PALAZESTRANT

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PALAZESTRANT

CAS 2092925-89-6

OP-1250, VU35KM56Q4

449.6 g/mol, C28H36FN3O

(1R,3R)-2-(2-fluoro-2-methylpropyl)-3-methyl-1-[4-(1-propylazetidin-3-yl)oxyphenyl]-1,3,4,9-tetrahydropyrido[3,4-b]indole

Palazestrant (OP-1250) is an investigational drug being developed for estrogen receptor-positive (ER+) breast cancer. It is a small molecule with a dual mechanism of action, acting as both a complete estrogen receptor antagonist and a selective estrogen receptor degrader (SERD). This means it can block estrogen receptor activity and also degrade the receptor itself, potentially offering a more effective treatment approach. 

Here’s a more detailed breakdown:

  • Dual Mechanism:Palazestrant is a complete ER antagonist, meaning it blocks all estrogen receptor activity. It is also a SERD, which means it degrades the estrogen receptor, preventing it from functioning. 
  • Oral Administration:Palazestrant is an orally available drug. 
  • Clinical Trials:Palazestrant is currently in clinical trials, including Phase 1/2 and Phase 3 studies, for the treatment of ER+, HER2- metastatic breast cancer. 
  • Combination Therapy:Palazestrant is being evaluated in combination with other drugs like CDK4/6 inhibitors (e.g., ribociclib). 
  • Promising Results:Preliminary results from clinical trials have shown promising antitumor efficacy and favorable pharmacokinetic properties for palazestrant. 
  • FDA Fast Track Designation:The FDA has granted Fast Track designation for the treatment of ER+/HER2- metastatic breast cancer that has progressed following endocrine therapy with a CDK4/6 inhibitor. 
  • Brain Metastasis:Palazestrant has shown activity in brain metastasis animal models. 
  • ESR1 Mutation Status:Palazestrant has demonstrated activity against both wild-type and mutant ER (ESR1) breast cancer models. 

Palazestrant is an investigational new drug which is being evaluated for the treatment of estrogen receptor-positive (ER+) breast cancer, with a dual mechanism of action as both a complete estrogen receptor antagonist (CERAN) and a selective estrogen receptor degrader (SERD). This orally bioavailable small molecule has demonstrated potent activity against both wild-type and mutant forms of the estrogen receptor.[1]

SCHEME

MAIN

PAPER

https://pubs.acs.org/doi/10.1021/acsomega.4c11023

PATENTS

US11672785, Compound B

https://patentscope.wipo.int/search/en/detail.jsf?docId=US379744130&_cid=P22-MCPZ5L-11621-1

PATENTS’

WO2017059139 

WO2023225354

WO2023091550

WO2023283329

WO2021178846

References

  1. ^ Parisian AD, Barratt SA, Hodges-Gallagher L, Ortega FE, Peña G, Sapugay J, et al. (March 2024). “Palazestrant (OP-1250), A Complete Estrogen Receptor Antagonist, Inhibits Wild-type and Mutant ER-positive Breast Cancer Models as Monotherapy and in Combination”Molecular Cancer Therapeutics23 (3): 285–300. doi:10.1158/1535-7163.MCT-23-0351PMC 10911704PMID 38102750.
Clinical data
Other namesOP-1250
Identifiers
showIUPAC name
CAS Number2092925-89-6
PubChem CID135351887
DrugBankDB18971
ChemSpider128922074
UNIIVU35KM56Q4
KEGGD12827
ChEMBLChEMBL5314475
Chemical and physical data
FormulaC28H36FN3O
Molar mass449.614 g·mol−1
3D model (JSmol)Interactive image
showSMILES
showInChI

///////////PALAZESTRANT, OP 1250, A1AEA, VU35KM56Q4

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