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Relugolix

Alias: TAK 385; TAK385; TAK-385; trade names: Orgovyx; Relumina
Cat No.:V4596 Purity: ≥98%
Relugolix (formerly TAK-385; TAK385; trade names: Orgovyx and Relumina) is a non-peptidyl and orally bioactive antagonist of gonadotropin-releasing hormone (GnRH) approved in 2020 for use in the treatment of prostate cancer in men and uterine fibroids in women.
Relugolix
Relugolix Chemical Structure CAS No.: 737789-87-6
Product category: GnRH Receptor
This product is for research use only, not for human use. We do not sell to patients.
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Purity & Quality Control Documentation

Purity: ≥98%

Product Description

Relugolix (formerly TAK-385; TAK385; trade names: Orgovyx and Relumina) is a non-peptidyl and orally bioactive antagonist of gonadotropin-releasing hormone (GnRH) approved in 2020 for use in the treatment of prostate cancer in men and uterine fibroids in women. It is also being developed as an endometriosis treatment. Relugolix inhibits GnRH in the presence of 40% fetal bovine serum with an IC50 of 0.33 nM. When compared to TAK-013, it has a stronger antagonistic activity and a higher affinity. While TAK-385 regulates the effects of LH and FSH on the ovary and lowers blood levels of estrogen, which are known to be linked to the development of endometriosis and uterine fibroids, Relugolix inhibits LH-RH from binding with the LH-RH receptor in the anterior pituitary gland and suppresses the secretion of luteinizing hormone (LH) and follicle stimulation hormone (FSH) from the anterior pituitary gland.

Biological Activity I Assay Protocols (From Reference)
Targets
human GnRH ( IC50 = 0.33 nM ); monkey GnRH ( IC50 = 0.32 nM )
ln Vitro
Relugolix shows a 30000-fold decrease for the rat receptor (IC50=9800 nM) but a strong binding affinity (IC50=0.32 nM) for the monkey receptor, which is comparable to that of the human receptor (IC50=0.33 nM). In the presence of 40% serum, TAK-385's antagonistic in vitro activity against the human receptor (IC90=18 nM) was 95 times greater than that against the monkey receptor (IC90=1700 nM)[1].
ln Vivo
Relugolix (oral administration; 1-3 mg/kg; single dose for pharmacokinetic study) shows clear suppression of circulating LH levels in monkeys at a dose of 1 mg/kg and a good pharmacokinetic profile. Male cynomolgus monkeys show a pharmacokinetic profile with Cmax, Tmax, and AUCo values of 16.0 ng/mL, 2.7 h, and 90.1 ng, respectively[1].
Relugolix (oral administration; 3, 10, or 30 mg/kg; twice daily; 4 weeks) dramatically lowers the weight of the testicles, lowers the weight of the ventral prostate (3 mg/kg), and lowers the weight of the prostate to castrate levels (10 mg/kg) in male hGNRHR-knock-in mice[2].
Relugolix (oral administration; 30, 100, or 200 mg/kg; twice daily; 4 weeks) causes all mice to enter a constant diestrous phase during the first week at 100 mg/kg, and after 4 weeks in female hGNRHR-knock-in mice, this dose significantly reduces the weights of the uteri and ovaries[2].
Animal Protocol
Male hGNRHR-knock-in mice
3, 10 or 30 mg/kg
Oral administration; 3, 10 or 30 mg/kg; twice daily; 4 weeks
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
The Cmax and AUC of orally-administered relugolix increase proportionally following single doses - in contrast, with repeat dosing the AUC remains proportional to the dose while the Cmax increases greater than proportionally to the dose. Following the administration of 120mg once daily, the steady-state AUC and Cmax of relugolix were 407 (± 168) ng.hr/mL and 70 (± 65) ng/mL, respectively. The absolute oral bioavailability of relugolix is approximately 12% and the median Tmax following oral administration is 2.25 hours.
Approximately 81% of an orally administered dose was recovered in the feces, of which 4.2% was unchanged parent drug, while 4.1% of the dose was recovered in the urine, of which 2.2% remained unchanged.
The average renal clearance of relugolix is 8 L/h with a total clearance of 26.4 L/h.
Metabolism / Metabolites
Relugolix is metabolized mainly by the CYP3A subfamily of P450 enzymes, with a smaller contribution by CYP2C8.
Biological Half-Life
The average effective half-life of relugolix is 25 hours, while the average terminal elimination half-life is 60.8 hours.
Toxicity/Toxicokinetics
Hepatotoxicity
Relugolix therapy has been associated with serum aminotransferase elevations above 3 times the upper limit of normal (ULN) in 1% to 3% of patients and in similar proportions of patients receiving comparator agents such as leuprolide or degarelix. The serum enzyme elevations are generally mild and self-limited, resolving even without dose adjustment. ALT values above 5 times the ULN occur in less than 1% of patients, and episodes of ALT elevations with symptoms or jaundice were not observed in preregistration clinical trials of relugolix alone or in combination with estradiol and norethindrone. Since its approval and more widescale use, there have been no published reports of clinically apparent liver injury attributed to relugolix.
Likelihood score: E (unlikely cause of clinically apparent liver injury).
Protein Binding
Relugolix is 68-71% protein-bound in plasma, primarily to albumin and, to a lesser extent, α1-acid glycoprotein.
References

[1]. Discovery of 1-{4-[1-(2,6-Difluorobenzyl)-5-[(dimethylamino)methyl]-3-(6-methoxypyridazin-3-yl)-2,4-dioxo-1,2,3,4-tetrahydrothieno[2,3-d]pyrimidin-6-yl]phenyl}-3-methoxyurea (TAK-385) as a Potent, Orally Active, Non-Peptide Antagonist of the Human Gonadotropin-Releasing Hormone Receptor. J. Med. Chem. 2011, 54, 14, 4998–5012

[2]. Suppression of the hypothalamic-pituitary-gonadal axis by TAK-385 (relugolix), a novel, investigational, orally active, small molecule gonadotropin-releasing hormone (GnRH) antagonist: studies in human GnRH receptor knock-in mice. Eur J Pharmacol . 2014 Jan 15:723:167-74.

Additional Infomation
Pharmacodynamics
Approximately 56% of patients achieved castrate-level testosterone concentrations (<50 ng/dL) by day 4 of therapy and 97% of patients maintain these levels through 48 weeks of therapy. Relugolix requires once-daily oral administration to maintain the desired testosterone concentrations. Androgen deprivation therapies may prolong the QTc interval and should therefore be used with caution in patients having a high baseline risk of QTc prolongation, such as those with electrolyte abnormalities, congestive heart failure, or using other medications known to prolong the QTc interval. Based on its mechanism of action and data from animal studies, relugolix may result in fetal harm if administered to pregnant females - male patients with female partners should be advised to use effective contraception throughout therapy and for 2 weeks following cessation of therapy to prevent inadvertent fetal exposure.
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C29H27F2N7O5S
Molecular Weight
623.630391359329
Exact Mass
623.18
Elemental Analysis
C, 55.85; H, 4.36; F, 6.09; N, 15.72; O, 12.83; S, 5.14
CAS #
737789-87-6
Related CAS #
Relugolix-d6
PubChem CID
10348973
Appearance
White to off-white solid powder
LogP
3.966
Hydrogen Bond Donor Count
2
Hydrogen Bond Acceptor Count
11
Rotatable Bond Count
9
Heavy Atom Count
44
Complexity
1010
Defined Atom Stereocenter Count
0
SMILES
O=C(NOC)NC1=CC=C(C(S2)=C(CN(C)C)C(C(N3C4=NN=C(OC)C=C4)=O)=C2N(CC5=C(F)C=CC=C5F)C3=O)C=C1
InChi Key
AOMXMOCNKJTRQP-UHFFFAOYSA-N
InChi Code
InChI=1S/C29H27F2N7O5S/c1-36(2)14-19-24-26(39)38(22-12-13-23(42-3)34-33-22)29(41)37(15-18-20(30)6-5-7-21(18)31)27(24)44-25(19)16-8-10-17(11-9-16)32-28(40)35-43-4/h5-13H,14-15H2,1-4H3,(H2,32,35,40)
Chemical Name
1-[4-[1-[(2,6-difluorophenyl)methyl]-5-[(dimethylamino)methyl]-3-(6-methoxypyridazin-3-yl)-2,4-dioxothieno[2,3-d]pyrimidin-6-yl]phenyl]-3-methoxyurea
Synonyms
TAK 385; TAK385; TAK-385; trade names: Orgovyx; Relumina
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 61~100 mg/mL (97.8~160.4 mM)
Solubility (In Vivo)
Solubility in Formulation 1: ≥ 0.83 mg/mL (1.33 mM) (saturation unknown) in 10% DMSO + 40% PEG300 + 5% Tween80 + 45% Saline (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 8.3 mg/mL clear DMSO stock solution to 400 μL of PEG300 and mix evenly; then add 50 μL of Tween-80 to the above solution and mix evenly; then add 450 μL of normal saline to adjust the volume to 1 mL.
Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH₂ O to obtain a clear solution.

Solubility in Formulation 2: ≥ 0.83 mg/mL (1.33 mM) (saturation unknown) in 10% DMSO + 90% (20% SBE-β-CD in Saline) (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 8.3 mg/mL clear DMSO stock solution to 900 μL of 20% SBE-β-CD physiological saline solution and mix evenly.
Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.

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Solubility in Formulation 3: ≥ 0.83 mg/mL (1.33 mM) (saturation unknown) in 10% DMSO + 90% Corn Oil (add these co-solvents sequentially from left to right, and one by one), clear solution.
For example, if 1 mL of working solution is to be prepared, you can add 100 μL of 8.3 mg/mL clear DMSO stock solution to 900 μL of corn oil and mix evenly.


 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 1.6035 mL 8.0176 mL 16.0351 mL
5 mM 0.3207 mL 1.6035 mL 3.2070 mL
10 mM 0.1604 mL 0.8018 mL 1.6035 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

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What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
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What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
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Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
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In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
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Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Comeback From Long coursE Androgen Deprivation Therapy (ADT) With RElugolix and Darolutamide (CLEARED)
CTID: NCT06463457
Phase: Phase 2    Status: Recruiting
Date: 2024-12-02
Testing the Addition of the Drug Relugolix to the Usual Radiation Therapy for Advanced-Stage Prostate Cancer
CTID: NCT05053152
Phase: Phase 2    Status: Recruiting
Date: 2024-11-29
Two Studies for Patients With Unfavorable Intermediate Risk Prostate Cancer Testing Less Intense Treatment for Patients With a Low Gene Risk Score and Testing a More Intense Treatment for Patients With a Higher Gene Risk Score
CTID: NCT05050084
Phase: Phase 3    Status: Recruiting
Date: 2024-11-27
A Multi-Center, Prospective, Observational Study of Patients Being Treated with ORGOVYX
CTID: NCT05467176
Phase:    Status: Active, not recruiting
Date: 2024-11-26
Stereotactic Body Radiation Therapy Plus Androgen Receptor Pathway Inhibitor and Androgen Depr
HERO: A Multinational Phase 3 Randomized, Open-label, Parallel Group Study to Evaluate the Safety and Efficacy of Relugolix in Men with Advanced Prostate Cancer
CTID: null
Phase: Phase 3    Status: GB - no longer in EU/EEA, Completed
Date: 2017-07-25
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LIBERTY 1: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Co Administered with and without Low-Dose Estradiol and Norethindrone Acetate in Women with Heavy Menstrual Bleeding Associated with Uterine Fibroids
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-06-12


LIBERTY 2: An International Phase 3 Randomized, Double-Blind, Placebo-Controlled Efficacy and Safety Study to Evaluate Relugolix Co Administered with and without Low-Dose Estradiol and Norethindrone Acetate in Women with Heavy Menstrual Bleeding Associated with Uterine Fibroids
CTID: null
Phase: Phase 3    Status: Completed
Date: 2017-05-22

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