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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=CC=CC=C3S2)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
25.88 μg × h/mL
12 mg/kg single, intravenous
dose: 12 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Canis lupus
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
6.42 h
12 mg/kg single, intravenous
dose: 12 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSTEDIL plasma
Canis lupus
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: Page: p.294
unhealthy
n = 20
Health Status: unhealthy
Condition: coronary heart disease
Sex: M+F
Food Status: UNKNOWN
Population Size: 20
Sources: Page: p.294
Disc. AE: Angina...
AEs leading to
discontinuation/dose reduction:
Angina (5%)
Sources: Page: p.294
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: Page: p.294
unhealthy
n = 20
Health Status: unhealthy
Condition: coronary heart disease
Sex: M+F
Food Status: UNKNOWN
Population Size: 20
Sources: Page: p.294
PubMed

PubMed

TitleDatePubMed
Antihypertensive effect of KB-944, a new calcium antagonist, in conscious normotensive and hypertensive rats.
1982
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
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
FOSTEDIL
INN   USAN  
USAN   INN  
Official Name English
A-53986
Code 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 Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
NCI_THESAURUS C333
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
Code System Code Type Description
NCI_THESAURUS
C83723
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
CAS
75889-62-2
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
EPA CompTox
DTXSID70226811
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
USAN
U-58
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
ChEMBL
CHEMBL39516
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
PUBCHEM
53421
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
EVMPD
SUB07807MIG
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
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SMS_ID
100000080463
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
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FDA UNII
D41WS786UL
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
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WIKIPEDIA
Fostedil
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY
INN
5468
Created by admin on Sat Dec 16 16:31:45 GMT 2023 , Edited by admin on Sat Dec 16 16:31:45 GMT 2023
PRIMARY