General Information of Drug (ID: DMD7L94)

Drug Name
Palbociclib
Synonyms
571190-30-2; PD0332991; PD-0332991; Ibrance; PD 0332991; UNII-G9ZF61LE7G; Palbociclib(PD0332991); 6-Acetyl-8-cyclopentyl-5-methyl-2-[[5-(piperazin-1-yl)pyridin-2-yl]amino]-8H-pyrido[2,3-d]pyrimidin-7-one; 6-acetyl-8-cyclopentyl-5-methyl-2-((5-(piperazin-1-yl)pyridin-2-yl)amino)pyrido[2,3-d]pyrimidin-7(8H)-one; G9ZF61LE7G; PD 332991; 6-ACETYL-8-CYCLOPENTYL-5-METHYL-2-[(5-PIPERAZIN-1-YLPYRIDIN-2-YL)AMINO]PYRIDO[2,3-D]PYRIMIDIN-7(8H)-ONE; LQQ; PD 332991, PD 0332991, PD0332991; 6-Acetyl-8-cyclopentyl-5-methyl-2-(5-piperazin-1-ylpyridin-2-ylamino)-8H-pyrido(2,3-d)pyrimidin-7-one; 6-acetyl-8-cyclopentyl-5-methyl-2-[(5-piperazin-1-ylpyridin-2-yl)amino]pyrido[2,3-d]pyrimidin-7-one; HMR-2934
Indication
Disease Entry ICD 11 Status REF
Breast cancer 2C60-2C65 Approved [1]
Solid tumour/cancer 2A00-2F9Z Phase 2 [2], [3]
Schizophrenia 6A20 Terminated [4]
Therapeutic Class
Anticancer Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 447.5
Topological Polar Surface Area (xlogp) 1.8
Rotatable Bond Count (rotbonds) 5
Hydrogen Bond Donor Count (hbonddonor) 2
Hydrogen Bond Acceptor Count (hbondacc) 8
ADMET Property
Absorption AUC
The area under the plot of plasma concentration (AUC) of drug is 29.4 +/- 14.2 mcgh/L [5]
Absorption Cmax
The maximum plasma concentration (Cmax) of drug is 9.6 mcg/L [5]
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 0.5 h [5]
Bioavailability
The bioavailability of drug is 14-15% [5]
Clearance
The apparent oral clearance of drug is 63.1 L/h [6]
Elimination
The main route of elimination of palbociclib is through feces after hepatic metabolism while renal clearance seems to play a minor role accounting only for 17.5% of the eliminated dose [6]
Half-life
The concentration or amount of drug in body reduced by one-half in 29 hours [6]
Metabolism
The drug is metabolized via the hepatic [6]
Vd
The volume of distribution (Vd) of drug is 2583 L [7]
Chemical Identifiers
Formula
C24H29N7O2
IUPAC Name
6-acetyl-8-cyclopentyl-5-methyl-2-[(5-piperazin-1-ylpyridin-2-yl)amino]pyrido[2,3-d]pyrimidin-7-one
Canonical SMILES
CC1=C(C(=O)N(C2=NC(=NC=C12)NC3=NC=C(C=C3)N4CCNCC4)C5CCCC5)C(=O)C
InChI
InChI=1S/C24H29N7O2/c1-15-19-14-27-24(28-20-8-7-18(13-26-20)30-11-9-25-10-12-30)29-22(19)31(17-5-3-4-6-17)23(33)21(15)16(2)32/h7-8,13-14,17,25H,3-6,9-12H2,1-2H3,(H,26,27,28,29)
InChIKey
AHJRHEGDXFFMBM-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
5330286
ChEBI ID
CHEBI:85993
CAS Number
571190-30-2
DrugBank ID
DB09073
TTD ID
D00UZR
VARIDT ID
DR01288
INTEDE ID
DR1229
ACDINA ID
D00504

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Cyclin-dependent kinase 4 (CDK4) TT0PG8F CDK4_HUMAN Modulator [1]
Cyclin-dependent kinase 6 (CDK6) TTO0FDJ CDK6_HUMAN Modulator [1]

Drug Transporter (DTP)
DTP Name DTP ID UniProt ID MOA REF
Breast cancer resistance protein (ABCG2) DTI7UX6 ABCG2_HUMAN Substrate [8]
P-glycoprotein 1 (ABCB1) DTUGYRD MDR1_HUMAN Substrate [8]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [9]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Breast cancer
ICD Disease Classification 2C60-2C65
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Cyclin-dependent kinase 4 (CDK4) DTT CDK4 3.30E-72 0.65 2.39
P-glycoprotein 1 (ABCB1) DTP P-GP 3.12E-33 -8.30E-01 -1.04E+00
Breast cancer resistance protein (ABCG2) DTP BCRP 3.87E-47 -1.28E+00 -1.63E+00
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 5.59E-39 -3.76E-01 -1.64E+00
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Same Disease as Palbociclib
DDI Drug Name DDI Drug ID Severity Mechanism Disease REF
Talazoparib DM1KS78 Moderate Decreased clearance of Palbociclib due to the transporter inhibition by Talazoparib. Breast cancer [2C60-2C6Y] [46]
LY2835219 DM93VBZ Moderate Decreased metabolism of Palbociclib caused by LY2835219 mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [47]
Tucatinib DMBESUA Major Decreased metabolism of Palbociclib caused by Tucatinib mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [48]
Coadministration of a Drug Treating the Disease Different from Palbociclib (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Ivosidenib DM8S6T7 Moderate Increased metabolism of Palbociclib caused by Ivosidenib mediated induction of CYP450 enzyme. Acute myeloid leukaemia [2A60] [49]
Arn-509 DMT81LZ Major Increased metabolism of Palbociclib caused by Arn-509 mediated induction of CYP450 enzyme. Acute myeloid leukaemia [2A60] [49]
Gilteritinib DMWQ4MZ Moderate Decreased metabolism of Palbociclib caused by Gilteritinib mediated inhibition of CYP450 enzyme. Acute myeloid leukaemia [2A60] [50]
Oliceridine DM6MDCF Moderate Decreased metabolism of Palbociclib caused by Oliceridine mediated inhibition of CYP450 enzyme. Acute pain [MG31] [48]
Ivabradine DM0L594 Moderate Decreased metabolism of Palbociclib caused by Ivabradine mediated inhibition of CYP450 enzyme. Angina pectoris [BA40] [50]
Troleandomycin DMUZNIG Major Decreased metabolism of Palbociclib caused by Troleandomycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [48]
Pexidartinib DMS2J0Z Moderate Increased metabolism of Palbociclib caused by Pexidartinib mediated induction of CYP450 enzyme. Bone/articular cartilage neoplasm [2F7B] [49]
PF-04449913 DMSB068 Moderate Decreased metabolism of Palbociclib caused by PF-04449913 mediated inhibition of CYP450 enzyme. Chronic myelomonocytic leukaemia [2A40] [51]
Osilodrostat DMIJC9X Moderate Decreased metabolism of Palbociclib caused by Osilodrostat mediated inhibition of CYP450 enzyme. Cushing syndrome [5A70] [50]
MK-8228 DMOB58Q Moderate Decreased metabolism of Palbociclib caused by MK-8228 mediated inhibition of CYP450 enzyme. Cytomegaloviral disease [1D82] [50]
Polatuzumab vedotin DMF6Y0L Moderate Decreased metabolism of Palbociclib caused by Polatuzumab vedotin mediated inhibition of CYP450 enzyme. Diffuse large B-cell lymphoma [2A81] [52]
Eslicarbazepine DMZREFQ Moderate Increased metabolism of Palbociclib caused by Eslicarbazepine mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [49]
Tazemetostat DMWP1BH Moderate Increased metabolism of Palbociclib caused by Tazemetostat mediated induction of CYP450 enzyme. Follicular lymphoma [2A80] [53]
Avapritinib DMK2GZX Moderate Decreased metabolism of Palbociclib caused by Avapritinib mediated inhibition of CYP450 enzyme. Gastrointestinal stromal tumour [2B5B] [50]
MK-1439 DM215WE Minor Decreased metabolism of Palbociclib caused by MK-1439 mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [54]
Berotralstat DMWA2DZ Major Decreased clearance of Palbociclib due to the transporter inhibition by Berotralstat. Innate/adaptive immunodeficiency [4A00] [55]
Pemigatinib DM819JF Moderate Decreased metabolism of Palbociclib caused by Pemigatinib mediated inhibition of CYP450 enzyme. Liver cancer [2C12] [50]
Brigatinib DM7W94S Moderate Decreased metabolism of Palbociclib caused by Brigatinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [49]
Lurbinectedin DMEFRTZ Moderate Decreased metabolism of Palbociclib caused by Lurbinectedin mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [56]
PF-06463922 DMKM7EW Moderate Increased metabolism of Palbociclib caused by PF-06463922 mediated induction of CYP450 enzyme. Lung cancer [2C25] [49]
Osimertinib DMRJLAT Moderate Decreased metabolism of Palbociclib caused by Osimertinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [57]
Pralsetinib DMWU0I2 Moderate Decreased metabolism of Palbociclib caused by Pralsetinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [58]
Selpercatinib DMZR15V Moderate Decreased metabolism of Palbociclib caused by Selpercatinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [50]
GDC-0199 DMH0QKA Moderate Decreased metabolism of Palbociclib caused by GDC-0199 mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [49]
IPI-145 DMWA24P Moderate Decreased metabolism of Palbociclib caused by IPI-145 mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [59]
Acalabrutinib DM7GCVW Moderate Decreased metabolism of Palbociclib caused by Acalabrutinib mediated inhibition of CYP450 enzyme. Mature B-cell lymphoma [2A85] [60]
Arry-162 DM1P6FR Moderate Decreased clearance of Palbociclib due to the transporter inhibition by Arry-162. Melanoma [2C30] [49]
Selumetinib DMC7W6R Moderate Decreased metabolism of Palbociclib caused by Selumetinib mediated inhibition of CYP450 enzyme. Melanoma [2C30] [61]
Ubrogepant DM749I3 Moderate Decreased metabolism of Palbociclib caused by Ubrogepant mediated inhibition of CYP450 enzyme. Migraine [8A80] [62]
Rimegepant DMHOAUG Moderate Decreased clearance of Palbociclib due to the transporter inhibition by Rimegepant. Migraine [8A80] [63]
Siponimod DM2R86O Major Additive immunosuppressive effects by the combination of Palbociclib and Siponimod. Multiple sclerosis [8A40] [49]
Ocrelizumab DMEZ2KH Moderate Additive immunosuppressive effects by the combination of Palbociclib and Ocrelizumab. Multiple sclerosis [8A40] [64]
Fedratinib DM4ZBK6 Moderate Decreased metabolism of Palbociclib caused by Fedratinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [50]
Rucaparib DM9PVX8 Moderate Decreased metabolism of Palbociclib caused by Rucaparib mediated inhibition of CYP450 enzyme. Ovarian cancer [2C73] [50]
Abametapir DM2RX0I Moderate Decreased metabolism of Palbociclib caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [65]
Lefamulin DME6G97 Moderate Decreased metabolism of Palbociclib caused by Lefamulin mediated inhibition of CYP450 enzyme. Pneumonia [CA40] [66]
Anthrax vaccine DM9GSWY Moderate Antagonize the effect of Palbociclib when combined with Anthrax vaccine. Sepsis [1G40-1G41] [67]
Voxelotor DMCS6M5 Moderate Decreased metabolism of Palbociclib caused by Voxelotor mediated inhibition of CYP450 enzyme. Sickle-cell disorder [3A51] [50]
LDE225 DMM9F25 Moderate Decreased metabolism of Palbociclib caused by LDE225 mediated inhibition of CYP450 enzyme. Skin cancer [2C30-2C37] [68]
Telotristat ethyl DMDIYFZ Moderate Increased metabolism of Palbociclib caused by Telotristat ethyl mediated induction of CYP450 enzyme. Small intestine developmental anomaly [DA90] [50]
Larotrectinib DM26CQR Moderate Decreased clearance of Palbociclib due to the transporter inhibition by Larotrectinib. Solid tumour/cancer [2A00-2F9Z] [49]
LEE011 DMMX75K Moderate Decreased metabolism of Palbociclib caused by LEE011 mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [50]
Lusutrombopag DMH6IKO Moderate Decreased clearance of Palbociclib due to the transporter inhibition by Lusutrombopag. Thrombocytopenia [3B64] [69]
Elagolix DMB2C0E Moderate Increased metabolism of Palbociclib caused by Elagolix mediated induction of CYP450 enzyme. Uterine fibroid [2E86] [49]
⏷ Show the Full List of 44 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Ammonia E00007 222 Alkalizing agent
Eisenoxyd E00585 56841934 Colorant
Ferric hydroxide oxide yellow E00539 23320441 Colorant
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Propylene glycol E00040 1030 Antimicrobial preservative; Humectant; Plasticizing agent; Solvent
Silicon dioxide E00670 Not Available Anticaking agent; Opacifying agent; Viscosity-controlling agent
Titanium dioxide E00322 26042 Coating agent; Colorant; Opacifying agent
⏷ Show the Full List of 8 Pharmaceutical Excipients of This Drug
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Palbociclib 100 mg capsule 100 mg Oral Capsule Oral
Palbociclib 125 mg capsule 125 mg Oral Capsule Oral
Palbociclib 75 mg capsule 75 mg Oral Capsule Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health Human Services. 2017
2 ClinicalTrials.gov (NCT01723774) PD 0332991 and Anastrozole for Stage 2 or 3 Estrogen Receptor Positive and HER2 Negative Breast Cancer. U.S. National Institutes of Health.
3 Clinical pipeline report, company report or official report of the Pharmaceutical Research and Manufacturers of America (PhRMA)
4 The pipeline and future of drug development in schizophrenia. Mol Psychiatry. 2007 Oct;12(10):904-22.
5 Dailymed: Terbutaline Sulfate Subcutaneous Injection
6 FDA Approval: Palbociclib for the Treatment of Postmenopausal Patients with Estrogen Receptor-Positive, HER2-Negative Metastatic Breast Cancer. Clin Cancer Res. 2015 Nov 1;21(21):4760-6. doi: 10.1158/1078-0432.CCR-15-1185. Epub 2015 Aug 31.
7 Clinical trials
8 Efflux transporters at the blood-brain barrier limit delivery and efficacy of cyclin-dependent kinase 4/6 inhibitor palbociclib (PD-0332991) in an orthotopic brain tumor model. J Pharmacol Exp Ther. 2015 Nov;355(2):264-71.
9 Progress with palbociclib in breast cancer: latest evidence and clinical considerations. Ther Adv Med Oncol. 2017 Feb;9(2):83-105.
10 Expression levels and activation of a PXR variant are directly related to drug resistance in osteosarcoma cell lines. Cancer. 2007 Mar 1;109(5):957-65.
11 Contribution of human hepatic cytochrome P450 isoforms to regioselective hydroxylation of steroid hormones. Xenobiotica. 1998 Jun;28(6):539-47.
12 Comprehensive evaluation of tamoxifen sequential biotransformation by the human cytochrome P450 system in vitro: prominent roles for CYP3A and CYP2D6. J Pharmacol Exp Ther. 2004 Sep;310(3):1062-75.
13 Isoform-specific regulation of cytochromes P450 expression by estradiol and progesterone. Drug Metab Dispos. 2013 Feb;41(2):263-9.
14 Metabolic interactions between acetaminophen (paracetamol) and two flavonoids, luteolin and quercetin, through in-vitro inhibition studies. J Pharm Pharmacol. 2017 Dec;69(12):1762-1772.
15 Potent mechanism-based inhibition of CYP3A4 by imatinib explains its liability to interact with CYP3A4 substrates. Br J Pharmacol. 2012 Apr;165(8):2787-98.
16 Effects of morin on the pharmacokinetics of etoposide in rats. Biopharm Drug Dispos. 2007 Apr;28(3):151-6.
17 The metabolism of zidovudine by human liver microsomes in vitro: formation of 3'-amino-3'-deoxythymidine. Biochem Pharmacol. 1994 Jul 19;48(2):267-76.
18 Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675.
19 Human intestinal transporter database: QSAR modeling and virtual profiling of drug uptake, efflux and interactions. Pharm Res. 2013 Apr;30(4):996-1007.
20 MDR1 (ABCB1) G1199A (Ser400Asn) polymorphism alters transepithelial permeability and sensitivity to anticancer agents. Cancer Chemother Pharmacol. 2009 Jun;64(1):183-8.
21 Mammalian drug efflux transporters of the ATP binding cassette (ABC) family in multidrug resistance: A review of the past decade. Cancer Lett. 2016 Jan 1;370(1):153-64.
22 Folate transporter expression decreases in the human placenta throughout pregnancy and in pre-eclampsia. Pregnancy Hypertens. 2012 Apr;2(2):123-31.
23 Comparative studies on in vitro methods for evaluating in vivo function of MDR1 P-glycoprotein. Pharm Res. 2001 Dec;18(12):1660-8.
24 Antiestrogens and steroid hormones: substrates of the human P-glycoprotein. Biochem Pharmacol. 1994 Jul 19;48(2):287-92.
25 Association of genetic polymorphisms in the influx transporter SLCO1B3 and the efflux transporter ABCB1 with imatinib pharmacokinetics in patients with chronic myeloid leukemia. Ther Drug Monit. 2011 Apr;33(2):244-50.
26 Doxorubicin transport by RALBP1 and ABCG2 in lung and breast cancer. Int J Oncol. 2007 Mar;30(3):717-25.
27 Wild-type breast cancer resistance protein (BCRP/ABCG2) is a methotrexate polyglutamate transporter. Cancer Res. 2003 Sep 1;63(17):5538-43.
28 The effect of low pH on breast cancer resistance protein (ABCG2)-mediated transport of methotrexate, 7-hydroxymethotrexate, methotrexate diglutamate, folic acid, mitoxantrone, topotecan, and resveratrol in in vitro drug transport models. Mol Pharmacol. 2007 Jan;71(1):240-9.
29 Role of BCRP as a biomarker for predicting resistance to 5-fluorouracil in breast cancer. Cancer Chemother Pharmacol. 2009 May;63(6):1103-10.
30 Inhibiting the function of ABCB1 and ABCG2 by the EGFR tyrosine kinase inhibitor AG1478. Biochem Pharmacol. 2009 Mar 1;77(5):781-93.
31 Sterol transport by the human breast cancer resistance protein (ABCG2) expressed in Lactococcus lactis. J Biol Chem. 2003 Jun 6;278(23):20645-51.
32 The phytoestrogen genistein enhances multidrug resistance in breast cancer cell lines by translational regulation of ABC transporters. Cancer Lett. 2016 Jun 28;376(1):165-72.
33 Curcumin inhibits the activity of ABCG2/BCRP1, a multidrug resistance-linked ABC drug transporter in mice. Pharm Res. 2009 Feb;26(2):480-7.
34 Imatinib mesylate (STI571) is a substrate for the breast cancer resistance protein (BCRP)/ABCG2 drug pump. Blood. 2004 Nov 1;104(9):2940-2.
35 Agreement signed with Prostagenics to develop prostate cancer treatment. Innovate Oncology, Inc. 2005.
36 Interpreting expression profiles of cancers by genome-wide survey of breadth of expression in normal tissues. Genomics 2005 Aug;86(2):127-41.
37 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health & Human Services.
38 Drugs@FDA. U.S. Food and Drug Administration. U.S. Department of Health Human Services. 2021
39 Dual CDK4/CDK6 inhibition induces cell-cycle arrest and senescence in neuroblastoma. Clin Cancer Res. 2013 Nov 15;19(22):6173-82.
40 A comparison of physicochemical property profiles of marketed oral drugs and orally bioavailable anti-cancer protein kinase inhibitors in clinical development. Curr Top Med Chem. 2007;7(14):1408-22.
41 Cell cycle kinases as therapeutic targets for cancer. Nat Rev Drug Discov. 2009 Jul;8(7):547-66.
42 Liposarcoma: molecular genetics and therapeutics. Sarcoma. 2011;2011:483154.
43 Clinical pipeline report, company report or official report of Gan & Lee Pharmaceuticals.
44 Clinical pipeline report, company report or official report of Fochon Pharmaceuticals.
45 Discovery of 4-((7H-Pyrrolo[2,3-d]pyrimidin-4-yl)amino)-N-(4-((4-methylpiperazin-1-yl)methyl)phenyl)-1H-pyrazole-3-carboxamide (FN-1501), an FLT3- and CDK-Kinase Inhibitor with Potentially High Efficiency against Acute Myelocytic Leukemia. J Med Chem. 2018 Feb 22;61(4):1499-1518.
46 Product Information. Talzenna (talazoparib). Pfizer U.S. Pharmaceuticals Group, New York, NY.
47 Product Information. Verzenio (abemaciclib). Lilly, Eli and Company, Indianapolis, IN.
48 Product Information. Ibrance (palbociclib). Pfizer U.S. Pharmaceuticals Group, New York, NY.
49 Cerner Multum, Inc. "Australian Product Information.".
50 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
51 Product Information. Daurismo (glasdegib). Pfizer U.S. Pharmaceuticals Group, New York, NY.
52 Product Information. Polivy (polatuzumab vedotin). Genentech, South San Francisco, CA.
53 Product Information. Tazverik (tazemetostat). Epizyme, Inc, Cambridge, MA.
54 Product Information. Pifeltro (doravirine). Merck & Company Inc, Whitehouse Station, NJ.
55 Product Information. Orladeyo (berotralstat). BioCryst Pharmaceuticals Inc, Durham, NC.
56 Product Information. Zepzelca (lurbinectedin). Jazz Pharmaceuticals, Palo Alto, CA.
57 Product Information. Tagrisso (osimertinib). Astra-Zeneca Pharmaceuticals, Wilmington, DE.
58 Product Information. Gavreto (pralsetinib). Blueprint Medicines Corporation, Cambridge, MA.
59 Product Information. Copiktra (duvelisib). Verastem, Inc., Needham, MA.
60 Product Information. Calquence (acalabrutinib). Astra-Zeneca Pharmaceuticals, Wilmington, DE.
61 Product Information. Koselugo (selumetinib). Astra-Zeneca Pharmaceuticals, Wilmington, DE.
62 Product Information. Ubrelvy (ubrogepant). Allergan Inc, Irvine, CA.
63 Product Information. Nurtec ODT (rimegepant). Biohaven Pharmaceuticals, New Haven, CT.
64 Product Information. Ocrevus (ocrelizumab). Genentech, South San Francisco, CA.
65 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
66 Product Information. Xenleta (lefamulin). Nabriva Therapeutics US, Inc., King of Prussia, PA.
67 CDC. Centers for Disease Control and Prevention/ "Recommendations of the advisory committtee on immunization practices (ACIP): use of vaccines and immune globulins in persons with altered immunocompetence." MMWR Morb Mortal Wkly Rep 42(RR-04) (1993): 1-18. [PMID: 20300058]
68 Product Information. Odomzo (sonidegib). Novartis Pharmaceuticals, East Hanover, NJ.
69 EMA. European Medicines Agency. European Union "EMA - List of medicines under additional monitoring.".