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Details

Stereochemistry ABSOLUTE
Molecular Formula C17H18N6
Molecular Weight 306.365
Optical Activity ( - )
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of Ruxolitinib

SMILES

N#CC[C@H](C1CCCC1)N2C=C(C=N2)C3=NC=NC4=C3C=CN4

InChI

InChIKey=HFNKQEVNSGCOJV-OAHLLOKOSA-N
InChI=1S/C17H18N6/c18-7-5-15(12-3-1-2-4-12)23-10-13(9-22-23)16-14-6-8-19-17(14)21-11-20-16/h6,8-12,15H,1-5H2,(H,19,20,21)/t15-/m1/s1

HIDE SMILES / InChI

Molecular Formula C17H18N6
Molecular Weight 306.365
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: description was created based on several sources, including http://www.hc-sc.gc.ca/dhp-mps/prodpharma/sbd-smd/drug-med/sbd_smd_2012_jakavi_151723-eng.php; https://www.ncbi.nlm.nih.gov/pubmed/19385672; http://www.businesswire.com/news/home/20160406005608/en/Incyte-Acquires-Rights-Lilly-Develop-Commercialize-Ruxolitinib

Ruxolitinib (trade names Jakafi and Jakavi, by Incyte Pharmaceuticals and Novartis) is a drug for the treatment of intermediate or high-risk myelofibrosis, a type of myeloproliferative disorder that affects the bone marrow. It is also being investigated for the treatment of other types of cancer (such as lymphomas and pancreatic cancer), for polycythemia vera, for plaque psoriasis, and for alopecia areata. Myelofibrosis (MF) is a myeloproliferative neoplasm (MPN) known to be associated with dysregulated JAK1 and JAK2 signaling. Ruxolitinib is a Janus-associated kinase (JAK) inhibitor with potential antineoplastic and immunomodulating activities. Ruxolitinib specifically binds to and inhibits protein tyrosine kinases JAK 1 and 2, which may lead to a reduction in inflammation and an inhibition of cellular proliferation. The JAK-STAT (signal transducer and activator of transcription) pathway plays a key role in the signaling of many cytokines and growth factors and is involved in cellular proliferation, growth, hematopoiesis, and the immune response; JAK kinases may be upregulated in inflammatory diseases, myeloproliferative disorders, and various malignancies. In a mouse model of JAK2V617F-positive MPN, ruxolitinib prevented splenomegaly, preferentially decreased JAK2V617F mutant cells in the spleen and decreased circulating inflammatory cytokines (eg, TNF-α, IL-6). Ruxolitinib was initially synthesized at Incyte Corporation that acquired the rights to develop and commercialize the drug in US. Incyte amended its Collaboration and License Agreement with Novartis, granting Novartis exclusive research, development and commercialization rights for ruxolitinib outside the U.S.

CNS Activity

Curator's Comment: Ruxolitinib and its metabolites crossed the blood brain barrier (<10% of plasma concentrations) and placental barrier of rats.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P23458
Gene ID: 3716.0
Gene Symbol: JAK1
Target Organism: Homo sapiens (Human)
3.3 nM [IC50]
Target ID: O60674
Gene ID: 3717.0
Gene Symbol: JAK2
Target Organism: Homo sapiens (Human)
2.8 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
JAKAFI

Approved Use

Indicated for treatment of patients with intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis and post-essential thrombocythemia myelofibrosis and polycythemia vera who have had an inadequate response to or are intolerant of hydroxyurea

Launch Date

2011
Primary
JAKAFI

Approved Use

Indicated for treatment of patients with intermediate or high-risk myelofibrosis, including primary myelofibrosis, post-polycythemia vera myelofibrosis and post-essential thrombocythemia myelofibrosis and polycythemia vera who have had an inadequate response to or are intolerant of hydroxyurea

Launch Date

2011
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
613 nM
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
5300 nM
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
562 nM
10 mg 2 times / day multiple, oral
dose: 10 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1100 nM
25 mg 2 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
333 nM
25 mg 1 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2160 nM × h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
21500 nM × h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
2190 nM × h
10 mg 2 times / day multiple, oral
dose: 10 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
4350 nM × h
25 mg 2 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
3180 nM × h
25 mg 1 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.98 h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
3.28 h
100 mg single, oral
dose: 100 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
2.96 h
10 mg 2 times / day multiple, oral
dose: 10 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
2.8 h
25 mg 2 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
5.3 h
25 mg 1 times / day multiple, oral
dose: 25 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
RUXOLITINIB plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
3.3%
RUXOLITINIB plasma
Homo sapiens
population: UNKNOWN
age: UNKNOWN
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
50 mg 2 times / day multiple, oral
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, Median age 62 years
Health Status: unhealthy
Age Group: Median age 62 years
Sex: M+F
Sources:
DLT: Thrombocytopenia...
Disc. AE: Thrombocytopenia...
Other AEs: Thrombocytopenia...
Dose limiting toxicities:
Thrombocytopenia (grade 4, 20%)
AEs leading to
discontinuation/dose reduction:
Thrombocytopenia (grade 3, 40%)
Other AEs:
Thrombocytopenia (grade 3, 60%)
Sources:
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Other AEs: Fatigue, Asthenia...
Other AEs:
Fatigue (grade 3, 1.3%)
Asthenia (grade 3, 2%)
Fever (grade 3, 0.7%)
Anxiety (grade 3, 1.3%)
Insomnia (grade 3, 1.3%)
Pneumonia (0.7%)
Fever (1.3%)
Anemia (2%)
Asthenia (2%)
Systemic inflammatory response syndrome (1.3%)
Anxiety (1.3%)
Constitutional syndrome (1.3%)
Insomnia (1.3%)
Sources:
25 mg 2 times / day multiple, oral
MTD
Dose: 25 mg, 2 times / day
Route: oral
Route: multiple
Dose: 25 mg, 2 times / day
Sources:
unhealthy, Median age 67 years
Other AEs: Thrombocytopenia...
25 mg 2 times / day multiple, oral
MTD
Dose: 25 mg, 2 times / day
Route: oral
Route: multiple
Dose: 25 mg, 2 times / day
Sources:
unhealthy, Median age 67 years
Health Status: unhealthy
Age Group: Median age 67 years
Sex: M+F
Sources:
Other AEs: Thrombocytopenia...
100 mg 1 times / day multiple, oral
MTD
Dose: 100 mg, 1 times / day
Route: oral
Route: multiple
Dose: 100 mg, 1 times / day
Sources:
unhealthy, Median age 71 years
Other AEs: Thrombocytopenia...
200 mg 1 times / day multiple, oral
Highest studied dose
Dose: 200 mg, 1 times / day
Route: oral
Route: multiple
Dose: 200 mg, 1 times / day
Sources:
unhealthy, Median age 75 years
Health Status: unhealthy
Age Group: Median age 75 years
Sex: M+F
Sources:
Other AEs: Thrombocytopenia...
20 mg 2 times / day multiple, oral
Recommended
unhealthy, adult
Other AEs: Thrombocytopenia...
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Disc. AE: Thrombocytopenia, Neutropenia...
Other AEs: Anemia, Diarrhea...
AEs leading to
discontinuation/dose reduction:
Thrombocytopenia (1%)
Neutropenia (1%)
Anemia (1%)
Diarrhea (1%)
Septic shock (1%)
Subdural hematoma (1%)
Hemorrhage retroperitoneal (1%)
Other AEs:
Anemia (grade 3, 10.3%)
Diarrhea (grade 3, 1.9%)
Epistaxis (grade 3, 0.6%)
Dizziness (grade 3, 0.6%)
Pneumonia (grade 3, 3.2%)
Thrombocytopenia (grade 4, 1.3%)
Anemia (grade 4, 5.2%)
Pneumonia (grade 4, 1.9%)
Thrombocytopenia (34%)
Anemia (31%)
Headache (15%)
Dizziness (15%)
Confusion (14%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Thrombocytopenia grade 3, 40%
Disc. AE
50 mg 2 times / day multiple, oral
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, Median age 62 years
Health Status: unhealthy
Age Group: Median age 62 years
Sex: M+F
Sources:
Thrombocytopenia grade 3, 60%
50 mg 2 times / day multiple, oral
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, Median age 62 years
Health Status: unhealthy
Age Group: Median age 62 years
Sex: M+F
Sources:
Thrombocytopenia grade 4, 20%
DLT
50 mg 2 times / day multiple, oral
Dose: 50 mg, 2 times / day
Route: oral
Route: multiple
Dose: 50 mg, 2 times / day
Sources:
unhealthy, Median age 62 years
Health Status: unhealthy
Age Group: Median age 62 years
Sex: M+F
Sources:
Pneumonia 0.7%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Anxiety 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Constitutional syndrome 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Fever 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Insomnia 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Systemic inflammatory response syndrome 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Anemia 2%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Asthenia 2%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Fever grade 3, 0.7%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Anxiety grade 3, 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Fatigue grade 3, 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Insomnia grade 3, 1.3%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Asthenia grade 3, 2%
72 mg 1 times / day multiple, oral
Dose: 72 mg, 1 times / day
Route: oral
Route: multiple
Dose: 72 mg, 1 times / day
Sources:
unhealthy, Median age 65 years
Health Status: unhealthy
Age Group: Median age 65 years
Sex: M+F
Sources:
Thrombocytopenia grade 3, 23%
25 mg 2 times / day multiple, oral
MTD
Dose: 25 mg, 2 times / day
Route: oral
Route: multiple
Dose: 25 mg, 2 times / day
Sources:
unhealthy, Median age 67 years
Thrombocytopenia grade 4, 6%
25 mg 2 times / day multiple, oral
MTD
Dose: 25 mg, 2 times / day
Route: oral
Route: multiple
Dose: 25 mg, 2 times / day
Sources:
unhealthy, Median age 67 years
Health Status: unhealthy
Age Group: Median age 67 years
Sex: M+F
Sources:
Thrombocytopenia grade 3, 33%
100 mg 1 times / day multiple, oral
MTD
Dose: 100 mg, 1 times / day
Route: oral
Route: multiple
Dose: 100 mg, 1 times / day
Sources:
unhealthy, Median age 71 years
Thrombocytopenia grade 4, 33%
200 mg 1 times / day multiple, oral
Highest studied dose
Dose: 200 mg, 1 times / day
Route: oral
Route: multiple
Dose: 200 mg, 1 times / day
Sources:
unhealthy, Median age 75 years
Health Status: unhealthy
Age Group: Median age 75 years
Sex: M+F
Sources:
Thrombocytopenia grade 3, 7.1%
20 mg 2 times / day multiple, oral
Recommended
unhealthy, adult
Anemia 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Diarrhea 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Hemorrhage retroperitoneal 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Neutropenia 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Septic shock 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Subdural hematoma 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Thrombocytopenia 1%
Disc. AE
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Confusion 14%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Dizziness 15%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Headache 15%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Anemia 31%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Thrombocytopenia 34%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Dizziness grade 3, 0.6%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Epistaxis grade 3, 0.6%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Diarrhea grade 3, 1.9%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Anemia grade 3, 10.3%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Pneumonia grade 3, 3.2%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Thrombocytopenia grade 4, 1.3%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Pneumonia grade 4, 1.9%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
Anemia grade 4, 5.2%
20 mg 2 times / day multiple, oral
Recommended
Dose: 20 mg, 2 times / day
Route: oral
Route: multiple
Dose: 20 mg, 2 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: M+F
Sources:
OverviewDrug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
no
no
no
no
yes [IC50 19.3 uM]
yes [IC50 20.5 uM]
yes [IC50 21 uM]
yes [IC50 48 uM]
yes [IC50 6.5 uM]
yes [IC50 9.1 uM]
yes [IC50 9.8 uM]
yes [IC50 >25 uM]
yes [IC50 >25 uM]
yes [IC50 >25 uM]
yes [IC50 >25 uM]
yes [IC50 >25 uM]
yes [IC50 >25 uM]
Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
yes (co-administration study)
Comment: 3A4 is the predominant human CYP isozyme responsible for the metabolism of ruxolitinib. Systemic co-administration of oral ketoconazole, a potent CYP3A4 inhibitor, resulted in a 91% increase of plasma AUC, whereas erythromycin, a moderate CYP3A4 inhibitor, caused a 27% increase in exposure.
Page: -
minor
minor
minor
minor
Tox targets

Tox targets

PubMed

PubMed

TitleDatePubMed
The novel Janus kinase inhibitor ruxolitinib confers protection against carbon tetrachloride-induced hepatotoxicity via multiple mechanisms.
2014-09-05
Alopecia areata is driven by cytotoxic T lymphocytes and is reversed by JAK inhibition.
2014-09
The evaluation of p,p'-DDT exposure on cell adhesion of hepatocellular carcinoma.
2014-08-01
JAK inhibitors: treatment efficacy and safety profile in patients with psoriasis.
2014
Ruxolitinib and tofacitinib are potent and selective inhibitors of HIV-1 replication and virus reactivation in vitro.
2014
Myelofibrosis: an update on current pharmacotherapy and future directions.
2013-05
Discovery of potent and selective pyrazolopyrimidine janus kinase 2 inhibitors.
2012-11-26
Ruxolitinib: in the treatment of myelofibrosis.
2012-11-12
Comprehensive analysis of kinase inhibitor selectivity.
2011-10-30
Activation state-dependent binding of small molecule kinase inhibitors: structural insights from biochemistry.
2010-11-24
Preclinical characterization of the selective JAK1/2 inhibitor INCB018424: therapeutic implications for the treatment of myeloproliferative neoplasms.
2010-04-15
Patents

Sample Use Guides

20 mg given orally twice daily for patients with a platelet count greater than 200 X 10^9/L, and 15 mg twice daily for patients with a platelet count between 100 X 10^9/L and 200 X 10^9/L
Route of Administration: Oral
Ba/F3 cells and HEL cells were used to evaluate the effects of INCB018424 on viability and JAK-mediated signaling. Cells were treated with increasing concentrations of INCB018424 in the concentration range of 3-3000 nM for 2.5 hours, and extracts from these cells were subjected to immunoblot analysis for phosphorylated or total forms of proteins associated with the JAK/STAT signaling pathway..
Substance Class Chemical
Created
by admin
on Mon Mar 31 19:02:46 GMT 2025
Edited
by admin
on Mon Mar 31 19:02:46 GMT 2025
Record UNII
82S8X8XX8H
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
Ruxolitinib
DASH   INN   MI   USAN   VANDF   WHO-DD  
USAN   INN  
Official Name English
ruxolitinib [INN]
Preferred Name English
RUXOLITINIB [VANDF]
Common Name English
INCB018424
Code English
INC424
Code English
RUXOLITINIB [USAN]
Common Name English
Ruxolitinib [WHO-DD]
Common Name English
INCB-018424
Code English
RUXOLITINIB [MI]
Common Name English
INC-424
Code English
(3R)-3-CYCLOPENTYL-3-(4-(7H-PYRROLO(2,3-D)PYRIMIDIN-4-YL)PYRAZOL-1-YL)PROPANENITRILE
Systematic Name English
1H-PYRAZOLE-1-PROPANENITRILE, .BETA.-CYCLOPENTYL-4-(7H-PYRROLO(2,3-D)PYRIMIDIN-4-YL)-, (.BETA.R)-
Common Name English
INCB-18424
Code English
Classification Tree Code System Code
NCI_THESAURUS C129825
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
NDF-RT N0000175605
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
FDA ORPHAN DRUG 302310
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
FDA ORPHAN DRUG 932023
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
LIVERTOX NBK548534
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
FDA ORPHAN DRUG 542716
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
WHO-ATC L01XE18
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
FDA ORPHAN DRUG 529116
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
FDA ORPHAN DRUG 400613
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
NCI_THESAURUS C1967
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
EU-Orphan Drug EU/3/14/1244
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
WHO-VATC QL01XE18
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
Code System Code Type Description
EPA CompTox
DTXSID10240930
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
RXCUI
1193326
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY RxNorm
ChEMBL
CHEMBL1789941
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
FDA UNII
82S8X8XX8H
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
NCI_THESAURUS
C77888
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
EVMPD
SUB32273
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
CHEBI
66919
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
DRUG CENTRAL
4190
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
MERCK INDEX
m9710
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY Merck Index
PUBCHEM
25126798
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
SMS_ID
100000124306
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
USAN
UU-160
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
DAILYMED
82S8X8XX8H
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
MESH
C540383
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
LACTMED
Ruxolitinib
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
DRUG BANK
DB08877
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
WIKIPEDIA
RUXOLITINIB
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
HSDB
8259
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
CAS
941678-49-5
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
IUPHAR
5688
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
INN
9287
Created by admin on Mon Mar 31 19:02:46 GMT 2025 , Edited by admin on Mon Mar 31 19:02:46 GMT 2025
PRIMARY
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