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Details

Stereochemistry ACHIRAL
Molecular Formula C12H10F3N3O4
Molecular Weight 317.2207
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of NILUTAMIDE

SMILES

CC1(C)NC(=O)N(C1=O)C2=CC(=C(C=C2)[N+]([O-])=O)C(F)(F)F

InChI

InChIKey=XWXYUMMDTVBTOU-UHFFFAOYSA-N
InChI=1S/C12H10F3N3O4/c1-11(2)9(19)17(10(20)16-11)6-3-4-8(18(21)22)7(5-6)12(13,14)15/h3-5H,1-2H3,(H,16,20)

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/207631Orig1s000lbl.pdf

Nilutamide is an antineoplastic hormonal agent primarily used in the treatment of prostate cancer. Nilutamide is a pure, nonsteroidal anti-androgen with affinity for androgen receptors (but not for progestogen, estrogen, or glucocorticoid receptors). Consequently, Nilutamide blocks the action of androgens of adrenal and testicular origin that stimulate the growth of normal and malignant prostatic tissue. Prostate cancer is mostly androgen-dependent and can be treated with surgical or chemical castration. To date, antiandrogen monotherapy has not consistently been shown to be equivalent to castration. The relative binding affinity of nilutamide at the androgen receptor is less than that of bicalutamide, but similar to that of hydroxuflutamide. Nilutamide competes with androgen for the binding of androgen receptors, consequently blocking the action of androgens of adrenal and testicular origin that stimulate the growth of normal and malignant prostatic tissue. This blockade of androgen receptors may result in growth arrest or transient tumor regression through inhibition of androgen-dependent DNA and protein synthesis. Nilutamide is used in combination with surgical castration for the treatment of metastatic prostate cancer involving distant lymph nodes, bone, or visceral organs (Stage D2). Nilutamide is sold under the brand names Nilandron (US), Anandron (CA)).

CNS Activity

Curator's Comment: Like flutamide and bicalutamide, nilutamide is able to cross the blood-brain-barrier and has central antiandrogen actions.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
9.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
NILANDRON

Approved Use

Metastatic Prostate Cancer Nilutamide Tablets are indicated for use in combination with surgical castration for the treatment of metastatic prostate cancer (Stage D2).

Launch Date

1996
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
2.3 mg/L
0.3 g single, oral
dose: 0.3 g
route of administration: Oral
experiment type: SINGLE
co-administered:
NILUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
2.3 mg/L
0.3 g single, oral
dose: 0.3 g
route of administration: Oral
experiment type: SINGLE
co-administered:
NILUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
84 mg × h/L
0.3 g single, oral
dose: 0.3 g
route of administration: Oral
experiment type: SINGLE
co-administered:
NILUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
56 h
0.3 g single, oral
dose: 0.3 g
route of administration: Oral
experiment type: SINGLE
co-administered:
NILUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
49 h
0.3 g single, oral
dose: 0.3 g
route of administration: Oral
experiment type: SINGLE
co-administered:
NILUTAMIDE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
DLT: Nausea, Vomiting...
Disc. AE: Hot flashes, Interstitial lung disease...
Dose limiting toxicities:
Nausea (7.5%)
Vomiting (7.5%)
AEs leading to
discontinuation/dose reduction:
Hot flashes (5.7%)
Interstitial lung disease (3.8%)
Visual disturbance NOS (1.9%)
Pruritus (1.9%)
Dizziness (1.9%)
Headache (1.9%)
Hepatic enzyme increased (1.9%)
Sources:
13 g single, oral
Overdose
unhealthy, 79
Disc. AE: Vomiting, Diarrhoea...
AEs leading to
discontinuation/dose reduction:
Vomiting (moderate)
Diarrhoea (moderate)
Sources:
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Gastrointestinal disorders, Nausea...
AEs leading to
discontinuation/dose reduction:
Gastrointestinal disorders
Nausea
Vomiting
Malaise
Headache
Dizziness
Sources:
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Interstitial pneumonitis, Pulmonary fibrosis...
AEs leading to
discontinuation/dose reduction:
Interstitial pneumonitis (2%)
Pulmonary fibrosis (grade 5, rare)
Sources:
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Liver injury...
AEs leading to
discontinuation/dose reduction:
Liver injury (severe, rare)
Sources:
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Disc. AE: Visual disturbances...
AEs leading to
discontinuation/dose reduction:
Visual disturbances (1 - 2)
Sources:
AEs

AEs

AESignificanceDosePopulation
Dizziness 1.9%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Headache 1.9%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Hepatic enzyme increased 1.9%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Pruritus 1.9%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Visual disturbance NOS 1.9%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Interstitial lung disease 3.8%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Hot flashes 5.7%
Disc. AE
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Nausea 7.5%
DLT
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Vomiting 7.5%
DLT
100 mg 3 times / day multiple, oral
Recommended
Dose: 100 mg, 3 times / day
Route: oral
Route: multiple
Dose: 100 mg, 3 times / day
Sources:
unhealthy, 47-93
Health Status: unhealthy
Age Group: 47-93
Sex: M
Sources:
Diarrhoea moderate
Disc. AE
13 g single, oral
Overdose
unhealthy, 79
Vomiting moderate
Disc. AE
13 g single, oral
Overdose
unhealthy, 79
Dizziness Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Gastrointestinal disorders Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Headache Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Malaise Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Nausea Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Vomiting Disc. AE
900 mg 1 times / day multiple, oral
Highest studied dose
Dose: 900 mg, 1 times / day
Route: oral
Route: multiple
Dose: 900 mg, 1 times / day
Sources:
unhealthy
Interstitial pneumonitis 2%
Disc. AE
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Pulmonary fibrosis grade 5, rare
Disc. AE
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Liver injury severe, rare
Disc. AE
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
Visual disturbances 1 - 2
Disc. AE
300 mg 1 times / day multiple, oral
Recommended
Dose: 300 mg, 1 times / day
Route: oral
Route: multiple
Dose: 300 mg, 1 times / day
Sources:
unhealthy
PubMed

PubMed

TitleDatePubMed
Flare Associated with LHRH-Agonist Therapy.
2001
Androgen deprivation and other treatments for advanced prostate cancer.
2001
Role of 5 alpha-reductase inhibitors in the management of prostate cancer.
2006
Antiandrogen treatments in locally advanced prostate cancer: are they all the same?
2006 Aug
Ginsenoside Re, a main phytosterol of Panax ginseng, activates cardiac potassium channels via a nongenomic pathway of sex hormones.
2006 Dec
Maximal androgen blockade for the treatment of metastatic prostate cancer--a systematic review.
2006 Jun
Recent progress in hormonal therapy for advanced prostate cancer.
2006 May
Combined androgen blockade: an update.
2006 May
Bioactivation and hepatotoxicity of nitroaromatic drugs.
2006 Oct
[Keyrole of endocrinology in the victory against prostate cancer].
2006 Sep
A bifunctional colchicinoid that binds to the androgen receptor.
2007 Aug
Role of vaccine therapy in cancer: biology and practice.
2007 Dec
Signaling pathway of nitric oxide production induced by ginsenoside Rb1 in human aortic endothelial cells: a possible involvement of androgen receptor.
2007 Feb 16
New therapeutic targets in the treatment of prostate cancer.
2007 Jan
In silico prediction of pregnane X receptor activators by machine learning approaches.
2007 Jan
Antiandrogenic activity of pyrethroid pesticides and their metabolite in reporter gene assay.
2007 Jan
A novel synthetic compound that interrupts androgen receptor signaling in human prostate cancer cells.
2007 Jul
Effects of steroidal and non-steroidal antiandrogens on wild-type and mutant androgen receptors.
2007 Jun 1
Long-term effectiveness of luteinizing hormone-releasing hormone agonist or antiandrogen monotherapy in elderly men with localized prostate cancer (T1-2): a retrospective study.
2007 Mar
Combined androgen blockade in advanced prostate cancer: looking back to move forward.
2007 Sep
Androgen receptor functional analyses by high throughput imaging: determination of ligand, cell cycle, and mutation-specific effects.
2008
Maximal androgen blockade for advanced prostate cancer.
2008 Apr
Screening of 397 chemicals and development of a quantitative structure--activity relationship model for androgen receptor antagonism.
2008 Apr
The androgen receptor can signal through Wnt/beta-Catenin in prostate cancer cells as an adaptation mechanism to castration levels of androgens.
2008 Jan 24
Strategies for prostate cancer prevention: Review of the literature.
2008 Jul
Analysis of overall survival in patients with nonmetastatic castration-resistant prostate cancer treated with vaccine, nilutamide, and combination therapy.
2008 Jul 15
Delayed dark adaptation caused by nilutamide.
2008 Jun
Antiandrogen withdrawal in castrate-refractory prostate cancer: a Southwest Oncology Group trial (SWOG 9426).
2008 Jun
Synthesis and structure-activity relationships of the first ferrocenyl-aryl-hydantoin derivatives of the nonsteroidal antiandrogen nilutamide.
2008 Mar 27
A dramatic, objective antiandrogen withdrawal response: case report and review of the literature.
2008 Nov 5
Watchful waiting beats androgen deprivation therapy in early prostate cancer.
2008 Nov 5
Testosterone recovery after prolonged androgen suppression in patients with prostate cancer.
2008 Oct
FAF-Drugs2: free ADME/tox filtering tool to assist drug discovery and chemical biology projects.
2008 Sep 24
Fulminant hepatic failure due to nilutamide hepatotoxicity.
2009 Apr
Fasting and cancer treatment in humans: A case series report.
2009 Dec 31
Impact level of dihydrotestosterone on the hypothalamic-pituitary-leydig cell axis in men.
2009 Feb
Role of maximum androgen blockade in advanced prostate cancer.
2009 Jan
Genotoxic and endocrine activities of bis(hydroxyphenyl)methane (bisphenol F) and its derivatives in the HepG2 cell line.
2009 Jan 8
Integrating statistical predictions and experimental verifications for enhancing protein-chemical interaction predictions in virtual screening.
2009 Jun
CYP17 blockade by abiraterone: further evidence for frequent continued hormone-dependence in castration-resistant prostate cancer.
2009 Mar 10
Efficacy of salvage radiotherapy plus 2-year androgen suppression for postradical prostatectomy patients with PSA relapse.
2009 Nov 15
Prospective study evaluating postoperative radiotherapy plus 2-year androgen suppression for post-radical prostatectomy patients with pathologic T3 disease and/or positive surgical margins.
2009 Oct 1
Hormonal therapy of prostate cancer.
2010
Androgen receptor-dependent activation of endothelial nitric oxide synthase in vascular endothelial cells: role of phosphatidylinositol 3-kinase/akt pathway.
2010 Apr
The evolutionary impact of androgen levels on prostate cancer in a multi-scale mathematical model.
2010 Apr 20
A randomized phase II trial of mitoxantrone, estramustine and vinorelbine or bcl-2 modulation with 13-cis retinoic acid, interferon and paclitaxel in patients with metastatic castrate-resistant prostate cancer: ECOG 3899.
2010 Feb 24
Growth inhibition of androgen-responsive prostate cancer cells with brefeldin A targeting cell cycle and androgen receptor.
2010 Jan 26
Maximal androgen blockade for advanced prostate cancer.
2010 Jan-Mar
Involvement of androgen receptor in nitric oxide production induced by icariin in human umbilical vein endothelial cells.
2010 Jun 3
Activity of antiandrogens against juvenile and adult Schistosoma mansoni in mice.
2010 Sep
Patents

Sample Use Guides

The recommended dosage is 300 mg once a day for 30 days, followed thereafter by 150 mg once a day. Nilutamide Tablets can be taken with or without food.
Route of Administration: Oral
In Vitro Use Guide
At concentrations expected in the human liver (110 uM), nilutamide inhibited hexobarbital hydroxylase, benzphetamine N-demethylase, benzo(a)pyrene hydroxylase and 7-ethoxycoumarin O-deethylase activities by 85, 40, 35 and 25%, respectively in human liver microsomes.
Name Type Language
NILANDRON
Preferred Name English
NILUTAMIDE
EP   INN   MART.   MI   ORANGE BOOK   USAN   VANDF   WHO-DD  
INN   USAN  
Official Name English
nilutamide [INN]
Common Name English
NILUTAMIDE [ORANGE BOOK]
Common Name English
5,5-DIMETHYL-3-(.ALPHA.,.ALPHA.,.ALPHA.-TRIFLUORO-4-NITRO-M-TOLYL)HYDANTOIN
Systematic Name English
2,4-IMIDAZOLIDINEDIONE, 5,5-DIMETHYL-3-(4-NITRO-3-(TRIFLUOROMETHYL)PHENYL)-
Systematic Name English
NILUTAMIDE [EP MONOGRAPH]
Common Name English
NILUTAMIDE [USP MONOGRAPH]
Common Name English
NILUTAMIDE [MI]
Common Name English
RU 23908
Code English
NILUTAMIDE [MART.]
Common Name English
NSC-758683
Code English
NILUTAMIDE [VANDF]
Common Name English
RU-23908
Code English
NILUTAMIDE [USP-RS]
Common Name English
Nilutamide [WHO-DD]
Common Name English
NILUTAMIDE [USAN]
Common Name English
Classification Tree Code System Code
LIVERTOX NBK548158
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
NDF-RT N0000000243
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
NCI_THESAURUS C146993
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
WHO-VATC QL02BB02
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
WHO-ATC L02BB02
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
NDF-RT N0000175560
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
Code System Code Type Description
EPA CompTox
DTXSID3034165
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PRIMARY
MESH
C021277
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY
NCI_THESAURUS
C1173
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY
WIKIPEDIA
NILUTAMIDE
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY
RS_ITEM_NUM
1463472
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PRIMARY
PUBCHEM
4493
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PRIMARY
SMS_ID
100000083883
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PRIMARY
NSC
758683
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PRIMARY
MERCK INDEX
m7899
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY Merck Index
ChEMBL
CHEMBL1274
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PRIMARY
EVMPD
SUB09291MIG
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PRIMARY
FDA UNII
51G6I8B902
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PRIMARY
DRUG BANK
DB00665
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PRIMARY
DAILYMED
51G6I8B902
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY
USAN
HH-48
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PRIMARY
DRUG CENTRAL
1933
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PRIMARY
CAS
63612-50-0
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PRIMARY
CHEBI
7573
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PRIMARY
INN
5755
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PRIMARY
IUPHAR
2864
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PRIMARY
RXCUI
31805
Created by admin on Mon Mar 31 18:09:06 GMT 2025 , Edited by admin on Mon Mar 31 18:09:06 GMT 2025
PRIMARY RxNorm