Avatrombopag
Chemical compound
From Wikipedia, the free encyclopedia
Avatrombopag, sold under the brand name Doptelet, is a medication that is used for certain conditions that lead to thrombocytopenia (low platelets) such as thrombocytopenia associated with chronic liver disease in adults who are to undergo a planned medical or dental procedure.[8][9] It was approved for medical use in the United States in May 2018,[10][11] the European Union in June 2019,[7] and Australia in January 2023.[1]
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| Pronunciation | a" va trom' boe pag |
| Trade names | Doptelet |
| AHFS/Drugs.com | Monograph |
| MedlinePlus | a618032 |
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| Routes of administration | By mouth |
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| Formula | C29H34Cl2N6O3S2 |
| Molar mass | 649.65 g·mol−1 |
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It acts as a thrombopoietin receptor agonist.[12]
Synthesis
The chemical synthesis of avatrombopag was recently reported:[13]

The halogenation of 2-acetyl-4-chlorothiophene [34730-20-6] (1) gave 2-bromo-1-(4-chloro-2-thienyl)ethanone [677007-73-7] (2). Condensation with thiourea produced 4-(4-chlorothiophen-2-yl)-1,3-thiazol-2-amine [570407-10-2] (3). Halogenation with N-bromosuccinimide (NBS) in DMF have an intermediate which was used for nucleophilic aromatic substitution with 1-cyclohexylpiperazine [17766-28-8] (4) to provide [570407-42-0] (5). Schotten-Baumann reaction with 5,6-dichloronicotinic acid [41667-95-2] (6) gave the corresponding nicotinamide [570403-04-2] (7). A second nucleophilic aromatic substitution ethyl isonipecotate [1126-09-6] (8) gave [570403-14-4] (9). Subsequent saponification completed the synthesis of avatrombopag (10).