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 C24H34N2O5
Molecular Weight 430.5372
Optical Activity UNSPECIFIED
Defined Stereocenters 5 / 5
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TRANDOLAPRIL

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

HIDE SMILES / InChI

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

Description
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

Curator's Comment: trandolapril was classified as crossing the blood-brain barrier (centrally active)

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
MAVIK

Approved Use

Hypertension 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 Date

1996
Primary
MAVIK

Approved Use

Hypertension 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 Date

1996
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
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

AUC

ValueDoseCo-administeredAnalytePopulation
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

T1/2

ValueDoseCo-administeredAnalytePopulation
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

Doses

DosePopulationAdverse 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
Health Status: unhealthy
Age Group: 55
Sex: M+F
Sources:
Disc. AE: Diarrhea, Dizziness...
AEs leading to
discontinuation/dose reduction:
Diarrhea
Dizziness
Elevated liver enzymes
Sources:
AEs

AEs

AESignificanceDosePopulation
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
Health Status: unhealthy
Age Group: 55
Sex: M+F
Sources:
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
Health Status: unhealthy
Age Group: 55
Sex: M+F
Sources:
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
Health Status: unhealthy
Age Group: 55
Sex: M+F
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer


Drug as victim

Drug as victim

PubMed

PubMed

TitleDatePubMed
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
Does the electrocardiographic presence of Q waves influence the survival of patients with acute myocardial infarction?
2001 Jun
Characteristics of patients with coronary artery disease and hypertension: a report from INVEST.
2001 Nov
Effect of long-term treatment with trandolapril on Hsp72 and Hsp73 induction of the failing heart following myocardial infarction.
2001 Nov
Renal adaptive mechanisms in aged and hypertensive humans: possible effects of treatment.
2001 Nov-Dec
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
[Treatment of hypertension in diabetics with trandolapril, an angiotensin converting enzyme inhibitor--a multicenter study].
2002 Aug
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
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
by admin
on Mon Mar 31 18:06:54 GMT 2025
Edited
by admin
on Mon Mar 31 18:06:54 GMT 2025
Record UNII
1T0N3G9CRC
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
TARKA COMPONENT TRANDOLAPRIL
Preferred Name English
TRANDOLAPRIL
EP   INN   JAN   MART.   MI   ORANGE BOOK   USP   USP-RS   VANDF   WHO-DD  
INN  
Official Name English
TRANDOLAPRIL [USP-RS]
Common Name English
TRANDOLAPRIL [VANDF]
Common Name English
TRANDOLAPRIL [JAN]
Common Name English
1H-INDOLE-2-CARBOXYLIC ACID, OCTAHYDRO N-((2S)-1-ETHOXY-1-OXO-4-PHENYLBUTAN-2-YL)-1-ALANYL (2S,3AR,7AS)
Common Name English
TRANDOLAPRIL [EP MONOGRAPH]
Common Name English
TRANDOLAPRIL [USP MONOGRAPH]
Common Name English
TRANDOLAPRIL [MI]
Common Name English
(2S,3aR,7aS)-1-[(S)-N-[(S)-1-Carboxy-3-phenylpropyl]alanyl]hexahydro-2-indolinecarboxylic acid, 1-ethyl ester
Common Name English
NSC-758939
Code English
TRANDOLAPRIL [ORANGE BOOK]
Common Name English
TRANDOLAPRIL [MART.]
Common Name English
RU 44570
Code English
MAVIK
Brand Name English
Trandolapril [WHO-DD]
Common Name English
trandolapril [INN]
Common Name English
RU-44570
Code English
Classification Tree Code System Code
WHO-VATC QC09AA10
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
WHO-ATC C09AA10
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
LIVERTOX NBK548682
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
NCI_THESAURUS C247
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
WHO-VATC QC09BB10
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
NDF-RT N0000175562
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
WHO-ATC C09BB10
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
NDF-RT N0000000181
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
Code System Code Type Description
NCI_THESAURUS
C61978
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
CHEBI
9649
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
RS_ITEM_NUM
1672687
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
ChEMBL
CHEMBL1519
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
NSC
758939
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
DAILYMED
1T0N3G9CRC
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
DRUG BANK
DB00519
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
INN
5746
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
PUBCHEM
5484727
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
DRUG CENTRAL
2712
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
CAS
87679-37-6
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
SMS_ID
100000092313
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
EPA CompTox
DTXSID2023692
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
RXCUI
38454
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY RxNorm
MESH
C052035
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
WIKIPEDIA
TRANDOLAPRIL
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
LACTMED
Trandolapril
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
FDA UNII
1T0N3G9CRC
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
IUPHAR
6453
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
EVMPD
SUB11212MIG
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY
MERCK INDEX
m10999
Created by admin on Mon Mar 31 18:06:54 GMT 2025 , Edited by admin on Mon Mar 31 18:06:54 GMT 2025
PRIMARY Merck Index
Related Record Type Details
BASIS OF STRENGTH->SUBSTANCE
ASSAY (HPLC)
EP
SALT/SOLVATE -> PARENT
BASIS OF STRENGTH->SUBSTANCE
ASSAY (HPLC)
USP
METABOLIC ENZYME -> SUBSTRATE
Related Record Type Details
METABOLITE ACTIVE -> PRODRUG
Related Record Type Details
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
UNSPECIFIED
EP
IMPURITY -> PARENT
UNSPECIFIED
EP
IMPURITY -> PARENT
For the calculation of contents, multiply the peak areas by 2.2
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
IMPURITY -> PARENT
UNSPECIFIED
EP
IMPURITY -> PARENT
UNSPECIFIED
EP
IMPURITY -> PARENT
IMPURITY -> PARENT
CHROMATOGRAPHIC PURITY (HPLC/UV)
EP