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Details

Stereochemistry ACHIRAL
Molecular Formula C18H20NO3PS
Molecular Weight 361.395
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FOSTEDIL

SMILES

CCOP(=O)(CC1=CC=C(C=C1)C2=NC3=C(S2)C=CC=C3)OCC

InChI

InChIKey=FVYRUSCZCWSFLT-UHFFFAOYSA-N
InChI=1S/C18H20NO3PS/c1-3-21-23(20,22-4-2)13-14-9-11-15(12-10-14)18-19-16-7-5-6-8-17(16)24-18/h5-12H,3-4,13H2,1-2H3

HIDE SMILES / InChI
Fostedil (KB-944) is a phosphonic acid derivative with potent vasodilator activity. KB-944 has been demonstrated to produce long lasting coronary vasodilator and hypotensive effects in conscious and anesthetized dogs; increase coronary blood flow in isolated, blood perfused heart preparations of dogs; and reduce systemic pressure in conscious normotensive and hypertensive rats. Slow channel calcium entry blockade is thought to contribute to the vasodilator activity of KB-944. Fostedil is longer acting in hypertensive animals than either nifedipine or diltiazem suggesting a potential clinical advantage for this compound. Unexpectedly, fostedil was shown to produce atrial fibrillation in 3 of 10 hypertensive patients in a placebo controlled study. Fostedil had been in phase II clinical trials for the treatment of angina pectoris. However, this research has been discontinued.

Originator

Curator's Comment: Kanebo was a subsidiary of Akzo Nobel http://en.pharmacodia.com/web/drug/1_9136.html

Approval Year

Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
2.33 μg/mL
12 mg/kg single, oral
dose: 12 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
17.33 μg × h/mL
12 mg/kg single, oral
dose: 12 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8.45 h
12 mg/kg single, oral
dose: 12 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
4%
12 mg/kg single, oral
dose: 12 mg/kg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Doses

Doses

DosePopulationAdverse events​
200 mg 1 times / day multiple, oral
Highest studied dose
Dose: 200 mg, 1 times / day
Route: oral
Route: multiple
Dose: 200 mg, 1 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Food Status: UNKNOWN
Sources:
Disc. AE: Angina...
AEs leading to
discontinuation/dose reduction:
Angina (5%)
Sources:
AEs

AEs

AESignificanceDosePopulation
Angina 5%
Disc. AE
200 mg 1 times / day multiple, oral
Highest studied dose
Dose: 200 mg, 1 times / day
Route: oral
Route: multiple
Dose: 200 mg, 1 times / day
Sources:
unhealthy
Health Status: unhealthy
Sex: M+F
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
A comparison of nine calcium ion antagonists and propranolol: exercise tolerance, heart rate and ST-segment changes in patients with chronic stable angina pectoris.
1987
Cardiac electrophysiologic actions of KB-944 (Fostedil), a new calcium antagonist, in the anesthetized dog.
1984-09
Antihypertensive effect of KB-944, a new calcium antagonist, in conscious normotensive and hypertensive rats.
1982
Patents

Sample Use Guides

100 mg once daily
Route of Administration: Oral
In Vitro Use Guide
Fostedil (10(-5)-10(-4) M) decreased the action potential duration measured at 30% repolarization and hyperpolarized the resting membrane potential in ventricular trabeculae of the dog heart. In single ventricular cells of the guinea-pig heart, Fostedil (10(-4) M) abolished the slow inward current and produced an outward shift of the late current measured at the end of 200 msec clamp pulse.
Name Type Language
A-53986
Preferred Name English
FOSTEDIL
INN   USAN  
USAN   INN  
Official Name English
PHOSPHONIC ACID, P-((4-(2-BENZOTHIAZOLYL)PHENYL)METHYL)-, DIETHYL ESTER
Systematic Name English
fostedil [INN]
Common Name English
KB-944
Code English
DIETHYL ((4-(2-BENZOTHIAZOLYL)PHENYL)METHYL)PHOSPHONATE
Systematic Name English
PHOSPHONIC ACID, ((4-(2-BENZOTHIAZOLYL)PHENYL)METHYL)-, DIETHYL ESTER
Common Name English
FOSTEDIL [USAN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C29578
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
NCI_THESAURUS C333
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
Code System Code Type Description
NCI_THESAURUS
C83723
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
PRIMARY
CAS
75889-62-2
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
PRIMARY
EPA CompTox
DTXSID70226811
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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USAN
U-58
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
PRIMARY
ChEMBL
CHEMBL39516
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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PUBCHEM
53421
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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EVMPD
SUB07807MIG
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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SMS_ID
100000080463
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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FDA UNII
D41WS786UL
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
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WIKIPEDIA
Fostedil
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
PRIMARY
INN
5468
Created by admin on Wed Apr 02 07:55:35 GMT 2025 , Edited by admin on Wed Apr 02 07:55:35 GMT 2025
PRIMARY