Details
Stereochemistry | ACHIRAL |
Molecular Formula | C20H24FN5O3.2ClH.H2O |
Molecular Weight | 492.372 |
Optical Activity | NONE |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
O.Cl.Cl.COC(=O)N1CCN(CC2=CC=CC(NC(=O)NC3=CC=C(C)N=C3)=C2F)CC1
InChI
InChIKey=FISUSGPPMSVPJR-UHFFFAOYSA-N
InChI=1S/C20H24FN5O3.2ClH.H2O/c1-14-6-7-16(12-22-14)23-19(27)24-17-5-3-4-15(18(17)21)13-25-8-10-26(11-9-25)20(28)29-2;;;/h3-7,12H,8-11,13H2,1-2H3,(H2,23,24,27);2*1H;1H2
Molecular Formula | H2O |
Molecular Weight | 18.0153 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | C20H24FN5O3 |
Molecular Weight | 401.4347 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
Molecular Formula | ClH |
Molecular Weight | 36.461 |
Charge | 0 |
Count |
|
Stereochemistry | ACHIRAL |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 0 |
E/Z Centers | 0 |
Optical Activity | NONE |
DescriptionSources: https://www.ncbi.nlm.nih.gov/pubmed/27322915
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27322915
Omecamtiv mecarbil (CK-1827452) is a specific cardiac myosin activator and a clinical drug for left ventricular systolic heart failure (in Phase 2 of development). Omecamtiv mecarbil is an inotropic agent that prolongs systolic ejection time and increases ejection fraction through myosin ATPase activation.
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: myosin ATPase Sources: https://www.ncbi.nlm.nih.gov/pubmed/26025342 |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | Unknown Approved UseUnknown |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
211 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34131942/ |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
416 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34131942/ |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
537 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34415673/ |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
905 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/21856480 |
0.5 mg/kg/h 1 times / week multiple, intravenous dose: 0.5 mg/kg/h route of administration: Intravenous experiment type: MULTIPLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
935 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34131942/ |
25 mg single, oral dose: 25 mg route of administration: Oral experiment type: SINGLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
4790 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34131942/ |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
|
5490 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34415673/ |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
20 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34131942/ |
50 mg single, oral dose: 50 mg route of administration: Oral experiment type: SINGLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
81.5% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/34415673/ |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
OMECAMTIV MECARBIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Doses
Dose | Population | Adverse events |
---|---|---|
1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Disc. AE: Chest discomfort, ST segment depression... Other AEs: Postural dizziness, Catheter-site pain... AEs leading to discontinuation/dose reduction: Chest discomfort (100%) Other AEs:ST segment depression (50%) increased troponin concentrations (50%) Postural dizziness (50%) Sources: Catheter-site pain (50%) Dizziness (50%) Feeling ho (100%) Chest discomfort (100%) |
0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Other AEs: Postural dizziness, Catheter-site pain... Other AEs: Postural dizziness (31%) Sources: Catheter-site pain (6%) Catheter site haematoma (6%) Dizziness (12%) Headache (19%) Catheter-site pain (31%) Pharyngolaryngeal pai (6%) |
0.75 mg/kg 1 times / week multiple, intravenous Studied dose Dose: 0.75 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.75 mg/kg, 1 times / week Sources: |
healthy |
Disc. AE: ST segment depression... AEs leading to discontinuation/dose reduction: ST segment depression (50%) Sources: |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Chest discomfort | 100% | 1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Feeling ho | 100% | 1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Chest discomfort | 100% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Catheter-site pain | 50% | 1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Dizziness | 50% | 1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Postural dizziness | 50% | 1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
ST segment depression | 50% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
increased troponin concentrations | 50% Disc. AE |
1 mg/kg 1 times / week multiple, intravenous Highest studied dose Dose: 1 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 1 mg/kg, 1 times / week Sources: |
healthy |
Dizziness | 12% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Headache | 19% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Catheter-site pain | 31% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Postural dizziness | 31% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Catheter site haematoma | 6% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Catheter-site pain | 6% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
Pharyngolaryngeal pai | 6% | 0.5 mg/kg 1 times / week multiple, intravenous MTD Dose: 0.5 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.5 mg/kg, 1 times / week Sources: |
healthy |
ST segment depression | 50% Disc. AE |
0.75 mg/kg 1 times / week multiple, intravenous Studied dose Dose: 0.75 mg/kg, 1 times / week Route: intravenous Route: multiple Dose: 0.75 mg/kg, 1 times / week Sources: |
healthy |
PubMed
Title | Date | PubMed |
---|---|---|
Discovery of omecamtiv mecarbil the first, selective, small molecule activator of cardiac Myosin. | 2010 Dec 9 |
|
The effects of the cardiac myosin activator, omecamtiv mecarbil, on cardiac function in systolic heart failure: a double-blind, placebo-controlled, crossover, dose-ranging phase 2 trial. | 2011 Aug 20 |
|
Dose-dependent augmentation of cardiac systolic function with the selective cardiac myosin activator, omecamtiv mecarbil: a first-in-man study. | 2011 Aug 20 |
Patents
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21856480
Curator's Comment: https://clinicaltrials.gov/ct2/show/NCT00941681?term=OMECAMTIV+MECARBIL&rank=5
50 mg dose (oral) of CK-1827452 (OMECAMTIV MECARBIL) twice a day (BID) for 10 days. Omecamtiv mecarbil infusion (ranging from 0·005 to 1·0 mg/kg per h)
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/25068717
In vitro Ventricular myosin (βMys) step-size, motility velocity, and actin-activated myosin ATPase were measured to determine duty cycle in the absence and presence of 1.5 μM OMECAMTIV MECARBIL (OM). A new parameter, the relative step-frequency, was introduced and measured to characterize βMys motility due to the involvement of its three unitary step-sizes. OM decreases motility velocity 10-fold without affecting step-size, indicating a large increase in duty cycle converting βMys to a near processive myosin. The OM conversion dramatically increases force and modestly increases power over the native βMys.
Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Apr 02 13:51:12 GMT 2025
by
admin
on
Wed Apr 02 13:51:12 GMT 2025
|
Record UNII |
352W4DWZ3L
|
Record Status |
Validated (UNII)
|
Record Version |
|
-
Download
Name | Type | Language | ||
---|---|---|---|---|
|
Common Name | English | ||
|
Preferred Name | English | ||
|
Systematic Name | English | ||
|
Common Name | English |
Code System | Code | Type | Description | ||
---|---|---|---|---|---|
|
300000043564
Created by
admin on Wed Apr 02 13:51:12 GMT 2025 , Edited by admin on Wed Apr 02 13:51:12 GMT 2025
|
PRIMARY | |||
|
352W4DWZ3L
Created by
admin on Wed Apr 02 13:51:12 GMT 2025 , Edited by admin on Wed Apr 02 13:51:12 GMT 2025
|
PRIMARY | |||
|
78425816
Created by
admin on Wed Apr 02 13:51:12 GMT 2025 , Edited by admin on Wed Apr 02 13:51:12 GMT 2025
|
PRIMARY | |||
|
1628699-20-6
Created by
admin on Wed Apr 02 13:51:12 GMT 2025 , Edited by admin on Wed Apr 02 13:51:12 GMT 2025
|
PRIMARY | |||
|
D11809
Created by
admin on Wed Apr 02 13:51:12 GMT 2025 , Edited by admin on Wed Apr 02 13:51:12 GMT 2025
|
PRIMARY |
Related Record | Type | Details | ||
---|---|---|---|---|
|
PARENT -> SALT/SOLVATE |
|