Peringatan Keamanan

There is no information available regarding the acute toxicity (LD50) of talazoparib. There is no specific treatment in the event of talazoparib overdose, and symptoms of overdose have not been established. In the event of an overdose, discontinue treatment with talazoparib, consider gastric decontamination, follow general supportive measures, and treat symptomatically.L47236

Talazoparib

DB11760

small molecule approved investigational

Deskripsi

Talazoparib is an inhibitor of mammalian polyadenosine 5’-diphosphoribose polymerases (PARPs), enzymes responsible for regulating essential cellular functions, such as DNA transcription and DNA repair.L47236

Developed by Pfizer, talazoparib was first approved by the FDA in October 2018 A260346 and by the EMA in June 2019.L47296 It was approved by Health Canada in September 2020.L47301 Talazoparib is currently used in the treatment of BRCA-mutated breast cancer and HRR-mutated prostate cancer.L47236, L47301, L47306

Struktur Molekul 2D

Berat 380.359
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The mean terminal plasma half-life (±standard deviation) is 90 (±58) hours in patients with cancer.[A260346, L47236]
Volume Distribusi The mean apparent volume of distribution of talazoparib is 420 L.[L47236]
Klirens (Clearance) The mean apparent oral clearance is 6.45 L/h. The inter-subject variability is 31%.[L47236]

Absorpsi

After administration of talazoparib 1 mg orally once daily, the mean % coefficient of variation (CV%) AUC and maximum observed plasma concentration (Cmax) of talazoparib at steady-state was 208 (37%) ng x hr/mL and 16.4 (32%) ng/mL, respectively. The mean (CV%) steady-state Ctrough was 3.53 (61%) ng/mL.L47236 Steady state was reached within two to three weeks of therapy.A260346 The Tmax ranges from one to two hours.L47236 A high-fat, high-calorie food increased the mean Cmax by 46% and the median Tmax from one to four hours, without affecting the AUC. L47236

Metabolisme

Talazoparib undergoes minimal hepatic metabolism. The metabolic pathways include mono-oxidation, dehydrogenation, cysteine conjugation of mono-desfluoro talazoparib, and glucuronide conjugation.L47236

Rute Eliminasi

The major route of elimination is renal excretion. Approximately 68.7% of the total administered radiolabeled dose of talazoparib was recovered in urine, where 54.6% of that dose was in the form of an unchanged drug. About 19.7% of the drug was recovered in feces, with 13.6% of the dose is unchanged.L47236

Interaksi Makanan

2 Data
  • 1. Take at the same time every day.
  • 2. Take with or without food. A high-fat, high-calorie meal decreases Cmax and delays Tmax, but not to a clinically significant extent.

Interaksi Obat

337 Data
Ranolazine The serum concentration of Talazoparib can be increased when it is combined with Ranolazine.
Lumacaftor The serum concentration of Talazoparib can be increased when it is combined with Lumacaftor.
Vemurafenib The serum concentration of Talazoparib can be increased when it is combined with Vemurafenib.
Apalutamide The serum concentration of Talazoparib can be decreased when it is combined with Apalutamide.
Pitolisant The serum concentration of Talazoparib can be increased when it is combined with Pitolisant.
Isavuconazole The serum concentration of Talazoparib can be increased when it is combined with Isavuconazole.
Isavuconazonium The serum concentration of Talazoparib can be increased when it is combined with Isavuconazonium.
Pravastatin The serum concentration of Talazoparib can be increased when it is combined with Pravastatin.
Diethylstilbestrol The serum concentration of Talazoparib can be increased when it is combined with Diethylstilbestrol.
Estradiol The serum concentration of Talazoparib can be increased when it is combined with Estradiol.
Sulfasalazine The serum concentration of Talazoparib can be increased when it is combined with Sulfasalazine.
Novobiocin The serum concentration of Talazoparib can be increased when it is combined with Novobiocin.
Hesperetin The serum concentration of Talazoparib can be increased when it is combined with Hesperetin.
Rabeprazole The serum concentration of Talazoparib can be increased when it is combined with Rabeprazole.
Dexamethasone The serum concentration of Talazoparib can be increased when it is combined with Dexamethasone.
Dasatinib The serum concentration of Talazoparib can be increased when it is combined with Dasatinib.
Topiroxostat The serum concentration of Talazoparib can be increased when it is combined with Topiroxostat.
Daidzin The serum concentration of Talazoparib can be increased when it is combined with Daidzin.
Fusidic acid The serum concentration of Talazoparib can be increased when it is combined with Fusidic acid.
Naringenin The serum concentration of Talazoparib can be increased when it is combined with Naringenin.
Eltrombopag The serum concentration of Talazoparib can be increased when it is combined with Eltrombopag.
Safinamide The serum concentration of Talazoparib can be increased when it is combined with Safinamide.
Vismodegib The serum concentration of Talazoparib can be increased when it is combined with Vismodegib.
Teriflunomide The serum concentration of Talazoparib can be increased when it is combined with Teriflunomide.
Dabrafenib The serum concentration of Talazoparib can be increased when it is combined with Dabrafenib.
Cannabidiol The serum concentration of Talazoparib can be increased when it is combined with Cannabidiol.
Dasabuvir The serum concentration of Talazoparib can be increased when it is combined with Dasabuvir.
Fostamatinib The serum concentration of Talazoparib can be increased when it is combined with Fostamatinib.
Gilteritinib The serum concentration of Talazoparib can be increased when it is combined with Gilteritinib.
Brigatinib The serum concentration of Talazoparib can be increased when it is combined with Brigatinib.
Estradiol acetate The serum concentration of Talazoparib can be increased when it is combined with Estradiol acetate.
Estradiol benzoate The serum concentration of Talazoparib can be increased when it is combined with Estradiol benzoate.
Estradiol cypionate The serum concentration of Talazoparib can be increased when it is combined with Estradiol cypionate.
Estradiol dienanthate The serum concentration of Talazoparib can be increased when it is combined with Estradiol dienanthate.
Estradiol valerate The serum concentration of Talazoparib can be increased when it is combined with Estradiol valerate.
Nabiximols The serum concentration of Talazoparib can be increased when it is combined with Nabiximols.
Caffeine The serum concentration of Talazoparib can be increased when it is combined with Caffeine.
Pantoprazole The serum concentration of Talazoparib can be increased when it is combined with Pantoprazole.
Nelfinavir The serum concentration of Talazoparib can be increased when it is combined with Nelfinavir.
Gefitinib The serum concentration of Talazoparib can be increased when it is combined with Gefitinib.
Beclomethasone dipropionate The serum concentration of Talazoparib can be increased when it is combined with Beclomethasone dipropionate.
Progesterone The serum concentration of Talazoparib can be increased when it is combined with Progesterone.
Lansoprazole The serum concentration of Talazoparib can be increased when it is combined with Lansoprazole.
Imatinib The serum concentration of Talazoparib can be increased when it is combined with Imatinib.
Buprenorphine The serum concentration of Talazoparib can be increased when it is combined with Buprenorphine.
Telmisartan The serum concentration of Talazoparib can be increased when it is combined with Telmisartan.
Sunitinib The serum concentration of Talazoparib can be increased when it is combined with Sunitinib.
Genistein The serum concentration of Talazoparib can be increased when it is combined with Genistein.
Quercetin The serum concentration of Talazoparib can be increased when it is combined with Quercetin.
Rilpivirine The serum concentration of Talazoparib can be increased when it is combined with Rilpivirine.
Alectinib The serum concentration of Talazoparib can be increased when it is combined with Alectinib.
Abemaciclib The serum concentration of Talazoparib can be increased when it is combined with Abemaciclib.
Erlotinib The serum concentration of Talazoparib can be increased when it is combined with Erlotinib.
Taurocholic acid The serum concentration of Talazoparib can be increased when it is combined with Taurocholic acid.
Dovitinib The serum concentration of Talazoparib can be increased when it is combined with Dovitinib.
Paritaprevir The serum concentration of Talazoparib can be increased when it is combined with Paritaprevir.
Fostemsavir The serum concentration of Talazoparib can be increased when it is combined with Fostemsavir.
Avanafil The serum concentration of Talazoparib can be increased when it is combined with Avanafil.
Tivozanib The serum concentration of Talazoparib can be increased when it is combined with Tivozanib.
Cholesterol Cholesterol may increase the excretion rate of Talazoparib which could result in a lower serum level and potentially a reduction in efficacy.
Venlafaxine Venlafaxine may increase the excretion rate of Talazoparib which could result in a lower serum level and potentially a reduction in efficacy.
Levothyroxine The serum concentration of Talazoparib can be decreased when it is combined with Levothyroxine.
Trazodone The serum concentration of Talazoparib can be decreased when it is combined with Trazodone.
Rifampin The serum concentration of Talazoparib can be decreased when it is combined with Rifampicin.
St. John's Wort The serum concentration of Talazoparib can be decreased when it is combined with St. John's Wort.
Prednisolone phosphate The serum concentration of Talazoparib can be decreased when it is combined with Prednisolone phosphate.
Dexamethasone acetate The serum concentration of Talazoparib can be increased when it is combined with Dexamethasone acetate.
Vandetanib The serum concentration of Talazoparib can be increased when it is combined with Vandetanib.
Palbociclib The serum concentration of Talazoparib can be increased when it is combined with Palbociclib.
Dacomitinib The serum concentration of Talazoparib can be increased when it is combined with Dacomitinib.
Glasdegib The serum concentration of Talazoparib can be increased when it is combined with Glasdegib.
Fluconazole The serum concentration of Talazoparib can be increased when it is combined with Fluconazole.
Erythromycin The serum concentration of Talazoparib can be increased when it is combined with Erythromycin.
Sildenafil The serum concentration of Talazoparib can be increased when it is combined with Sildenafil.
Reserpine The serum concentration of Talazoparib can be increased when it is combined with Reserpine.
Sorafenib The serum concentration of Talazoparib can be increased when it is combined with Sorafenib.
Loxapine The serum concentration of Talazoparib can be increased when it is combined with Loxapine.
Quinine The serum concentration of Talazoparib can be increased when it is combined with Quinine.
Ritonavir The serum concentration of Talazoparib can be increased when it is combined with Ritonavir.
Toremifene The serum concentration of Talazoparib can be increased when it is combined with Toremifene.
Verapamil The serum concentration of Talazoparib can be increased when it is combined with Verapamil.
Tamoxifen The serum concentration of Talazoparib can be increased when it is combined with Tamoxifen.
Mifepristone The serum concentration of Talazoparib can be increased when it is combined with Mifepristone.
Vardenafil The serum concentration of Talazoparib can be increased when it is combined with Vardenafil.
Tacrolimus The serum concentration of Talazoparib can be increased when it is combined with Tacrolimus.
Conivaptan The serum concentration of Talazoparib can be increased when it is combined with Conivaptan.
Quinidine The serum concentration of Talazoparib can be increased when it is combined with Quinidine.
Zonisamide The serum concentration of Talazoparib can be increased when it is combined with Zonisamide.
Tipranavir The serum concentration of Talazoparib can be increased when it is combined with Tipranavir.
Ketoconazole The serum concentration of Talazoparib can be increased when it is combined with Ketoconazole.
Amiodarone The serum concentration of Talazoparib can be increased when it is combined with Amiodarone.
Carvedilol The serum concentration of Talazoparib can be increased when it is combined with Carvedilol.
Itraconazole The serum concentration of Talazoparib can be increased when it is combined with Itraconazole.
Propafenone The serum concentration of Talazoparib can be increased when it is combined with Propafenone.
Clarithromycin The serum concentration of Talazoparib can be increased when it is combined with Clarithromycin.
Saquinavir The serum concentration of Talazoparib can be increased when it is combined with Saquinavir.
Lapatinib The serum concentration of Talazoparib can be increased when it is combined with Lapatinib.
Paliperidone The serum concentration of Talazoparib can be increased when it is combined with Paliperidone.
Mibefradil The serum concentration of Talazoparib can be increased when it is combined with Mibefradil.
Lopinavir The serum concentration of Talazoparib can be increased when it is combined with Lopinavir.

Target Protein

Poly [ADP-ribose] polymerase 1 PARP1
Poly [ADP-ribose] polymerase 2 PARP2

Referensi & Sumber

Synthesis reference: Wang B, Chu D, Feng Y, Shen Y, Aoyagi-scharber M, Post LE. Discovery and Characterization of (8S,9R)-5-Fluoro-8-(4-fluorophenyl)-9-(1-methyl-1H-1,2,4-triazol-5-yl)-2,7,8,9-tetrahydro-3H-pyrido4,3,2-dephthalazin-3-one (BMN 673, Talazoparib), a Novel, Highly Potent, and Orally Efficacious Poly(ADP-ribose) Polymerase-1/2 Inhibitor, as an Anticancer Agent. J Med Chem. 2016;59(1):335-57.
Artikel (PubMed)
  • PMID: 21989215
    Javle M, Curtin NJ: The role of PARP in DNA repair and its therapeutic exploitation. Br J Cancer. 2011 Oct 11;105(8):1114-22. doi: 10.1038/bjc.2011.382.
  • PMID: 30506138
    Hoy SM: Talazoparib: First Global Approval. Drugs. 2018 Dec;78(18):1939-1946. doi: 10.1007/s40265-018-1026-z.
  • PMID: 30069770
    Bochum S, Berger S, Martens UM: Olaparib. Recent Results Cancer Res. 2018;211:217-233. doi: 10.1007/978-3-319-91442-8_15.

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