U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
This repository is under review for potential modification in compliance with Administration directives.

Details

Stereochemistry ABSOLUTE
Molecular Formula C11H12N2O2
Molecular Weight 204.2252
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of IDAZOXAN, (+)-

SMILES

C1CN=C(N1)[C@H]2COC3=C(O2)C=CC=C3

InChI

InChIKey=HPMRFMKYPGXPEP-SNVBAGLBSA-N
InChI=1S/C11H12N2O2/c1-2-4-9-8(3-1)14-7-10(15-9)11-12-5-6-13-11/h1-4,10H,5-7H2,(H,12,13)/t10-/m1/s1

HIDE SMILES / InChI

Description

Idazoxan is an alpha2 receptor antagonist which also shows activity at imidazoline I1 and I2 receptors and modulates the release of dopamine. Idazoxan was in phase II development in the US. Later the development of idazoxan for schizophrenia was discontinued. It was also in clinical trials for cognition disorders in United Kingdom, and was also discontinued. Idazoxan is used in scientific research as a tool for the study of alpha 2-adrenoceptors. Idazoxan`s diastereoisomers possess different relative selectivity for alpha2- pre- and postsynaptic receptors: ( )-idazoxan was 7-8 times more potent than (-)-idazoxan in inhibiting p-[3H]aminoclonidine binding, and 40 times more active in antagonizing clonidine at presynaptic level, indicating a better selectivity for alpha2-presynaptic sites. The pre- and postsynaptic alpha2-adrenoceptors have a different affinity for the two enantiomers of idazoxan. Although the stereoisomers are closely related structurally, ( )-idazoxan possesses a stronger affinity for presynaptic sites. This stereoselectivity was less evident for postsynaptic sites. In rats and dogs, both enantiomers antagonized the sympathoinhibitory effects of clonidine. In rats, ( )- idazoxan was 4-7 times more potent than (-)- idazoxan and 3-8 times more than (-)- idazoxan in dogs. A same order of potency was observed against the sedative effects of clonidine and azepexole in chicks, ( )- idazoxan being 8 times more potent than (-)- idazoxan. Although ( )- idazoxan was more potent than (-) idazoxan, binding studies revealed (-)- idazoxan to be more selective than ( )- idazoxan at central sites. It is concluded that ( )- idazoxan antagonizes both alpha-1 and alpha-2 adrenoceptors and (-)- idazoxan is selective for alpha-2 adrenoceptors. ( )- idazoxan is equipotent for antagonizing postsynaptic alpha-I and alpha-2 adrenoceptors. It is also a potent alpha-2 antagonist at presynaptic and central sites and is 4-8 times more potent than (-)- idazoxan but less selective.

CNS Activity

Originator

Approval Year

Targets

Primary TargetPharmacologyConditionPotency
2.4 nM [Ki]
275.0 nM [Ki]

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown
Primary
Unknown

Cmax

ValueDoseCo-administeredAnalytePopulation
7.2 ng/mL
10 mg single, oral
(S)-IDAZOXAN plasma
Homo sapiens

AUC

ValueDoseCo-administeredAnalytePopulation
27 ng × h/mL
10 mg single, oral
(S)-IDAZOXAN plasma
Homo sapiens

T1/2

ValueDoseCo-administeredAnalytePopulation
7.8 h
10 mg single, oral
(S)-IDAZOXAN plasma
Homo sapiens

PubMed

Sample Use Guides

In Vivo Use Guide
Young healthy male subjects were allocated at random to receive a single dose of each of the following substances on one occasion: 20 mg of idazoxan racemate (polymorph of form I); 10 mg of the R(−) enantiomer; 10 mg of the S( ) enantiomer.
Route of Administration: Oral
In Vitro Use Guide
Binding studies were performed on rat hypothalamic and cortical membranes with p-[3H]aminoclonidine as a selective alpha2-adrenoceptor radioligand. The specific binding of p-[3H]aminoclonidine (2.5 nM) was examined in the presence of increasing concentrations (from 0.03 nM to 1 uM) of idazoxan stereoisomers. (+)-idazoxan (Ki = 2.4 nM) was 7-8 times more potent than (-)- idazoxan (Ki= 18.7 nM) in inhibiting postsynaptic alpha2-adrenoceptors. Competition binding experiments with the two enantiomers were also performed on alpha1-adrenoceptors using [3H]WB4101 as radioligand ((+)-idazoxan Ki=275 nM; (-)-idazoxan Ki =425 nM).