pruxelutamide   Click here for help

GtoPdb Ligand ID: 11992

Synonyms: GT-0918 | GT0918 | proxalutamide
Compound class: Synthetic organic
Comment: Pruxelutamide (a.k.a. proxalutamide, GT0918) is an androgen receptor (AR) antagonist [7] that was originally designed as an anti-prostate cancer drug [4,6]. It binds to the ligand-binding domain of AR more potently than enzalutamide [7]. Antiviral activity against SARS-CoV-2 has been reported [1] and clinical trials have evaluated efficacy in COVID-19 patients [2,5] (however note the publisher's 'Expression of concern' regarding the McCoy et al. study [3]).
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 0
Rotatable bonds 7
Topological polar surface area 118.35
Molecular weight 517.12
XLogP 3.56
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES N#Cc1ccc(c(c1C(F)(F)F)F)N1C(=S)N(C(C1=O)(C)C)c1ccc(nc1)CCCc1ncco1
Isomeric SMILES CC1(C(=O)N(C(=S)N1c1cnc(cc1)CCCc1ncco1)c1c(c(c(cc1)C#N)C(F)(F)F)F)C
InChI InChI=1S/C24H19F4N5O2S/c1-23(2)21(34)32(17-9-6-14(12-29)19(20(17)25)24(26,27)28)22(36)33(23)16-8-7-15(31-13-16)4-3-5-18-30-10-11-35-18/h6-11,13H,3-5H2,1-2H3
InChI Key KCBJGVDOSBKVKP-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Several clinical trials in metastatic castrate resistant prostate cancer (mCRPC) are in progress.

COVID-19: Clinical trials have evaluated efficacy of pruxelutamide (proxalutamide) in COVID-19 patients [2-3]. Treatment of hospitalised COVID-19 patients is reported to increase recovery rate, reduce mortality rate and shorten hospital stay when administered in late-stage COVID-19.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT05126628 The South Proxa-Rescue AndroCoV Trial Against COVID-19 Phase 3 Interventional Corpometria Institute 1
NCT04728802 Proxalutamide Treatment for Hospitalized COVID-19 Patients Phase 3 Interventional Applied Biology, Inc. 1
NCT04869228 A Phase 3 Randomized, Double-Blind Placebo Controlled, Multi-regional Trial to Evaluate the Efficacy and Safety of GT0918 for the Treatment of Mild to Moderate COVID-19 Male Patients Phase 3 Interventional Suzhou Kintor Pharmaceutical Inc,
NCT03899467 the Safety and Tolerability of Proxalutamide (GT0918) in Subjects With Metastatic Castrate Resistant Prostate Cancer Phase 2 Interventional Suzhou Kintor Pharmaceutical Inc,
NCT05076851 Neoadjuvant Therapy With Proxalutamide Combined With Androgen Deprivation Therapy(ADT)for High Risk Prostate Cancer Phase 2 Interventional The Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical School
NCT04446429 Anti-Androgen Treatment for COVID-19 N/A Interventional Applied Biology, Inc. 3,5