Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C19H19N3O3 |
| Molecular Weight | 337.3725 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(C)N1N=CC=C1C2=C(COC3=CC=CC(O)=C3C=O)C=CC=N2
InChI
InChIKey=FWCVZAQENIZVMY-UHFFFAOYSA-N
InChI=1S/C19H19N3O3/c1-13(2)22-16(8-10-21-22)19-14(5-4-9-20-19)12-25-18-7-3-6-17(24)15(18)11-23/h3-11,13,24H,12H2,1-2H3
| Molecular Formula | C19H19N3O3 |
| Molecular Weight | 337.3725 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
GBT440 (previously GTx011) is a potent and direct drug for sickle cell treatment. In sickle cell anemia, abnormal hemoglobin molecules are formed, which causes problems for the flow of blood and oxygen through the body. GBT440 can selectively bind to hemoglobin, thereby increasing its affinity for oxygen. By inhibiting hemoglobin polymerization, it also prevents deformation of the red blood cells. GBT440, renamed Voxelotor, is thought to help prevent sickle cells blocking blood vessels, and therefore reduces pain (sickle cell crisis) experienced by patients. GBT440 is well absorbed following intravenous and oral administration, and quickly partitions into the red blood cell with a small part re‐distributed into the plasma. GBT440 was well tolerated in a randomized, placebo‐controlled, double blind, parallel group phase I/II study in healthy volunteers and sickle cell disease patients. Headache is the most reported adverse event related to the use of this drug, and no serious adverse events are known. A phase 3 clinical trial examining the efficacy and safety of the drug (compared to placebo) is planned to be completed in 2019. Voxelotor was also studied as a potential therapy for treatment of low oxygen levels in the blood of idiopathic pulmonary fibrosis patients, but this program was discontinued because of a lack of clinical benefits.
Approval Year
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
136 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2.21 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
146 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
2.94 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
225 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2.91 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
688 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
900 mg 1 times / day steady-state, oral dose: 900 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11.4 μg/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
900 mg 1 times / day steady-state, oral dose: 900 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
15800 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
166 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
10000 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
134 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
4950 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
56.6 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
14000 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
900 mg 1 times / day steady-state, oral dose: 900 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
215 μg × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
900 mg 1 times / day steady-state, oral dose: 900 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
61.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
49.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
1000 mg single, oral dose: 1000 mg route of administration: Oral experiment type: SINGLE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
80.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
300 mg 1 times / day steady-state, oral dose: 300 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
85.1 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/30743314/ |
900 mg 1 times / day steady-state, oral dose: 900 mg route of administration: Oral experiment type: STEADY-STATE co-administered: |
VOXELOTOR red blood cells | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
Other AEs: Headache, Diarrhea... Other AEs: Headache (grade 1-2, 26%) Sources: Diarrhea (grade 1-2, 19%) Abdominal pain (grade 1-2, 19%) Upper abdominal pain (grade 1-2, 19%) Nausea (grade 1-2, 16%) Fatigue (grade 1-2, 14%) Rash (grade 1-2, 13%) Urticaria (grade 1-2, 14%) Generalized rash (grade 1-2, 10%) Maculo-papular rash (grade 1-2, 14%) Pruritic rash (grade 1-2, 14%) Papular rash (grade 1-2, 14%) Erythematous rash (grade 1-2, 14%) Vesicular rash (grade 1-2, 14%) Pyrexia (grade 1-2, 12%) Diarrhea (grade 3, 1 patient) Nausea (grade 3, 1 patient) Rash (grade 3, 1 patient) Generalized rash (grade 3, 3 patients) Headache (serious, 1 patient) Hypersensitivity (serious, 1 patient) Pulmonary embolism (serious, 1 patient) Headache (>1 patient) Diarrhea (>1 patient) Rash (>1 patient) Vomiting (2.3%) |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
Disc. AE: Sickle cell anemia with crisis, Nausea... Other AEs: Sickle cell anemia with crisis, Abdominal pain... AEs leading to discontinuation/dose reduction: Sickle cell anemia with crisis (2.3%) Other AEs:Nausea (1.1%) Chest pain (1.1%) Angina pectoris (1.1%) Paresthesia (1.1%) Pneumonia (1.1%) Pulmonary embolism (1.1%) Pulmonary sepsis (1.1%) Abdominal pain (1.1%) Sickle cell anemia with crisis (19.3%) Sources: Abdominal pain (1 patient) Acute chest syndrome (5.7%) Diarrhea (3.4%) Rash (2.3%) Sickle cell anemia with crisis (2.3%) Generalized rash (2.3%) |
2800 mg single, oral Highest studied dose Dose: 2800 mg Route: oral Route: single Dose: 2800 mg Sources: |
healthy Health Status: healthy Sources: |
|
1000 mg steady, oral Recommended Dose: 1000 mg Route: oral Route: steady Dose: 1000 mg Sources: |
unhealthy Health Status: unhealthy Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Vomiting | 2.3% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Diarrhea | >1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Headache | >1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Rash | >1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Generalized rash | grade 1-2, 10% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pyrexia | grade 1-2, 12% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Rash | grade 1-2, 13% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Erythematous rash | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Fatigue | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Maculo-papular rash | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Papular rash | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pruritic rash | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Urticaria | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Vesicular rash | grade 1-2, 14% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Nausea | grade 1-2, 16% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Abdominal pain | grade 1-2, 19% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Diarrhea | grade 1-2, 19% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Upper abdominal pain | grade 1-2, 19% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Headache | grade 1-2, 26% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Diarrhea | grade 3, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Nausea | grade 3, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Rash | grade 3, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Generalized rash | grade 3, 3 patients | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Headache | serious, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Hypersensitivity | serious, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pulmonary embolism | serious, 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Abdominal pain | 1 patient | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Abdominal pain | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Angina pectoris | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Chest pain | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Nausea | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Paresthesia | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pneumonia | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pulmonary embolism | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Pulmonary sepsis | 1.1% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Sickle cell anemia with crisis | 19.3% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Generalized rash | 2.3% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Rash | 2.3% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Sickle cell anemia with crisis | 2.3% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Sickle cell anemia with crisis | 2.3% Disc. AE |
1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Diarrhea | 3.4% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
| Acute chest syndrome | 5.7% | 1500 mg 1 times / day steady, oral Recommended Dose: 1500 mg, 1 times / day Route: oral Route: steady Dose: 1500 mg, 1 times / day Sources: |
unhealthy, 12-59 years Health Status: unhealthy Age Group: 12-59 years Sex: M+F Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| likely | ||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
no [Ki 0.8 uM] | no (co-administration study) Comment: administered with rosiglitazone, no effect on rosiglitazone was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
no [Ki 11.1 uM] | no (co-administration study) Comment: administered with omeprazole, no effect on omeprazole was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
no [Ki 35 uM] | no (co-administration study) Comment: administered with caffeine, no effect on caffeine exposure was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
no [Ki 9.5 uM] | no (co-administration study) Comment: administered with warfarin, no effect on warfarin exposure was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
no [Ki 96.1 uM] | no (co-administration study) Comment: administered with metoprolol, no effect on metoprolol was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95;211 |
||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | no (co-administration study) Comment: administered with caffeine, no effect on caffeine exposure was observed; did not cause concentration-dependent increases in mRNA levels Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95.0 |
|||
| no | no (co-administration study) Comment: administered with omeprazole, no effect on omeprazole was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95.0 |
|||
| no | no (co-administration study) Comment: administered with warfarin, no effect on warfarin exposure was observed Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95.0 |
|||
| weak | no (co-administration study) Comment: AUC and Cmax of digoxin (a P-gp substrate) increased by only 12% and 17%. Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=95 Page: 95.0 |
|||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=106 Page: 106.0 |
yes | yes (co-administration study) Comment: midazolam exposure increased by 63% and the metabolite hydroxymidazolam increased by 75% Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=106 Page: 106.0 |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=105 Page: 105.0 |
major | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=105 Page: 105.0 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=105 Page: 105.0 |
minor | |||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2019/213137Orig1s000Multidiscipline.pdf#page=105 Page: 105.0 |
minor | |||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no | ||||
| no |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
| Substance Class |
Chemical
Created
by
admin
on
Edited
Mon Mar 31 22:55:25 GMT 2025
by
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| Record UNII |
3ZO554A4Q8
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| Record Status |
Validated (UNII)
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| Record Version |
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Official Name | English | ||
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Preferred Name | English | ||
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Common Name | English | ||
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Common Name | English | ||
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Common Name | English | ||
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Brand Name | English | ||
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Systematic Name | English | ||
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Code | English | ||
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Systematic Name | English | ||
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Code | English | ||
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Common Name | English | ||
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Code | English |
| Classification Tree | Code System | Code | ||
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NCI_THESAURUS |
C78275
Created by
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EU-Orphan Drug |
EU/3/16/1769
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FDA ORPHAN DRUG |
499715
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| Code System | Code | Type | Description | ||
|---|---|---|---|---|---|
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EF-140
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5356
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C152089
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3ZO554A4Q8
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1446321-46-5
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Voxelotor
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3ZO554A4Q8
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Voxelotor
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10454
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100000176019
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71602803
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DB14975
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2265678
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DTXSID801027954
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m12211
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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CUMULATIVE EXCRETION |
URINE
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EXCRETED UNCHANGED |
FECAL
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METABOLIC ENZYME -> SUBSTRATE |
In vitro metabolism studies involving recombinant enzymes indicated that CYP3A4, CYP1A1, CYP3A5, CYP2C9, CYP2C19 and CYP2B6 were responsible for the oxidative metabolism of voxelotor.
|
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METABOLIC ENZYME -> SUBSTRATE |
In vitro metabolism studies involving recombinant enzymes indicated that CYP3A4, CYP1A1, CYP3A5, CYP2C9, CYP2C19 and CYP2B6 were responsible for the oxidative metabolism of voxelotor.
|
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|
METABOLIC ENZYME -> SUBSTRATE |
In vitro metabolism studies involving recombinant enzymes indicated that CYP3A4, CYP1A1, CYP3A5, CYP2C9, CYP2C19 and CYP2B6 were responsible for the oxidative metabolism of voxelotor.
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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METABOLIC ENZYME -> SUBSTRATE |
In vitro metabolism studies involving recombinant enzymes indicated that CYP3A4, CYP1A1, CYP3A5, CYP2C9, CYP2C19 and CYP2B6 were responsible for the oxidative metabolism of voxelotor.
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METABOLIC ENZYME -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> SUBSTRATE |
In vitro metabolism studies involving recombinant enzymes indicated that CYP3A4, CYP1A1, CYP3A5, CYP2C9, CYP2C19 and CYP2B6 were responsible for the oxidative metabolism of voxelotor.
|
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|
CUMULATIVE EXCRETION |
FECAL
|
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TARGET->INHIBITOR OF AGGREGATION |
BINDS DEOXYHEMOGLOBIN S WITH 1:1 STOICHIOMETRY; BLOOD:PLASMA RATIO 15:1
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EXCRETED UNCHANGED |
URINE
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT |
FECAL; URINE
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METABOLITE -> PARENT |
FECAL; URINE
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METABOLITE -> PARENT |
FECAL; URINE
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METABOLITE -> PARENT |
FECAL; URINE
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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ACTIVE MOIETY |
Official Title: A Phase I Randomised, Placebo-controlled, Double-blind, Single and Multiple Ascending Dose Study of the Tolerability and Pharmacokinetics of GBT440 in Healthy Subjects and Patients With Sickle Cell Disease
Purpose : The purpose of this study is to assess the safety, tolerability, pharmacokinetic, and pharmacodynamic effects of GBT440 compared with placebo in healthy subjects and subjects with sickle cell disease (SCD).
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
|---|---|---|---|---|---|---|
| Tmax | PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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