U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS

Details

Stereochemistry ACHIRAL
Molecular Formula C17H11BrClFN2O4
Molecular Weight 441.636
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ZENARESTAT

SMILES

OC(=O)CN1C(=O)N(CC2=CC=C(Br)C=C2F)C(=O)C3=C1C=C(Cl)C=C3

InChI

InChIKey=SXONDGSPUVNZLO-UHFFFAOYSA-N
InChI=1S/C17H11BrClFN2O4/c18-10-2-1-9(13(20)5-10)7-22-16(25)12-4-3-11(19)6-14(12)21(17(22)26)8-15(23)24/h1-6H,7-8H2,(H,23,24)

HIDE SMILES / InChI

Molecular Formula C17H11BrClFN2O4
Molecular Weight 441.636
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: The description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/10449124 | https://www.ncbi.nlm.nih.gov/pubmed/1898618 | https://www.ncbi.nlm.nih.gov/pubmed/15857120

Zenarestat (FK-366; FR-74366) is an aldose reductase (AR) inhibitor investigated as a treatment for diabetic neuropathy and cataract. Zenarestat is a highly specific AR inhibitor, it did not affect the activities of enzymes in the glycolysis pathway, the pentose-phosphate pathway and NADPH-dependent enzymes such as NOS and glutathione reductase. Zenarestat exhibited some inhibition of aldehyde reductase, the most closely related enzyme to AR, however, its IC50 was evidently higher than that for AR. Zenarestat dose-dependently reduced the elevated sorbitol concentration in the lens, retina sciatic nerve, and renal cortex. The most potent effect of zenarestat was seen in the sciatic nerve. Zenarestat inhibits cataract formation and to counteract reduced motor nerve conduction velocity in the streptozotocin-induced diabetic rat. Zenarestat had been in clinical trials for the treatment of diabetic neuropathy however future development was discontinued due to dose-dependent renal toxicity.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
8.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
22.6 μg/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
39 μg/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
75.7 μg/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
41.6 μg/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
15.1 μg/mL
300 mg 2 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
17.6 μg/mL
300 mg 2 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
66.8 μg × h/mL
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
135 μg × h/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
309 μg × h/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
218 μg × h/mL
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
68.7 μg × h/mL
300 mg 2 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
74.1 μg × h/mL
300 mg 2 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
7.7 h
150 mg single, oral
dose: 150 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
8.8 h
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
8.2 h
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
7.7 h
600 mg single, oral
dose: 600 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
10.2 h
300 mg 2 times / day multiple, oral
dose: 300 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
ZENARESTAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
0.6%
ZENARESTAT plasma
Homo sapiens
Doses

Doses

DosePopulationAdverse events​
300 mg 2 times / day steady-state, oral
Highest studied dose
Dose: 300 mg, 2 times / day
Route: oral
Route: steady-state
Dose: 300 mg, 2 times / day
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
600 mg single, oral
Highest studied dose
Dose: 600 mg
Route: oral
Route: single
Dose: 600 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Sources:
600 mg single, oral
Highest studied dose
Dose: 600 mg
Route: oral
Route: single
Dose: 600 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FED
Sources:
Other AEs: dry mouth...
Other AEs:
dry mouth (1 pt)
Sources:
AEs

AEs

AESignificanceDosePopulation
dry mouth 1 pt
600 mg single, oral
Highest studied dose
Dose: 600 mg
Route: oral
Route: single
Dose: 600 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FED
Sources:
PubMed

PubMed

TitleDatePubMed
Discovery of 3-[(4,5,7-trifluorobenzothiazol-2-yl)methyl]indole-N-acetic acid (lidorestat) and congeners as highly potent and selective inhibitors of aldose reductase for treatment of chronic diabetic complications.
2005-05-05
Role of aldose reductase and oxidative damage in diabetes and the consequent potential for therapeutic options.
2005-05
Patents

Patents

Sample Use Guides

150, 300, or 600 mg twice daily for 52 weeks
Route of Administration: Oral
In Vitro Use Guide
Aldose Reductase (AR) activity was assayed spectrophotometrically using an Ultrolab system 2068 reaction rate analyzer (LKB. Bromma, Sweden). For this assay, the oxidation of NADPH to NADP was measured at 340 nm and 37°C for 2 minutes after starting the reaction by addition of glyceraldehyde as the substrate. One unit of enzyme activity was defined as the amount of enzyme that caused oxidation of 1 nmol NADPH per minute. Inhibitors (Zenarestat) were dissolved in dimethyl sulfoxide (DMSO) to make 1-mmol/L solutions and diluted with distilled water. The reaction mixtures contained 50 mmol/L sodium phosphate buffer (pH 6.2), 400 mmol/L lithium sulfate, 3 mmol/L glyceraldehyde, 0.125 mmol/L NADPH, 4 to 8 U of enzyme, and various concentrations of inhibitor in a total volume of 1.00 mL. The final concentration of DMSO in the reaction mixture never exceeded l%, a concentration that did not influence AR activity.
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:11:33 GMT 2025
Edited
by admin
on Mon Mar 31 18:11:33 GMT 2025
Record UNII
180C9PJ8JT
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CI-1014
Preferred Name English
ZENARESTAT
INN   MI   USAN   WHO-DD  
INN   USAN  
Official Name English
ZENARESTAT [USAN]
Common Name English
ZENARESTAT [JAN]
Common Name English
Zenarestat [WHO-DD]
Common Name English
FR-74366
Code English
ZENARESTAT [MI]
Common Name English
3-(4-Bromo-2-fluorobenzyl)-7-chloro-3,4-dihydro-2,4-dioxo-1(2H)-quinazolineacetic acid
Systematic Name English
FK-366
Code English
zenarestat [INN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C72880
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
Code System Code Type Description
CAS
112733-06-9
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
NCI_THESAURUS
C72879
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
DRUG BANK
DB02132
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
MERCK INDEX
m986
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY Merck Index
EVMPD
SUB00145MIG
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
WIKIPEDIA
Zenarestat
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
FDA UNII
180C9PJ8JT
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
PUBCHEM
5724
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
ChEMBL
CHEMBL10413
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
INN
6748
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
EPA CompTox
DTXSID0047296
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
USAN
KK-39
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
SMS_ID
100000079393
Created by admin on Mon Mar 31 18:11:33 GMT 2025 , Edited by admin on Mon Mar 31 18:11:33 GMT 2025
PRIMARY
Related Record Type Details
TARGET -> INHIBITOR
Related Record Type Details
ACTIVE MOIETY