U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C9H5ClINO
Molecular Weight 305.5
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CLIOQUINOL

SMILES

OC1=C2N=CC=CC2=C(Cl)C=C1I

InChI

InChIKey=QCDFBFJGMNKBDO-UHFFFAOYSA-N
InChI=1S/C9H5ClINO/c10-6-4-7(11)9(13)8-5(6)2-1-3-12-8/h1-4,13H

HIDE SMILES / InChI

Description
Curator's Comment: Description was created based on several sources, including: https://pubchem.ncbi.nlm.nih.gov/compound/clioquinol; https://www.ebi.ac.uk/chembldb/compound/inspect/CHEMBL497; http://www.cell.com/trends/neurosciences/pdf/S0166-2236(00)02086-5.pdf http://www.ncbi.nlm.nih.gov/pubmed/11598313; http://harvoa.org/polio/smon.htm; http://www.ncbi.nlm.nih.gov/pubmed/20526539

Clioquinol is a broad-spectrum antibacterial with antifungal properties, bacteriostatic. It is used as an antifungal and antiprotozoal topical drug OTC product for treatment of human infections. Previousely was used for wide number of intestinal disorders including lambliasis, shigellosis, balantidiral dysentery and some forms of diarrheas. The physiologic effect of clioquinol is by increased histamine release and cell-mediated immunity. It is a member of a family hydroxyquinolines which inhibit certain enzymes related to DNA replication. It is a copper, iron and zink chelating agent. It is an organic molecule with a quinolinic acid as its apparent core which itself is a neurotransmitter. In large doses it possesses neurotoxicity and may induce neurological disease such as subacute myelo-optic neuropathy by creating copper deficiency that leads to zink excess. SMON (Sub-Acute-Myelo-Optical-Neuropathy) - a polio-like disease began as an epidemic in 1959 in Japan was believed to be a Clioquinol caused. Clioquinol is a standardized chemical allergen. It has been resurrected as a potential treatment for Alzheimer's disease since it perturbs metallo-chemistry of amyloid and clioquinol treatment has been shown to be beneficial in a mouse model of Alzheimer's disease.

CNS Activity

Curator's Comment: Clioquinol is capable of being absorbed into the human nervous system.

Originator

Curator's Comment: Was initially developed in 1934 by CIBA as a topical and intestinal antiseptic. CIBA started marketing clioquinol in 1934 to fight amoebic dysentery as an oral intestinal embicide. By the time the company entered the lucrative Japanese market in 1953, it was pushing clioquinol worldwide for all forms of dysentery. Ciba was permitted to market the drug in Japan for all types of abdominal trouble, with no limitation as to dosage or length of treatment. Ciba promoted the drug throughout the 1950s and 1960s as being safe and effective, even for children, and as having no adverse permanent side effects. The 1970 merger of CIBA and GEIGY (Swiss chemical company) was followed by a lawsuit against the company for clioquinol as a couse of the epidemic of subacute-myelo-optico- neuropathy (SMON) in Japan. In March 1985, Ciba Geigy finally took the drug off the market worldwide.

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
DERMOSCRIBE ICHYBUM

Approved Use

Unknown
Primary
Dermasorb AF

Approved Use

Unknown
Primary
Dermasorb AF

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
42 μg/mL
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1600 μg × h/mL
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
41 h
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
4 g single, oral
Studied dose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Sources:
unhealthy, 32 years
Health Status: unhealthy
Age Group: 32 years
Sex: M
Sources:
Other AEs: Late onset epilepsy...
Other AEs:
Late onset epilepsy (1 patient)
Sources:
5 g single, oral
Studied dose
Dose: 5 g
Route: oral
Route: single
Dose: 5 g
Sources:
unhealthy, 43 years
Health Status: unhealthy
Age Group: 43 years
Sex: F
Sources:
Other AEs: Late onset epilepsy...
Other AEs:
Late onset epilepsy (1 patient)
Sources:
6 % 1 times / day steady, topical
Recommended
Dose: 6 %, 1 times / day
Route: topical
Route: steady
Dose: 6 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Other AEs: Skin irritation...
Other AEs:
Skin irritation (35 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Late onset epilepsy 1 patient
4 g single, oral
Studied dose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Sources:
unhealthy, 32 years
Health Status: unhealthy
Age Group: 32 years
Sex: M
Sources:
Late onset epilepsy 1 patient
5 g single, oral
Studied dose
Dose: 5 g
Route: oral
Route: single
Dose: 5 g
Sources:
unhealthy, 43 years
Health Status: unhealthy
Age Group: 43 years
Sex: F
Sources:
Skin irritation 35 patients
6 % 1 times / day steady, topical
Recommended
Dose: 6 %, 1 times / day
Route: topical
Route: steady
Dose: 6 %, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Age Group: adult
Sex: unknown
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
The redox chemistry of the Alzheimer's disease amyloid beta peptide.
2007-08
Clioquinol attenuates zinc-dependent beta-cell death and the onset of insulitis and hyperglycemia associated with experimental type I diabetes in mice.
2007-06-22
Stoichiometry and conditional stability constants of Cu(II) or Zn(II) clioquinol complexes; implications for Alzheimer's and Huntington's disease therapy.
2007-05
Copper and clioquinol treatment in young APP transgenic and wild-type mice: effects on life expectancy, body weight, and metal-ion levels.
2007-04
Mechanisms of copper ion mediated Huntington's disease progression.
2007-03-28
Pharmacokinetics and distribution of clioquinol in golden hamsters.
2007-03
Clioquinol, a therapeutic agent for Alzheimer's disease, has proteasome-inhibitory, androgen receptor-suppressing, apoptosis-inducing, and antitumor activities in human prostate cancer cells and xenografts.
2007-02-15
The inhalation anesthetic isoflurane induces a vicious cycle of apoptosis and amyloid beta-protein accumulation.
2007-02-07
The copper chelator, D-penicillamine, does not attenuate MPTP induced dopamine depletion in mice.
2007-02
Copper-binding compounds as proteasome inhibitors and apoptosis inducers in human cancer.
2007-01-01
Oral administration of metal chelator ameliorates motor dysfunction after a small hemorrhage near the internal capsule in rat.
2007-01
Synthesis and anti-HIV properties of new hydroxyquinoline-polyamine conjugates on cells infected by HIV-1 LAV and HIV-1 BaL viral strains.
2006-12-01
Medical treatment of vulvar squamous cell hyperplasia.
2006-12
Novel Schiff base copper complexes of quinoline-2 carboxaldehyde as proteasome inhibitors in human prostate cancer cells.
2006-11-30
Clioquinol, a Cu(II)/Zn(II) chelator, inhibits both ubiquitination and asparagine hydroxylation of hypoxia-inducible factor-1alpha, leading to expression of vascular endothelial growth factor and erythropoietin in normoxic cells.
2006-11-10
Aluminum and other metals in Alzheimer's disease: a review of potential therapy with chelating agents.
2006-11
Short G-rich oligonucleotides as a potential therapeutic for Huntington's Disease.
2006-10-02
Therapeutic treatments for Alzheimer's disease based on metal bioavailability.
2006-10
Natural distribution of environmental radon daughters in the different brain areas of an Alzheimer disease victim.
2006-09-11
Iron: a new target for pharmacological intervention in neurodegenerative diseases.
2006-09
European Standard Series patch test results from a contact dermatitis clinic in Israel during the 7-year period from 1998 to 2004.
2006-08
Clioquinol and docosahexaenoic acid act synergistically to kill tumor cells.
2006-07
Degradation of the Alzheimer disease amyloid beta-peptide by metal-dependent up-regulation of metalloprotease activity.
2006-06-30
1,1'-Xylyl bis-1,4,8,11-tetraaza cyclotetradecane: a new potential copper chelator agent for neuroprotection in Alzheimer's disease. Its comparative effects with clioquinol on rat brain copper distribution.
2006-06-15
Determination of 5-chloro-7-iodo-8-quinolinol (clioquinol) in plasma and tissues of hamsters by high-performance liquid chromatography and electrochemical detection.
2006-06-06
Effect of copper and manganese on the de novo generation of protease-resistant prion protein in yeast cells.
2006-05-30
Metal homeostasis in Alzheimer's disease.
2006-05
Infiltrative intestinal disease.
2006-04
Clioquinol treatment in familiar early onset of Alzheimer's disease: Ibach B et al., Pharmacopsychiatry 2005; 38: 178-179.
2006-03
Radioiodinated clioquinol as a biomarker for beta-amyloid: Zn complexes in Alzheimer's disease.
2006-02
Clioquinol for the treatment of Alzheimer's Disease.
2006-01-25
Pharmacological strategies for the prevention of Alzheimer's disease.
2006-01
A rapid and efficient preparation of [123I]radiopharmaceuticals using a small HPLC (Rocket) column.
2006-01
Metal specificity of an iron-responsive element in Alzheimer's APP mRNA 5'untranslated region, tolerance of SH-SY5Y and H4 neural cells to desferrioxamine, clioquinol, VK-28, and a piperazine chelator.
2006
[Contact allergy to preservatives contained in cosmetics].
2006
M30, a novel multifunctional neuroprotective drug with potent iron chelating and brain selective monoamine oxidase-ab inhibitory activity for Parkinson's disease.
2006
Hope for Huntington's from an old antibiotic.
2005-12
Translational research on the way to effective therapy for Alzheimer disease.
2005-11
The oxidative neurotoxicity of clioquinol.
2005-10
Alzheimer disease beta-amyloid activity mimics cholesterol oxidase.
2005-09
Evaluation of anti-prionic activity of clioquinol in an in vivo model (Mesocricetus auratus).
2005-08
[Antimicrobially effective compounded medications. Clinical value and critical comments].
2005-08
Clioquinol treatment in familiar early onset of Alzheimer's disease: a case report.
2005-07
Metal ion-dependent effects of clioquinol on the fibril growth of an amyloid {beta} peptide.
2005-04-22
Anticancer activity of the antibiotic clioquinol.
2005-04-15
Why nutraceuticals do not prevent or treat Alzheimer's disease.
2005-04-12
Clioquinol and pyrrolidine dithiocarbamate complex with copper to form proteasome inhibitors and apoptosis inducers in human breast cancer cells.
2005
Evaluation of phototoxic properties of antimicrobials used in topical preparations by a photohaemolysis test.
2005
Transient global amnesia after clioquinol: five personal observations from outside Japan.
1979-12
[Subacute myelopathy during a course of treatment with clioquinol in a patient colectomized for Crohn's disease].
1978-01-01
Patents

Sample Use Guides

Apply a thin layer to the affected area 3 or 4 times daily (3% clioquinol, 0.5% hydrocortisone)
Route of Administration: Topical
In Vitro Use Guide
Unknown
Name Type Language
IODOCHLORHYDROXYQUIN
GREEN BOOK   MI  
Preferred Name English
CLIOQUINOL
EP   HSDB   INN   MART.   ORANGE BOOK   USP   USP-RS   VANDF   WHO-DD  
INN  
Official Name English
CLIOQUINOL [VANDF]
Common Name English
Clioquinol [WHO-DD]
Common Name English
NSC-74938
Code English
CLIOQUINOL [USP-RS]
Common Name English
CLIOQUINOL [HSDB]
Common Name English
NSC-3531
Code English
clioquinol [INN]
Common Name English
8-QUINOLINOL, 5-CHLORO-7-IODO-
Systematic Name English
CLIOQUINOL [ORANGE BOOK]
Common Name English
5-Chloro-7-iodo-8-quinolinol
Systematic Name English
CLIOQUINOL [MART.]
Common Name English
IODOCHLORHYDROXYQUIN [GREEN BOOK]
Common Name English
5-CHLORO-7-IODOQUINOLIN-8-OL
Systematic Name English
CLIOQUINOL [EP MONOGRAPH]
Common Name English
CLIOQUINOL [USP MONOGRAPH]
Common Name English
NYSTAFORM COMPONENT CLIOQUINOL
Common Name English
IODOCHLORHYDROXYQUINOLONE
Common Name English
IODOCHLORHYDROXYQUIN [MI]
Common Name English
Classification Tree Code System Code
WHO-ATC D09AA10
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
CFR 21 CFR 333.210
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
NDF-RT N0000185508
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-VATC QG01AC02
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
NCI_THESAURUS C1742
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
NCI_THESAURUS C254
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-ATC D08AH30
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-VATC QD08AH30
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-ATC P01AA52
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-ATC G01AC02
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
EPA PESTICIDE CODE 24001
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-VATC QD09AA10
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
CFR 21 CFR 520.1158
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-ATC S02AA05
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-ATC P01AA02
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
WHO-VATC QS02AA05
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
Code System Code Type Description
SMS_ID
100000092134
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
NCI_THESAURUS
C65337
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
RXCUI
5942
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY RxNorm
NDF-RT
N0000171131
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY Allergens [Chemical/Ingredient]
DRUG CENTRAL
681
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
RS_ITEM_NUM
1138201
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
NSC
74938
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
NSC
3531
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
INN
2116
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
HSDB
6843
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
MESH
D007464
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
FDA UNII
7BHQ856EJ5
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
CHEBI
74460
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
NDF-RT
N0000175629
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY Increased Histamine Release [PE]
NDF-RT
N0000184306
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY Cell-mediated Immunity [PE]
CAS
130-26-7
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
WIKIPEDIA
Clioquinol
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
ECHA (EC/EINECS)
204-984-4
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
PUBCHEM
2788
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
EVMPD
SUB06669MIG
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
EPA CompTox
DTXSID7022837
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
MERCK INDEX
m6345
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY Merck Index
ChEMBL
CHEMBL497
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
DAILYMED
7BHQ856EJ5
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY
DRUG BANK
DB04815
Created by admin on Mon Mar 31 17:51:50 GMT 2025 , Edited by admin on Mon Mar 31 17:51:50 GMT 2025
PRIMARY