达沙替尼。

Q1 Pharmacology, Toxicology and Pharmaceutics Profiles of drug substances, excipients, and related methodology Pub Date : 2014-01-01 DOI:10.1016/B978-0-12-800173-8.00004-0
Hesham M Korashy, A F M Motiur Rahman, Mohammed Gabr Kassem
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引用次数: 13

摘要

达沙替尼(Sprycel®)是第二代TKI,已被证明可作为抗癌药物有效治疗对伊马替尼耐药或不耐受的慢性髓系白血病或费城染色体阳性急性淋巴细胞白血病。本文综述了几种合成吉非替尼的方法。紫外光谱显示达沙替尼的λmax约为320 ~ 330nm,红外光谱主峰位于3418 (NH)、3200 (OH)、1620 (CO)、1582 (CC和CN)、1513 (CHCH) cm(-1)处。在11.47和9.88ppm的核磁共振(NMR)光谱中观察到特征氢峰。在m/z=487.3((35)Cl)和488.9((37)Cl)(分子量=487.15)处观察到分子质量,并利用离子阱质谱法研究了其破碎模式。此外,本文还介绍了测定达沙替尼的各种分析方法。从药代动力学角度看,口服达沙替尼可迅速吸收,其溶解度取决于ph值。达沙替尼与人血浆蛋白的广泛结合率约为96%。在白血病患者中,达沙替尼计算表观分布容积为2502L,估计消除半衰期约为3-5h。在人体中,达沙替尼通过CYP3A4代谢为活性代谢物,并通过II期药物代谢酶(如UDP葡萄糖醛基转移酶)代谢。达沙替尼主要通过粪便排出(85%),其中相对少量达沙替尼作为完整药物排出(19%)。与达沙替尼治疗相关的大多数不良反应的严重程度为轻度至中度,通常是可逆的,并且通过适当的干预可以控制,例如心力衰竭、高血压和冠状动脉疾病。
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Dasatinib.

Dasatinib (Sprycel®), a second-generation TKI, has been shown to be effective as an anticancer drug in the treatment of patients with chronic myeloid leukemia or Philadelphia chromosome-positive acute lymphoblastic leukemia who are resistant or intolerant to imatinib. Several methods of gefitinib synthesis are included in this review. UV spectroscopy of dasatinib showed a λmax of approximately 320-330nm, and IR spectroscopy principal peaks were observed at 3418 (NH), 3200 (OH), 1620 (CO), 1582 (CC and CN), 1513 (CHCH) cm(-1). Characteristic NH peaks were observed in nuclear magnetic resonance (NMR) spectroscopy at 11.47 and 9.88ppm. The molecular mass was observed at m/z=487.3((35)Cl) and 488.9((37)Cl) (molecular weight=487.15) and the fragmentation pattern was studied using ion trap mass spectrometry. In addition, different analytical methods for determination of dasatinib are also described in this review. Pharmacokinetically, dasatinib is rapidly absorbed after oral administration where the solubility is dependent on pH. Dasatinib extensively binds to human plasma proteins by approximately 96%. In leukemic patient, the calculated apparent volume of distribution for dasatinib was 2502L and the estimated elimination half-life was approximately 3-5h. Dasatinib is metabolized in humans markedly by CYP3A4 to active metabolites and by phase II drug-metabolizing enzymes, such as UDP glucuronosyltransferase. Dasatinib is mainly eliminated via the feces (85%), of which relatively small amount of dasatinib is excreted unchanged as intact drug (19%). Most of the adverse effects associated with dasatinib therapy are mild to moderate in severity and are usually reversible and manageable with appropriate intervention, such as cardiac failure, hypertension, and coronary artery disease.

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来源期刊
Profiles of drug substances, excipients, and related methodology
Profiles of drug substances, excipients, and related methodology Pharmacology, Toxicology and Pharmaceutics-Pharmaceutical Science
CiteScore
13.10
自引率
0.00%
发文量
4
期刊最新文献
Avanafil: A comprehensive drug profile. Deferasirox: A comprehensive drug profile. Duvelisib: A comprehensive profile. Ponatinib: A comprehensive drug profile. Regorafenib: A comprehensive drug profile.
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