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

Details

Stereochemistry ABSOLUTE
Molecular Formula C28H35FO7
Molecular Weight 502.5717
Optical Activity UNSPECIFIED
Defined Stereocenters 8 / 8
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of AMCINONIDE

SMILES

CC(=O)OCC(=O)[C@@]12OC3(CCCC3)O[C@@H]1C[C@H]4[C@@H]5CCC6=CC(=O)C=C[C@]6(C)[C@@]5(F)[C@@H](O)C[C@]24C

InChI

InChIKey=ILKJAFIWWBXGDU-MOGDOJJUSA-N
InChI=1S/C28H35FO7/c1-16(30)34-15-22(33)28-23(35-26(36-28)9-4-5-10-26)13-20-19-7-6-17-12-18(31)8-11-24(17,2)27(19,29)21(32)14-25(20,28)3/h8,11-12,19-21,23,32H,4-7,9-10,13-15H2,1-3H3/t19-,20-,21-,23+,24-,25-,27-,28+/m0/s1

HIDE SMILES / InChI

Molecular Formula C28H35FO7
Molecular Weight 502.5717
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 8 / 8
E/Z Centers 0
Optical Activity UNSPECIFIED

Amcinonide is a corticosteroid, which is indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses. The mechanism of anti-inflammatory activity of the topical corticosteroids is unclear. However, corticosteroids are thought to act by the induction of phospholipase A2 inhibitory proteins, collectively called lipocortins. It is postulated that these proteins control the biosynthesis of potent mediators of inflammation such as prostaglandins and leukotrienes by inhibiting the release of their common precursor, arachidonic acid. Arachidonic acid is released from membrane phospholipids by phospholipase A2. Amcinonide has affinity for the glucocorticoid receptor. It has weak affinity for the progesterone receptor, and virtually no affinity for the mineralocorticoid, estrogen, or androgen receptors. Various laboratory methods, including vasoconstrictor assays, are used to compare and predict potencies and/or clinical efficacies of the topical corticosteroids. There is some evidence to suggest that a recognizable correlation exists between vasoconstrictor potency and therapeutic efficacy in man. The extent of percutaneous absorption of topical corticosteroids is determined by many factors, including the vehicle, the integrity of the epidermal barrier, and the use of occlusive dressings. Topical corticosteroids can be absorbed from normal intact skin. Inflammation and/or other disease processes in the skin increase percutaneous absorption. Occlusive dressings substantially increase the percutaneous absorption of topical corticosteroids

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Palliative
AMCINONIDE

Approved Use

Topical corticosteroids are indicated for the relief of the inflammatory and pruritic manifestations of corticosteroid-responsive dermatoses.

Launch Date

2002
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
2 h
1 mg/kg single, intravenous
dose: 1 mg/kg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
AMCINONIDE plasma
Rattus norvegicus
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Other AEs: Itching, Irritation skin...
Other AEs:
Itching (4.7%)
Irritation skin (4.7%)
Mucosal dryness (4.7%)
Folliculitis (4.7%)
Hypertrichosis (4.7%)
Acneiform eruption (4.7%)
Skin hypopigmentation (4.7%)
Perioral dermatitis (4.7%)
Allergic contact dermatitis (4.7%)
Skin maceration (4.7%)
Secondary infection (4.7%)
Skin atrophy (4.7%)
Striae (4.7%)
Miliaria (4.7%)
Sources:
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Disc. AE: Periorbital edema...
Other AEs: Hair color changes, Folliculitis...
AEs leading to
discontinuation/dose reduction:
Periorbital edema (1 patient)
Other AEs:
Hair color changes (2 patients)
Folliculitis (1 patient)
Stinging (9 patients)
Itching (17 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Acneiform eruption 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Allergic contact dermatitis 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Folliculitis 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Hypertrichosis 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Irritation skin 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Itching 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Miliaria 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Mucosal dryness 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Perioral dermatitis 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Secondary infection 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Skin atrophy 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Skin hypopigmentation 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Skin maceration 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Striae 4.7%
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Folliculitis 1 patient
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Periorbital edema 1 patient
Disc. AE
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Itching 17 patients
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Hair color changes 2 patients
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
Stinging 9 patients
1 mg 3 times / day steady, topical
Dose: 1 mg, 3 times / day
Route: topical
Route: steady
Dose: 1 mg, 3 times / day
Sources:
unhealthy
PubMed

PubMed

TitleDatePubMed
Contact allergy to topical corticosteroids--results from the IVDK and epidemiological risk assessment.
2009-01
Allergic contact dermatitis to topical drugs--epidemiological risk assessment.
2008-08
Human receptor kinetics and lung tissue retention of the enhanced-affinity glucocorticoid fluticasone furoate.
2007-07-25
Angioedema and dysphagia caused by contact allergy to inhaled budesonide.
2003-08
Selective corticosteroid injection into the extensor pollicis brevis tenosynovium for de Quervain's disease.
2002-01
Exacerbation of allergic contact dermatitis from amcinonide triggered by patch testing.
2001-10
Patch testing with serial dilutions of budesonide, its R and S diastereomers, and potentially cross-reacting substances.
2001-09
Tixocortol pivalate contact allergy in the GPMT: frequency and cross-reactivity.
2001-01
Delayed generalized allergic reactions to corticosteroids.
2000
Studies in patients with corticosteroid contact allergy. Understanding cross-reactivity among different steroids.
1995-01
Contact sensitivity and cross-reactivity of budesonide.
1993-04
Contact allergies to topical corticosteroids.
1993-03
[Contact allergy to topical glucocorticoids].
1993-02
Contact allergies to topical corticosteroids: 10 cases of contact dermatitis.
1991-08
Influence of depigmenting chemical agents on hair and skin color in yellow (pheomelanic) and black (eumelanic) mice.
1990-03-01
Allergic contact dermatitis from topical corticosteroids.
1989-08
Investigations on the development and regression of corticosteroid-induced thinning of the skin in various parts of the human body during and after topical application of amcinonide.
1989
Amcinonide vs. betamethasone dipropionate ointments in the treatment of psoriasis.
1985-05
Allergic contact dermatitis from amcinonide.
1985-04
Allergy to 2 new corticoid molecules.
1984-08
A comparative study of amcinonide and halcinonide in the treatment of eczematous dermatitis.
1984-08
Contact sensitivity to topical corticosteroids.
1984-05
Comparison of amcinonide ointment 0.1 percent twice daily and fluocinonide ointment 0.05 percent three times daily in the treatment of psoriasis.
1983-05
Treatment of psoriasis with amcinonide 0.1 percent and fluocinonide 0.05 percent ointments. A comparative double-blind study.
1982-06
A controlled comparison of amcinonide cream 0.1 percent and halcinonide cream 0.1 percent in the treatment of eczematous dermatitis.
1981-10
Management of eczematous dermatitis with amcinonide or betamethasone valerate. A double-blind comparative study.
1979-12
Patents

Sample Use Guides

Is generally applied to the affected area as a thin film from two to three times daily depending on the severity of the condition.
Route of Administration: Topical
Amcinonide inhibit NO release from activated microglia with IC50 3.38 nM. It also inhibited necrotic neuronal cells (NNC)-induced expression of the proinflammatory genes iNOS, TNF-α, and IL-1β in glial cells
Substance Class Chemical
Created
by admin
on Wed Apr 02 09:59:50 GMT 2025
Edited
by admin
on Wed Apr 02 09:59:50 GMT 2025
Record UNII
423W026MA9
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CYCLOCORT
Preferred Name English
AMCINONIDE
INN   JAN   MART.   MI   ORANGE BOOK   USAN   USP   USP-RS   VANDF   WHO-DD  
INN   USAN  
Official Name English
AMCINONIDE [MART.]
Common Name English
NSC-758620
Code English
CL 34699
Code English
PREGNA-1,4-DIENE-3,20-DIONE, 21-(ACETYLOXY)-16,17-(CYCLOPENTYLIDENEBIS(OXY))-9-FLUORO-11-HYDROXY-, (11.BETA.,16.ALPHA.)-
Common Name English
AMCINONIDE [USP-RS]
Common Name English
9-Fluoro-11?,16?,17,21-tetrahydroxypregna-1,4-diene-3,20-dione cyclic 16,17-acetal with cyclopentanone, 21-acetate
Common Name English
CL-34699
Code English
AMCINONIDE [VANDF]
Common Name English
Amcinonide [WHO-DD]
Common Name English
AMCINONIDE [USP MONOGRAPH]
Common Name English
AMCINONIDE [JAN]
Common Name English
amcinonide [INN]
Common Name English
AMCINONIDE [MI]
Common Name English
AMCINONIDE [USAN]
Common Name English
AMCINONIDE [ORANGE BOOK]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C521
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
NDF-RT N0000175450
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
WHO-VATC QD07AC11
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
WHO-ATC D07AC11
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
NDF-RT N0000175576
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
Code System Code Type Description
RS_ITEM_NUM
1019202
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
DAILYMED
423W026MA9
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
MESH
C012716
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
DRUG BANK
DB00288
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
NCI_THESAURUS
C47389
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
FDA UNII
423W026MA9
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
CHEBI
31199
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
DRUG CENTRAL
150
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
RXCUI
17652
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY RxNorm
ECHA (EC/EINECS)
256-915-2
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
WIKIPEDIA
AMCINONIDE
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
IUPHAR
7060
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
CAS
51022-69-6
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
ChEMBL
CHEMBL1200732
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
LACTMED
Amcinonide
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
SMS_ID
100000087191
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
INN
3755
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
MERCK INDEX
m1652
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY Merck Index
NSC
758620
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
EVMPD
SUB05404MIG
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
EPA CompTox
DTXSID6045905
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
PUBCHEM
443958
Created by admin on Wed Apr 02 09:59:50 GMT 2025 , Edited by admin on Wed Apr 02 09:59:50 GMT 2025
PRIMARY
Related Record Type Details
ACTIVE MOIETY