Everolimus

Everolimus was first approved by Swiss Agency for therapeutic products,Swissmedic on July 18, 2003, then approved by Pharmaceuticals and Medicals Devices Agency of Japan (PMDA) on April 23, 2004, and approved by the U.S. Food and Drug Administration (FDA) on Mar 30, 2009, approved by European Medicine Agency (EMA) on Aug 3, 2009. It was developed and marketed as Certican® by Novartis in SE.

Everolimus is an inhibitor of mammalian target of rapamycin (mTOR). It is indicated for the treatment of renal cell cancer and other tumours and currently used as an immunosuppressant to prevent rejection of organ transplants.

Certican® is available as tablet for oral use, containing 0.25, 0.5 or 0.75 mg of free Everolimus. The recommended dose is 10 mg once daily with or without food for advanced HR+ breast cancer, advanced progressive neuroendocrine tumors, advanced renal cell carcinoma or renal angiomyolipoma with tuberous sclerosis complex. 

General Information

Update Date:2016-06-03

Drug Name:
Everolimus
Research Code:
RAD-001; SDZ-RAD
Trade Name:
Certican® / Zortress® / Afinitor®
MOA:
mTOR inhibitor
Indication:
Rejection of organ transplantation; Renal cell carcinoma; Advanced renal cell carcinoma (RCC); Advanced breast cancer; Pancreatic cancer; Renal angiomyolipoma; Tuberous sclerosis complex (TSC); Rejection in heart transplantation; Rejection of suppression renal transplantation; Subependymal giant cell astrocytoma; neuroendocrine tumors (NET); Advanced gastrointestinal tumors
Status:
Approved
Company:
Novartis (Originator)
Sales:
$1,942 Million (Y2015);
$1,902 Million (Y2014);
$1,558 Million (Y2013);
$1,007 Million (Y2012);
$630 Million (Y2011);
ATC Code:
L04AA18
Approved Countries or Area

Update Date:2016-06-03

Approval Date Approval Type Trade Name Indication Dosage Form Strength Company Review Classification
2012-08-29 New dosage form Afinitor Disperz Renal cell carcinoma , Advanced breast cancer, Pancreatic cancer, Renal angiomyolipoma, Tuberous sclerosis complex (TSC) Tablet, For suspension 2 mg/3 mg/5 mg Novartis Priority
2010-04-20 New strength Zortress Advanced renal cell carcinoma (RCC) Tablet 0.25 mg/0.5 mg/0.75 mg Novartis
2009-03-30 Marketing approval Afinitor Advanced renal cell carcinoma (RCC) Tablet 2.5 mg/5 mg/7.5 mg/10 mg Novartis Priority
Approval Date Approval Type Trade Name Indication Dosage Form Strength Company Review Classification
2016-06-02 New indication Afinitor neuroendocrine tumors (NET), Advanced gastrointestinal tumors Tablet Novartis
2011-09-02 Marketing approval Votubia Advanced breast cancer, Renal cell carcinoma , Pancreatic cancer Tablet 2.5 mg/5 mg/10 mg Novartis Orphan; Conditional Approval
2011-09-02 Marketing approval Votubia Advanced breast cancer, Renal cell carcinoma , Pancreatic cancer Tablet, Orally disintegrating 2 mg/3 mg/5 mg Novartis Orphan; Conditional Approval
2009-08-03 Marketing approval Afinitor Advanced breast cancer, Renal cell carcinoma , Pancreatic cancer Tablet 2.5 mg/5 mg/10 mg Novartis
Approval Date Approval Type Trade Name Indication Dosage Form Strength Company Review Classification
2011-12-22 New indication Certican Rejection of suppression renal transplantation Tablet 0.25 mg/0.5 mg/0.75 mg Novartis
2007-01-26 Marketing approval Certican Rejection in heart transplantation Tablet 0.25 mg/0.5 mg/0.75 mg Novartis
Approval Date Approval Type Trade Name Indication Dosage Form Strength Company Review Classification
2014-02-13 Marketing approval 飞尼妥/Afinitor Advanced renal cell carcinoma (RCC), Subependymal giant cell astrocytoma Tablet 2.5 mg Novartis
2013-01-22 Marketing approval 飞尼妥/Afinitor Advanced renal cell carcinoma (RCC), Subependymal giant cell astrocytoma Tablet 10 mg Novartis
2013-01-22 Marketing approval 飞尼妥/Afinitor Advanced renal cell carcinoma (RCC), Subependymal giant cell astrocytoma Tablet 5 mg Novartis
Approval Date Approval Type Trade Name Indication Dosage Form Strength Company Review Classification
2003-07-18 Marketing approval Certican Rejection of organ transplantation, Renal cell carcinoma Tablet 0.25 mg/0.5 mg/0.75 mg Novartis
Chemical Structure

Update Date:2015-08-27

Molecular Weight 958.22
Formula C53H83NO14
CAS No. 159351-69-6 (Everolimus);
Chemical Name (1R,9S,12S,15R,16E,18R,19R,21R,23S,24E,26E,28E,30S,32S,35R)-1,18-Dihydroxy-12-{(1R)-2-[(1S,3R,4R)-4-(2-hydroxyethoxy)-3-methoxycyclohexyl]-1-methylethyl}-19,30-dimethoxy-15,17,21,23,29,35-hexamethyl-11,36-dioxa-4-azatricyclo[30.3.1.04,9]hexatriaconta-16,24,26,28-tetraene-2,3,10,14,20-pentaone
Everolimus (Free Acid/Base)Parameters:
MW HD HA FRB* PSA* cLogP*
958.22 3 15 12 205 4.182±0.906
*:Calculated by ACD/Labs software V11.02.
Synthesis & Impurities

Update Date:2016-01-07


1. US5665772A.

2. Drug. Future 1999, 24, 22-29.


1. WO2014203185A1.


1. WO2012103959A1.


1. CN102731527A.

Impurity database is being updated!