LOXO-101 1223403-58-4
Cùl-fhiosrachadh
IC50: raon nanomolar ìosal airson casg a chuir air gach ball den teaghlach TRK
Tha LOXO-101 na inhibitor kinases receptor tropomyosin (TRK).
Bidh an teaghlach TRK de gabhadairean neurotrophin agus na ligandan neurotrophin aca a ’riaghladh fàs, eadar-dhealachadh agus mairsinn neuron.
In vitro: Ann an sgrùdadh roimhe, chaidh LOXO-101 a mheasadh airson in-bhacadh enzyme kinase far-targaid an aghaidh pannal de chinases neo-TRK aig dùmhlachd de 1,000 nM agus dùmhlachd ATP timcheall air an Km. Sheall toraidhean gu robh barrachd air 50% de bhacadh aig LOXO-101 airson dìreach aon kinase neo-TRK, a bha TNK2 le IC50 de 576 nM. A bharrachd air an sin, cha robh casg HERG buntainneach no amharc QT fada [1].
In vivo: Lorg sgrùdadh bheathaichean gu robh e comasach dha LOXO-101 bacadh a chur air fàs tumhair in vivo. Chaidh luchagan nude ath-bheòthail a chaidh an stealladh le ceallan KM12 a làimhseachadh gu beòil le LOXO-101 gach latha airson 2 sheachdain, agus chaidh casg tumhair a bha an urra ri dòs a choimhead, a ’nochdadh comas LOXO-101 gus casg a chuir air fàs tumhair in-vivo [1].
Deuchainn clionaigeach: Chaidh sgrùdadh dòs-àrdachadh ìre I multicenter ann an euslaintich le tumors cruaidh adhartach (ClinicalTrials.gov no. NCT02122913) a dhèanamh ann an 2014 gus sàbhailteachd agus PK de LOXO-101 a mheasadh. Tha euslaintich air an dòrtadh uair no dhà san latha airson 28 latha de dòsan leantainneach ann an co-thursan a tha a ’sìor fhàs. Tha dàta tòiseachaidh PK agus sàbhailteachd a ’nochdadh gu bheil na h-ìrean plasma an-asgaidh de LOXO-101 aig co-chruinneachaidhean buntainneach bith-eòlasach gus casg a chuir air oncogenes TRK. Anns an sgrùdadh seo, sheall a ’chiad agus an aon euslainteach fusion TRK agus an toirt air ais tumhair clionaigeach luath a chaidh fhaicinn le làimhseachadh LOXO-101 [1].
Fiosrachadh:
[1] Doebele RC et al. Fusion Oncogenic NTRK ann an euslaintich le Sarcoma fìnealta bog le freagairt don neach-dìon Kinase co-cheangailte ri tropomyosin LOXO-101. Cancer Discov.2015 Dàmhair; 5 (10): 1049-57.
Tuairisgeul
Tha Larotrectinib (LOXO-101) na inhibitor beòil farpaiseach ATP-farpaiseach de na gabhadairean teaghlaich kinase (TRK) tropomyosin, le dùmhlachd bacaidh 50% nanomolar ìosal an aghaidh nan trì isofoirmean (TRKA, B, agus C).
Deuchainn clionaigeach
Àireamh NCT | Urrasachd | Suidheachadh | Ceann-latha tòiseachaidh |
Ìre |
NCT03025360 | Bayer | Tumors A ’caladh NTRK Fusion |
|
|
NCT02637687 | Bayer | Tumors soladach a ’caladh NTRK Fusion | 16 Dùbhlachd 2015 |
Ìre 1 | Ìre 2 |
NCT02122913 | Bayer | Tumors soladach a ’caladh NTRK Fusion | 4 Cèitean, 2014 |
Ìre 1 |
NCT03213704 | Institiud Nàiseanta Ailse (NCI) | Neoplasm Solid Malignant adhartach | Ependymoma ath-chuairteach | Sarcoma Ewing ath-chuairteach + Tumor Neuroectodermal Primitive Peripheral | Glioma Ath-chuairteach | Hepatoblastoma Ath-chuairteach | Langerhans Cell Histiocytosis | Ath-chuairteachadh Malignant Germ Cell Tumor | Ath-chuairteachadh Ath-chuairteach | Lymphoma neo-Hodgkin | Osteosarcoma ath-chuairteach | Tumor Rhabdoid ath-chuairteach | Rhabdomyosarcoma ath-chuairteach | Sarcoma fìne bog bog ath-chuairteach | Sarcoma Ewing teasfhulangach + Tumor Ewing teasfhulangach Glioma malignant | Neoplasm Solid Malignant Refractory | Neuroblastoma teasfhulangach | lymphoma neo-Hodgkin teasfhulangach | 24 Iuchar 2017 |
Ìre 2 |
NCT02465060 | Institiud Nàiseanta Ailse (NCI) | Neoplasm Solid Malignant adhartach | Carcinoma bladder | Carcinoma broilleach | Carcinoma ceirbheacsach | carcinoma carcinoma | carcinoma colorectal | carcinoma endometrial | carcinoma esophageal | carcinoma gastric | glioma | Carcinoma ceann agus amhach | Carcinoma dubhaig | carcinoma cnàmhan dubhaig | | Neoplasm uterine malignant | Melanoma | Carcinoma ovarian | Carcinoma pancreatic | Myeloma cealla plasma | Carcinoma próstatach | carcinoma carcinoma | Carcinoma bladder ath-chuairteach | Carcinoma broilleach ath-chuairteach | Carcinoma ceirbheacsach ath-chuairteach | Carcinoma colur ath-chuairteach | | Glioma ath-chuairteach | Carcinoma ceann ath-chuairteach agus amhach | Carcinoma grùthan ath-chuairteach | Carcinoma sgamhain ath-chuairteach | lymphoma ath-chuairteach | Neoplasm so-leònte ath-chuairteach | Melanoma ath-chuairteach | Carcinoma Ovarian Ath-chuairteach | Carcinoma Pancreatic Ath-chuairteach | Carcinoma Ath-chuairteach | Carcinoma craiceann ath-chuairteach | Gland thyroid ath-chuairteach Carcinoma | Ailse Corpus Uterine Ath-chuairteach | Lymphoma teasfhulangach | Neoplasm so-fhaicsinneach mì-shoilleir | Myeloma cealla plasma teasfhulangach | carcinoma craiceann | Carcinoma gland thyroid | aillse corp uterine | 12 Lùnastal, 2015 |
Ìre 2 |
NCT03834961 | Buidheann Oncology na Cloinne | Institiud Nàiseanta Ailse (NCI) | Neoplasm an t-Siostam Nervous Central | Fibrosarcoma leanaban | Leucemia géar ath-chuairteach | leucemia géar teasfhulangach | Neoplasm solid | 18 Sultain, 2019 |
Ìre 2 |
NCT04142437 | Bayer | Tumor soladach adhartach no meatastatach gu h-ionadail a ’caladh NTRK Gene Fusion | 3 Giblean, 2020 |
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NCT03155620 | Institiud Nàiseanta Ailse (NCI) | Neoplasm Solid Malignant adhartach | Ann Arbor Ìre III Lymphoma neo-Hodgkin | Ann Arbor Ìre IV Lymphoma neo-Hodgkin | Sarcoma histiocytic | Xanthogranuloma òg | Langerhans Cell Histiocytosis | Malignant Glioma | Ath-chuairteachadh Ath-bheòthachaidh | Ath-chuairteachadh Ath-chuairteachadh | Hepatoblastoma cunbhalach | Sarcoma fìne bog bog ath-chuairteach | Sarcoma teasairginn teasairginn | Glioma teasfhulangach | Hepatoblastoma teasfhulangach | histiocytosis cealla teasfhulangach | Tumor cealla germ malignant teasfhulangach | Neoplasm soladach teas-meadhain teasfhulangach | Medulloblastoma teasairginn | Refractory Refractory | ctory Tumor Neuroectodermal Primitive Primitive | Refractory Primary Central Nervous System Neoplasm | Tumor Rhabdoid teasfhulangach | Ìre IVA Osteosarcoma AJCC v7 | Ìre IVB Osteosarcoma AJCC v7 | Wilms Tumor | 24 Iuchar 2017 |
Ìre 2 |
Structar ceimigeach
Moladh 18 Pròiseactan Measadh Co-chòrdalachd Càileachd a tha air aontachadh 4, agus 6 tha pròiseactan fo chead.
Tha siostam riaghlaidh càileachd eadar-nàiseanta adhartach air bunait làidir a stèidheachadh airson reic.
Bidh stiùireadh càileachd a ’ruith tro chuairt beatha iomlan an toraidh gus dèanamh cinnteach à càileachd agus buaidh therapach.
Bidh sgioba Cùisean Riaghlaidh Proifeiseanta a ’toirt taic do na h-iarrtasan càileachd rè an tagraidh agus a’ chlàraidh.