Endoxifen
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Also known as NSC-749798Z-endoxifen(Z)-EndoxifenEndoxifinENDOXIFEN HCL
Summary
Endoxifen (CHEMBL1093458) is a phase-3 clinical-stage small molecule targeting CYP19A1; indicated across 6 conditions including bipolar disorder and ductal breast carcinoma in situ.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 1 (CYP19A1)
- Indications: 6 conditions
- Clinical trials: 10
- Chemistry: 373.5 Da · C25H27NO2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1093458 |
| Name | Endoxifen |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 10090750 |
| Molecular formula | C25H27NO2 |
| Molecular weight | 373.5 |
| InChIKey | MHJBZVSGOZTKRH-IZHYLOQSSA-N |
SMILES: CC/C(=C(\C1=CC=C(C=C1)O)/C2=CC=C(C=C2)OCCNC)/C3=CC=CC=C3
IUPAC name: 4-[(Z)-1-[4-[2-(methylamino)ethoxy]phenyl]-2-phenylbut-1-enyl]phenol
Also known as: Endoxifen, NSC-749798, Z-endoxifen, endoxifen, (Z)-Endoxifen, Endoxifin, ENDOXIFEN, ENDOXIFEN HCL, Endoxifen HCl
Patent coverage: 209 distinct patent families (523 SureChEMBL compound mentions), from 1 matched compound structure(s). Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.
Targets
Targets
Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| CYP19A1 | CYP19A1 | Inhibition | 5.22 | 0% | P11511 |
Broader ChEMBL bioactivity targets: 2 (assay-derived). Sample: Aromatase, Estrogen receptor.
Bioactivity
ChEMBL activities: 4 potent at pChembl ≥ 5 of 4 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| ESR1 | 7.52 | IC50 | 30 | nM | CHEMBL_ACT_24377199 |
| CYP19A1 | 5.22 | IC50 | 6000 | nM | CHEMBL_ACT_13319670 |
| CYP19A1 | 5.22 | IC50 | 6000 | nM | CHEMBL_ACT_16620043 |
| CYP19A1 | 5.21 | IC50 | 6100 | nM | CHEMBL_ACT_19201328 |
Target pathways
Aggregated over 1 target gene(s): CYP19A1.
Top Reactome pathways
3 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Estrogen biosynthesis | 1 | CYP19A1 |
| Endogenous sterols | 1 | CYP19A1 |
| Defective CYP19A1 causes AEXS | 1 | CYP19A1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| negative regulation of chronic inflammatory response | 1 |
| steroid biosynthetic process | 1 |
| estrogen biosynthetic process | 1 |
| androgen catabolic process | 1 |
| obsolete syncytium formation | 1 |
| female gonad development | 1 |
| negative regulation of macrophage chemotaxis | 1 |
| sterol metabolic process | 1 |
| female genitalia development | 1 |
| mammary gland development | 1 |
| response to estradiol | 1 |
| uterus development | 1 |
| prostate gland growth | 1 |
| testosterone biosynthetic process | 1 |
| positive regulation of estradiol secretion | 1 |
Indications & clinical
Indications
6 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| bipolar disorder | 3 | MONDO:0004985 | EFO:0009963 |
| ductal breast carcinoma in situ | 2 | MONDO:0005023 | EFO:0000432 |
| angiosarcoma | 2 | MONDO:0016982 | EFO:0003968 |
| breast neoplasm | 2 | MONDO:0021100 | MONDO:0007254 |
| neoplasm | 1 | MONDO:0005070 | EFO:0000616 |
1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 10.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 6 |
| PHASE1 | 3 |
| PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04315792 | PHASE3 | COMPLETED | Evaluate Efficacy and Safety of Endoxifen in Bipolar I Disorder Patients |
| NCT01042379 | PHASE2 | RECRUITING | I-SPY TRIAL: Neoadjuvant and Personalized Adaptive Novel Agents to Treat Breast Cancer |
| NCT02311933 | PHASE2 | ACTIVE_NOT_RECRUITING | Tamoxifen Citrate or Z-Endoxifen Hydrochloride in Treating Patients With Locally Advanced or Metastatic, Estrogen Receptor-Positive, HER2-Negative Breast Cancer |
| NCT05607004 | PHASE2 | RECRUITING | (Z)-Endoxifen for the Treatment of Premenopausal Women With ER+/HER2- Breast Cancer |
| NCT06075953 | PHASE2 | RECRUITING | DCIS: RECAST Trial Ductal Carcinoma In Situ: Re-Evaluating Conditions for Active Surveillance Suitability as Treatment |
| NCT04616430 | PHASE2 | COMPLETED | Topical Endoxifen in Women |
| NCT05068388 | PHASE2 | COMPLETED | Effect of Oral (Z)-Endoxifen in Premenopausal Women With Measurable Breast Density |
| NCT01327781 | PHASE1 | ACTIVE_NOT_RECRUITING | Z-Endoxifen Hydrochloride in Treating Patients With Metastatic or Locally Recurrent Estrogen Receptor-Positive Breast Cancer |
| NCT03317405 | PHASE1 | ACTIVE_NOT_RECRUITING | Phase I Trial of Endoxifen Gel Versus Placebo in Women Undergoing Breast Surgery |
| NCT01273168 | PHASE1 | COMPLETED | Endoxifen in Adults With Hormone Receptor Positive Solid Tumors |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 1 clinical and 67 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.
40 molecules share ≥1 primary target. Top 40 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| AMINOGLUTETHIMIDE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| ANASTROZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| CLOTRIMAZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| ESTRONE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| EXEMESTANE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| FLUCONAZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| FLUOROURACIL | ChEMBL | Phase 4 (approved) | CYP19A1 |
| KETOCONAZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| LETROZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| MICONAZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| NIMESULIDE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| OSILODROSTAT | ChEMBL | Phase 4 (approved) | CYP19A1 |
| POSACONAZOLE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| TESTOLACTONE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| TESTOSTERONE | ChEMBL | Phase 4 (approved) | CYP19A1 |
| DOCONEXENT | ChEMBL | Phase 3 | CYP19A1 |
| ICOSAPENT | ChEMBL | Phase 3 | CYP19A1 |
| QUERCETIN | ChEMBL | Phase 3 | CYP19A1 |
| RESVERATROL | ChEMBL | Phase 3 | CYP19A1 |
| 2-METHOXYESTRADIOL | ChEMBL | Phase 2 | CYP19A1 |
| AZALANSTAT | ChEMBL | Phase 2 | CYP19A1 |
| DAIDZEIN | ChEMBL | Phase 2 | CYP19A1 |
| DEXFADROSTAT | ChEMBL | Phase 2 | CYP19A1 |
| DOCOSAPENTAENOIC ACID | ChEMBL | Phase 2 | CYP19A1 |
| FADROZOLE | ChEMBL | Phase 2 | CYP19A1 |
| FLAVONE | ChEMBL | Phase 2 | CYP19A1 |
| FORMESTANE | ChEMBL | Phase 2 | CYP19A1 |
| GENISTEIN | ChEMBL | Phase 2 | CYP19A1 |
| IROSUSTAT | ChEMBL | Phase 2 | CYP19A1 |
| LIAROZOLE | ChEMBL | Phase 2 | CYP19A1 |
| LINOLEIC ACID | ChEMBL | Phase 2 | CYP19A1 |
| LUTEOLIN | ChEMBL | Phase 2 | CYP19A1 |
| OLEIC ACID | ChEMBL | Phase 2 | CYP19A1 |
| PINOCEMBRIN | ChEMBL | Phase 2 | CYP19A1 |
| PLOMESTANE | ChEMBL | Phase 2 | CYP19A1 |
| ROGLETIMIDE | ChEMBL | Phase 2 | CYP19A1 |
| STANOLONE | ChEMBL | Phase 2 | CYP19A1 |
| URSOLIC ACID | ChEMBL | Phase 2 | CYP19A1 |
| VOROZOLE | ChEMBL | Phase 2 | CYP19A1 |
| Fulvestrant | PubChem | Approved | CYP19A1 |
Related Atlas pages
- Genes: CYP19A1
- Diseases: bipolar disorder
- Drugs: Aminoglutethimide, Anastrozole, Clotrimazole, Estrone, Exemestane, Fluconazole, Fluorouracil, Ketoconazole, Letrozole, Miconazole, Nimesulide, Osilodrostat, Posaconazole, Testolactone, Testosterone, Doconexent, Icosapent, Quercetin, Resveratrol, Fulvestrant