{{Infobox drug
| drug_name =
| type =
| image = Brigatinib structure.svg
| width = 275
| alt =
| caption =
| pronounce =
| tradename = Alunbrig, others
| Drugs.com =
| MedlinePlus = a617016
| licence_EU = yes
| DailyMedID = Brigatinib
| licence_US =
| pregnancy_AU = D
| pregnancy_AU_comment =
| pregnancy_category =
| routes_of_administration = 口服
| ATCvet =
| ATC_prefix = L01
| ATC_suffix = ED04
| legal_AU = S4
| legal_AU_comment =
| legal_CA = Rx-only
| legal_CA_comment =
| legal_DE =
| legal_NZ =
| legal_UK = POM
| legal_US = Rx-only
| legal_EU = Rx-only
| legal_UN =
| legal_status =
| bioavailability =
| protein_bound =
| metabolism =
| metabolites =
| onset =
| elimination_half-life =
| duration_of_action =
| excretion =
| CAS_number = 1197953-54-0
| PubChem = 68165256
| IUPHAR_ligand = 7741
| DrugBank =
| ChemSpiderID = 34982928
| UNII = HYW8DB273J
| KEGG = D10866
| ChEBI =
| ChEMBL =
| NIAID_ChemDB =
| PDB_ligand = 6GY
| synonyms = AP26113
| IUPAC_name = 5-Chloro-2-N-{4-[4-(dimethylamino)piperidin-1-yl]-2-methoxyphenyl}-4-N-[2-(dimethylphosphoryl)phenyl]pyrimidine-2,4-diamine
| C = 29 | Cl = 1 | H = 39 | N = 7 | O = 2 | P = 1
| SMILES = COc1cc(ccc1Nc1ncc(Cl)c(Nc2ccccc2P(C)(C)=O)n1)N1CCC(CC1)N1CCN(C)CC1
| StdInChI = 1S/C29H39ClN7O2P/c1-35-15-17-37(18-16-35)21-11-13-36(14-12-21)22-9-10-24(26(19-22)39-2)33-29-31-20-23(30)28(34-29)32-25-7-5-6-8-27(25)40(3,4)38/h5-10,19-21H,11-18H2,1-4H3,(H2,31,32,33,34)
| StdInChI_comment =
| StdInChIKey = AILRADAXUVEEIR-UHFFFAOYSA-N
}}
布格替尼(Brigatinib,商品名为安伯瑞)是一种ALK酪氨酸激酶抑制剂,用于治疗于间变性淋巴瘤激酶(ALK)阳性的局部晚期或转移性的非小细胞肺癌 (NSCLC)。
如果与西妥昔单抗或帕尼单抗等抗EGFR抗体联合使用,布格替尼可以克服EGFR C797S突变对奥希替尼的耐药性。
作用机制
布格替尼为酪氨酸激酶抑制剂,在临床可达到的浓度下对包括ALK、ROS1、胰岛素样生长因子-1 受体(IGF-1R)、FLT-3以及EGFR缺失和点突变等多种激酶具有体外抑制作用。在体外和体内试验中,布格替尼可抑制ALK的自身磷酸化和ALK介导的下游信号蛋白STAT3、AKT、ERK1/2和S6的磷酸化。
相互作用
布格替尼与强效或中效CYP3A抑制剂联合给药增加了布格替尼的血浆浓度,可能增加不良反应的发生率。同时给予布格替尼与强效或中效CYP3A诱导剂可降低布格替尼的血浆浓度,这可能17/25会降低布格替尼的疗效。
布格替尼可降低敏感 CYP3A 底物的浓度。
参考文献
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