Details
| Stereochemistry | RACEMIC |
| Molecular Formula | C36H41N3O6.ClH |
| Molecular Weight | 648.188 |
| Optical Activity | ( + / - ) |
| Defined Stereocenters | 0 / 1 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.COC(=O)C1=C(C)NC(C)=C(C1C2=CC=CC(=C2)[N+]([O-])=O)C(=O)OC(C)(C)CN(C)CCC(C3=CC=CC=C3)C4=CC=CC=C4
InChI
InChIKey=WMFYOYKPJLRMJI-UHFFFAOYSA-N
InChI=1S/C36H41N3O6.ClH/c1-24-31(34(40)44-6)33(28-18-13-19-29(22-28)39(42)43)32(25(2)37-24)35(41)45-36(3,4)23-38(5)21-20-30(26-14-9-7-10-15-26)27-16-11-8-12-17-27;/h7-19,22,30,33,37H,20-21,23H2,1-6H3;1H
DescriptionCurator's Comment: description was created based on several sources, including
https://www.drugs.com/history/lercanidipine.html | https://www.ncbi.nlm.nih.gov/pubmed/27794423
Curator's Comment: description was created based on several sources, including
https://www.drugs.com/history/lercanidipine.html | https://www.ncbi.nlm.nih.gov/pubmed/27794423
Lercanidipine is antihypertensive drugs which acts by blocking L-type calcium channels, allowing relaxation and opening of blood vessels. Lercanidipine exists as a racemate, with anti-hypertensive activity residing primarily in S-enantiomer. NDA for lercanidipine was submitted to FDA in 2002 by Forest Laboratories, but FDA refused to approve the drug, and lercanidipine is not marketed in USA. Lercanidipine is also investigated in preclinical models of epilepsy and ischemic stroke.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26673531
Curator's Comment: Active in a preclinical models of epilepsy on mice
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2095229 Sources: https://www.ncbi.nlm.nih.gov/pubmed/16173926 |
2.2 nM [Ki] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | ZANIDIP Approved UseLercanidipine is indicated for the treatment of mild to moderate essential hypertension |
|||
| Primary | Unknown Approved UseUnknown |
|||
| Palliative | Unknown Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2.37 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE, (S)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.68 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE. (R)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
2.244 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27405507/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: VALSARTAN |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
3.231 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27232153/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
13.68 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE, (S)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
11.24 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE. (R)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
12.741 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27405507/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: VALSARTAN |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
12.04 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27232153/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
9.3 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE, (S)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
7.5 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE. (R)- plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
5.221 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27405507/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: VALSARTAN |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
9.2 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/27232153/ |
10 mg single, oral dose: 10 mg route of administration: Oral experiment type: SINGLE co-administered: |
LERCANIDIPINE plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
2% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/15556551/ |
LERCANIDIPINE plasma | Homo sapiens |
Doses
| Dose | Population | Adverse events |
|---|---|---|
560 mg single, oral Overdose |
healthy, ADULT Health Status: healthy Age Group: ADULT Sex: M Food Status: UNKNOWN Sources: |
Disc. AE: seizure, hypotension... AEs leading to discontinuation/dose reduction: seizure (1 pt) Sources: hypotension (1 pt) bradycardia (1 pt) |
10 mg 1 times / day steady-state, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: F Food Status: UNKNOWN Sources: |
Other AEs: abdominal distension, dyspepsia... Other AEs: abdominal distension (1 pt) Sources: dyspepsia (1 pt) nausea (1 pt) |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Other AEs: headache... |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: flushing, headache... Other AEs: headache... AEs leading to discontinuation/dose reduction: flushing (2 patients) Other AEs:headache (1 pt) fatigue (1 pt) vertigo (1 pt) headache (4.2%) Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| bradycardia | 1 pt Disc. AE |
560 mg single, oral Overdose |
healthy, ADULT Health Status: healthy Age Group: ADULT Sex: M Food Status: UNKNOWN Sources: |
| hypotension | 1 pt Disc. AE |
560 mg single, oral Overdose |
healthy, ADULT Health Status: healthy Age Group: ADULT Sex: M Food Status: UNKNOWN Sources: |
| seizure | 1 pt Disc. AE |
560 mg single, oral Overdose |
healthy, ADULT Health Status: healthy Age Group: ADULT Sex: M Food Status: UNKNOWN Sources: |
| abdominal distension | 1 pt | 10 mg 1 times / day steady-state, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: F Food Status: UNKNOWN Sources: |
| dyspepsia | 1 pt | 10 mg 1 times / day steady-state, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: F Food Status: UNKNOWN Sources: |
| nausea | 1 pt | 10 mg 1 times / day steady-state, oral Recommended Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: F Food Status: UNKNOWN Sources: |
| headache | 2.9% | 10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| fatigue | 1 pt Disc. AE |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| headache | 1 pt Disc. AE |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| vertigo | 1 pt Disc. AE |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| flushing | 2 patients Disc. AE |
10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| headache | 4.2% | 10 mg 1 times / day steady-state, oral Studied dose Dose: 10 mg, 1 times / day Route: oral Route: steady-state Dose: 10 mg, 1 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Neuroprotective effect of lercanidipine in middle cerebral artery occlusion model of stroke in rats. | 2017-02 |
|
| Neuroprotective Effect of Lercanidipine- A Novel Calcium Channel Blocker in Albino Mice. | 2015-11 |
|
| Lercanidipine inhibits vascular smooth muscle cell proliferation and neointimal formation via reducing intracellular reactive oxygen species and inactivating Ras-ERK1/2 signaling. | 2009-01 |
|
| Lercanidipine in the treatment of hypertension. | 2007-03 |
|
| Fixed-dose combination lercanidipine/enalapril. | 2007 |
|
| [The effect of calcium channel blocker lercanidipine on lowgrade inflammation parameters in essential hypertension patients]. | 2006-12 |
|
| Lercanidipine and losartan effects on blood pressure and fibrinolytic parameters. | 2006-04 |
|
| Lercanidipine reduces matrix metalloproteinase-9 activity in patients with hypertension. | 2006-01 |
|
| Efficacy and safety of lercanidipine versus hydrochlorothiazide as add-on to enalapril in diabetic populations with uncontrolled hypertension. | 2006-01 |
|
| Increased vascular selectivity and prolonged pharmacological efficacy of the L-type Ca2+ channel antagonist lercanidipine in human cardiovascular tissue. | 2005-09 |
|
| Tolerability of long-term treatment with lercanidipine versus amlodipine and lacidipine in elderly hypertensives. | 2002-11 |
|
| Lercanidipine: a review of its use in hypertension. | 2000-11 |
|
| Nephroprotective effect of treatment with calcium channel blockers in spontaneously hypertensive rats. | 2000-09 |
Sample Use Guides
The recommended dosage is 10 mg orally once a day at least 15 minutes before meals; the dose may be increased to 20 mg depending on the individual patient's response. In preclinical models lercanidipine is administered intraperitoneally.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16173926
Lercanidipine demonstrated vasodilation effect in isolated vessel ring obtained from human arteria mammaria preparation (EC50 approx. 1 nM). Isolated vessel rings were precontracted by 0.3 mol/L prostaglandin F2.
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NCI_THESAURUS |
C333
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m6770
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OA8TFX68PE
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C87685
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100427-27-8
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153679
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ACTIVE MOIETY
SUBSTANCE RECORD