 2
- Adrenocortical Carcinoma · Phase 2
- Androgens · Phase 3
- Anemia · Phase 1
- Antineoplastic Agents · Phase 3
- Antineoplastic Agents, Hormonal · Phase 3
- Anus Neoplasms · Phase 2/Phase 3
- Astrocytoma · Phase 1
- Brain Neoplasms · Phase 1
- BRCA1 Protein · Phase 2
- Breast Neoplasms · Phase 3
- Cancer Pain · Phase 4
- Carcinoma, Non-Small-Cell Lung · Phase 2/Phase 3
- Carcinoma, Ovarian Epithelial · Phase 1
- Carcinoma, Small Cell · Phase 2/Phase 3
- Carcinoma, Transitional Cell · Phase 2
- Castration · Phase 3
- Colorectal Neoplasms · Phase 1
- Congenital Hyperinsulinism · Phase 2
- COVID-19 · Phase 3
- Cushing Syndrome · Phase 2
- Cyclin-Dependent Kinase 4 · Phase 3
- Cyclin-Dependent Kinase 6 · Phase 3
- Cytochrome P-450 Enzyme System · Phase 3
- DNA Repair-Deficiency Disorders · Phase 2
- Drugs, Investigational · Phase 2
- Drug Therapy · Phase 2
- Drug Therapy, Combination · Phase 2
- Enzyme Inhibitors · Phase 3
- Genital Neoplasms, Male · Phase 1/Phase 2
- Glioblastoma · Phase 1
- Healthy Volunteers · Phase 1
- Hodgkin Disease · Phase 1
- Homologous Recombination · Phase 2
- Hormones · Phase 3
- Hormones, Hormone Substitutes, and Hormone Antagonists · Phase 3
- Leukemia, Lymphocytic, Chronic, B-Cell · Phase 1
- Leukemia, Myelogenous, Chronic, BCR-ABL Positive · Phase 1
- Leukemia, Myeloid, Acute · Phase 1
- Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative · Phase 1
- Leukemia, Myeloid, Chronic-Phase · Phase 1
- Leukemia, Myelomonocytic, Chronic · Phase 1
- Liver Diseases · Phase 1
- Lymphoma · Phase 1
- Lymphoma, Non-Hodgkin · Phase 1
- Lymphoma, Primary Cutaneous Anaplastic Large Cell · Phase 1
- Male Urogenital Diseases · Phase 1/Phase 2
- Melanoma · Phase 2/Phase 3
- Metabolic Diseases · Phase 1
- Multiple Myeloma · Phase 1
- Mutation · Phase 2
- Myelodysplastic Syndromes · Phase 1
- Myeloproliferative Disorders · Phase 1
- Neoadjuvant Therapy · Phase 2
- Neoplasm Metastasis · Phase 3
- Neoplasms by Site · Phase 1/Phase 2
- Pancreatic Neoplasms · Phase 1
- Papillomavirus Infections · Phase 3
- Pharmaceutical Preparations · Phase 2
- Pharmacokinetics · Phase 1
- Pharmacology · Phase 1
- Physiological Effects of Drugs · Phase 3
- Plasma · Early Phase 1
- Polymorphism, Genetic · Early Phase 1
- Postmenopause · Phase 2
- Precursor B-Cell Lymphoblastic Leukemia-Lymphoma · Phase 1
- Prednisolone · Phase 3
- Prednisone · Phase 3
- Primary Myelofibrosis · Phase 1
- Prostatectomy · Phase 2
- Prostatic Diseases · Phase 1/Phase 2
- Prostatic Neoplasms, Castration-Resistant · Phase 4
- Rectal Neoplasms · Phase 3
- Renal Insufficiency · Phase 1
- Salivary Gland Neoplasms · Phase 2
- Small Cell Lung Carcinoma · Phase 2/Phase 3
- Squamous Cell Carcinoma of Head and Neck · Phase 2/Phase 3
- Steroid Synthesis Inhibitors · Phase 3
- Triple Negative Breast Neoplasms · Phase 1
- Urinary Bladder Neoplasms · Phase 2
- Urogenital Neoplasms · Phase 3
Mechanism of action
- Androgen ReceptorANTAGONIST
AR antagonist
Abiraterone is converted by an enzyme to the more active ¿4-abiraterone (D4A). D4A inhibits 17¿-hydroxylase/17,20-lyase (CYP17A1), 3ß-hydroxysteroid dehydrogenase (3ßHSD) and steroid-5¿-reductase (SRD5A), which are required for 5¿-dihydrotestosterone (DHT) synthesis. DHT promotes signaling by the androgen receptor and the development of castration-resistant prostate cancer. D4A also antagonizes the androgen receptor.
- Cytochrome P450 17A1INHIBITOR
CYP17A1 inhibitor
- Steroid 5-alpha-reductaseINHIBITOR
Steroid 5-alpha-reductase inhibitor
Abiraterone is converted by an enzyme to the more active ¿4-abiraterone (D4A). D4A inhibits 17¿-hydroxylase/17,20-lyase (CYP17A1), 3ß-hydroxysteroid dehydrogenase (3ßHSD) and steroid-5¿-reductase (SRD5A), which are required for 5¿-dihydrotestosterone (DHT) synthesis. DHT promotes signaling by the androgen receptor and the development of castration-resistant prostate cancer. D4A also antagonizes the androgen receptor.
Combination products
akeega
with niraparib
Approval history
- approvedPriority reviewApr 28, 2011
Chemistry & pharmacology
SMILES
C[C@]12CC[C@H]3[C@@H](CC=C4C[C@@H](O)CC[C@]34C)[C@@H]1CC=C2C5=CC=CN=C5- Mol. weight
- 349.509 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Availability
- Prescription Only
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaAbiraterone acetate ↗
- NCATSG819A456D0 ↗
- ChEMBLCHEMBL5314964 ↗
- ChEMBLCHEMBL271227 ↗
- ChEMBLCHEMBL254328 ↗
- WikipediaAbiraterone ↗
Also known as
- 17-(3-pyridyl)androsta-5,16-dien-3beta-ol
- 17-(3-pyridyl)androsta-5,16-dien-3beta-ol
- 17-(3-pyridyl)androsta-5,16-dien-3beta-ol
- (3β)-17-(pyridin-3-yl)androsta-5,16-dien-3-ol
- (3β)-17-(pyridin-3-yl)androsta-5,16-dien-3-ol
- abiraterone
- abiraterone
- abiraterone
- abiraterone
- abiraterone
- abiraterone
- abiraterone
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- abiraterone acetate
- androsta-5,16-dien-3-ol, 17-(3-pyridinyl)-, (3beta)-
- cb7598
- cb 7598
- cb-7598
- cb7630
- cb-7630
- cb-7630
- cb-7630
- jnj-212082
- jnj-212082
- zytiga
- zytiga
- zytiga
- zytiga
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07287150 | Phase 2 | Mar 31, 2026 | Roche |
| NCT07311694 | Phase 3 | Jan 31, 2026 | Hengrui Therapeutics, Inc. |
| NCT07226986 | Phase 1/Phase 2 (Phase 2) | Dec 16, 2025 | Novartis |
| NCT07299292 | Phase 2 | Dec 1, 2025 | SMED Clinical Research |
| NCT07230106 | Phase 2 | Nov 30, 2025 | Hengrui Therapeutics, Inc. |
| NCT07190300 | Phase 1/Phase 2 (Phase 2) | Nov 24, 2025 | Novartis |
| NCT07213674 | Phase 3 | Nov 1, 2025 | Amgen |
| NCT07198633 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2025 | Qilu Pharmaceutical Co., Ltd. |
| NCT07104110 | Phase 1/Phase 2 (Phase 2) | Oct 31, 2025 | Qilu Pharmaceutical Co., Ltd. |
| NCT07140900 | Phase 1 | Oct 7, 2025 | Amgen |
| NCT06894511 | Phase 2 | Sep 11, 2025 | Novartis |
| NCT06952803 | Phase 3 | Aug 6, 2025 | AstraZeneca, Parexel |
| NCT07093866 | Phase 2 | Jul 20, 2025 | Nanjing University |
| NCT06991556 | Phase 2 | Jul 7, 2025 | Novartis |
| NCT07005154 | Phase 2 | Jun 19, 2025 | Astellas |
| NCT06863272 | Phase 1/Phase 2 (Phase 2) | Jun 17, 2025 | Daiichi Sankyo, Merck |
| NCT06832774 | Phase 2 | Apr 1, 2025 | Jiao Tong University |
| NCT06764485 | Phase 3 | Mar 13, 2025 | Bristol-Myers Squibb, Celgene |
| NCT06785636 | Phase 1/Phase 2 (Phase 2) | Feb 7, 2025 | Duke University, Pathos AI, Inc. |
| NCT06691984 | Phase 3 | Jan 31, 2025 | Amgen |
Organizations
Research & Development (214)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Johnson and Johnson | For profit | 41 | 34 | 5 | 2006 |
| Janssen Pharmaceutica NV | For profit | 36 | 3 | 4 | 2010 |
| National Cancer Institute (NCI) | Government | 29 | 5 | 3 | 2010 |
| AstraZeneca | For profit | 14 | 11 | 4 | 2013 |
| Cougar Biotechnology | For profit | 12 | 11 | 3 | 2005 |
| University of Texas at Houston | Academic/Hospital | 11 | 10 | 1 | 2009 |
| Hengrui Therapeutics, Inc. | For profit | 10 | 9 | 3 | 2019 |
| Harvard University | Academic/Hospital | 9 | 8 | 4 | 2011 |
| Merck | For profit | 7 | 4 | 3 | 2018 |
| Novartis | For profit | 7 | 4 | 2 | 2013 |
| Sanofi | For profit | 7 | 3 | 2 | 2012 |
| Bayer | For profit | 6 | 3 | 3 | 2013 |
| Nanjing University | Academic/Hospital | 6 | 6 | 1 | 2019 |
| University of Michigan | Academic/Hospital | 6 | 3 | 2 | 2016 |
| University of Washington | Academic/Hospital | 6 | 6 | 1 | 2010 |
| Astellas | For profit | 5 | 3 | 3 | 2012 |
| Cornell University | Academic/Hospital | 5 | 4 | 3 | 2012 |
| Duke University | Academic/Hospital | 5 | 3 | 1 | 2012 |
| Medivation | For profit | 5 | 1 | 3 | 2012 |
| University of California, San Francisco | Academic/Hospital | 5 | 4 | 2 | 2010 |
Marketing (28)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amneal Pharmaceuticals | For profit | MKTG | Jan 7, 2019 |
| Apotex | For profit | SYN | Oct 31, 2018 |
| Apotex | For profit | MKTG | Oct 31, 2018 |
| BTG | For profit | IND | Jun 1, 1993 |
| Dr. Reddy's Laboratories | For profit | SYN | May 18, 2020 |
| Dr. Reddy's Laboratories | For profit | MKTG | May 18, 2020 |
| Glenmark Pharmaceuticals | For profit | MKTG | Jan 22, 2019 |
| Glenmark Pharmaceuticals | For profit | SYN | Oct 16, 2019 |
| Glenmark Pharmaceuticals | For profit | SYN | Oct 16, 2019 |
| Hikma | For profit | MKTG | Oct 31, 2018 |
| Hikma | For profit | SYN | Oct 31, 2018 |
| Johnson and Johnson | For profit | NDA2 | Apr 28, 2011 |
| Johnson and Johnson | For profit | NDA | Apr 28, 2011 |
| Lachman Consultants | For profit | MKTG | Mar 23, 2023 |
| MSN Laboratories | For profit | SYN | Jul 10, 2019 |
| MSN Laboratories | For profit | MKTG | Jul 10, 2019 |
| Mylan | For profit | SYN | Oct 31, 2018 |
| Mylan | For profit | MKTG | Oct 31, 2018 |
| Qilu Pharmaceutical Co., Ltd. | For profit | MKTG | Sep 27, 2019 |
| Qilu Pharmaceutical Co., Ltd. | For profit | SYN | Sep 27, 2019 |
| Rising Pharmaceuticals | For profit | MKTG | Feb 25, 2019 |
| Rising Pharmaceuticals | For profit | SYN | Feb 25, 2019 |
| SciTech Development, LLC | For profit | MKTG | Jan 5, 2022 |
| Sun Pharmaceuticals | For profit | MKTG | May 22, 2018 |
| Sun Pharmaceuticals | For profit | NDA2 | May 22, 2018 |
| Teva | For profit | MKTG | Oct 31, 2018 |
| Wockhardt | For profit | MKTG | Feb 27, 2019 |
| oncogen | For profit | MKTG | Jan 5, 2022 |