Details
Stereochemistry | ACHIRAL |
Molecular Formula | C20H24FN5O3 |
Molecular Weight | 401.4347 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
COC(=O)N1CCN(CC2=CC=CC(NC(=O)NC3=CC=C(C)N=C3)=C2F)CC1
InChI
InChIKey=RFUBTTPMWSKEIW-UHFFFAOYSA-N
InChI=1S/C20H24FN5O3/c1-14-6-7-16(12-22-14)23-19(27)24-17-5-3-4-15(18(17)21)13-25-8-10-26(11-9-25)20(28)29-2/h3-7,12H,8-11,13H2,1-2H3,(H2,23,24,27)
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/27322915
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27322915
Omecamtiv mecarbil (CK-1827452) is a specific cardiac myosin activator and a clinical drug for left ventricular systolic heart failure (in Phase 2 of development). Omecamtiv mecarbil is an inotropic agent that prolongs systolic ejection time and increases ejection fraction through myosin ATPase activation.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: myosin ATPase Sources: https://www.ncbi.nlm.nih.gov/pubmed/26025342 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
905 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21856480 |
0.5 mg/kg/h 1 times / week multiple, intravenous dose: 0.5 mg/kg/h route of administration: Intravenous experiment type: MULTIPLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Disc. AE: Chest discomfort, ST segment depression... Other AEs: Feeling ho, Chest discomfort... AEs leading to discontinuation/dose reduction: Chest discomfort (100%) Other AEs:ST segment depression (50%) increased troponin concentrations (50%) Feeling ho (100%) Sources: Chest discomfort (100%) Catheter-site pain (50%) Postural dizziness (50%) Dizziness (50%) |
0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Other AEs: Catheter-site pain, Headache... Other AEs: Catheter-site pain (31%) Sources: Headache (19%) Dizziness (12%) Catheter site haematoma (6%) Catheter-site pain (6%) Pharyngolaryngeal pai (6%) Postural dizziness (31%) |
0.75 mg/kg 1 times / week multiple, intravenous (unknown) Studied dose Dose: 0.75 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.75 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Disc. AE: ST segment depression... AEs leading to discontinuation/dose reduction: ST segment depression (50%) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Chest discomfort | 100% | 1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Feeling ho | 100% | 1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Chest discomfort | 100% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Catheter-site pain | 50% | 1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Dizziness | 50% | 1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Postural dizziness | 50% | 1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
ST segment depression | 50% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
increased troponin concentrations | 50% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous (unknown) Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
Dizziness | 12% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Headache | 19% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Catheter-site pain | 31% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Postural dizziness | 31% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Catheter site haematoma | 6% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Catheter-site pain | 6% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
Pharyngolaryngeal pai | 6% | 0.5 mg/kg 1 times / week multiple, intravenous (unknown) MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy n = 16 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 16 Sources: |
ST segment depression | 50% Disc. AE |
0.75 mg/kg 1 times / week multiple, intravenous (unknown) Studied dose Dose: 0.75 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.75 mg/kg, 1 times / week Sources: |
healthy n = 2 Health Status: healthy Sex: M Food Status: UNKNOWN Population Size: 2 Sources: |
PubMed
Title | Date | PubMed |
---|---|---|
Discovery of omecamtiv mecarbil the first, selective, small molecule activator of cardiac Myosin. | 2010 Dec 9 |
|
The effects of the cardiac myosin activator, omecamtiv mecarbil, on cardiac function in systolic heart failure: a double-blind, placebo-controlled, crossover, dose-ranging phase 2 trial. | 2011 Aug 20 |
|
Dose-dependent augmentation of cardiac systolic function with the selective cardiac myosin activator, omecamtiv mecarbil: a first-in-man study. | 2011 Aug 20 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21856480
Curator's Comment: https://clinicaltrials.gov/ct2/show/NCT00941681?term=OMECAMTIV+MECARBIL&rank=5
50 mg dose (oral) of CK-1827452 (OMECAMTIV MECARBIL) twice a day (BID) for 10 days. Omecamtiv mecarbil infusion (ranging from 0·005 to 1·0 mg/kg per h)
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25068717
In vitro Ventricular myosin (βMys) step-size, motility velocity, and actin-activated myosin ATPase were measured to determine duty cycle in the absence and presence of 1.5 μM OMECAMTIV MECARBIL (OM). A new parameter, the relative step-frequency, was introduced and measured to characterize βMys motility due to the involvement of its three unitary step-sizes. OM decreases motility velocity 10-fold without affecting step-size, indicating a large increase in duty cycle converting βMys to a near processive myosin. The OM conversion dramatically increases force and modestly increases power over the native βMys.
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DB11816
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C166579
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100000138839
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Omecamtiv mecarbil
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CHEMBL1800955
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ACTIVE MOIETY
SALT/SOLVATE (PARENT)