Parsaclisib
drugOn this page
Also known as INCB-050465Incb050465
Summary
Parsaclisib (CHEMBL4297615) is a phase-3 clinical-stage small molecule (ATC L01EM05) targeting PIK3CD; indicated across 17 conditions including neoplasm and autoimmune hemolytic anemia.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- ATC class: L01EM05
- Targets: 1 (PIK3CD)
- Indications: 17 conditions
- Clinical trials: 34
- Chemistry: 432.9 Da · C20H22ClFN6O2
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4297615 |
| Name | Parsaclisib |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 86677874 |
| ATC | L01EM05 |
| Molecular formula | C20H22ClFN6O2 |
| Molecular weight | 432.9 |
| InChIKey | ZQPDJCIXJHUERQ-QWRGUYRKSA-N |
SMILES: CCOC1=C(C(=C(C=C1[C@H](C)N2C3=NC=NC(=C3C(=N2)C)N)Cl)F)[C@H]4CC(=O)NC4
IUPAC name: (4R)-4-[3-[(1S)-1-(4-amino-3-methylpyrazolo[3,4-d]pyrimidin-1-yl)ethyl]-5-chloro-2-ethoxy-6-fluorophenyl]pyrrolidin-2-one
Also known as: INCB-050465, Incb050465, INCB050465, Parsaclisib, PARSACLISIB
Parent form; salt/anhydrous children: CHEMBL4298155
Patent coverage: 256 distinct patent families (666 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 664 (100%) 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 |
|---|---|---|---|---|---|
| PIK3CD | phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit delta | Inhibition | 8 | 6% | O00329 |
Broader ChEMBL bioactivity targets: 2 (assay-derived). Sample: Voltage-gated inwardly rectifying potassium channel KCNH2, Phosphatidylinositol 4,5-bisphosphate 3-kinase catalytic subunit delta isoform.
Bioactivity
ChEMBL activities: 6 potent at pChembl ≥ 5 of 7 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| PIK3CD | 9 | IC50 | 1 | nM | CHEMBL_ACT_19036875 |
| PIK3CD | 8.96 | IC50 | 1.1 | nM | CHEMBL_ACT_19290451 |
| PIK3CD | 8.96 | IC50 | 1.1 | nM | CHEMBL_ACT_19290458 |
| PIK3CD | 8.7 | IC50 | 2 | nM | CHEMBL_ACT_19290452 |
| PIK3CD | 7.5 | IC50 | 32 | nM | CHEMBL_ACT_26846923 |
| PIK3CD | 6.9 | IC50 | 125 | nM | CHEMBL_ACT_27957233 |
Target pathways
Aggregated over 1 target gene(s): PIK3CD.
Top Reactome pathways
14 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| PIP3 activates AKT signaling | 1 | PIK3CD |
| Synthesis of PIPs at the plasma membrane | 1 | PIK3CD |
| Constitutive Signaling by Aberrant PI3K in Cancer | 1 | PIK3CD |
| CD28 dependent PI3K/Akt signaling | 1 | PIK3CD |
| Interleukin-3, Interleukin-5 and GM-CSF signaling | 1 | PIK3CD |
| PI5P, PP2A and IER3 Regulate PI3K/AKT Signaling | 1 | PIK3CD |
| RET signaling | 1 | PIK3CD |
| Erythropoietin activates Phosphoinositide-3-kinase (PI3K) | 1 | PIK3CD |
| Interleukin receptor SHC signaling | 1 | PIK3CD |
| Regulation of signaling by CBL | 1 | PIK3CD |
| Signaling by CSF1 (M-CSF) in myeloid cells | 1 | PIK3CD |
| Antigen activates B Cell Receptor (BCR) leading to generation of second messengers | 1 | PIK3CD |
| High laminar flow shear stress activates signaling by PIEZO1 and PECAM1:CDH5:KDR in endothelial cells | 1 | PIK3CD |
| Co-stimulation by ICOS | 1 | PIK3CD |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| natural killer cell differentiation | 1 |
| positive regulation of cytokine production | 1 |
| positive regulation of endothelial cell proliferation | 1 |
| adaptive immune response | 1 |
| mast cell chemotaxis | 1 |
| respiratory burst involved in defense response | 1 |
| protein phosphorylation | 1 |
| inflammatory response | 1 |
| immune response | 1 |
| signal transduction | 1 |
| positive regulation of endothelial cell migration | 1 |
| positive regulation of gene expression | 1 |
| T cell chemotaxis | 1 |
| cell migration | 1 |
| natural killer cell activation | 1 |
Indications & clinical
Indications
17 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 |
|---|---|---|---|
| neoplasm | 3 | MONDO:0005070 | EFO:0000616 |
| neoplasm of mature B-cells | 3 | MONDO:0004949 | EFO:0000096 |
| autoimmune hemolytic anemia | 3 | MONDO:0020108 | EFO:1001264 |
| follicular lymphoma | 3 | MONDO:0018906 | MONDO:0018906 |
| mantle cell lymphoma | 3 | MONDO:0018876 | EFO:1001469 |
| lymphoma | 2 | MONDO:0005062 | EFO:0000574 |
| Sjogren syndrome | 2 | MONDO:0010030 | EFO:0000699 |
| pemphigus vulgaris | 2 | MONDO:0008219 | EFO:0004719 |
| diffuse large B-cell lymphoma | 1 | MONDO:0018905 | EFO:0000403 |
| melanoma | 1 | MONDO:0005105 | EFO:0000756 |
| breast neoplasm | 1 | MONDO:0021100 | MONDO:0007254 |
| endometrium neoplasm | 1 | MONDO:0021251 | MONDO:0011962 |
| B-cell chronic lymphocytic leukemia | 1 | MONDO:0004948 | EFO:0000095 |
| mature T-cell and NK-cell non-Hodgkin lymphoma | 1 | MONDO:0000430 | MONDO:0000430 |
| non-Hodgkin lymphoma | 1 | MONDO:0018908 | EFO:0005952 |
2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 34.
Phase distribution
| Phase | Trials |
|---|---|
| PHASE1 | 14 |
| PHASE2 | 10 |
| PHASE1/PHASE2 | 5 |
| PHASE3 | 4 |
| Not specified | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT04551053 | PHASE3 | TERMINATED | To Evaluate Efficacy and Safety of Parsaclisib and Ruxolitinib in Participants With Myelofibrosis Who Have Suboptimal Response to Ruxolitinib (LIMBER-304) |
| NCT04551066 | PHASE3 | TERMINATED | To Evaluate the Efficacy and Safety of Parsaclisib and Ruxolitinib in Participants With Myelofibrosis (LIMBER-313) |
| NCT04796922 | PHASE3 | WITHDRAWN | To Evaluate Efficacy and Safety of Parsaclisib Plus Either Rituximab or Obinutuzumab in R/R Follicular Lymphoma (FL) and Marginal Zone Lymphoma (MZL) (CITADEL-302) |
| NCT04849715 | PHASE3 | WITHDRAWN | A Study of Parsaclisib, a PI3Kδ Inhibitor, in Combination With Bendamustine and Rituximab in Patients With Newly Diagnosed Mantle Cell Lymphoma |
| NCT04509700 | PHASE2 | ACTIVE_NOT_RECRUITING | Rollover Study to Provide Continued Treatment for Participants With B-Cell Malignancies Previously Enrolled in Studies of Parsaclisib (INCB050465) |
| NCT04661007 | PHASE1/PHASE2 | ACTIVE_NOT_RECRUITING | To Assess the Safety and Tolerability of Tafasitamab Alone or in Combination With Other Drugs in Japanese Participants With Non-Hodgkins Lymphoma (NHL) |
| NCT02018861 | PHASE1/PHASE2 | COMPLETED | A Phase 1/2, Open-Label, Dose Escalation, Safety and Tolerability Study of INCB050465 and Itacitinib in Subjects With Previously Treated B-Cell Malignancies (CITADEL-101) |
| NCT02265510 | PHASE1/PHASE2 | TERMINATED | An Open-Label Study of a Novel JAK-inhibitor, INCB052793, Given to Patients With Advanced Malignancies |
| NCT02718300 | PHASE2 | TERMINATED | A Study of INCB050465 in Combination With Ruxolitinib in Subjects With Myelofibrosis |
| NCT02998476 | PHASE2 | COMPLETED | A Phase 2 Safety and Efficacy Study of INCB050465 in Subjects With Relapsed or Refractory Diffuse Large B-Cell Lymphoma (CITADEL-202) |
| NCT03126019 | PHASE2 | COMPLETED | A Study of INCB050465 in Relapsed or Refractory Follicular Lymphoma |
| NCT03144674 | PHASE2 | COMPLETED | A Study of INCB050465 in Subjects With Relapsed or Refractory Marginal Zone Lymphoma (CITADEL-204) |
| NCT03235544 | PHASE2 | COMPLETED | A Study of INCB050465 in Relapsed or Refractory Mantle Cell Lymphoma Previously Treated With or Without a Bruton’s Tyrosine Kinase (BTK) Inhibitor |
| NCT03538041 | PHASE2 | COMPLETED | A Study of INCB050465 in Participants With Autoimmune Hemolytic Anemia |
| NCT03627065 | PHASE2 | COMPLETED | A Study of INCB050465 in Primary Sjögren’s Syndrome |
| NCT03780166 | PHASE2 | WITHDRAWN | A Study of the Safety and Tolerability of INCB050465 in Pemphigus Vulgaris |
| NCT04434937 | PHASE2 | COMPLETED | Open-Label Study of Parsaclisib, in Japanese Participants With Relapsed or Refractory Follicular Lymphoma (CITADEL-213) |
| NCT04809467 | PHASE1/PHASE2 | TERMINATED | A Study Evaluating Safety, PK, and Efficacy of Tafasitamab and Parsaclisib in Participants With Relapsed/Refractory Non Hodgkin Lymphoma (R/R NHL) or Chronic Lymphocytic Leukemia (CLL) |
| NCT05238064 | PHASE1/PHASE2 | UNKNOWN | Parsaclisib in Combination With CHOP in Participants With Previously Untreated PTCL |
| NCT04323956 | PHASE1 | ACTIVE_NOT_RECRUITING | Parsaclisib Plus the Standard Drug Therapy in Patients With Newly Diagnosed, High Risk Diffuse Large B-cell Lymphoma |
| NCT02559492 | PHASE1 | TERMINATED | Itacitinib Combined With INCB024360 and/or Itacitinib Combined With INCB050465 in Advanced Solid Tumors |
| NCT02646748 | PHASE1 | COMPLETED | Pembrolizumab Combined With Itacitinib (INCB039110) and/or Pembrolizumab Combined With INCB050465 in Advanced Solid Tumors |
| NCT03039114 | PHASE1 | COMPLETED | Study Evaluating Safety and Efficacy of INCB050465 Combined With Bendamustine and Obinutuzumab in Relapsed or Refractory Follicular Lymphoma (CITADEL-102) |
| NCT03314922 | PHASE1 | COMPLETED | A Study of INCB050465 in Japanese Subjects With Previously Treated B-Cell Lymphoma (CITADEL-111) |
| NCT03424122 | PHASE1 | COMPLETED | INCB050465 in Combination With Rituximab, Bendamustine and Rituximab, or Ibrutinib in Participants With Previously Treated B-Cell Lymphoma (CITADEL-112) |
| NCT03589651 | PHASE1 | COMPLETED | INCMGA00012 in Combination With Other Therapies in Patients With Advanced Solid Tumors |
| NCT03688152 | PHASE1 | COMPLETED | A Safety and Tolerability Study of INCB053914 in Combination With INCB050465 in Diffuse Large B-Cell Lymphoma |
| NCT04142554 | PHASE1 | WITHDRAWN | Parsaclisib in Newly Diagnosed Stage I-IIIC Triple Negative or HER2+ Breast Cancer |
| NCT04774068 | PHASE1 | COMPLETED | Romidepsin and Parsaclisib for the Treatment of Relapsed or Refractory T-Cell Lymphomas |
| NCT04831944 | PHASE1 | COMPLETED | To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Hepatic Function and Hepatic Impairment. |
| NCT04831996 | PHASE1 | COMPLETED | To Evaluate the Safety, and Pharmacokinetics of Parscaclisib in Participants With Normal Renal Function and Renal Impairment. |
| NCT05083208 | PHASE1 | TERMINATED | PI3Kδ Inhibitor Parsaclisib Combined With Chidamide for the Treatment of Relapsed/Refractory Peripheral T-cell Lymphoma |
| NCT05867030 | PHASE1 | WITHDRAWN | Parsaclisib in Patients With Relapsed or Refractory Follicular Lymphoma |
| NCT07149818 | Not specified | NOT_YET_RECRUITING | A Single-arm Phase 2 Prospective Clinical Study of Linprixel in the Treatment of Relapsed/Refractory Autoimmune Hemolytic Anemia |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No PharmGKB pharmacogenomic data curated for this drug.
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.
59 molecules share ≥1 primary target. Top 59 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| IDELALISIB | ChEMBL + PubChem | Phase 4 (approved) | PIK3CD |
| INAVOLISIB | ChEMBL + PubChem | Phase 4 (approved) | PIK3CD |
| ALPELISIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| CAFFEINE | ChEMBL | Phase 4 (approved) | PIK3CD |
| COPANLISIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| DASATINIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| DUVELISIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| LENIOLISIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| SUNITINIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| THEOPHYLLINE | ChEMBL | Phase 4 (approved) | PIK3CD |
| UMBRALISIB | ChEMBL | Phase 4 (approved) | PIK3CD |
| BUPARLISIB | ChEMBL | Phase 3 | PIK3CD |
| DACTOLISIB | ChEMBL | Phase 3 | PIK3CD |
| GEDATOLISIB | ChEMBL | Phase 3 | PIK3CD |
| LESTAURTINIB | ChEMBL | Phase 3 | PIK3CD |
| POVORCITINIB | ChEMBL | Phase 3 | PIK3CD |
| TASELISIB | ChEMBL | Phase 3 | PIK3CD |
| ACALISIB | ChEMBL | Phase 2 | PIK3CD |
| AMDIZALISIB | ChEMBL | Phase 2 | PIK3CD |
| AMG-319 | ChEMBL | Phase 2 | PIK3CD |
| APITOLISIB | ChEMBL | Phase 2 | PIK3CD |
| AZD-6482 | ChEMBL | Phase 2 | PIK3CD |
| AZD-8154 | ChEMBL | Phase 2 | PIK3CD |
| BGT-226 FREE BASE | ChEMBL | Phase 2 | PIK3CD |
| BI-2536 | ChEMBL | Phase 2 | PIK3CD |
| BIMIRALISIB | ChEMBL | Phase 2 | PIK3CD |
| DEZAPELISIB | ChEMBL | Phase 2 | PIK3CD |
| EGANELISIB | ChEMBL | Phase 2 | PIK3CD |
| FIMEPINOSTAT | ChEMBL | Phase 2 | PIK3CD |
| GSK-2636771 | ChEMBL | Phase 2 | PIK3CD |
| IZORLISIB | ChEMBL | Phase 2 | PIK3CD |
| LINPERLISIB | ChEMBL | Phase 2 | PIK3CD |
| NARAZACICLIB | ChEMBL | Phase 2 | PIK3CD |
| NEMIRALISIB | ChEMBL | Phase 2 | PIK3CD |
| OMIPALISIB | ChEMBL | Phase 2 | PIK3CD |
| ONATASERTIB | ChEMBL | Phase 2 | PIK3CD |
| PAXALISIB | ChEMBL | Phase 2 | PIK3CD |
| PF-04691502 | ChEMBL | Phase 2 | PIK3CD |
| PICTILISIB | ChEMBL | Phase 2 | PIK3CD |
| PILARALISIB | ChEMBL | Phase 2 | PIK3CD |
| QUISINOSTAT | ChEMBL | Phase 2 | PIK3CD |
| R-406 | ChEMBL | Phase 2 | PIK3CD |
| RISOVALISIB | ChEMBL | Phase 2 | PIK3CD |
| ROGINOLISIB | ChEMBL | Phase 2 | PIK3CD |
| SAMOTOLISIB | ChEMBL | Phase 2 | PIK3CD |
| SAPANISERTIB | ChEMBL | Phase 2 | PIK3CD |
| SELETALISIB | ChEMBL | Phase 2 | PIK3CD |
| SERABELISIB | ChEMBL | Phase 2 | PIK3CD |
| SONOLISIB | ChEMBL | Phase 2 | PIK3CD |
| TENALISIB | ChEMBL | Phase 2 | PIK3CD |
| TG100-115 | ChEMBL | Phase 2 | PIK3CD |
| VISTUSERTIB | ChEMBL | Phase 2 | PIK3CD |
| VOXTALISIB | ChEMBL | Phase 2 | PIK3CD |
| ZSTK-474 | ChEMBL | Phase 2 | PIK3CD |
| Afatinib | PubChem | Approved | PIK3CD |
| Crizotinib | PubChem | Approved | PIK3CD |
| Gefitinib | PubChem | Approved | PIK3CD |
| Pazopanib | PubChem | Approved | PIK3CD |
| Selumetinib | PubChem | Approved | PIK3CD |
Related Atlas pages
- Genes: PIK3CD
- Diseases: neoplasm, neoplasm of mature B-cells, autoimmune hemolytic anemia, follicular lymphoma, mantle cell lymphoma
- Drugs: Idelalisib, Inavolisib, Alpelisib, Caffeine, Copanlisib, Dasatinib, Duvelisib, Leniolisib, Sunitinib, Theophylline, Umbralisib, Buparlisib, Dactolisib, Gedatolisib, Lestaurtinib, Povorcitinib, Taselisib, Afatinib, Crizotinib, Gefitinib, Pazopanib, Selumetinib