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

Details

Stereochemistry ACHIRAL
Molecular Formula C17H14N2O6S
Molecular Weight 374.368
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of IGURATIMOD

SMILES

CS(=O)(=O)NC1=CC2=C(C=C1OC3=CC=CC=C3)C(=O)C(NC=O)=CO2

InChI

InChIKey=ANMATWQYLIFGOK-UHFFFAOYSA-N
InChI=1S/C17H14N2O6S/c1-26(22,23)19-13-8-15-12(17(21)14(9-24-15)18-10-20)7-16(13)25-11-5-3-2-4-6-11/h2-10,19H,1H3,(H,18,20)

HIDE SMILES / InChI

Molecular Formula C17H14N2O6S
Molecular Weight 374.368
Charge 0
Count
MOL RATIO 1 MOL RATIO (average)
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description

Iguratimod, a methanesulfonanilide, is an anti-inflammatory drug for the treatment of rheumatoid arthritis that has been developed exclusively in Japan and China. It inhibits the production of immunoglobulins and various inflammatory cytokines (interleukin-1, -6 and -8 and TNF), and exerts anabolic effects on bone metabolism by stimulating osteoblastic differentiation and inhibiting osteoclastogenesis. On the molecular level, it inhibits the nuclear transcription factor NF-κB but not its inhibitor, IκBα. In addition to these immunomodulatory and other long-lasting effects, iguratimod inhibits cyclooxygenase-2, which provides a synergistic short-term action against pain and inflammation. Efficacy and tolerability are comparable to salazosulfapyridine, and probably also to methotrexate. Combination with methotrexate is synergistic in patients with insufficient response to methotrexate and does not significantly increase adverse events.

Originator

Approval Year

Targets

Primary TargetPharmacologyConditionPotency
10.8 µM [IC50]
0.02 µM [IC50]
26.2 µM [IC50]
0.018 µM [IC50]

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Careram

Cmax

ValueDoseCo-administeredAnalytePopulation
1.24 μg/mL
25 mg single, oral
IGURATIMOD plasma
Homo sapiens
2.13 μg/mL
50 mg single, oral
IGURATIMOD plasma
Homo sapiens
3.59 μg/mL
75 mg single, oral
IGURATIMOD plasma
Homo sapiens
1.88 μg/mL
50 mg 1 times / day multiple, oral
IGURATIMOD plasma
Homo sapiens

AUC

ValueDoseCo-administeredAnalytePopulation
20.93 μg × h/mL
25 mg single, oral
IGURATIMOD plasma
Homo sapiens
34.89 μg × h/mL
50 mg single, oral
IGURATIMOD plasma
Homo sapiens
56.81 μg × h/mL
75 mg single, oral
IGURATIMOD plasma
Homo sapiens
31.88 μg × h/mL
50 mg 1 times / day multiple, oral
IGURATIMOD plasma
Homo sapiens

T1/2

ValueDoseCo-administeredAnalytePopulation
8.55 h
25 mg single, oral
IGURATIMOD plasma
Homo sapiens
6.31 h
50 mg single, oral
IGURATIMOD plasma
Homo sapiens
7.3 h
75 mg single, oral
IGURATIMOD plasma
Homo sapiens
10.25 h
50 mg 1 times / day multiple, oral
IGURATIMOD plasma
Homo sapiens

Doses

AEs

Drug as perpetrator​

Drug as victim

PubMed

Sample Use Guides

In Vivo Use Guide
The usual adult dosage for oral use is 25 mg of iguratimod once daily after breakfast for 4 weeks or more, after which the dosage should be increased to one 25 mg tablet taken twice daily (after breakfast and after supper).
Route of Administration: Oral
In Vitro Use Guide
20 ug/mL of Iguratimod decreased RANKL expression and RANKL/OPG ratio in IL-6-induced synovial fibroblasts from rheumatoid arthritis.
Substance Class Chemical
Record UNII
4IHY34Y2NV
Record Status Validated (UNII)
Record Version