User:Mr. Ibrahem/Ceritinib

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Mr. Ibrahem/Ceritinib
Clinical data
PronunciationCeritinib: /səˈrɪtɪnɪb/ sə-RIT-i-nib
Zykadia: /zˈkdə/ zy-KAY-dee-ə
Trade namesZykadia, Spexib, others
Other namesLDK378
AHFS/Drugs.comMonograph
License data
Routes of
administration
By mouth (capsules)
Drug classALK inhibitor[1]
Legal status
Legal status
Pharmacokinetic data
BioavailabilityNot determined
Protein binding97%
MetabolismCYP3A
Elimination half-life41 hours
ExcretionFeces (92.3%), urine (1.3%)[2]
Identifiers
  • 5-Chloro-N2-{5-methyl-4-(piperidin-4-yl)-2-[(propan-2-yl)oxy]phenyl}-N4-[2-(propane-2-sulfonyl)phenyl]pyrimidine-2,4-diamine
Chemical and physical data
FormulaC28H36ClN5O3S
Molar mass558.14 g·mol−1
3D model (JSmol)
  • CC1=CC(=C(C=C1C2CCNCC2)OC(C)C)NC3=NC=C(C(=N3)NC4=CC=CC=C4S(=O)(=O)C(C)C)Cl
  • InChI=1S/C28H36ClN5O3S/c1-17(2)37-25-15-21(20-10-12-30-13-11-20)19(5)14-24(25)33-28-31-16-22(29)27(34-28)32-23-8-6-7-9-26(23)38(35,36)18(3)4/h6-9,14-18,20,30H,10-13H2,1-5H3,(H2,31,32,33,34)
  • Key:VERWOWGGCGHDQE-UHFFFAOYSA-N

Ceritinib, sold under the brand name Zykadia among others, is a medication used to treat non-small cell lung cancer (NSCLC).[1] Specifically it is used for advanced disease that is anaplastic lymphoma kinase (ALK) positive.[1] It is taken by mouth.[3]

Common side effects include diarrhea, nausea, tiredness, liver problems, weight loss, rash, kidney problems, and low red blood cells.[1] Other side effects may include high blood sugar, pneumonitis, QT prolongation, and pancreatitis.[1][3] Use in pregnancy may harm the baby.[3] It is a tyrosine kinase inhibitor, specifically a ALK inhibitor.[1][4]

Ceritinib was approved for medical use in the United States in 2014 and Europe in 2015.[1] In the United Kingdom 4 weeks of treatment costs the NHS about £2,800 as of 2021.[4] This amount in the United States is about 10,400 USD.[5]

References[edit]

  1. ^ a b c d e f g h i j "Zykadia". Archived from the original on 13 October 2021. Retrieved 3 January 2022.
  2. ^ "Zykadia (ceritinib) Capsules, for Oral Use. Full Prescribing Information" (PDF). Novartis Pharmaceuticals Corporation. Archived (PDF) from the original on 28 April 2019. Retrieved 14 February 2017.
  3. ^ a b c "DailyMed - ZYKADIA- ceritinib tablet, film coated". dailymed.nlm.nih.gov. Archived from the original on 24 March 2021. Retrieved 3 January 2022.
  4. ^ a b BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 1018. ISBN 978-0857114105.
  5. ^ "Ceritinib Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 3 January 2022.