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Drug Details

General Information of the Drug (ID: DR4815)
Name
PX-478
Synonyms
PX-478; 685898-44-6; PX-478 2HCl; UNII-T23U22X160; PX478; PX 478; PX-478 HCl; CHEMBL4061538; (S)-4-(2-amino-2-carboxyethyl)-N,N-bis(2-chloroethyl)aniline oxide dihydrochloride; T23U22X160; L-Phenylalanine, 4-[bis(2-chloroethyl)oxidoaMino]-, (Hydrochloride) (1; 685898-44-6 (HCl); PX-478 dihydrochloride; 4-[Bis(2-chloroethyl)oxidoamino]-L-phenylalanine; Melphalan N-Oxide Impurity HCl; C13H18Cl2N2O3.2ClH; SCHEMBL18548830; DTXSID00218688; 4-[(2S)-2-amino-2-carboxyethyl]-N,N-bis(2-chloroethyl)benzeneamine oxide;dihydrochloride; EX-A4655; 2675AH; BDBM50231387; s7612; 2-Amino-3-(4'-N,N-bis(2-chloroethyl)amino)phenylpropionic acid N-oxide; CCG-268582; CS-5164; DB06082; HY-10231; A14319; Z-3209; Q27289565; L-Phenylalanine, 4-(bis(2-chloroethyl)oxidoamino)-, dihydrochloride
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Molecular Type
Small molecule
Disease Solid tumour/cancer [ICD-11: 2A00-2F9Z] Phase 1 [1]
Structure
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2D MOL

3D MOL

    Click to Show/Hide the Molecular Information and External Link(s) of This Natural Product
Formula
C13H20Cl4N2O3
PubChem CID
11234794
Canonical SMILES
C1=CC(=CC=C1CC(C(=O)O)N)[N+](CCCl)(CCCl)[O-].Cl.Cl
InChI
1S/C13H18Cl2N2O3.2ClH/c14-5-7-17(20,8-6-15)11-3-1-10(2-4-11)9-12(16)13(18)19;;/h1-4,12H,5-9,16H2,(H,18,19);2*1H/t12-;;/m0../s1
InChIKey
GIGCDIVNDFQKRA-LTCKWSDVSA-N
CAS Number
CAS 685898-44-6
TTD Drug ID
D06ZVO
DrugBank ID
DB06082
Combinatorial Therapeutic Effect(s) Validated Clinically or Experimentally
    α. A List of Natural Product(s) Able to Enhance the Efficacy of This Drug
          Arsenic trioxide      Realgar and orpiment     Click to Show/Hide the Molecular Data of This NP
                 Achieving Therapeutic Synergy     Click to Show/Hide
                    Representative Experiment Reporting the Effect of This Combination [2]
                    Detail(s)  Combination Info  click to show the detail info of this combination
                    Molecule(s)
                    Regulation
Up-regulation Cleavage CASP3  Molecule Info 
Pathway MAP
Up-regulation Expression FOXO1  Molecule Info 
Pathway MAP
Up-regulation Expression HIF-1A  Molecule Info 
Pathway MAP
Up-regulation Expression VEGFA  Molecule Info 
Pathway MAP
                    In-vitro Model PANC-1 CVCL_0480 Pancreatic ductal adenocarcinoma Homo sapiens
BxPC-3 CVCL_0186 Pancreatic ductal adenocarcinoma Homo sapiens
                    Experimental
                    Result(s)
Arsenic trioxide plus PX-478 achieves effective treatment in pancreatic ductal adenocarcinoma.
Target and Pathway
Target(s) Hypoxia-inducible factor 1 alpha (HIF-1A)  Molecule Info  [3]
KEGG Pathway HIF-1 signaling pathway Click to Show/Hide
2 mTOR signaling pathway
3 Thyroid hormone signaling pathway
4 Pathways in cancer
5 Proteoglycans in cancer
6 Renal cell carcinoma
7 Central carbon metabolism in cancer
8 Choline metabolism in cancer
NetPath Pathway IL5 Signaling Pathway Click to Show/Hide
2 Notch Signaling Pathway
Panther Pathway Angiogenesis Click to Show/Hide
2 Hypoxia response via HIF activation
3 VEGF signaling pathway
Pathway Interaction Database AP-1 transcription factor network Click to Show/Hide
2 Hypoxic and oxygen homeostasis regulation of HIF-1-alpha
3 VEGFR1 specific signals
4 HIF-1-alpha transcription factor network
5 Notch-mediated HES/HEY network
Reactome Regulation of gene expression by Hypoxia-inducible Factor Click to Show/Hide
2 Oxygen-dependent proline hydroxylation of Hypoxia-inducible Factor Alpha
3 BMAL1:CLOCK,NPAS2 activates circadian gene expression
4 NOTCH1 Intracellular Domain Regulates Transcription
5 Circadian Clock
WikiPathways SIDS Susceptibility Pathways Click to Show/Hide
2 Notch Signaling Pathway
3 Vitamin D Receptor Pathway
4 Regulation of Hypoxia-inducible Factor (HIF) by Oxygen
5 Signaling by NOTCH1
6 Oncostatin M Signaling Pathway
7 Adipogenesis
8 AGE/RAGE pathway
9 Circadian Clock
10 Angiogenesis
References
Reference 1 ClinicalTrials.gov (NCT00522652) Phase I Trial of PX-478. U.S. National Institutes of Health.
Reference 2 Arsenic trioxide plus PX-478 achieves effective treatment in pancreatic ductal adenocarcinoma. Cancer Lett. 2016 Aug 10;378(2):87-96.
Reference 3 The selective hypoxia inducible factor-1 inhibitor PX-478 provides in vivo radiosensitization through tumor stromal effects. Mol Cancer Ther. 2009 Apr;8(4):947-58.
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Cite NPCDR
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Correspondence

X. N. Sun, Y. T. Zhang, Y. Zhou, X. C. Lian, L. L. Yan, T. Pan, T. Jin, H. Xie, Z. M. Liang, W. Q. Qiu, J. X. Wang, Z. R. Li, F. Zhu*, X. B. Sui*. NPCDR: natural product-based drug combination and its disease-specific molecular regulation. Nucleic Acids Research. 50(D1): 1324-1333 (2020). PMID: 34664659

Prof. Feng ZHU  (zhufeng@zju.edu.cn)

College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, China


Prof. Xinbing SUI  (hzzju@hznu.edu.cn)

School of Pharmacy and Department of Medical Oncology, the Affiliated Hospital of Hangzhou Normal University, Hangzhou Normal University, Hangzhou, China