Enzomenib

Enzomenib is an investigational new drug that is being evaluated for the treatment of acute leukemia.^[1] It is a small molecule inhibitor that targets the interaction between menin and mixed-lineage leukemia (MLL) proteins.^[2] Enzomenib particularly in patients with KMT2A (MLL) rearrangements or NPM1 mutations.^[3]

Enzomenib

Clinical data
Other names	DSP-5336
Identifiers
IUPAC name 5-fluoro-2-[4-[7-[(1S,3S,4R)-5-methylidene-2-azabicyclo[2.2.2]octane-3-carbonyl]-2,7-diazaspiro[3.5]nonan-2-yl]pyrimidin-5-yl]oxy-N,N-di(propan-2-yl)benzamide
CAS Number	2412555-70-3
PubChem CID	146430058
DrugBank	DB18514
ChemSpider	129534736
UNII	VW83Y2JLZ5
ChEMBL	ChEMBL5314915
Chemical and physical data
Formula	C33H43FN6O3
Molar mass	590.744 g·mol−1
3D model (JSmol)	Interactive image
SMILES CC(C)N(C(C)C)C(=O)C1=C(C=CC(=C1)F)OC2=CN=CN=C2N3CC4(C3)CCN(CC4)C(=O)[C@@H]5[C@@H]6CC[C@H](N5)CC6=C
InChI InChI=InChI=1S/C33H43FN6O3/c1-20(2)40(21(3)4)31(41)26-15-23(34)6-9-27(26)43-28-16-35-19-36-30(28)39-17-33(18-39)10-12-38(13-11-33)32(42)29-25-8-7-24(37-29)14-22(25)5/h6,9,15-16,19-21,24-25,29,37H,5,7-8,10-14,17-18H2,1-4H3/t24-,25+,29-/m0/s1 Key:JQHJEDMMWUIYCE-FVVBACEJSA-N

The U.S. Food and Drug Administration (FDA) has granted both Fast Track and Orphan Drug designations to Enzomenib.^[4]