Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C24H34N2O5 |
Molecular Weight | 430.5372 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CCOC(=O)[C@H](CCC1=CC=CC=C1)N[C@@H](C)C(=O)N2[C@H]3CCCC[C@@H]3C[C@H]2C(O)=O
InChI
InChIKey=VXFJYXUZANRPDJ-WTNASJBWSA-N
InChI=1S/C24H34N2O5/c1-3-31-24(30)19(14-13-17-9-5-4-6-10-17)25-16(2)22(27)26-20-12-8-7-11-18(20)15-21(26)23(28)29/h4-6,9-10,16,18-21,25H,3,7-8,11-15H2,1-2H3,(H,28,29)/t16-,18+,19-,20-,21-/m0/s1
Molecular Formula | C24H34N2O5 |
Molecular Weight | 430.5372 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 5 / 5 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.drugbank.ca/drugs/DB00519Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/020528s024lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00519
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2016/020528s024lbl.pdf
Trandolapril is a non-sulhydryl prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is metabolized to its biologically active diacid form, trandolaprilat, in the liver. Trandolaprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Trandolapril may be used to treat mild to moderate hypertension, to improve survival following myocardial infarction in clinically stable patients with left ventricular dysfunction, as an adjunct treatment for congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy. Trandolapril is marketed by Abbott Laboratories under the brand name Mavik.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19597068
Curator's Comment: trandolapril was classified as crossing the blood-brain barrier (centrally active)
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1808 |
15.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | MAVIK Approved UseHypertension
MAVIK is indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive medication such as hydrochlorothiazide.
Heart Failure Post Myocardial Infarction or Left-Ventricular Dysfunction Post Myocardial Infarction
MAVIK is indicated in stable patients who have evidence of left-ventricular systolic dysfunction (identified by wall motion abnormalities) or who are symptomatic from congestive heart failure within the first few days after sustaining acute myocardial infarction. Launch Date1996 |
|||
Primary | MAVIK Approved UseHypertension
MAVIK is indicated for the treatment of hypertension. It may be used alone or in combination with other antihypertensive medication such as hydrochlorothiazide.
Heart Failure Post Myocardial Infarction or Left-Ventricular Dysfunction Post Myocardial Infarction
MAVIK is indicated in stable patients who have evidence of left-ventricular systolic dysfunction (identified by wall motion abnormalities) or who are symptomatic from congestive heart failure within the first few days after sustaining acute myocardial infarction. Launch Date1996 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
0.99 ng/mL |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
TRANDOLAPRILAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.3 ng/mL |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
TRANDOLAPRIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
9 ng/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRILAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
6.2 ng/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
19.1 ng × h/mL |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
TRANDOLAPRILAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
1.8 ng × h/mL |
1 mg single, oral dose: 1 mg route of administration: Oral experiment type: SINGLE co-administered: |
TRANDOLAPRIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
|
101 ng × h/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRILAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
8.2 ng × h/mL |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
115 h |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRILAT plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
|
8.4 h |
4 mg 1 times / day multiple, oral dose: 4 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
TRANDOLAPRIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, 55 |
Disc. AE: Diarrhea, Dizziness... AEs leading to discontinuation/dose reduction: Diarrhea Sources: Dizziness Elevated liver enzymes |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Diarrhea | Disc. AE | 8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, 55 |
Dizziness | Disc. AE | 8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, 55 |
Elevated liver enzymes | Disc. AE | 8 mg 1 times / day multiple, oral Recommended Dose: 8 mg, 1 times / day Route: oral Route: multiple Dose: 8 mg, 1 times / day Sources: |
unhealthy, 55 |
PubMed
Title | Date | PubMed |
---|---|---|
Effect of strict blood pressure control on proteinuria in renal patients treated with different antihypertensive drugs. | 2001 |
|
Effect of two antihypertensive combinations on metabolic control in type-2 diabetic hypertensive patients with albuminuria: a randomised, double-blind study. | 2001 Dec |
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Does the electrocardiographic presence of Q waves influence the survival of patients with acute myocardial infarction? | 2001 Jun |
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Characteristics of patients with coronary artery disease and hypertension: a report from INVEST. | 2001 Nov |
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Effect of long-term treatment with trandolapril on Hsp72 and Hsp73 induction of the failing heart following myocardial infarction. | 2001 Nov |
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Renal adaptive mechanisms in aged and hypertensive humans: possible effects of treatment. | 2001 Nov-Dec |
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Dosing time-dependent effect of trandolapril on the prevention of cardiac hypertrophy in rats with aortic banding. | 2001 Sep |
|
[The effect of trandolapril, in monotherapy and associated with verapamil, on arterial pressure, albuminuria, and metabolic control in hypertensive patients with type 2 diabetes and albuminuria]. | 2001 Sep-Oct |
|
High-dose verapamil + trandolapril-induced thrombotic microangiopathy. | 2002 |
|
[Clinical sequelae of tissue angiotensin converting enzyme inhibition: practicability of use in ischemic heart disease]. | 2002 |
|
Fixed combination trandolapril/verapamil sustained-release: a review of its use in essential hypertension. | 2002 |
|
Clinical pharmacokinetics and selective pharmacodynamics of new angiotensin converting enzyme inhibitors: an update. | 2002 |
|
Dissociation between blood pressure reduction and fall in proteinuria in primary renal disease: a randomized double-blind trial. | 2002 Apr |
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[Treatment of hypertension in diabetics with trandolapril, an angiotensin converting enzyme inhibitor--a multicenter study]. | 2002 Aug |
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Beneficial effects of trandolapril in uninephrectomized spontaneously hypertensive rats: role of cyclooxygenase pathway. | 2002 Aug |
|
Time-effect profile of antihypertensive agents assessed with trough/peak ratio, smoothness index and dose omission: an ambulatory blood pressure monitoring study with trandolapril vs. quinapril. | 2002 Dec |
|
Impact of age and sex on sudden cardiovascular death following myocardial infarction. | 2002 Dec |
|
Acute blood pressure response to trandolapril and captopril in patients with left ventricular dysfunction after acute myocardial infarction. | 2002 Feb |
|
Addition of spironolactone to angiotensin-converting enzyme inhibition in heart failure improves endothelial vasomotor dysfunction: role of vascular superoxide anion formation and endothelial nitric oxide synthase expression. | 2002 Jan 16 |
|
Angiotensin II and trials of cardiovascular outcomes. | 2002 Jan 24 |
|
Trandolapril reduces infarction area after middle cerebral artery occlusion in rats. | 2002 Jul |
|
Angiotensin-converting enzyme inhibition and endothelin antagonism for endothelial dysfunction in heart failure: mono-or combination therapy. | 2002 Oct |
|
Effect of endothelin blockade on early cardiovascular remodeling in the one-clip-two-kidney hypertension of the rat. | 2003 |
|
Trandolapril and endothelin antagonist LU-135252 in the treatment of the fructose-induced hypertensive, hyperinsulinemic, hypertriglyceridemic rat. | 2003 Apr |
|
The angiotensin converting enzyme inhibitor trandolapril has neutral effect on exercise tolerance or functional class in patients with myocardial infarction and reduced left ventricular systolic function. | 2003 Dec |
|
ACE inhibition limits chronic injury of kidney transplant even with treatment started when lesions are established. | 2003 Dec |
|
A calcium antagonist vs a non-calcium antagonist hypertension treatment strategy for patients with coronary artery disease. The International Verapamil-Trandolapril Study (INVEST): a randomized controlled trial. | 2003 Dec 3 |
|
Exercise testing in hypertensive patients taking different angiotensin-converting enzyme inhibitors. | 2003 Feb |
|
Trandolapril in left ventricular dysfunction after myocardial infarction: focus on the TRACE study. | 2003 Jan |
|
Combination treatment of angiotensin-II receptor blocker and angiotensin-converting-enzyme inhibitor in non-diabetic renal disease (COOPERATE): a randomised controlled trial. | 2003 Jan 11 |
|
ACE inhibitors and AT-1-receptor antagonists COOPERATE in non-diabetic renal disease. | 2003 Jul |
|
The verapamil versus amlodipine in nondiabetic nephropathies treated with trandolapril (VVANNTT) study. | 2003 Jul |
|
ACE-inhibitors but not endothelin receptor blockers prevent podocyte loss in early diabetic nephropathy. | 2003 Jun |
|
Inhibition of platelet activation in congestive heart failure by aldosterone receptor antagonism and ACE inhibition. | 2003 Jun |
|
Tick-borne encephalitis with hemorrhagic syndrome, Novosibirsk region, Russia, 1999. | 2003 Jun |
|
Addition of the selective aldosterone receptor antagonist eplerenone to ACE inhibition in heart failure: effect on endothelial dysfunction. | 2003 Jun 1 |
|
Sustained activation of nuclear factor kappa B and activator protein 1 in chronic heart failure. | 2003 Mar |
|
Protective effects of quinaprilat and trandolaprilat, active metabolites of quinapril and trandolapril, on hemolysis induced by lysophosphatidylcholine in human erythrocytes. | 2003 May |
|
Differing anti-proteinuric action of candesartan and losartan in chronic renal disease. | 2003 Nov |
|
Aldosterone antagonism and myocardial infarction: from animals to man and back. | 2003 Nov 5 |
|
Additive improvement of left ventricular remodeling and neurohormonal activation by aldosterone receptor blockade with eplerenone and ACE inhibition in rats with myocardial infarction. | 2003 Nov 5 |
|
Some recent randomized clinical trials in the management of atrial fibrillation. | 2003 Oct |
|
Renal damage in the SHR/N-cp type 2 diabetes model: comparison of an angiotensin-converting enzyme inhibitor and endothelin receptor blocker. | 2003 Sep |
|
[Induction of heat shock protein 70 in failing heart]. | 2004 Feb |
|
[Preventive therapy with ACE inhibitors for coronary patients]. | 2004 Feb 29 |
|
Significant target organs for hypertension and cardiac hypertrophy by angiotensin-converting enzyme inhibitors. | 2004 Mar |
|
[Effects of angiotensin II receptor blockers, angiotensin converting enzyme inhibitors, 3-hydroxy-3-methyl glutaryl (HMG) CoA reductase inhibitors, amlodipine and epalrestat on cultured basilar artery smooth muscle cell proliferation]. | 2004 Mar |
|
Endothelial dysfunction in congestive heart failure: ACE inhibition vs. angiotensin II antagonism. | 2004 Mar 1 |
|
[Therapeutic strategy for patients with stable-stage chronic kidney failure]. | 2004 Mar 10 |
|
Pharmacological treatment and prevention of heart failure in the diabetic patient. | 2004 Winter |
Patents
Sample Use Guides
The recommended initial dosage of MAVIK (Trandolapril) for patients not receiving a diuretic is 1 mg once daily in non-black patients and 2 mg in black patients.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/10334975
Trandolapril at 10(-7) mol/l, significantly increased 11beta-HSD2 activity after pretreatment for 16 or 24 h of the human epithelial colon cell line SW-620
Substance Class |
Chemical
Created
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on
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Record UNII |
1T0N3G9CRC
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Record Status |
Validated (UNII)
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Record Version |
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WHO-VATC |
QC09AA10
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WHO-ATC |
C09AA10
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LIVERTOX |
NBK548682
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NCI_THESAURUS |
C247
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QC09BB10
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NDF-RT |
N0000175562
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C09BB10
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NDF-RT |
N0000000181
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C61978
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9649
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1672687
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CHEMBL1519
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758939
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1T0N3G9CRC
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DB00519
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5746
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5484727
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100000092313
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38454
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C052035
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TRANDOLAPRIL
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Trandolapril
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1T0N3G9CRC
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6453
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SUB11212MIG
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m10999
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PRIMARY | Merck Index |
Related Record | Type | Details | ||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
EP
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SALT/SOLVATE -> PARENT | |||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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METABOLIC ENZYME -> SUBSTRATE |
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Related Record | Type | Details | ||
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METABOLITE ACTIVE -> PRODRUG |
Related Record | Type | Details | ||
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
For the calculation of contents, multiply the peak areas by 2.2
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
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