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Details

Stereochemistry ACHIRAL
Molecular Formula C21H26O3
Molecular Weight 326.4293
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 4
Charge 0

SHOW SMILES / InChI
Structure of ISOACITRETIN

SMILES

COC1=C(C)C(C)=C(\C=C\C(C)=C\C=C\C(C)=C/C(O)=O)C(C)=C1

InChI

InChIKey=IHUNBGSDBOWDMA-UGOGCBOOSA-N
InChI=1S/C21H26O3/c1-14(8-7-9-15(2)12-21(22)23)10-11-19-16(3)13-20(24-6)18(5)17(19)4/h7-13H,1-6H3,(H,22,23)/b9-7+,11-10+,14-8+,15-12-

HIDE SMILES / InChI

Description
Curator's Comment: description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/21720660

Acitretin is all-Trans-9-(4-methoxy-2, 3, 6¬ trimethylphenyl)-three, 7-dimethyl-2, 4, 6, 8-nonatetraenoic acid. It is a metabolite of exterminate and is related to both retinoic acid and retinol (vitamin A). It is taken orally, and is typically used for psoriasis. The mechanism of action of is unknown. However it is believed to work by targeting specific receptors (retinoid receptors such as RXR and RAR) in the skin, which help normalize the growth cycle of skin cells. Studies on nuclear retinoic acid receptors have shown that acitretin activates all 3 receptor subtypes (RAR-alpha, -beta, and -gamma) without measurable receptor binding; this paradox remains unexplained.

Originator

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Palliative
SORIATANE

Approved Use

Acitretin Capsules USP are indicated for the treatment of severe psoriasis in adults. Because of significant adverse effects associated with their use, Acitretin Capsules USP should be prescribed only by those knowledgeable in the systemic use of retinoids. In females of reproductive potential, Acitretin Capsules USP should be reserved for non-pregnant patients who are unresponsive to other therapies or whose clinical condition contraindicates the use of other treatments (see boxed CONTRAINDICATIONS AND WARNINGS — Acitretin Capsules USP can cause severe birth defects). Most patients experience relapse of psoriasis after discontinuing therapy. Subsequent courses, when clinically indicated, have produced efficacy results similar to the initial course of therapy.

Launch Date

1996
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
416 ng/mL
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ACITRETIN plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: FED
416 ng/mL
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ACITRETIN plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: UNKNOWN
food status: FED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
2249 ng × h/mL
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ACITRETIN plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: FED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2.8 h
50 mg single, oral
dose: 50 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ACITRETIN plasma
Homo sapiens
population: HEALTHY
age: UNKNOWN
sex: MALE
food status: FED
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Determination of the aromatic retinoids (etretin and isoetretin) in biological fluids by high-performance liquid chromatography.
1987 Oct 9
Identification of etretinate metabolites in human blood.
1989 May-Jun
Identification of etretinate metabolites in human bile.
1989 May-Jun
High-performance liquid chromatographic determination of etretinate and all-trans- and 13-cis-acitretin in human plasma.
1990 Feb 2
Quantification of acitretin in human plasma by microbore liquid chromatography-negative chemical ionization mass spectrometry.
1991 Jul 17
Oral acitretin in psoriasis: drug and vitamin A concentrations in plasma, skin and adipose tissue.
1992
Severe limb defects and craniofacial anomalies in a fetus conceived during acitretin therapy.
1995 Oct
Acitretin-induced myopathy.
1996 May
Acitretin-associated thrombotic stroke.
2002 Dec
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005 Jun
Recurrent dysphonia and acitretin.
2006 Dec
Interaction between genetic control of vascular endothelial growth factor production and retinoid responsiveness in psoriasis.
2006 Feb
[Acitretin induces apoptosis and changes of relative signaling pathway in epidermoid carcinoma cell line A431].
2006 Mar
Acitretin and sixth nerve palsy.
2007 Oct
Acitretin induces apoptosis through CD95 signalling pathway in human cutaneous squamous cell carcinoma cell line SCL-1.
2009 Sep
Patents

Sample Use Guides

SORIATANE (acitretin capsules) should be initiated at 25 to 50 mg per day, given as a single dose with the main meal. Maintenance doses of 25 to 50 mg per day may be given dependent upon an individual patient’s response to initial treatment. Relapses may be treated as outlined for initial therapy.
Route of Administration: Oral
In Vitro Use Guide
Curator's Comment: Acitretin plays an inhibitory role in the tumor cell growth and induces the cell apoptosis in A431 cells. The regulation of the Jak/STAT3 signaling pathway may play an important role in inducing growth inhibition and apoptosis by Acitretin in A431 cells.
A431 (epidermoid carcinoma cell lines) were treated with Acitretin at the concentration of 10(-5)mol/L in different time intervals
Name Type Language
ISOACITRETIN
Common Name English
RO-13-7652
Code English
ACITRETIN RELATED COMPOUND A [USP-RS]
Common Name English
ISOETRETIN
Common Name English
ACITRETIN IMPURITY A [EP IMPURITY]
Common Name English
13-CIS-ACITRETIN
Common Name English
13-CIS-ETRETIN
Common Name English
ACITRETIN RELATED COMPOUND A [USP IMPURITY]
USP-RS  
Common Name English
2,4,6,8-NONATETRAENOIC ACID, 9-(4-METHOXY-2,3,6-TRIMETHYLPHENYL)-3,7-DIMETHYL-, (2Z,4E,6E,8E)-
Systematic Name English
Code System Code Type Description
FDA UNII
BK59Y5A02O
Created by admin on Sat Dec 16 10:50:05 GMT 2023 , Edited by admin on Sat Dec 16 10:50:05 GMT 2023
PRIMARY
RS_ITEM_NUM
1011018
Created by admin on Sat Dec 16 10:50:05 GMT 2023 , Edited by admin on Sat Dec 16 10:50:05 GMT 2023
PRIMARY
PUBCHEM
6437841
Created by admin on Sat Dec 16 10:50:05 GMT 2023 , Edited by admin on Sat Dec 16 10:50:05 GMT 2023
PRIMARY
CAS
69427-46-9
Created by admin on Sat Dec 16 10:50:05 GMT 2023 , Edited by admin on Sat Dec 16 10:50:05 GMT 2023
PRIMARY