Nhận Dạng Quốc Tế & Đặc Tính Hóa Học
Monoisotopic mass
502.447143768
InChI
InChI=1S/C28H54N8/c1-9-29-15-17-31-13-3-21-35(23-19-33-11-1)25-27-5-7-28(8-6-27)26-36-22-4-14-32-18-16-30-10-2-12-34-20-24-36/h5-8,29-34H,1-4,9-26H2
InChI Key
InChIKey=YIQPUIGJQJDJOS-UHFFFAOYSA-N
IUPAC Name
1-{[4-(1,4,8,11-tetraazacyclotetradecan-1-ylmethyl)phenyl]methyl}-1,4,8,11-tetraazacyclotetradecane
Traditional IUPAC Name
plerixafor
SMILES
C(N1CCCNCCNCCCNCC1)C1=CC=C(CN2CCCNCCNCCCNCC2)C=C1
pKa (Strongest Basic)
10.54
Refractivity
155.01 m3·mol-1
Dược Lực Học :
Plerixafor is a bicyclam derivative that antagonizes CXCR4 by binding to three acidic residues in the ligand-binding pocket: Asp171, Asp262, and Glu288. Blood levels of CD34+ cells peaked at 9 hours after administration of 0.24 mg/kg plerixafor in healthy subjects. In patients that have non-Hodgkin’s lymphoma or multiple myeloma, blood levels of CD34+ peaked at 6 hours. In combination with a G-CSF, circulating CD34+ cells in the peripheral blood peaked at 9-14 hours.
Cơ Chế Tác Dụng :
Plerixafor is a hematopoietic stem cell mobilizer. It is used to stimulate the release of stem cells from the bone marrow into the blood in patients with non-Hodgkin lymphoma and multiple myeloma for the purpose of stimulating the immune system. These stem cells are then collected and used in autologous stem cell transplantation to replace blood-forming cells that were destroyed by chemotherapy. Plerixafor has orphan drug status in the United States and European Union; it was approved by the U.S. Food and Drug Administration on December 15, 2008.
Plerixafor inhibits the CXCR4 chemokine receptors on CD34+ cells and reversibly blocks binding of the ligand, stromal cell-derived factor-1-alpha (SDF-1α). By blocking the interaction between SDF-1α and CXCR4 with plerixafor, mobilization of progenitor cells is triggered. Filgrastim, a granulocyte-colony stimulating factor, is added to enhance CD34+ cell mobilization, thus increasing the yield of stem cells- an important determinant of graft adequacy.
Dược Động Học :
▧ Absorption :
Pharmacokinetic profile follows a two-compartment model with first-order absorption. A median peak plasma concentration of 0.24 mg/kg of plerixafor occurred 30-60 minutes after subcutaneous dose.
▧ Volume of Distribution :
0.3 L/kg
▧ Protein binding :
58%
▧ Metabolism :
Metabolism does not involved CYP isoenzymes
▧ Route of Elimination :
0.24 mg/kg, healthy subjects: ~70% of the parent drug is excreted in urine in the first 24 hours.
▧ Half Life :
Terminal elimination half-life, NHL patients: 4.4 hours;
Terminal elimination half-life, MM patients: 5.6 hours;
Terminal elimination half-life, Hodgkin's lymphoma patients: 3.5 hours;
Distribution half-life: 0.3 hours
▧ Clearance :
Total plasma clearance: 4.38 L/h;
Renal clearance: 3.15 L/h
Độc Tính :
LD50, mouse, SC: 16.3 mg/kg;
LD50, rat, SC: >50 mg/kg;
LD50, mouse and rat, IV injection: 5.2 mg/kg
Chỉ Định :
Used in combination with granulocyte-colony stimulating factor (G-CSF, filgrastim) to mobilize hematopoietic stem cells to the peripheral blood for collection and subsequent autologous transplantation in patients with non-Hodgkin’s lymphoma (NHL) and multiple myeloma (MM).
Liều Lượng & Cách Dùng :
Injection - Subcutaneous - 20 mg/mL
Tài Liệu Tham Khảo Thêm
National Drug Code Directory