Olaparib
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Also known as AZ-2281AZ2281AZD-2281AZD2281KU-0059436KU-59436LynparzaNSC-747856OLAPARIB COMPONENT OF KEYLYNK-010KU0059436OLAPARIB (AZD2281)AZD 2281SID124947876SID174007124SID164339421OlaparibÊOlaparibÂOLAPARIBOLAPARIB
Summary
Olaparib (CHEMBL521686) is an approved small-molecule antineoplastic agent (ATC L01XK01) targeting PARP1, PARP2, and PARP3; indicated across 77 conditions including neoplasm and ovarian carcinoma; with CIViC clinical evidence for 91 variant-indication associations (e.g. BRCA1 Mutation in prostate cancer).
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: L01XK01
- Targets: 3 (PARP1, PARP2, PARP3)
- Indications: 77 conditions
- Clinical trials: 383
- Precision-oncology evidence (CIViC): 91 variant–indication associations
- Chemistry: 434.5 Da · C24H23FN4O3
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL521686 |
| Name | Olaparib |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 23725625 |
| ChEBI | CHEBI:83766 |
| ATC | L01XK01 |
| Molecular formula | C24H23FN4O3 |
| Molecular weight | 434.5 |
| InChIKey | FDLYAMZZIXQODN-UHFFFAOYSA-N |
SMILES: C1CC1C(=O)N2CCN(CC2)C(=O)C3=C(C=CC(=C3)CC4=NNC(=O)C5=CC=CC=C54)F
IUPAC name: 4-[[3-[4-(cyclopropanecarbonyl)piperazine-1-carbonyl]-4-fluorophenyl]methyl]-2H-phthalazin-1-one
ChEBI definition: A member of the class of N-acylpiperazines obtained by formal condensation of the carboxy group of 2-fluoro-5-[(4-oxo-3,4-dihydrophthalazin-1-yl)methyl]benzoic acid with the free amino group of N-(cyclpropylcarbonyl)piperazine; used to treat advanced ovarian cancer.
Pharmacological roles (ChEBI): antineoplastic agent, EC 2.4.2.30 (NAD+ ADP-ribosyltransferase) inhibitor, apoptosis inducer.
Also known as: AZ-2281, AZ2281, AZD-2281, AZD2281, KU-0059436, KU-59436, Lynparza, NSC-747856, Olaparib, OLAPARIB COMPONENT OF KEYLYNK-010, OLAPARIB, KU0059436
Patent coverage: 5,663 distinct patent families (13,038 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 12,402 (95%) of the total. 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 |
|---|---|---|---|---|---|
| PARP1 | poly(ADP-ribose) polymerase 1 | Inhibition | 8.3 | 4.1% | P09874 |
| PARP2 | poly(ADP-ribose) polymerase 2 | Inhibition | 9 | 0.2% | Q9UGN5 |
| PARP3 | poly (ADP-ribose) polymerase 3 | Inhibition | 8.24 | 0.3% | Q9Y6F1 |
Broader ChEMBL bioactivity targets: 19 (assay-derived). Sample: Protein mono-ADP-ribosyltransferase PARP14, Protein mono-ADP-ribosyltransferase PARP15, Adenosine receptor A1, Protein mono-ADP-ribosyltransferase PARP6, Protein mono-ADP-ribosyltransferase TIPARP, Protein mono-ADP-ribosyltransferase PARP11, cGMP-inhibited 3’,5’-cyclic phosphodiesterase 3A, Protein mono-ADP-ribosyltransferase PARP10, Protein mono-ADP-ribosyltransferase PARP12, Cyclin-dependent kinase 6.
Bioactivity
ChEMBL activities: 235 potent at pChembl ≥ 5 of 243 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| PARP2 | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_24870107 |
| PARP1 | 10 | IC50 | 0.1 | nM | CHEMBL_ACT_25997326 |
| PARP2 | 9.96 | IC50 | 0.11 | nM | CHEMBL_ACT_25997329 |
| PARP2 | 9.89 | IC50 | 0.13 | nM | CHEMBL_ACT_25647316 |
| PARP1 | 9.62 | Kd | 0.24 | nM | CHEMBL_ACT_15685813 |
| PARP2 | 9.57 | Kd | 0.27 | nM | CHEMBL_ACT_23310948 |
| PARP2 | 9.55 | Kd | 0.28 | nM | CHEMBL_ACT_15685823 |
| PARP2 | 9.52 | IC50 | 0.3 | nM | CHEMBL_ACT_25894464 |
| PARP1 | 9.51 | Kd | 0.31 | nM | CHEMBL_ACT_23310946 |
| PARP2 | 9.4 | IC50 | 0.4 | nM | CHEMBL_ACT_18847783 |
| PARP1 | 9.4 | EC50 | 0.4 | nM | CHEMBL_ACT_22440938 |
| PARP2 | 9.4 | IC50 | 0.4 | nM | CHEMBL_ACT_22440996 |
| PARP1 | 9.4 | IC50 | 0.4 | nM | CHEMBL_ACT_25894393 |
| PARP1 | 9.39 | IC50 | 0.41 | nM | CHEMBL_ACT_25490468 |
| PARP2 | 9.35 | IC50 | 0.45 | nM | CHEMBL_ACT_17739889 |
| PARP2 | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_18847782 |
| PARP2 | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_22432628 |
| PARP2 | 9.3 | Kd | 0.5 | nM | CHEMBL_ACT_24867469 |
| PARP1 | 9.3 | IC50 | 0.5 | nM | CHEMBL_ACT_25920766 |
| PARP1 | 9.29 | IC50 | 0.51 | nM | CHEMBL_ACT_25647313 |
| PARP1 | 9.22 | IC50 | 0.6 | nM | CHEMBL_ACT_24508658 |
| PARP1 | 9.22 | IC50 | 0.6 | nM | CHEMBL_ACT_24799427 |
| PARP1 | 9.2 | IC50 | 0.63 | nM | CHEMBL_ACT_24733579 |
| PARP1 | 9.14 | IC50 | 0.73 | nM | CHEMBL_ACT_24870079 |
| PARP1 | 9.1 | Ki | 0.79 | nM | CHEMBL_ACT_18881212 |
| PARP1 | 9.1 | Kd | 0.8 | nM | CHEMBL_ACT_24867463 |
| PARP1 | 9.08 | IC50 | 0.83 | nM | CHEMBL_ACT_25662290 |
| PARP2 | 9.06 | IC50 | 0.87 | nM | CHEMBL_ACT_25662292 |
| PARP1 | 9.05 | IC50 | 0.9 | nM | CHEMBL_ACT_17739888 |
| PARP1 | 9.05 | IC50 | 0.9 | nM | CHEMBL_ACT_22432610 |
Target pathways
Aggregated over 3 target gene(s): PARP1, PARP2, PARP3.
Top Reactome pathways
8 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| POLB-Dependent Long Patch Base Excision Repair | 2 | PARP1, PARP2 |
| HDR through MMEJ (alt-NHEJ) | 2 | PARP1, PARP2 |
| DNA Damage Recognition in GG-NER | 2 | PARP1, PARP2 |
| Formation of Incision Complex in GG-NER | 2 | PARP1, PARP2 |
| Dual Incision in GG-NER | 2 | PARP1, PARP2 |
| vRNA Synthesis | 1 | PARP1 |
| Downregulation of SMAD2/3:SMAD4 transcriptional activity | 1 | PARP1 |
| SUMOylation of DNA damage response and repair proteins | 1 | PARP1 |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| DNA repair | 3 |
| double-strand break repair | 3 |
| DNA damage response | 3 |
| DNA ADP-ribosylation | 3 |
| protein auto-ADP-ribosylation | 3 |
| telomere maintenance | 2 |
| decidualization | 2 |
| protein poly-ADP-ribosylation | 2 |
| protein localization to chromatin | 2 |
| DNA repair-dependent chromatin remodeling | 2 |
| protein localization to site of double-strand break | 2 |
| negative regulation of transcription by RNA polymerase II | 1 |
| transcription by RNA polymerase II | 1 |
| apoptotic process | 1 |
| mitochondrion organization | 1 |
Indications & clinical
Indications
77 indications (12 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 |
|---|---|---|---|
| neoplasm | 4 | MONDO:0005070 | EFO:0000616 |
| ovarian carcinoma | 4 | MONDO:0005140 | EFO:0001075 |
| breast carcinoma | 4 | MONDO:0004989 | EFO:0000305 |
| breast neoplasm | 4 | MONDO:0021100 | EFO:0003869 |
| prostate carcinoma | 4 | MONDO:0005159 | EFO:0001663 |
| exocrine pancreatic carcinoma | 4 | MONDO:0005192 | EFO:0002618 |
| ovarian neoplasm | 4 | MONDO:0021068 | EFO:0003893 |
| pancreatic neoplasm | 4 | MONDO:0021040 | EFO:0003860 |
| ovarian cancer | 4 | MONDO:0008170 | MONDO:0008170 |
| prostate adenocarcinoma | 3 | MONDO:0005082 | EFO:0000673 |
| non-small cell lung carcinoma | 3 | MONDO:0005233 | EFO:0003060 |
| carcinoma | 3 | MONDO:0004993 | EFO:0000313 |
| metastatic prostate carcinoma | 3 | MONDO:0004956 | EFO:0000196 |
| small cell lung carcinoma | 3 | MONDO:0008433 | EFO:0000702 |
| endometrium neoplasm | 3 | MONDO:0021251 | EFO:0004230 |
| endometrial carcinoma | 3 | MONDO:0002447 | EFO:1001512 |
| gastric adenocarcinoma | 3 | MONDO:0005036 | EFO:0000503 |
| gastric neoplasm | 3 | MONDO:0021085 | MONDO:0001056 |
| lung neoplasm | 3 | MONDO:0021117 | MONDO:0008903 |
| Ewing sarcoma | 2 | MONDO:0012817 | EFO:0000174 |
| head and neck squamous cell carcinoma | 2 | MONDO:0010150 | EFO:0000181 |
| germ cell tumor | 2 | MONDO:0005040 | EFO:0000514 |
| sarcoma | 2 | MONDO:0005089 | EFO:0000691 |
| glioblastoma | 2 | MONDO:0018177 | EFO:0000519 |
| squamous cell carcinoma | 2 | MONDO:0005096 | EFO:0000707 |
| urinary bladder neoplasm | 2 | MONDO:0004987 | EFO:0000294 |
| mesothelioma | 2 | MONDO:0005065 | EFO:0000588 |
| renal cell carcinoma | 2 | MONDO:0005086 | EFO:0000681 |
| fallopian tube carcinoma | 2 | MONDO:0006206 | EFO:1000251 |
| peritoneal neoplasm | 2 | MONDO:0006901 | EFO:1001100 |
| angiosarcoma | 2 | MONDO:0016982 | EFO:0003968 |
| cholangiocarcinoma | 2 | MONDO:0019087 | EFO:0005221 |
| soft tissue sarcoma | 2 | MONDO:0018078 | EFO:1001968 |
| fallopian tube neoplasm | 2 | MONDO:0021092 | MONDO:0002158 |
| bile duct neoplasm | 2 | MONDO:0021662 | MONDO:0003059 |
| osteosarcoma | 2 | MONDO:0009807 | EFO:0000637 |
| cervical carcinoma | 2 | MONDO:0005131 | EFO:0001061 |
| metastatic melanoma | 2 | MONDO:0005191 | EFO:0002617 |
| triple-negative breast carcinoma | 2 | MONDO:0005494 | EFO:0005537 |
| glioma | 2 | MONDO:0021042 | MONDO:0100342 |
| carcinosarcoma | 2 | MONDO:0002928 | MONDO:0002928 |
| myelodysplastic syndrome | 2 | MONDO:0018881 | EFO:0000198 |
| peripheral T-cell lymphoma, not otherwise specified | 2 | MONDO:0004964 | EFO:0000211 |
| acute myeloid leukemia | 2 | MONDO:0018874 | EFO:0000222 |
| adrenal gland pheochromocytoma | 2 | MONDO:0004974 | EFO:0000239 |
| leiomyosarcoma | 2 | MONDO:0005058 | EFO:0000564 |
| melanoma | 2 | MONDO:0005105 | EFO:0000756 |
| uveal melanoma | 2 | MONDO:0006486 | EFO:1000616 |
| myeloid leukemia | 2 | MONDO:0004643 | MONDO:0004643 |
| pancreatic ductal adenocarcinoma | 2 | MONDO:0005184 | MONDO:0005184 |
| colorectal neoplasm | 2 | MONDO:0005335 | MONDO:0005575 |
| lymphoma | 1 | MONDO:0005062 | EFO:0000574 |
| pulmonary arterial hypertension | 1 | MONDO:0015924 | EFO:0001361 |
| head and neck cancer | 1 | MONDO:0005627 | EFO:0006859 |
| inflammatory breast carcinoma | 1 | MONDO:0006804 | EFO:1000984 |
| hereditary breast ovarian cancer syndrome | 1 | MONDO:0003582 | Orphanet:145 |
| rhabdomyosarcoma | 1 | MONDO:0005212 | EFO:0002918 |
| central nervous system neoplasm | 1 | MONDO:0006130 | EFO:1000158 |
| neuroendocrine neoplasm | 1 | MONDO:0019496 | EFO:1001901 |
| uterine cancer | 1 | MONDO:0002715 | MONDO:0002715 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| serous adenocarcinoma | 1 | MONDO:0005278 | EFO:0003825 |
| oral cavity squamous cell carcinoma | 1 | MONDO:0004958 | EFO:0000199 |
| carcinoma of esophagus | 1 | MONDO:0019086 | EFO:0002916 |
| tumor of uterus | 1 | MONDO:0021353 | EFO:0003859 |
12 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 383.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE2 | 197 |
| PHASE1 | 87 |
| PHASE1/PHASE2 | 36 |
| PHASE3 | 32 |
| Not specified | 11 |
| EARLY_PHASE1 | 10 |
| PHASE4 | 6 |
| PHASE2/PHASE3 | 4 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT05078671 | PHASE4 | RECRUITING | Pharmacokinetic Boosting of Olaparib to Improve Exposure, Tolerance and Cost-effectiveness |
| NCT05457257 | PHASE4 | ACTIVE_NOT_RECRUITING | Clinical Study to Assess the Efficacy and Safety of Olaparib in Chinese Patients With Metastatic Castration-Resistant Prostate Cancer Who Have Failed Prior Treatment With a New Hormonal Agent and Have BRCA1/2 Mutations |
| NCT06121401 | PHASE4 | ACTIVE_NOT_RECRUITING | First Line Treatment With Olaparib in Combination With Bevacizumab in HRD Positive Patients |
| NCT02476968 | PHASE4 | COMPLETED | To Assess the Efficacy and Safety of Olaparib Maintenance Monotherapy in the Treatment of Ovarian Cancer |
| NCT04330040 | PHASE4 | COMPLETED | Prospective Multicentre Phase-IV Clinical Trial of Olaparib in Indian Patients With Ovarian and Metastatic Breast Cancer |
| NCT05949424 | PHASE4 | UNKNOWN | OPTI - DOSE: Optimal Dosing of Oral Anticancer Drugs in Older Adults |
| NCT02032823 | PHASE3 | ACTIVE_NOT_RECRUITING | Olaparib as Adjuvant Treatment in Patients With Germline BRCA Mutated High Risk HER2 Negative Primary Breast Cancer |
| NCT02446600 | PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Use of A Single Drug (Olaparib) or the Combination of Two Drugs (Cediranib and Olaparib) Compared to the Usual Chemotherapy for Women With Platinum Sensitive Ovarian, Fallopian Tube, or Primary Peritoneal Cancer |
| NCT02502266 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing the Combination of Cediranib and Olaparib in Comparison to Each Drug Alone or Other Chemotherapy in Recurrent Platinum-Resistant Ovarian Cancer |
| NCT03150576 | PHASE2/PHASE3 | RECRUITING | Platinum and Polyadenosine 5’Diphosphoribose Polymerisation Inhibitor for Neoadjuvant Treatment of Triple Negative Breast Cancer and/or Germline BRCA Positive Breast Cancer |
| NCT03486873 | PHASE3 | RECRUITING | Long-term Safety and Efficacy Extension Study for Participants With Advanced Tumors Who Are Currently on Treatment or in Follow-up in a Pembrolizumab (MK-3475) Study (MK-3475-587/KEYNOTE-587) |
| NCT03732820 | PHASE3 | ACTIVE_NOT_RECRUITING | Study on Olaparib Plus Abiraterone as First-line Therapy in Men With Metastatic Castration-resistant Prostate Cancer |
| NCT03737643 | PHASE3 | ACTIVE_NOT_RECRUITING | Durvalumab Treatment in Combination With Chemotherapy and Bevacizumab, Followed by Maintenance Durvalumab, Bevacizumab and Olaparib Treatment in Advanced Ovarian Cancer Patients |
| NCT04269200 | PHASE3 | ACTIVE_NOT_RECRUITING | Durvalumab With or Without Olaparib as Maintenance Therapy After First-Line Treatment of Advanced and Recurrent Endometrial Cancer |
| NCT04380636 | PHASE3 | ACTIVE_NOT_RECRUITING | Study of Pembrolizumab With Concurrent Chemoradiation Therapy Followed by Pembrolizumab With or Without Olaparib in Stage III Non-Small Cell Lung Cancer (NSCLC) (MK-7339-012/KEYLYNK-012) |
| NCT04421963 | PHASE3 | ACTIVE_NOT_RECRUITING | Roll Over StudY for Patients Who Have Completed a Previous Oncology Study With Olaparib |
| NCT04884360 | PHASE3 | ACTIVE_NOT_RECRUITING | D9319C00001- 1L OC Mono Global RCT |
| NCT05171816 | PHASE3 | ACTIVE_NOT_RECRUITING | Study on Olaparib Plus Abiraterone as First-line Therapy in Men With Metastatic Castration-resistant Prostate Cancer (China Cohort) |
| NCT05255471 | PHASE3 | RECRUITING | MITO 35B: Olaparib Beyond Progression Compared to Platinum Chemotherapy After Secondary Cytoreductive Surgery in Recurrent Ovarian Cancer Patients. |
| NCT05255653 | PHASE2/PHASE3 | RECRUITING | Refining Adjuvant Treatment IN Endometrial Cancer Based On Molecular Features |
| NCT05432791 | PHASE2/PHASE3 | ACTIVE_NOT_RECRUITING | Testing Olaparib and Temozolomide Versus the Usual Treatment for Uterine Leiomyosarcoma After Chemotherapy Has Stopped Working |
| NCT06112379 | PHASE3 | ACTIVE_NOT_RECRUITING | A Phase III Randomised Study to Evaluate Dato-DXd and Durvalumab for Neoadjuvant/Adjuvant Treatment of Triple-Negative or Hormone Receptor-low/HER2-negative Breast Cancer |
| NCT06580314 | PHASE3 | RECRUITING | Testing Olaparib for One or Two Years, With or Without Bevacizumab, to Treat Ovarian Cancer |
| NCT06915025 | PHASE3 | RECRUITING | Phase 3 Trial Evaluating the Safety & Efficacy of IMNN-001 Administered in Combination w/ Standard NACT & Adjuvant Chemotherapy in Newly Diagnosed Patients w/ Advanced EOC, Fallopian Tube or Primary Peritoneal Cancer |
| NCT06966700 | PHASE3 | RECRUITING | A Clinical Study of Sacituzumab Tirumotecan (Sac-TMT, MK-2870) in People With Breast Cancer (MK-2870-032) |
| NCT01924533 | PHASE3 | COMPLETED | Efficacy and Safety Study of Olaparib in Combination With Paclitaxel to Treat Advanced Gastric Cancer. |
| NCT02000622 | PHASE3 | COMPLETED | Assessment of the Efficacy and Safety of Olaparib Monotherapy Versus Physicians Choice Chemotherapy in the Treatment of Metastatic Breast Cancer Patients With Germline BRCA1/2 Mutations. |
| NCT02184195 | PHASE3 | COMPLETED | Olaparib in gBRCA Mutated Pancreatic Cancer Whose Disease Has Not Progressed on First Line Platinum-Based Chemotherapy |
| NCT02282020 | PHASE3 | COMPLETED | Olaparib Treatment in Relapsed Germline Breast Cancer Susceptibility Gene (BRCA) Mutated Ovarian Cancer Patients Who Have Progressed at Least 6 Months After Last Platinum Treatment and Have Received at Least 2 Prior Platinum Treatments |
| NCT02392676 | PHASE3 | WITHDRAWN | Olaparib Maintenance Treatment Versus Placebo in Patients With PSR Ovarian Cancer Who Are in CR or PR to Platinum-based Chemotherapy and Whose Tumours Carry sBRCAm or HRR-associated Genes Mutations |
| NCT02477644 | PHASE3 | COMPLETED | Platine, Avastin and OLAparib in 1st Line |
| NCT02987543 | PHASE3 | COMPLETED | Study of Olaparib (Lynparza™) Versus Enzalutamide or Abiraterone Acetate in Men With Metastatic Castration-Resistant Prostate Cancer (PROfound Study) |
| NCT03278717 | PHASE3 | UNKNOWN | Study Evaluating the Efficacy of Maintenance Olaparib and Cediranib or Olaparib Alone in Ovarian Cancer Patients |
| NCT03286842 | PHASE3 | COMPLETED | To Study Clinical Effectiveness and Safety of Olaparib Monotherapy in Metastatic Breast Cancer Patients. |
| NCT03402841 | PHASE3 | COMPLETED | Multicentre Study of Olaparib Maintenance Monotherapy in Platinum Sensitive Relapsed Non gBRCAm Ovarian Cancer Patients |
| NCT03740165 | PHASE3 | COMPLETED | Study of Chemotherapy With Pembrolizumab (MK-3475) Followed by Maintenance With Olaparib (MK-7339) for the First-Line Treatment of Women With BRCA Non-mutated Advanced Epithelial Ovarian Cancer (EOC) (MK-7339-001/KEYLYNK-001/ENGOT-ov43/GOG-3036) |
| NCT03784014 | PHASE3 | COMPLETED | Molecular Profiling of Advanced Soft-tissue Sarcomas |
| NCT03834519 | PHASE3 | COMPLETED | Study of Pembrolizumab (MK-3475) Plus Olaparib Versus Abiraterone Acetate or Enzalutamide in Metastatic Castration-resistant Prostate Cancer (mCRPC) (MK-7339-010/KEYLYNK-010) |
| NCT03976323 | PHASE3 | COMPLETED | Study of Pembrolizumab With Maintenance Olaparib or Maintenance Pemetrexed in First-line (1L) Metastatic Nonsquamous Non-Small-Cell Lung Cancer (NSCLC) (MK-7339-006, KEYLYNK-006) |
| NCT03976362 | PHASE3 | COMPLETED | A Study of Pembrolizumab (MK-3475) With or Without Maintenance Olaparib in First-line Metastatic Squamous Non-small Cell Lung Cancer (NSCLC, MK-7339-008/KEYLYNK-008) |
Clinical evidence (CIViC)
Variant × indication × effect (91 predictive associations from 105 curated evidence items):
| Variant | Indication | Effect | Therapy | Level | CIViC |
|---|---|---|---|---|---|
| BRCA1 Mutation | Prostate Cancer | Sensitivity/Response | Olaparib | CIViC A | EID12943 +2 |
| BRCA1 Mutation | Ovarian Cancer | Sensitivity/Response | Olaparib | CIViC A | EID7274 +2 |
| BRCA2 Mutation | Ovarian Cancer | Sensitivity/Response | Olaparib | CIViC A | EID7276 +2 |
| BRCA2 Mutation | Prostate Cancer | Sensitivity/Response | Olaparib | CIViC A | EID12942 +2 |
| BRCA1 Loss-of-function | Her2-receptor Negative Breast Cancer | Sensitivity/Response | Olaparib | CIViC A | EID11201 +1 |
| BRCA2 Loss-of-function | Her2-receptor Negative Breast Cancer | Sensitivity/Response | Olaparib | CIViC A | EID11202 +1 |
| ATM Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID8505 |
| BARD1 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11209 |
| BRCA1 Loss-of-function | Triple-receptor Negative Breast Cancer | Sensitivity/Response | Olaparib | CIViC A | EID11216 |
| BRCA1 Loss-of-function | Pancreatic Adenocarcinoma | Sensitivity/Response | Olaparib | CIViC A | EID7384 |
| BRCA1 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11203 |
| BRCA1 Mutation AND BRCA2 Mutation | Prostate Cancer | Sensitivity/Response | Olaparib | CIViC A | EID12941 |
| BRCA2 Loss-of-function | Triple-receptor Negative Breast Cancer | Sensitivity/Response | Olaparib | CIViC A | EID11217 |
| BRCA2 Loss-of-function | Pancreatic Adenocarcinoma | Sensitivity/Response | Olaparib | CIViC A | EID7385 |
| BRCA2 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID8842 |
| BRIP1 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11208 |
| CDK12 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11204 |
| CHEK1 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11210 |
| CHEK2 mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11205 |
| FANCL Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11211 |
| PALB2 Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID8504 |
| RAD51B Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11212 |
| RAD51C Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11213 |
| RAD51D Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11214 |
| RAD54L Mutation | Castration-resistant Prostate Carcinoma | Sensitivity/Response | Olaparib | CIViC A | EID11207 |
| ATM Mutation | Prostate Cancer | Sensitivity/Response | Olaparib | CIViC B | EID7458 +2 |
| ATM Underexpression | Stomach Cancer | Sensitivity/Response | Paclitaxel + Olaparib | CIViC B | EID5215 +1 |
| BAP1 Mutation | Malignant Mesothelioma | Sensitivity/Response | Olaparib | CIViC B | EID11740 +1 |
| BRCA1 Loss-of-function | Ovarian Cancer | Sensitivity/Response | Olaparib | CIViC B | EID211 |
| BRCA1 Mutation | Cancer | Sensitivity/Response | Olaparib | CIViC B | EID1370 |
+61 more predictive associations (showing top 30 by level).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.
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.
54 molecules share ≥1 primary target. Top 54 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| NIRAPARIB | ChEMBL + PubChem | Phase 4 (approved) | PARP1, PARP2, PARP3 |
| RUCAPARIB | ChEMBL + PubChem | Phase 4 (approved) | PARP1, PARP2, PARP3 |
| TALAZOPARIB | ChEMBL + PubChem | Phase 4 (approved) | PARP1, PARP2, PARP3 |
| PAMIPARIB | ChEMBL | Phase 3 | PARP1, PARP2, PARP3 |
| SARUPARIB | ChEMBL | Phase 3 | PARP1, PARP2, PARP3 |
| VELIPARIB | ChEMBL | Phase 3 | PARP1, PARP2, PARP3 |
| 2X-121 | ChEMBL | Phase 2 | PARP1, PARP2 |
| AMITRIPTYLINE | ChEMBL | Phase 4 (approved) | PARP1 |
| PALBOCICLIB | ChEMBL | Phase 4 (approved) | PARP1 |
| RUCAPARIB CAMSYLATE | ChEMBL | Phase 4 (approved) | PARP1 |
| FLUZOPARIB | ChEMBL | Phase 3 | PARP1 |
| INIPARIB | ChEMBL | Phase 3 | PARP1 |
| AMELPARIB | ChEMBL | Phase 2 | PARP1 |
| CHLORTHENOXAZINE | ChEMBL | Phase 2 | PARP1 |
| E-7016 | ChEMBL | Phase 2 | PARP1 |
| FLAVONE | ChEMBL | Phase 2 | PARP1 |
| LUTEOLIN | ChEMBL | Phase 2 | PARP1 |
| NESUPARIB | ChEMBL | Phase 2 | PARP1 |
| Afatinib | PubChem | Approved | PARP1 |
| Apixaban | PubChem | Approved | PARP1 |
| belumosudil | PubChem | Approved | PARP1 |
| Binimetinib | PubChem | Approved | PARP1 |
| Carfilzomib | PubChem | Approved | PARP1 |
| chenodiol | PubChem | Approved | PARP1 |
| Clascoterone | PubChem | Approved | PARP1 |
| Clofarabine | PubChem | Approved | PARP1 |
| Crizotinib | PubChem | Approved | PARP1 |
| cytisinicline | PubChem | Approved | PARP1 |
| dacomitinib | PubChem | Approved | PARP1 |
| Elagolix | PubChem | Approved | PARP1 |
| Eribulin | PubChem | Approved | PARP1 |
| Fingolimod | PubChem | Approved | PARP1 |
| Idelalisib | PubChem | Approved | PARP1 |
| Lactulose | PubChem | Approved | PARP1 |
| Linagliptin | PubChem | Approved | PARP1 |
| Mavacamten | PubChem | Approved | PARP1 |
| Megestrol | PubChem | Approved | PARP1 |
| Nitisinone | PubChem | Approved | PARP1 |
| Pazopanib | PubChem | Approved | PARP1 |
| podofilox | PubChem | Approved | PARP1 |
| Pramipexole | PubChem | Approved | PARP1 |
| Pyrazinamide | PubChem | Approved | PARP1 |
| regorafenib | PubChem | Approved | PARP1 |
| Relugolix | PubChem | Approved | PARP1 |
| Riociguat | PubChem | Approved | PARP1 |
| Ritlecitinib | PubChem | Approved | PARP1 |
| Rolapitant | PubChem | Approved | PARP1 |
| saxagliptin | PubChem | Approved | PARP1 |
| Selumetinib | PubChem | Approved | PARP1 |
| Tadalafil | PubChem | Approved | PARP1 |
| Taurine | PubChem | Approved | PARP1 |
| Trabectedin | PubChem | Approved | PARP1 |
| Trametinib | PubChem | Approved | PARP1 |
| Vorapaxar | PubChem | Approved | PARP1 |
Related Atlas pages
- Genes: PARP1, PARP2, PARP3
- Diseases: neoplasm, ovarian carcinoma, breast carcinoma, breast neoplasm, prostate carcinoma, exocrine pancreatic carcinoma, ovarian neoplasm, pancreatic neoplasm, ovarian cancer, prostate adenocarcinoma, non-small cell lung carcinoma, carcinoma, metastatic prostate carcinoma, small cell lung carcinoma, endometrium neoplasm, endometrial carcinoma, gastric adenocarcinoma, gastric neoplasm, lung neoplasm, Her2-receptor negative breast cancer, castration-resistant prostate carcinoma, triple-negative breast carcinoma, pancreatic adenocarcinoma, gastric carcinoma, malignant mesothelioma, cancer
- Drugs: Niraparib, Rucaparib, Talazoparib, Pamiparib, Saruparib, Veliparib, Amitriptyline, Palbociclib, Fluzoparib, Iniparib, Afatinib, Apixaban, belumosudil, Binimetinib, Carfilzomib, chenodiol, Clascoterone, Clofarabine, Crizotinib, cytisinicline, dacomitinib, Elagolix, Eribulin, Fingolimod, Idelalisib, Lactulose, Linagliptin, Mavacamten, Megestrol, Nitisinone, Pazopanib, podofilox, Pramipexole, Pyrazinamide, regorafenib, Relugolix, Riociguat, Ritlecitinib, Rolapitant, saxagliptin, Selumetinib, Tadalafil, Taurine, Trabectedin, Trametinib, Vorapaxar
- Biomarker genes: ATM, BARD1, BRCA1, BRCA2, BRIP1, CBLC, CDK12, CHEK1, CHEK2, IDH1, MRE11, PALB2, PPP2R2A, RAD51B, RAD51D, RAD54L, RNF2