Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C28H35FO7 |
| Molecular Weight | 502.5717 |
| Optical Activity | UNSPECIFIED |
| Defined Stereocenters | 8 / 8 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(=O)OCC(=O)[C@@]12OC3(CCCC3)O[C@@H]1C[C@H]4[C@@H]5CCC6=CC(=O)C=C[C@]6(C)[C@@]5(F)[C@@H](O)C[C@]24C
InChI
InChIKey=ILKJAFIWWBXGDU-MOGDOJJUSA-N
InChI=1S/C28H35FO7/c1-16(30)34-15-22(33)28-23(35-26(36-28)9-4-5-10-26)13-20-19-7-6-17-12-18(31)8-11-24(17,2)27(19,29)21(32)14-25(20,28)3/h8,11-12,19-21,23,32H,4-7,9-10,13-15H2,1-3H3/t19-,20-,21-,23+,24-,25-,27-,28+/m0/s1
Amcinonide is a corticosteroid, which is indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. The mechanism of anti-inflammatory activity of the topical corticosteroids is unclear. However, corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins, collectively called lipocortins. It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor, arachidonic acid. Arachidonic acid is released from membrane phospholipids by phospholipase A2. Amcinonide has affinity for the glucocorticoid receptor. It has weak affinity for the progesterone receptor, and virtually no affinity for the mineralocorticoid, estrogen, or androgen receptors. Various laboratory methods, including vasoconstrictor assays, are used to compare and predict potencies and/or clinical efficacies of the topical corticosteroids. There is some evidence to suggest that a recognizable correlation exists between vasoconstrictor potency and therapeutic efficacy in man. The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. Topical corticosteroids can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin increase percutaneous absorption. Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2034 Sources: https://www.medchemexpress.com/Amcinonide.html |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Palliative | AMCINONIDE Approved UseTopical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. Launch Date2002 |
Doses
| Dose | Population | Adverse events |
|---|---|---|
1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Other AEs: Itching, Irritation skin... Other AEs: Itching (4.7%) Sources: Irritation skin (4.7%) Mucosal dryness (4.7%) Folliculitis (4.7%) Hypertrichosis (4.7%) Acneiform eruption (4.7%) Skin hypopigmentation (4.7%) Perioral dermatitis (4.7%) Allergic contact dermatitis (4.7%) Skin maceration (4.7%) Secondary infection (4.7%) Skin atrophy (4.7%) Striae (4.7%) Miliaria (4.7%) |
1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
Disc. AE: Periorbital edema... Other AEs: Hair color changes, Folliculitis... AEs leading to discontinuation/dose reduction: Periorbital edema (1 patient) Other AEs:Hair color changes (2 patients) Sources: Folliculitis (1 patient) Stinging (9 patients) Itching (17 patients) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Acneiform eruption | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Allergic contact dermatitis | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Folliculitis | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hypertrichosis | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Irritation skin | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Itching | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Miliaria | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Mucosal dryness | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Perioral dermatitis | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Secondary infection | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Skin atrophy | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Skin hypopigmentation | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Skin maceration | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Striae | 4.7% | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Folliculitis | 1 patient | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Periorbital edema | 1 patient Disc. AE |
1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Itching | 17 patients | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Hair color changes | 2 patients | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
| Stinging | 9 patients | 1 mg 3 times / day steady, topical Dose: 1 mg, 3 times / day Route: topical Route: steady Dose: 1 mg, 3 times / day Sources: |
unhealthy Health Status: unhealthy Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Contact allergy to topical corticosteroids--results from the IVDK and epidemiological risk assessment. | 2009-01 |
|
| Allergic contact dermatitis to topical drugs--epidemiological risk assessment. | 2008-08 |
|
| Human receptor kinetics and lung tissue retention of the enhanced-affinity glucocorticoid fluticasone furoate. | 2007-07-25 |
|
| Angioedema and dysphagia caused by contact allergy to inhaled budesonide. | 2003-08 |
|
| Selective corticosteroid injection into the extensor pollicis brevis tenosynovium for de Quervain's disease. | 2002-01 |
|
| Exacerbation of allergic contact dermatitis from amcinonide triggered by patch testing. | 2001-10 |
|
| Patch testing with serial dilutions of budesonide, its R and S diastereomers, and potentially cross-reacting substances. | 2001-09 |
|
| Tixocortol pivalate contact allergy in the GPMT: frequency and cross-reactivity. | 2001-01 |
|
| Delayed generalized allergic reactions to corticosteroids. | 2000 |
|
| Studies in patients with corticosteroid contact allergy. Understanding cross-reactivity among different steroids. | 1995-01 |
|
| Contact sensitivity and cross-reactivity of budesonide. | 1993-04 |
|
| Contact allergies to topical corticosteroids. | 1993-03 |
|
| [Contact allergy to topical glucocorticoids]. | 1993-02 |
|
| Contact allergies to topical corticosteroids: 10 cases of contact dermatitis. | 1991-08 |
|
| Influence of depigmenting chemical agents on hair and skin color in yellow (pheomelanic) and black (eumelanic) mice. | 1990-03-01 |
|
| Allergic contact dermatitis from topical corticosteroids. | 1989-08 |
|
| Investigations on the development and regression of corticosteroid-induced thinning of the skin in various parts of the human body during and after topical application of amcinonide. | 1989 |
|
| Amcinonide vs. betamethasone dipropionate ointments in the treatment of psoriasis. | 1985-05 |
|
| Allergic contact dermatitis from amcinonide. | 1985-04 |
|
| Allergy to 2 new corticoid molecules. | 1984-08 |
|
| A comparative study of amcinonide and halcinonide in the treatment of eczematous dermatitis. | 1984-08 |
|
| Contact sensitivity to topical corticosteroids. | 1984-05 |
|
| Comparison of amcinonide ointment 0.1 percent twice daily and fluocinonide ointment 0.05 percent three times daily in the treatment of psoriasis. | 1983-05 |
|
| Treatment of psoriasis with amcinonide 0.1 percent and fluocinonide 0.05 percent ointments. A comparative double-blind study. | 1982-06 |
|
| A controlled comparison of amcinonide cream 0.1 percent and halcinonide cream 0.1 percent in the treatment of eczematous dermatitis. | 1981-10 |
|
| Management of eczematous dermatitis with amcinonide or betamethasone valerate. A double-blind comparative study. | 1979-12 |
Sample Use Guides
Is generally applied to the affected area as a thin film from two to three times daily depending on the severity of the condition.
Route of Administration:
Topical
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=22551518
Amcinonide inhibit NO release from activated microglia with IC50 3.38 nM. It also inhibited necrotic neuronal cells (NNC)-induced expression of the proinflammatory genes iNOS, TNF-α, and IL-1β in glial cells
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NCI_THESAURUS |
C521
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N0000175450
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QD07AC11
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D07AC11
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N0000175576
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256-915-2
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AMCINONIDE
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Amcinonide
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ACTIVE MOIETY