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opevesostat   Click here for help

GtoPdb Ligand ID: 13856

Synonyms: Compound 185 [WO2018115591A1] [1] | MK-5684 | MK5684 | ODM-208 | ODM208
Compound class: Synthetic organic
Comment: Opevesostat (ODM-208; MK-5684) is a non-steroidal inhibitor of the cytochrome P450 11A1 (CYP11A1) [2] that catalyses the conversion of cholesterol to pregnenolone. This is the first rate-liming step in steroid hormone biosynthesis. Opevesostat was developed for antineoplastic activity against hormone-driven tumour cells, in which the inhibitor blocks steroid hormone biosynthesis and disrupts proliferation. An important caveat of this mechanistic apporach is that during treatment the steroids that are essential for life (glucocorticoids and mineralocorticoids) must be replaced at physiological doses.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 7
Hydrogen bond donors 0
Rotatable bonds 6
Topological polar surface area 84.53
Molecular weight 418.51
XLogP 1.03
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES CS(=O)(=O)N1CCC(CC1)COC2=COC(=CC2=O)CN3CC4=C(C=CC=C4)C3
Isomeric SMILES CS(=O)(=O)N1CCC(CC1)COC2=COC(=CC2=O)CN3CC4=CC=CC=C4C3
InChI InChI=1S/C21H26N2O5S/c1-29(25,26)23-8-6-16(7-9-23)14-28-21-15-27-19(10-20(21)24)13-22-11-17-4-2-3-5-18(17)12-22/h2-5,10,15-16H,6-9,11-14H2,1H3
InChI Key LHVKCOBGLZGRQZ-UHFFFAOYSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Summary of Clinical Use Click here for help
This inhibitor has been progressed to clinical trial.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT06633419 A Drug-Drug Interaction Study of Carbamazepine and Opevesostat (MK-5684) in Healthy Adult Male Participants (MK-5684-012) Phase 1 Interventional Merck Sharp & Dohme LLC
NCT06863272 A Clinical Study of Ifinatamab Deruxtecan Based Treatment Combinations or as Monotherapy to Treat Metastatic Castrate Resistant Prostate Cancer (mCRPC) (MK-2400-01A/IDeate-Prostate02) Phase 1/Phase 2 Interventional Merck Sharp & Dohme LLC
NCT03436485 Safety and Pharmacokinetics of ODM-208 in Patients With Metastatic Castration-resistant Prostate Cancer Phase 1/Phase 2 Interventional Orion Corporation, Orion Pharma 3