Defactinib Explained

Legal Status:Investigational New Drug
Cas Number:1073154-85-4
Pubchem:25117126
Drugbank:DB12282
Chemspiderid:32695161
Unii:53O87HA2QU
Kegg:D10618
Chembl:3137331
Pdb Ligand:7KD
Synonyms:PF-04554878, VS-6063
Iupac Name:N-methyl-4-4-3-[methyl(methylsulfonyl)amino]pyrazin-2-ylmethylamino]-5-(trifluoromethyl)pyrimidin-2-ylamino]benzamide| C=20 | H=21 | F=3 | N=8 | O=3 | S=1| SMILES = CNC(=O)C1=CC=C(C=C1)NC2=NC=C(C(=N2)NCC3=NC=CN=C3N(C)S(=O)(=O)C)C(F)(F)F| StdInChI = 1S/C20H21F3N8O3S/c1-24-18(32)12-4-6-13(7-5-12)29-19-28-10-14(20(21,22)23)16(30-19)27-11-15-17(26-9-8-25-15)31(2)35(3,33)34/h4-10H,11H2,1-3H3,(H,24,32)(H2,27,28,29,30)| StdInChIKey = FWLMVFUGMHIOAA-UHFFFAOYSA-N}}Defactinib (INN, codenamed VS-6063) is an inhibitor of PTK2, also known as focal adhesion kinase (FAK), Pyk2, and MELK which was developed by Pfizer and licensed to Verastem Oncology as a potential treatment for solid tumors.

Development for mesothelioma was discontinued in 2015 due to lack of efficacy in a placebo-controlled phase II trial.[1] [2] Subsequent research in patients with specific NF2 mutations also found limited activity.[3]

As of 2022, it remains in trials in combination with other medications for other types of cancer.

References

Notes and References

  1. Verastem stops cancer therapy development; shares plunge . Nathan VL . Reuters . 2015-09-28 . 2022-06-05.
  2. Fennell DA, Baas P, Taylor P, Nowak AK, Gilligan D, Nakano T, Pachter JA, Weaver DT, Scherpereel A, Pavlakis N, van Meerbeeck JP, Cedrés S, Nolan L, Kindler H, Aerts JG . 6 . Maintenance Defactinib Versus Placebo After First-Line Chemotherapy in Patients With Merlin-Stratified Pleural Mesothelioma: COMMAND-A Double-Blind, Randomized, Phase II Study . Journal of Clinical Oncology . 37 . 10 . 790–798 . April 2019 . 30785827 . 10.1200/JCO.2018.79.0543 . 73478275 .
  3. Jackman DM, Jegede O, Zauderer MG, Mitchell EP, Zwiebel J, Gray RJ, Li S, McShane L, Rubinstein L, Patton DR, Williams PM . 6 . A phase 2 study of defactinib (VS-6063) in patients with NF2 altered tumors: Results from NCI-match (EAY131) subprotocol U. . Journal of Clinical Oncology . American Society of Clinical Oncology (ASCO) . 39 . 15_suppl . 2021-05-20 . 0732-183X . 10.1200/jco.2021.39.15_suppl.3087 . 3087. 236401789 .