Get emergency medical help if you have signs of an allergic reaction hives, difficult breathing, swelling in your face or throat or a severe skin reaction fever, sore throat, burning eyes, skin pain, red or. Jul 01, 2010 su11248 inhibits ampk activity in cultured cells. Based on the analysis of structure activity relationship of sorafenib and its analogs, we decided to keep the urea group and transform the amide group and pyridine ring into quinazoline ring. Feb, 2018 structure activity relationship studies indicated that the ring c in hsd1169 was important for both flt3 kinase inhibition and proliferation inhibition.
Compound 1, which lacks ring c is a poor inhibitor of flt3 and did not inhibit the growth of mv411 see table 1. B lethal ec 50 for each analog determined in ht1080 cells in a 10point, twofold dilution assay. Based on this hypothesis, we designed a structure activity relationship sar study to investigate the structural overlap between sorafenib and seh inhibitors. Nexavar sorafenib chemotherapy, side effects navigating care. Sorafenib inhibits tumour growth of a broad spectrum of human tumour xenografts in athymic mice accompanied by a reduction of tumour angiogenesis. Results sorafenib inhibits soluble epoxide hydrolase, but this inhibitory activity does not affect specific kinases. We observed that a major difference in the structural scaffolds between sorafenib and seh inhibitors was the central phenylurea found in sorafenib and the central cyclohexylurea.
Wilhelm and colleagues provide the history of this drug, which inhibits. The federal drug administration of us has approved sorafenib bay. Sorafenib caused embryofetal toxicities in animals at maternal exposures that were significantly lower than the human exposures at the recommended dose of 400 mg twice daily. In examining the structure of sorafenib, it was hypothesized that this. Nov 09, 2018 sorafenib is a cancer medication that interferes with the growth and spread of cancer cells in the body. The results suggested that the sulfonylurea sorafenib analogs are worthy of further study. Sorafenib, is a drug approved for the treatment of primary kidney cancer advanced renal cell carcinoma and advanced primary liver cancer hepatocellular carcinoma 15. Biological evaluation of a novel sorafenib analogue, tcupm. First, to investigate whether sc59 plus radiotherapy act. Jan 25, 2020 sorafenib may increase the serum concentration of warfarin. As a kinaseindependent sorafenib derivative, sc59 did not inhibit raf1 activity fig. Sorafenib side effects, dosage, interactions drugs. Your healthcare provider may do tests during your treatment with nexavar to check the levels of potassium, magnesium, and calcium in your blood, and check the electrical activity of your heart.
Sorafenib has soluble epoxide hydrolase inhibitory activity, which. It is a chemotherapy drug that works by slowing or stopping the growth of cancer cells. In december 2005, sorafenib became the first new treatment to be approved for advanced renal cancer in more than a decade. Sorafenib has soluble epoxide hydrolase inhibitory activity. The newly potent synthetic analog of benzimidazole and the structure activity relationship is shown in fig. Antiangiogenic agents have been widely investigated in combination with standard chemotherapy or targeted cancer agents for better management of advanced cancers. Toxicity estimation software tool test safer chemicals. Apr 21, 2020 sorafenib tosylate is a white to yellowish or brownish solid with a molecular formula of c 21 h 16 clf 3 n 4 o 3 x c 7 h 8 o 3 s and a molecular weight of 637. Dual flt3topk inhibitor with activity against flt3itd. Nexavar sorafenib side effects, images, uses, dosage. Qt prolongation can cause irregular heartbeats that can be life threatening. Compounds 2, 3, 4 hsd1169 and 5 contain 4, 5, 6 and 7membered ring. Design, synthesis and biological activities of sorafenib derivatives as.
A sorafenib derivative and novel shp1 agonist, sc59. Background pharmacology structure activity relationship sar pharmacokinetics and drug metabolism efficacy and safety syntheses sorafenib nexavar. No relationship was observed between renal function and steadystate sorafenib. Sorafenib is an oral multikinase inhibitor that is used in the therapy of advanced renal cell, liver and thyroid cancer. Structureactivity relationships sars and docking studies indicated that the. Synthesis and antitumor activity of triazolecontaining. Structureactivity relationships sars and docking studies indicated that. Sorafenib bay 439006 is a potent inhibitor of raf1 with ic50 values of 6 nm, 22 nm and 90 nm for raf1, braf, and vegfr2 respectively, bay 439006 suppresses both wildtype and v599e mutant braf activity.
Sorafenib tosylate also potently inhibits mvegfr2 flk1, mvegfr3, mpdgfr. Structure activity relationship sar analysis software programs, such as oncologic and multicase mcase, work by analyzing the chemical structure of a compound of unknown toxicity and predicting its likelihood to be a carcinogen based on comparisons to the structures of compounds with known toxicity and programmed chemical and. Herein, we reported the application of our highly active catalyst 2 in the synthesis of novel sorafenib analogs containing a 1,2,3triazole moiety. Sorafenib is used to treat liver cancer, thyroid cancer, or a type of kidney cancer called.
What are the possible side effects of sorafenib nexavar. Thus, we further explored their kinase inhibitory activities against a large panel of protein kinases. Although lots of abcg2 inhibitors were identified, none of them has been tested clinically, maybe because of several problems such as toxicity or safety and pharmacokinetic uncertainty of compounds with novel chemical structures. Identify structure activity relationships sarsidentify the pharmacophoreoptimize structure to improve interactions with targetdetermine toxicity and efficacy in animal modelspatent the drug. Of the raf kinases, sorafenib is more selective for craf than braf. Overall, the committee noted that sorafenib nexavar has been shown to improve survival in patients with.
As previously observed in the original sar study with sorafenib, conversion of a. Smallmolecule kinase inhibitors such as sorafenib and rego rafenib. Comparative effect of tyrosine kinase inhibitors in human. In the current work, we present the biological data on our lead sorafenib. Pdf pharmacological inhibition of cystineglutamate. Recently, numerous reports highlighted the crucial role of the serine synthetic pathway, and particularly of the phosphoglycerate dehydrogenase phgdh, the first enzyme of the pathway, to sustain cancer. In four phase 1 clinical trials, sorafenib was evaluated in patients with normal renal function n71 and in patients with mild renal impairment crcl 5080 mlmin, n24 or moderate renal impairment crcl 3050 mlmin, n4. Sorafenib is a protein kinase inhibitor with activity against many protein kinases, including vegfr, pdgfr and raf kinases. The study found that median survival and timetodiseaseprogression were nearly 3 months longer for patients treated with sorafenib nexavar than for patients who took placebo.
All compounds exhibited potent antiproliferative activity against hct116 and pc3 cells with. Sorafenib is taken without food, 1 hour before or 2 hours after a meal. A combinatorial in silico and cellular approach to. Apr 21, 2020 sorafenib may also be used for purposes not listed in this medication guide.
Qsars are mathematical models used to predict measures of toxicity from the physical characteristics of the structure of chemicals known as molecular. But diaryl urea have been most extensively investigated because of sorafenib. Structureactivity relationship sar study and design. Biological evaluation of a novel sorafenib analogue, t. The newly potent synthetic analog of benzimidazole and the structure activity relationship. Pdf design, synthesis, activity and docking study of sorafenib. Based on the results of the rcts, sorafenib has been established as a standard agent for systemic chemotherapy in hcc patients with metastatic disease or transcatheter arterial chemoembolization tacerefractory disease. Structure activity relationship studies indicated that. Structure activity relationship studies indicated that regulation of the electron density on the pyridinepyrimidine ring to a proper degree was a key factor in improving the antitumor activity. Design, synthesis, activity and docking study of sorafenib. Qsar for beginners free software for drug designing and. Sorafenib is unique in targeting the raf mek erk pathway map kinase pathway. Thus we chose sorafenib as the lead compound in order to obtain novel tyrosine kinase inhibitors with higher activity and lower side effect.
The toxicity estimation software tool test was developed to allow users to easily estimate the toxicity of chemicals using quantitative structure activity relationships qsars methodologies. Sorafenib tosylate is practically insoluble in aqueous media, slightly soluble in ethanol and soluble in peg 400. Pdf qsar modeling useful in anticancer drug discovery. Structure activity relationship studies of pyrazolo 3, 4d pyrimidine derivatives leading to the discovery of a novel multikinase inhibitor that potently inhibits flt3 and. Identify structure activityrelationships sarsidentify the pharmacophoreoptimize structure to improve interactions with targetdetermine toxicity and efficacy in animal modelspatent the drug continue to study drug metabolism continue to test for toxicity design a manufacturing process carry out clinical trials market the drug. Sorafenib tosylate inhibits both wildtype and v599e mutant braf activity with ic50 of 22 nm and 38 nm, respectively. Sorafenib has been associated with a low rate of transient elevations in serum aminotransferase levels during therapy that are generally mild and asymptomatic. Structure activity relationship sar analysis of erastin. Counteract program, national institutes of health office of the. Therapeutic agents that concurrently inhibit epidermal growth factor receptor and other angiokinases could be useful alternatives to combination therapies for epidermal growth factor receptordependent cancers. In an attempt to improve the efficiency of sorafenib related treatment, we designed a series of sorafenib derivatives and conducted structure activity relationship sar studies to define a potent candidate, sc59 fig. In the current study, a novel 6,7dihydro5hcyclopentadpyrimidine scaffold was designed using different molecular modelling protocols.
We observed that a major difference in the structural scaffolds between sorafenib and seh inhibitors was the central phenylurea found in sorafenib. Structure activity relationships sar explore the relationship between a molecules biological activity and the three dimensional structure of the molecule. A quantitative structureactivity relationship qsar study of some. Human abcg2, a member of the atpbinding cassette transporter superfamily, represents a promising target for sensitizing mdr in cancer chemotherapy. Sorafenib inhibits the activity of targets present. Synthesis and biological evaluation of sorafeniband regorafenib. Dual vegf inhibition with sorafenib and bevacizumab as.
Highlights of prescribing information these highlights do. Pdf two series of novel sorafenib analogs containing a sulfonylurea. Structureactivity relationship of indoletethered pyrimidine. Targets raf1 braf vegfr2 ic50 6 nm 22 nm 90 nm 1 in vitro sorafenib tosylate inhibits both wildtype and v599e mutant braf activity. Structure activity relationship sar is an approach to find qualitative relationships between chemical structure and their biological activity quantitative structure activity relationship qsar models are theoretical models that relate a. A multikinase inhibitor for advanced renal cell carcinoma and unresectable hepatocellular carcinoma modern drug synthesis wiley online library. Sorafenib is an oral multikinase inhibitor with activity against raf kinase and several receptor tyrosine kinases, including vascular endothelial growth factor receptor 2 vegfr2, plateletderived growth factor receptor pdgfr, flt3, ret, and ckit.
Eight metabolites of sorafenib have been identified, of which 5 have been detected in plasma. A combinatorial in silico and cellular approach to identify a. Su11248 sunitinib directly inhibits the activity of. An economic evaluation found that the cost is extremely high relative to the degree of benefit provided by the treatment and that sorafenib nexavar is not costeffective. Sorafenib treatment induces autophagy, which may suppress tumor growth. Nihlb grant hl059699 and the counteract program, national institutes of health. Sorafenib tosylate weakly inhibits fgfr1 with ic50 of 580 nm. Sorafenib tosylate bay 439006, nexavar is a multitarget inhibitor of raf1, braf and vegfr2 with ic50 of 6 nm, 22 nm and 90 nm, respectively. Apr 15, 2016 study of the structure activity relationships sar and common pharmacophoric features shared by various vegfr2 inhibitors, as well as analysis of binding modes of sorafenib ii pdb code 4asd. Our previous structure activity relationship identified that taucmb and tmtucb do not inhibit the primary targets of sorafenib, craf kinase and vegfr2 kinase.
Synthesis and biological evaluation of sorafenib and. Call your doctor right away if you have chest pain or pressure, a fast or abnormal heartbeat, shortness of breath, a big weight gain, swelling in the arms or legs, or very bad dizziness or passing out. Compound 17f showed equal activity to sorafenib against mcf7 cell line, with the ic50 values of 6. Cytotoxic activity against hela and hepg2 cells was demonstrated by hydrazone 17, ic 50 was 7. Mar 24, 2020 inducers of cyp3a4 activity can decrease the systemic exposure of sorafenib see drug interactions. No relationship was observed between renal function and steadystate sorafenib auc at doses of 400 mg twice daily. Synthesis and biological evaluation of sorafenib bruce hammock. Based on its mechanism of action and findings in animals, nexavar may cause fetal harm when administered to a pregnant woman. In summary, we show, for the first time, that nontoxic dose of sorafenib. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Sorafenib bay 439006 is a potent inhibitor of raf1 with ic50 values of 6 nm, 22 nm and 90 nm for raf1, braf, and vegfr2 respectively, bay 439006 suppresses both wildtype and v599e mutant braf activity in vitro.
A structures of sorafenib and common seh inhibitors. Sorafenib is used to treat kidney, liver, and thyroid cancer. Based on the analysis of structure activity relationship of sorafenib. Sorafenib is an oral multikinase inhibitor that mainly targets raf kinases and receptor tyrosine kinases associated with angiogenesis vegfr23, pdgfrbeta. Sorafenib accounted for approximately 7085% of the circulating analytes in plasma at steadystate. Docking and qsar based screening of some naturally occurring diterpenes as inhibitors of angiotensin converting enzyme ace against cardiovascular diseases. Sorafenib has also been linked to rare instances of clinically.
Based on the structural similarity between sorafenib and soluble epoxide hydrolase inhibitors fig. The 3cf 34cl phenyl moiety in the chemical structure of sorafenib was also modified and evaluated to identify an optimal substitution pattern. However, the precise structure activity relationship and refined pharmacophore model remain to be elucidated when more abcg2 dynamic inhibitors will be available in the near future. Sorafenib has soluble epoxide hydrolase inhibitory. Mar 11, 2020 heart problems like a type of abnormal heartbeat prolonged qt interval have happened with sorafenib. Thus, there seems to be different structureactivity relationships. Quantitative structure activity relationships qsar and molecular docking are two of. Nexavar 200mg filmcoated tablets summary of product.
Tell your healthcare provider right away if you feel faint, lightheaded, dizzy or feel your heart beating irregularly or fast during your. To test this hypothesis, we first measured the inhibition potency ic 50 of sorafenib. Ampk activity is routinely monitored in cell cultures by using immunoblotting to detect specific phosphorylation of the metabolic enzyme acc, which defines ubiquitous enzymes for longchain fatty acid synthesis acc1 and oxidation acc2 2, 20 ampk uniquely phosphorylates acc1 on ser79 in rodent and human cells. Increase frequency of inr monitoring during sorafenib therapy particularly when starting or stopping therapy, and increase monitoring for signs and symptoms of bleeding. If the target structure is known, computational chemistry and molecular modelling software packages can be useful in identifying binding site interactions.
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