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Trabectedin

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1041:, where the amine group is converted to an imine by deprotonation, then attacks the free aldehyde to form a carbocation that is quenched by electrons from the methyl-phenol ring. This is done in the EtuA2 T-domain. This reaction is done a second time to yield a dimer of modified tyrosine residues that have been further cyclized via Pictet-Spengler reaction, yielding a bicyclic ring moiety. The EtuO and EtuF3 enzymes continue to post-translationally modify the molecule, adding several functional groups and making a sulfide bridge between the original cysteine residue and the beta-carbon of the first tyrosine to form ET-583, ET-597, ET-596, and ET-594 which have been previously isolated. A third 691: 668: 1019: 31: 949:. However, the pivotal study did show a significant difference between two different trabectedin treatment regimens, and due to the rarity of the disease, the CHMP considered that marketing authorization could be granted under exceptional circumstances. As part of the approval PharmaMar agreed to conduct a further trial to identify whether any specific chromosomal 3680: 763: 1446: 901:
licensed the compound from the University of Illinois before 1994 and attempted to farm the sea squirt with limited success. Yields from the sea squirt are extremely low as around 1,000 kilograms of animals is needed to isolate 1 gram of trabectedin - and about 5 grams were believed to be
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was found to have anticancer activity in 1969. Separation and characterization of the active molecules had to wait many years for the development of sufficiently sensitive techniques, and the structure of one of them, Ecteinascidin 743, was determined by KL Rinehart at the University of Illinois in
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to search for a synthetic method of preparation. His group developed such a method and published it in 1996. This was later followed by a simpler and more tractable method which was patented by Harvard and subsequently licensed to PharmaMar. The current supply is based on a semisynthetic process
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work that this binding occurs in the minor groove, spans approximately three to five base pairs and is most efficient with CGG sequences. Additional favorable binding sequences are TGG, AGC, or GGC. Once bound, this reversible covalent adduct bends DNA toward the major groove, interferes directly
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starts with a fatty acid loading onto the acyl-ligase domain of the EtuA3 module. A cysteine and glycine are then loaded as canonical NRPS amino acids. A tyrosine residue is modified by the enzymes EtuH, EtuM1, and EtuM2 to add a hydroxyl at the meta position of the phenol, and adding two methyl
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InChI=1S/C39H43N3O11S/c1-16-9-20-10-22-37(46)42-23-13-50-38(47)39(21-12-25(48-5)24(44)11-19(21)7-8-40-39)14-54-36(30(42)29(41(22)4)26(20)31(45)32(16)49-6)28-27(23)35-34(51-15-52-35)17(2)33(28)53-18(3)43/h9,11-12,22-23,29-30,36-37,40,44-46H,7-8,10,13-15H2,1-6H3/t22-,23-,29+,30+,36+,37-,39+/m0/s1
941:(CHMP), observed that trabectedin had not been evaluated in an adequately designed and analyzed randomized controlled trial against current best care, and that the clinical efficacy data were mainly based on patients with 1116:
Other than transcriptional interference, the mechanism of action of trabectedin is complex and not completely understood. The compound is known to bind and alkylate DNA at the N2 position of guanine. It is known from
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Son K, Takhaveev V, Mor V, Yu H, Dillier E, Zilio N, et al. (February 2024). "Trabectedin derails transcription-coupled nucleotide excision repair to induce DNA breaks in highly transcribed genes".
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approved trabectedin (Yondelis) for the treatment of liposarcoma and leiomyosarcoma that is either unresectable or has metastasized. Patients must have received prior chemotherapy with an anthracycline.
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In 2007, the European Commission gave authorization for the marketing of trabectedin, under the trade name Yondelis, "for the treatment of patients with advanced soft tissue sarcoma, after failure of
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1984. Rinehart had collected his sea squirts by scuba diving in the reefs of the West Indies. The biosynthetic pathway responsible for producing the drug has been determined to come from
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Cuevas C, Pérez M, Martín MJ, Chicharro JL, Fernández-Rivas C, Flores M, et al. (August 2000). "Synthesis of ecteinascidin ET-743 and phthalascidin Pt-650 from cyanosafracin B".
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It is sold by Pharma Mar S.A. and Johnson and Johnson. It is approved for use in the European Union, Russia, South Korea and the United States. The European Commission and the U.S.
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to assist in the formation of the pentacyclic core. This reaction was unprecedented for using such a one pot multicomponent reaction in the synthesis of such a complex molecule.
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The most common adverse reactions include nausea, fatigue, vomiting, constipation, decreased appetite, diarrhea, peripheral edema, dyspnea, and headache.
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Lichter W, Wallham LL, Van Der Worf BA, Middle Brook RE, Sigal MM, Weinheimer AJ (August 1972). Worthen LW (ed.). "Food Drugs from the Sea".
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In September 2020, the European Medicines Agency recommended that the use of trabectedin in treating ovarian cancer remain unchanged.
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incision at trabectedin lesions, recording TC-NER on a genome-wide scale, which resulted in a TC-NER-profiling assay TRABI-Seq.
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of trabectedin-DNA adducts forms persistent single-strand breaks (SSBs) as the adducts block the second of the two sequential
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carried out a wide-ranging program of screening plant and marine organism material. As part of that program, extract from the
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by E.J. Corey used this proposed biosynthesis to guide their synthetic strategy. The synthesis uses such reactions as the
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groups at the para-hydroxyl and the meta carbon position. This modified tyrosine reacts with the original substrate via a
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D'Incalci M, Galmarini CM (August 2010). "A review of trabectedin (ET-743): a unique mechanism of action".
686: 3715: 3444: 3434: 3167: 3009: 1669: 1000: 355: 937:, or who are unsuited to receive these agents". The European Medicine Agency's evaluating committee, the 913:. PharmaMar entered into an agreement with Johnson & Johnson to market the compound outside Europe. 636: 3725: 2716: 2533: 2503: 2363: 1070: 1066: 507: 907:
developed by PharmaMar starting from safracin B, a chemical obtained by fermentation of the bacterium
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Cc1cc2c(c(c1OC)O)345c6c(c7c(c(c6OC(=O)C)C)OCO7)(N4((C2)N3C)O)COC(=O)8(CS5)c9cc(c(cc9CCN8)O)OC
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Corey EJ, Gin DY, Kania RS (1996). "Enantioselective Total Synthesis of Ecteinascidin 743".
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incisions. The researchers mapped the 3’-hydroxyl groups of SSBs originating from the first
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complex, promotes degradation of RNA polymerase II, and generates DNA double-strand breaks.
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Grohar PJ, Griffin LB, Yeung C, Chen QR, Pommier Y, Khanna C, et al. (February 2011).
1045:-methylated tyrosine is added and cyclized via Pictet-Spengler to yield the final product. 576: 556: 3684: 3025: 2987: 2778: 2200: 2115: 1054: 1018: 897:
Endoecteinascidia frumentensis, a microbial symbiont of the tunicate. The Spanish company
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Chukwueke UN, Wen PY (2020). "Medical management of meningiomas". In McDermott MW (ed.).
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Trabectedin is also in phase II trials for prostate, breast, and paediatric cancers.
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Rath CM, Janto B, Earl J, Ahmed A, Hu FZ, Hiller L, et al. (November 2011).
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Recently, it has been shown that trabectedin blocks DNA binding of the oncogenic
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In 2008, the submission was announced of a registration dossier to the
482: 1642:"FDA Approves Trabectedin (Yondelis) for Advanced Soft-Tissue Sarcoma" 1507: 1480: 1413: 1334:
10.1002/(SICI)1098-1128(200001)20:1<1::AID-MED1>3.0.CO;2-A
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Rinehart KL (January 2000). "Antitumor compounds from tunicates".
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needed for a clinical trial so Rinehart asked the Harvard chemist
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and the FDA for Yondelis when administered in combination with
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In 2015, (after a phase III study comparing trabectedin with
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Trabectedin is also approved in South Korea and Russia.
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could be used to predict responsiveness to trabectedin.
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European Medicines Agency. 24 September 2009 1537:Post-Authorization Summary of Positive Opinion 1391: 1389: 1387: 939:Committee for Medicinal Products for Human Use 1952: 1810: 1808: 8: 1109:and reverses the transcriptional program in 192: 21: 329:In general: ℞ (Prescription only) 3054: 2664: 2424: 2139: 2122: 2000: 1959: 1945: 1937: 1122:with activated transcription, poisons the 689: 666: 555: 29: 1887: 1840: 1788: 1421: 1363: 1361: 1359: 575: 3721:Drugs developed by Johnson & Johnson 1469:Journal of the American Chemical Society 1462: 1460: 3675: 1673:. London, England. Online PharmaTimes. 1171: 802: 782: 662: 535: 418: 148: 1187:Therapeutic Goods Administration (TGA) 680: 20: 635: 615: 134: 7: 256: 2228:ribonucleotide reductase inhibitors 1677:from the original on 2 October 2011 1626:. 21 September 2015. Archived from 1010:residue, and seven chiral centers. 595: 486: 2394:Ribonucleotide reductase inhibitor 2350:Ribonucleotide reductase inhibitor 1771:10.1016/B978-0-12-822198-3.00048-3 14: 2153:Dihydrofolate reductase inhibitor 1648:. 26 October 2015. Archived from 999:Trabectedin is composed of three 3678: 879:During the 1950s and 1960s, the 720: 714: 47: 982:pegylated liposomal doxorubicin 810:Key:PKVRCIRHQMSYJX-AIFWHQITSA-N 2290:Thymidylate synthase inhibitor 2180:Thymidylate synthase inhibitor 1034:Endoecteinascidia frumentensis 732: 726: 708: 1: 2210:Adenosine deaminase inhibitor 2051:Block microtubule disassembly 1732:10.1158/1535-7163.MCT-10-0263 1720:Molecular Cancer Therapeutics 3701:2,5-Dimethoxyphenethylamines 1445:Pain S (14 September 1996). 861:Food and Drug Administration 841:, sold under the brand name 1309:. Marine Tech Soc: 117–127. 453:)-isoquinolin]-5-yl acetate 3762: 1880:10.1038/s41467-024-45664-7 1374:Harvard University Gazette 1322:Medicinal Research Reviews 1129:In 2024, researchers from 698:Chemical and physical data 3629: 3510:Omacetaxine mepesuccinate 3390:Ciltacabtagene autoleucel 3380:Brexucabtagene autoleucel 1917:European Medicines Agency 1278:European Medicines Agency 1137:determined that abortive 978:European Medicines Agency 917:Approvals and indications 881:National Cancer Institute 818: 793: 773: 409: 120:ecteinascidin 743, ET-743 28: 3741:Phenethylamine alkaloids 3562:Talimogene laherparepvec 3495:Nadofaragene firadenovec 3465:Lisocabtagene maraleucel 2414:Topoisomerase inhibitors 2333:DNA polymerase inhibitor 1855:and works cited therein. 1697:"Yondelis (trabectedin)" 1530:"YONDELIS (trabectedin)" 1368:Cromie WJ (4 May 2000). 1063:Pictet-Spengler reaction 1039:Pictet-Spengler reaction 972:Ovarian cancer and other 875:Discovery and production 350:Not applicable (IV only) 3365:Axicabtagene ciloleucel 1969:chemotherapeutic agents 1663:Grogan K (3 May 2011). 910:Pseudomonas fluorescens 889:Ecteinascidia turbinata 3547:Sitimagene ceradenovec 3445:Idecabtagene vicleucel 3010:Methyl aminolevulinate 1582:on September 18, 2008. 1023: 1001:tetrahydroisoquinoline 3021:Porphyrin derivatives 2717:Melphalan flufenamide 2364:Hypomethylating agent 1973:antineoplastic agents 1868:Nature Communications 1067:Curtius rearrangement 1021: 3711:Antineoplastic drugs 3350:Asparagine depleters 3279:Receptor antagonists 3193:+abiraterone acetate 1763:Meningiomas, Part II 1707:on 13 February 2012. 1670:PharmaTimes Magazine 1402:ACS Chemical Biology 1104:transcription factor 3746:Bacterial alkaloids 3400:Denileukin diftitox 3300:Retinoid X receptor 3000:Aminolevulinic acid 2822:Triethylenemelamine 2654:Crosslinking of DNA 2385:Deoxyribonucleotide 2324:+gimeracil/oteracil 1889:20.500.11850/661709 1576:"PharmaMar website" 1282:. 17 September 2018 1246:. 22 September 2020 1215:. 21 September 2020 1153:Society and culture 1098:Mechanism of action 925:Soft tissue sarcoma 847:soft-tissue sarcoma 305:(Prescription only) 292:(Prescription only) 25: 3656:Never to phase III 2458:Etirinotecan pegol 1921:. 27 February 2020 1833:10.1593/neo.101202 1111:myxoid liposarcoma 1028:symbiotic bacteria 1024: 3666: 3665: 3625: 3624: 3582:Tigilanol tiglate 3059:Enzyme inhibitors 2982: 2981: 2978: 2977: 2678:Nitrogen mustards 2648: 2647: 2408: 2407: 2110: 2109: 1780:978-0-12-822198-3 1652:on 17 March 2016. 1559:"CHMP evaluation" 1508:10.1021/ol0062502 1502:(16): 2545–2548. 1481:10.1021/ja962480t 1475:(38): 9202–9203. 1414:10.1021/cb200244t 1408:(11): 1244–1256. 836: 835: 764:Interactive image 648:CompTox Dashboard 325: 313: 300: 287: 219: 186: 169: 16:Chemical compound 3753: 3683: 3682: 3681: 3674: 3587:Tisagenlecleucel 3344:Arsenic trioxide 3055: 2988:Photosensitizers 2779:Alkyl sulfonates 2693:Cyclophosphamide 2665: 2604:Anthracenediones 2425: 2399:Hydroxycarbamide 2140: 2123: 2001: 1961: 1954: 1947: 1938: 1931: 1930: 1928: 1926: 1908: 1902: 1901: 1891: 1862: 1856: 1854: 1844: 1812: 1803: 1802: 1792: 1758: 1752: 1751: 1726:(8): 2157–2163. 1715: 1709: 1708: 1703:. Archived from 1693: 1687: 1686: 1684: 1682: 1660: 1654: 1653: 1638: 1632: 1631: 1630:on 5 March 2016. 1616: 1610: 1609: 1607: 1605: 1590: 1584: 1583: 1578:. Archived from 1572: 1566: 1565: 1563: 1555: 1549: 1548: 1546: 1544: 1534: 1526: 1520: 1519: 1491: 1485: 1484: 1464: 1455: 1454: 1442: 1436: 1435: 1425: 1393: 1382: 1381: 1376:. Archived from 1365: 1354: 1353: 1317: 1311: 1310: 1298: 1292: 1291: 1289: 1287: 1269: 1256: 1255: 1253: 1251: 1236: 1225: 1224: 1222: 1220: 1205: 1199: 1198: 1196: 1194: 1179: 1085:enantioselective 1059:Mannich reaction 832: 831: 824: 766: 746: 734: 728: 722: 716: 710: 693: 682: 671: 670: 656: 654: 639: 619: 599: 579: 559: 539: 519: 499: 489: 488: 474: 390:180 hours (mean) 386: 323: 320: 311: 308: 298: 295: 285: 282: 260: 217: 214: 196: 185: 182: 179: 168: 165: 152: 138: 98: 91: 90: 87: 86: 83: 80: 77: 74: 71: 68: 65: 62: 59: 56: 53: 33: 26: 24: 3761: 3760: 3756: 3755: 3754: 3752: 3751: 3750: 3736:Total synthesis 3691: 3690: 3689: 3679: 3677: 3669: 3667: 3662: 3661: 3646:Clinical trials 3621: 3327:Other/ungrouped 3322: 3273: 3046: 3026:Porfimer sodium 2974: 2936: 2869: 2826: 2656: 2644: 2528: 2498: 2416: 2404: 2379: 2275: 2195: 2131: 2129:antimetabolites 2127: 2126:DNA precursors/ 2118: 2116:DNA replication 2106: 2046: 2016:Vinca alkaloids 1992: 1980: 1965: 1935: 1934: 1924: 1922: 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17: 12: 11: 5: 3759: 3757: 3749: 3748: 3743: 3738: 3733: 3728: 3723: 3718: 3713: 3708: 3706:Acetate esters 3703: 3693: 3692: 3688: 3687: 3664: 3663: 3660: 3659: 3658: 3657: 3654: 3643: 3637: 3631: 3630: 3627: 3626: 3623: 3622: 3620: 3619: 3614: 3609: 3604: 3599: 3594: 3589: 3584: 3579: 3574: 3569: 3564: 3559: 3554: 3549: 3544: 3539: 3533: 3522: 3517: 3512: 3507: 3502: 3497: 3492: 3487: 3482: 3477: 3472: 3467: 3462: 3457: 3452: 3447: 3442: 3437: 3432: 3427: 3422: 3417: 3412: 3407: 3402: 3397: 3392: 3387: 3382: 3377: 3372: 3367: 3362: 3346: 3341: 3336: 3330: 3328: 3324: 3323: 3321: 3320: 3308: 3296: 3283: 3281: 3275: 3274: 3272: 3271: 3265: 3260: 3255: 3250: 3238: 3232: 3227: 3222: 3217: 3206: 3200: 3195: 3187: 3180:PARP inhibitor 3176: 3164: 3152: 3140: 3139: 3138: 3133: 3128: 3123: 3111: 3105: 3100: 3095: 3090: 3076: 3063: 3061: 3052: 3048: 3047: 3045: 3044: 3038: 3033: 3028: 3017: 3012: 3007: 3002: 2996: 2994: 2984: 2983: 2980: 2979: 2976: 2975: 2973: 2972: 2966: 2961: 2956: 2946: 2944: 2938: 2937: 2935: 2934: 2928: 2923: 2912: 2907: 2902: 2897: 2885: 2879: 2877: 2871: 2870: 2868: 2867: 2862: 2857: 2852: 2847: 2842: 2836: 2834: 2832:Platinum-based 2828: 2827: 2825: 2824: 2819: 2814: 2809: 2797: 2796: 2790: 2774: 2773: 2768: 2763: 2758: 2748: 2743: 2731: 2730: 2725: 2720: 2710: 2705: 2699: 2690: 2685: 2673: 2671: 2662: 2650: 2649: 2646: 2645: 2643: 2642: 2637: 2632: 2627: 2622: 2616: 2611: 2600: 2594: 2589: 2584: 2579: 2574: 2569: 2559: 2554: 2547:Anthracyclines 2542: 2540: 2530: 2529: 2527: 2526: 2520: 2508: 2506: 2500: 2499: 2497: 2496: 2490: 2485: 2480: 2475: 2470: 2465: 2460: 2455: 2450: 2445: 2433: 2431: 2422: 2410: 2409: 2406: 2405: 2403: 2402: 2389: 2387: 2381: 2380: 2378: 2377: 2371: 2359: 2358: 2345: 2344: 2328: 2327: 2317: 2312: 2307: 2302: 2297: 2285: 2283: 2277: 2276: 2274: 2273: 2267: 2265:Mercaptopurine 2256: 2251: 2246: 2240: 2235: 2219: 2218: 2205: 2203: 2197: 2196: 2194: 2193: 2187: 2176: 2170: 2165: 2160: 2148: 2146: 2137: 2120: 2112: 2111: 2108: 2107: 2105: 2104: 2092: 2086: 2081: 2076: 2071: 2066: 2054: 2052: 2048: 2047: 2045: 2044: 2038: 2033: 2028: 2023: 2011: 2009: 1998: 1982: 1981: 1967:Intracellular 1966: 1964: 1963: 1956: 1949: 1941: 1933: 1932: 1903: 1857: 1827:(2): 145–153. 1804: 1779: 1753: 1710: 1688: 1655: 1646:Cancer Network 1633: 1624:Cancer Network 1611: 1585: 1567: 1550: 1521: 1486: 1456: 1437: 1383: 1355: 1312: 1293: 1257: 1226: 1200: 1170: 1169: 1167: 1164: 1159: 1156: 1154: 1151: 1099: 1096: 1050: 1047: 1015: 1012: 996: 993: 986:ovarian cancer 973: 970: 951:translocations 947:leiomyosarcoma 931:anthracyclines 926: 923: 918: 915: 876: 873: 869:ovarian cancer 863:(FDA) granted 851:ovarian cancer 834: 833: 816: 815: 813: 812: 809: 807: 804: 796: 795: 794: 791: 790: 788: 787: 784: 776: 775: 774: 771: 770: 768: 767: 759: 757: 749: 748: 742: 736: 735: 729: 723: 717: 711: 706: 700: 699: 695: 694: 684: 676: 675: 673: 672: 659: 657: 644: 643: 641: 640: 632: 630: 624: 623: 621: 620: 612: 610: 604: 603: 601: 600: 592: 590: 584: 583: 581: 580: 572: 570: 564: 563: 561: 560: 552: 550: 544: 543: 541: 540: 532: 530: 524: 523: 521: 520: 512: 510: 504: 503: 501: 500: 492: 490: 479: 478: 476: 475: 467: 465: 459: 458: 456: 455: 420: 412: 411: 410: 407: 406: 402: 401: 398: 392: 391: 388: 379: 378: 368: 362: 361: 358: 352: 351: 348: 342: 341: 334: 333: 331: 330: 327: 318: 306: 293: 279: 277: 271: 270: 266: 265: 263: 262: 249: 247: 241: 240: 235: 233:administration 227: 226: 224: 223: 221: 211: 209: 201: 200: 198: 197: 180: 162: 160: 154: 153: 146: 140: 139: 132: 122: 121: 118: 114: 113: 110: 104: 103: 44: 40: 39: 35: 34: 15: 13: 10: 9: 6: 4: 3: 2: 3758: 3747: 3744: 3742: 3739: 3737: 3734: 3732: 3729: 3727: 3724: 3722: 3719: 3717: 3716:Benzodioxoles 3714: 3712: 3709: 3707: 3704: 3702: 3699: 3698: 3696: 3686: 3676: 3672: 3655: 3653: 3650: 3649: 3647: 3644: 3641: 3638: 3636: 3633: 3632: 3628: 3618: 3615: 3613: 3610: 3608: 3605: 3603: 3600: 3598: 3595: 3593: 3590: 3588: 3585: 3583: 3580: 3578: 3575: 3573: 3570: 3568: 3565: 3563: 3560: 3558: 3555: 3553: 3550: 3548: 3545: 3543: 3540: 3537: 3534: 3532: 3528: 3527: 3523: 3521: 3520:Tabelecleucel 3518: 3516: 3513: 3511: 3508: 3506: 3503: 3501: 3498: 3496: 3493: 3491: 3488: 3486: 3483: 3481: 3480:Lurbinectedin 3478: 3476: 3473: 3471: 3468: 3466: 3463: 3461: 3458: 3456: 3453: 3451: 3448: 3446: 3443: 3441: 3438: 3436: 3433: 3431: 3428: 3426: 3423: 3421: 3418: 3416: 3413: 3411: 3408: 3406: 3403: 3401: 3398: 3396: 3393: 3391: 3388: 3386: 3383: 3381: 3378: 3376: 3373: 3371: 3368: 3366: 3363: 3360: 3356: 3352: 3351: 3347: 3345: 3342: 3340: 3337: 3335: 3332: 3331: 3329: 3325: 3318: 3314: 3313: 3309: 3306: 3302: 3301: 3297: 3294: 3290: 3289: 3285: 3284: 3282: 3280: 3276: 3269: 3266: 3264: 3261: 3259: 3256: 3254: 3251: 3249: 3245: 3243: 3239: 3236: 3233: 3231: 3228: 3226: 3223: 3221: 3218: 3216: 3212: 3211: 3207: 3204: 3201: 3199: 3196: 3194: 3191: 3188: 3186: 3182: 3181: 3177: 3174: 3170: 3169: 3165: 3162: 3158: 3157: 3153: 3150: 3146: 3145: 3141: 3137: 3134: 3132: 3129: 3127: 3124: 3122: 3119: 3118: 3117: 3116: 3112: 3109: 3106: 3104: 3101: 3099: 3096: 3094: 3091: 3089: 3085: 3084: 3081: 3077: 3074: 3070: 3069: 3065: 3064: 3062: 3060: 3056: 3053: 3049: 3042: 3039: 3037: 3034: 3032: 3029: 3027: 3023: 3022: 3018: 3016: 3013: 3011: 3008: 3006: 3003: 3001: 2998: 2997: 2995: 2993: 2989: 2985: 2970: 2967: 2965: 2962: 2960: 2957: 2955: 2951: 2948: 2947: 2945: 2943: 2942:Intercalation 2939: 2932: 2929: 2927: 2924: 2922: 2918: 2917: 2913: 2911: 2908: 2906: 2903: 2901: 2898: 2895: 2891: 2890: 2886: 2884: 2881: 2880: 2878: 2876: 2872: 2866: 2863: 2861: 2858: 2856: 2853: 2851: 2850:Dicycloplatin 2848: 2846: 2843: 2841: 2838: 2837: 2835: 2833: 2829: 2823: 2820: 2818: 2815: 2813: 2810: 2808: 2805: 2803: 2799: 2798: 2794: 2791: 2789: 2785: 2782: 2780: 2776: 2775: 2772: 2769: 2767: 2764: 2762: 2759: 2756: 2752: 2749: 2747: 2744: 2742: 2739: 2737: 2733: 2732: 2729: 2726: 2724: 2723:Prednimustine 2721: 2718: 2714: 2711: 2709: 2706: 2703: 2700: 2698: 2694: 2691: 2689: 2686: 2684: 2681: 2679: 2675: 2674: 2672: 2670: 2666: 2663: 2660: 2655: 2651: 2641: 2638: 2636: 2633: 2631: 2628: 2626: 2623: 2620: 2617: 2615: 2612: 2610: 2606: 2605: 2601: 2598: 2595: 2593: 2590: 2588: 2585: 2583: 2580: 2578: 2575: 2573: 2570: 2567: 2563: 2560: 2558: 2555: 2553: 2549: 2548: 2544: 2543: 2541: 2539: 2538:Intercalation 2535: 2531: 2524: 2521: 2519: 2515: 2514: 2510: 2509: 2507: 2505: 2501: 2494: 2491: 2489: 2486: 2484: 2481: 2479: 2476: 2474: 2471: 2469: 2466: 2464: 2461: 2459: 2456: 2454: 2451: 2449: 2446: 2444: 2440: 2439: 2435: 2434: 2432: 2430: 2426: 2423: 2420: 2415: 2411: 2400: 2396: 2395: 2391: 2390: 2388: 2386: 2382: 2375: 2372: 2370: 2366: 2365: 2361: 2360: 2356: 2352: 2351: 2347: 2346: 2342: 2341:+daunorubicin 2339: 2335: 2334: 2330: 2329: 2325: 2321: 2318: 2316: 2313: 2311: 2308: 2306: 2305:Doxifluridine 2303: 2301: 2298: 2296: 2292: 2291: 2287: 2286: 2284: 2282: 2278: 2271: 2268: 2266: 2262: 2261: 2257: 2255: 2254:Rabacfosadine 2252: 2250: 2247: 2244: 2241: 2239: 2236: 2234: 2230: 2229: 2225: 2221: 2220: 2216: 2212: 2211: 2207: 2206: 2204: 2202: 2198: 2191: 2188: 2186: 2182: 2181: 2177: 2174: 2171: 2169: 2166: 2164: 2161: 2159: 2155: 2154: 2150: 2149: 2147: 2145: 2141: 2138: 2135: 2130: 2124: 2121: 2117: 2113: 2102: 2098: 2097: 2093: 2090: 2087: 2085: 2082: 2080: 2077: 2075: 2072: 2070: 2067: 2065: 2061: 2060: 2056: 2055: 2053: 2049: 2042: 2039: 2037: 2034: 2032: 2029: 2027: 2024: 2022: 2018: 2017: 2013: 2012: 2010: 2007: 2002: 1999: 1996: 1991: 1987: 1983: 1978: 1974: 1970: 1962: 1957: 1955: 1950: 1948: 1943: 1942: 1939: 1920: 1918: 1913: 1907: 1904: 1899: 1895: 1890: 1885: 1881: 1877: 1873: 1869: 1861: 1858: 1852: 1848: 1843: 1838: 1834: 1830: 1826: 1822: 1818: 1811: 1809: 1805: 1800: 1796: 1791: 1786: 1782: 1776: 1772: 1768: 1764: 1757: 1754: 1749: 1745: 1741: 1737: 1733: 1729: 1725: 1721: 1714: 1711: 1706: 1702: 1698: 1692: 1689: 1676: 1672: 1671: 1666: 1659: 1656: 1651: 1647: 1643: 1637: 1634: 1629: 1625: 1621: 1615: 1612: 1599: 1595: 1589: 1586: 1581: 1577: 1571: 1568: 1560: 1554: 1551: 1538: 1531: 1525: 1522: 1517: 1513: 1509: 1505: 1501: 1497: 1490: 1487: 1482: 1478: 1474: 1470: 1463: 1461: 1457: 1452: 1451:New Scientist 1448: 1441: 1438: 1433: 1429: 1424: 1419: 1415: 1411: 1407: 1403: 1399: 1392: 1390: 1388: 1384: 1379: 1375: 1371: 1364: 1362: 1360: 1356: 1351: 1347: 1343: 1339: 1335: 1331: 1327: 1323: 1316: 1313: 1308: 1304: 1297: 1294: 1281: 1279: 1274: 1268: 1266: 1264: 1262: 1258: 1245: 1241: 1235: 1233: 1231: 1227: 1214: 1210: 1204: 1201: 1188: 1184: 1178: 1176: 1172: 1165: 1163: 1157: 1152: 1150: 1148: 1144: 1140: 1136: 1132: 1127: 1125: 1120: 1114: 1112: 1108: 1105: 1097: 1095: 1093: 1089: 1088:hydrogenation 1086: 1083: 1079: 1075: 1072: 1068: 1064: 1060: 1056: 1048: 1046: 1044: 1040: 1035: 1032: 1029: 1020: 1013: 1011: 1009: 1005: 1002: 994: 992: 989: 987: 983: 979: 971: 969: 966: 962: 957: 954: 952: 948: 944: 940: 936: 932: 924: 922: 916: 914: 912: 911: 905: 900: 896: 891: 890: 886: 882: 874: 872: 870: 866: 862: 857: 854: 852: 848: 844: 840: 830: 823: 817: 808: 803: 799: 792: 783: 779: 772: 765: 761: 760: 758: 755: 750: 743: 741: 737: 707: 705: 701: 696: 692: 688: 685: 683: 681:ECHA InfoCard 677: 669: 665: 664:DTXSID2046880 661: 660: 658: 649: 645: 638: 634: 633: 631: 629: 625: 618: 614: 613: 611: 609: 605: 598: 594: 593: 591: 589: 585: 578: 574: 573: 571: 569: 565: 558: 554: 553: 551: 549: 545: 538: 534: 533: 531: 529: 525: 518: 514: 513: 511: 509: 505: 498: 494: 493: 491: 484: 480: 473: 469: 468: 466: 464: 460: 452: 448: 444: 440: 436: 432: 428: 424: 419: 415: 408: 403: 399: 397: 393: 389: 387: 380: 376: 372: 369: 367: 363: 359: 357: 353: 349: 347: 343: 339: 335: 328: 326: Rx-only 319: 317: 307: 304: 294: 291: 281: 280: 278: 276: 272: 267: 259: 254: 251: 250: 248: 246: 242: 239: 236: 234: 228: 222: 213: 212: 210: 208: 202: 195: 190: 181: 178: 173: 164: 163: 161: 159: 155: 151: 147: 145: 141: 137: 133: 131: 127: 123: 119: 115: 111: 109: 105: 101: 100: 89: 45: 43:Pronunciation 41: 38:Clinical data 36: 32: 27: 19: 3726:Orphan drugs 3591: 3567:Tazemetostat 3531:Alitretinoin 3524: 3435:Estramustine 3415:Elsamitrucin 3405:Eflornithine 3359:Pegaspargase 3355:Asparaginase 3348: 3317:Testolactone 3310: 3298: 3286: 3240: 3225:Panobinostat 3208: 3178: 3166: 3154: 3142: 3113: 3078: 3066: 3019: 3015:Padeliporfin 2954:Dactinomycin 2950:Streptomyces 2931:Temozolomide 2926:Mitozolomide 2914: 2905:Mitobronitol 2894:Procarbazine 2887: 2875:Nonclassical 2800: 2777: 2771:Streptozocin 2736:Nitrosoureas 2734: 2708:Chlorambucil 2702:Trofosfamide 2688:Chlormethine 2683:Bendamustine 2676: 2614:Mitoxantrone 2609:Losoxantrone 2602: 2562:Daunorubicin 2545: 2511: 2448:Camptothecin 2436: 2392: 2362: 2348: 2331: 2315:Fluorouracil 2295:Capecitabine 2288: 2258: 2222: 2208: 2178: 2173:Pralatrexate 2163:Methotrexate 2151: 2094: 2057: 2014: 1925:30 September 1923:. Retrieved 1915: 1906: 1871: 1867: 1860: 1824: 1820: 1762: 1756: 1723: 1719: 1713: 1705:the original 1700: 1691: 1679:. Retrieved 1668: 1658: 1650:the original 1645: 1636: 1628:the original 1623: 1614: 1604:30 September 1602:. Retrieved 1600:. 8 May 2008 1597: 1588: 1580:the original 1570: 1553: 1541:. Retrieved 1536: 1524: 1499: 1495: 1489: 1472: 1468: 1450: 1440: 1405: 1401: 1378:the original 1373: 1325: 1321: 1315: 1306: 1302: 1296: 1286:30 September 1284:. Retrieved 1276: 1250:30 September 1248:. Retrieved 1243: 1219:30 September 1217:. Retrieved 1212: 1203: 1191:. Retrieved 1189:. 3 May 2021 1186: 1161: 1158:Legal status 1128: 1118: 1115: 1101: 1092:Ugi reaction 1052: 1042: 1033: 1030: 1025: 1014:Biosynthesis 998: 990: 975: 958: 955: 928: 920: 908: 894: 887: 878: 858: 855: 842: 838: 837: 826:   820:   637:ChEMBL297812 450: 446: 442: 438: 434: 430: 426: 422: 400:Mostly fecal 383:Elimination 275:Legal status 269:Legal status 158:License data 18: 3642:from market 3612:Vorasidenib 3592:Trabectedin 3577:Tiazofurine 3572:Tebentafusp 3557:Tagraxofusp 3515:Plitidepsin 3485:Mitoguazone 3425:Epacadostat 3395:Demecolcine 3339:Aflibercept 3312:Sex steroid 3185:Fuzuloparib 3126:Carfilzomib 3098:Palbociclib 3088:Abemaciclib 3041:Verteporfin 3005:Efaproxiral 2921:Dacarbazine 2883:Altretamine 2865:Satraplatin 2860:Oxaliplatin 2840:Carboplatin 2817:Triaziquone 2788:Mannosulfan 2766:Ranimustine 2746:Fotemustine 2587:Pirarubicin 2572:Doxorubicin 2566:+cytarabine 2552:Aclarubicin 2513:Podophyllum 2438:Camptotheca 2369:Azacitidine 2355:Gemcitabine 2310:Floxuridine 2243:Fludarabine 2238:Clofarabine 2224:Halogenated 2215:Pentostatin 2190:Raltitrexed 2158:Aminopterin 2101:Ixabepilone 2096:Epothilones 2064:Cabazitaxel 2041:Vinorelbine 2026:Vincristine 2021:Vinblastine 2006:microtubule 1874:(1): 1388. 1543:12 November 1328:(1): 1–27. 1303:Proceedings 1193:6 September 1078:diphosphine 961:dacarbazine 943:liposarcoma 904:E. J. Corey 865:orphan drug 839:Trabectedin 747: g·mol 687:100.223.368 617:CHEBI:84050 472:114899-77-3 405:Identifiers 238:Intravenous 194:Trabectedin 144:MedlinePlus 117:Other names 108:Trade names 23:Trabectedin 3695:Categories 3607:Verdinexor 3602:Venetoclax 3505:Oblimersen 3500:Navitoclax 3475:Lucanthone 3470:Lonidamine 3460:Lifileucel 3455:Ivosidenib 3450:Imetelstat 3420:Enasidenib 3410:Elesclomol 3375:Bexarotene 3370:Belzutifan 3305:Bexarotene 3293:Atrasentan 3268:Umbralisib 3263:Idelalisib 3253:Copanlisib 3235:Vorinostat 3230:Romidepsin 3220:Entinostat 3215:Belinostat 3173:Masoprocol 3161:Tiazofurin 3149:Anagrelide 3121:Bortezomib 3108:Seliciclib 3103:Ribociclib 3083:inhibitors 3073:Tipifarnib 3036:Temoporfin 3031:Talaporfin 2969:Plicamycin 2964:Mitomycins 2910:Pipobroman 2889:Hydrazines 2855:Nedaplatin 2807:Carboquone 2802:Aziridines 2793:Treosulfan 2741:Carmustine 2728:Uramustine 2697:Ifosfamide 2669:Alkylating 2630:Bisantrene 2619:Pixantrone 2592:Valrubicin 2582:Idarubicin 2577:Epirubicin 2523:Teniposide 2478:Lurtotecan 2473:Irinotecan 2374:Decitabine 2338:Cytarabine 2281:Pyrimidine 2270:Tioguanine 2260:Thiopurine 2249:Nelarabine 2233:Cladribine 2185:Pemetrexed 2168:Pemetrexed 2144:Folic acid 2084:Paclitaxel 2036:Vinflunine 1912:"Yondelis" 1183:"Yondelis" 1166:References 1131:ETH Zürich 1031:Candidatus 935:ifosfamide 895:Candidatus 885:sea squirt 752:3D model ( 740:Molar mass 577:ID0YZQ2TCP 548:ChemSpider 508:IUPHAR/BPS 463:CAS Number 414:IUPAC name 377:-mediated) 366:Metabolism 3652:Phase III 3640:Withdrawn 3617:Vosaroxin 3597:Veliparib 3552:Sotorasib 3542:Selinexor 3536:Tretinoin 3526:Retinoids 3440:Glasdegib 3385:Celecoxib 3334:Adagrasib 3258:Duvelisib 3248:Alpelisib 3203:Rucaparib 3190:Niraparib 3131:Oprozomib 3093:Alvocidib 2959:Bleomycin 2916:Triazenes 2900:Etoglucid 2845:Cisplatin 2761:Nimustine 2755:Semustine 2751:Lomustine 2713:Melphalan 2640:Menogaril 2635:Crisnatol 2625:Amsacrine 2597:Zorubicin 2557:Amrubicin 2518:Etoposide 2493:Topotecan 2488:Silatecan 2483:Rubitecan 2468:Gimatecan 2453:Cositecan 2443:Belotecan 2119:inhibitor 2089:Tesetaxel 2079:Ortataxel 2074:Larotaxel 2069:Docetaxel 2031:Vindesine 1821:Neoplasia 1701:PharmaMar 1082:catalyzed 995:Structure 899:PharmaMar 396:Excretion 385:half-life 360:94 to 98% 231:Routes of 205:Pregnancy 136:Monograph 130:Drugs.com 3685:Medicine 3490:Mitotane 3430:Eribulin 3198:Olaparib 3136:Ixazomib 2812:Thiotepa 2784:Busulfan 2463:Exatecan 2300:Carmofur 2008:assembly 1971: / 1898:38360910 1851:21403840 1799:32586501 1740:20647340 1675:Archived 1516:10956543 1432:21875091 1350:25117225 1342:10608919 1244:DailyMed 1119:in vitro 1107:FUS-CHOP 1008:cysteine 1004:moieties 843:Yondelis 829:(verify) 528:DrugBank 373:(mostly 245:ATC code 207:category 189:DailyMed 112:Yondelis 3731:Phenols 2419:S phase 2320:Tegafur 2134:S phase 2059:Taxanes 1995:M phase 1842:3033593 1790:6169485 1748:6723817 1598:Reuters 1423:3220770 1076:-based 1074:rhodium 963:), the 704:Formula 537:DB05109 483:PubChem 261:) 255: ( 253:L01CX01 220: D 191::  174::  150:a615059 99:-ti-din 3671:Portal 3635:WHO-EM 3244:(Pi3K) 2201:Purine 2004:Block 1896:  1849:  1839:  1797:  1787:  1777:  1746:  1738:  1514:  1430:  1420:  1348:  1340:  1071:chiral 1069:, and 1065:, the 965:US FDA 778:SMILES 745:761.84 628:ChEMBL 597:D06199 497:108150 375:CYP3A4 316:℞-only 314: 301: 288: 187:  177:by INN 170:  102: 3156:IMPDI 3051:Other 1919:(EMA) 1744:S2CID 1681:7 May 1562:(PDF) 1533:(PDF) 1346:S2CID 1280:(EMA) 1213:(emc) 1135:UNIST 798:InChI 754:JSmol 608:ChEBI 557:97236 371:Liver 3242:PIKI 3210:HDAC 2659:CCNS 1927:2020 1894:PMID 1847:PMID 1795:PMID 1775:ISBN 1736:PMID 1683:2011 1606:2020 1545:2019 1512:PMID 1428:PMID 1338:PMID 1288:2020 1252:2020 1221:2020 1195:2021 1133:and 1053:The 945:and 933:and 849:and 588:KEGG 568:UNII 517:2774 340:data 126:AHFS 95:trə- 3288:ERA 3144:PhI 3115:PrI 3080:CDK 2992:PDT 1990:MIs 1986:SPs 1977:L01 1884:hdl 1876:doi 1837:PMC 1829:doi 1785:PMC 1767:doi 1728:doi 1504:doi 1477:doi 1473:118 1418:PMC 1410:doi 1330:doi 1307:173 1147:NER 1143:NER 653:EPA 487:CID 445:,16 441:,14 437:,13 429:,6a 421:(1' 303:POM 258:WHO 172:EMA 97:BEK 3697:: 3648:: 3168:LI 3068:FI 2534:II 2504:II 2326:)) 1914:. 1892:. 1882:. 1872:15 1870:. 1845:. 1835:. 1825:13 1823:. 1819:. 1807:^ 1793:. 1783:. 1773:. 1742:. 1734:. 1722:. 1699:. 1667:. 1644:. 1622:. 1596:. 1535:. 1510:. 1498:. 1471:. 1459:^ 1449:. 1426:. 1416:. 1404:. 1400:. 1386:^ 1372:. 1358:^ 1344:. 1336:. 1326:20 1324:. 1305:. 1275:. 1260:^ 1242:. 1229:^ 1211:. 1185:. 1174:^ 1061:, 871:. 853:. 730:11 718:43 712:39 433:,7 425:,6 322:EU 310:US 297:UK 290:S4 284:AU 216:AU 184:US 167:EU 3673:: 3538:) 3529:( 3361:) 3357:/ 3353:( 3319:) 3315:( 3307:) 3303:( 3295:) 3291:( 3270:) 3246:( 3237:) 3213:( 3205:) 3183:( 3175:) 3171:( 3163:) 3159:( 3151:) 3147:( 3110:) 3086:( 3075:) 3071:( 3043:) 3024:( 2990:/ 2971:) 2952:( 2933:) 2919:( 2896:) 2892:( 2804:: 2795:) 2786:( 2781:: 2757:) 2753:( 2738:: 2719:) 2715:( 2704:) 2695:( 2680:: 2661:) 2657:( 2621:) 2607:( 2599:) 2568:) 2564:( 2550:( 2536:+ 2525:) 2516:( 2495:) 2441:( 2429:I 2421:) 2417:( 2401:) 2397:( 2376:) 2367:( 2357:) 2353:( 2343:) 2336:( 2322:( 2293:( 2272:) 2263:( 2245:) 2231:( 2226:/ 2217:) 2213:( 2192:) 2183:( 2175:) 2156:( 2136:) 2132:( 2103:) 2099:( 2091:) 2062:( 2043:) 2019:( 1997:) 1993:( 1988:/ 1979:) 1975:( 1960:e 1953:t 1946:v 1929:. 1900:. 1886:: 1878:: 1853:. 1831:: 1801:. 1769:: 1750:. 1730:: 1724:9 1685:. 1608:. 1564:. 1547:. 1518:. 1506:: 1500:2 1483:. 1479:: 1453:. 1434:. 1412:: 1406:6 1352:. 1332:: 1290:. 1254:. 1223:. 1197:. 1080:- 1043:O 756:) 733:S 727:O 724:3 721:N 715:H 709:C 655:) 651:( 451:H 447:R 443:S 439:S 435:R 431:R 427:R 423:R 324:: 312:: 299:: 286:: 218:: 128:/ 88:/ 85:n 82:ɪ 79:d 76:ɪ 73:t 70:k 67:ɛ 64:b 61:ˈ 58:ə 55:r 52:t 49:/

Index


/trəˈbɛktɪdɪn/
trə-BEK-ti-din
Trade names
AHFS
Drugs.com
Monograph
MedlinePlus
a615059
License data
EMA
by INN
DailyMed
Trabectedin
Pregnancy
category

Routes of
administration

Intravenous
ATC code
L01CX01
WHO
Legal status
S4
POM
℞-only
Pharmacokinetic
Bioavailability
Protein binding
Metabolism
Liver
CYP3A4

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