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

Details

Stereochemistry ACHIRAL
Molecular Formula C36H39NO5
Molecular Weight 565.6986
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CINACIGUAT

SMILES

OC(=O)CCCCN(CCC1=C(OCC2=CC=C(CCC3=CC=CC=C3)C=C2)C=CC=C1)CC4=CC=C(C=C4)C(O)=O

InChI

InChIKey=WPYWMXNXEZFMAK-UHFFFAOYSA-N
InChI=1S/C36H39NO5/c38-35(39)12-6-7-24-37(26-30-19-21-33(22-20-30)36(40)41)25-23-32-10-4-5-11-34(32)42-27-31-17-15-29(16-18-31)14-13-28-8-2-1-3-9-28/h1-5,8-11,15-22H,6-7,12-14,23-27H2,(H,38,39)(H,40,41)

HIDE SMILES / InChI

Molecular Formula C36H39NO5
Molecular Weight 565.6986
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Cinaciguat acts specifically on oxidized/haem-free soluble guanylyl cyclase by binding to the enzyme's haem pocket and mimicking the nitric-oxide-bound haem group. It is in clinical development for the treatment of acute decompensated heart failure. Cinaciguat had been in phase II clinical trials. However, trials were terminated early because of an excess of hypotension in the cinaciguat arms and subsequent slow enrolment.

Originator

Curator's Comment: # Bayer HealthCare

Approval Year

Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
NO- and haem-independent activation of soluble guanylyl cyclase: molecular basis and cardiovascular implications of a new pharmacological principle.
2002 Jul
Residues stabilizing the heme moiety of the nitric oxide sensor soluble guanylate cyclase.
2005 Apr 18
Pharmacokinetics, pharmacodynamics, tolerability, and safety of the soluble guanylate cyclase activator cinaciguat (BAY 58-2667) in healthy male volunteers.
2008 Dec
Gateways to clinical trials.
2008 May
Cinaciguat, a soluble guanylate cyclase activator, causes potent and sustained pulmonary vasodilation in the ovine fetus.
2009 Aug
Pharmacological activation of soluble guanylate cyclase protects the heart against ischemic injury.
2009 Aug 25
Role of guanylate cyclase modulators in decompensated heart failure.
2009 Dec
Cinaciguat (BAY 58-2667) improves cardiopulmonary hemodynamics in patients with acute decompensated heart failure.
2009 Jun 2
Gateways to clinical trials.
2009 Oct
Animal models related to congenital heart disease and clinical research in pulmonary hypertension.
2010
Population pharmacokinetics and pharmacodynamics of cinaciguat, a soluble guanylate cyclase activator, in patients with acute decompensated heart failure.
2010
Direct fusion of subunits of heterodimeric nitric oxide sensitive guanylyl cyclase leads to functional enzymes with preserved biochemical properties: evidence for isoform specific activation by ciguates.
2010 Dec 1
Nitric oxide sensitive guanylyl cyclase activity decreases during cerebral postnatal development because of a reduction in heterodimerization.
2010 Jan
Fluorescent fusion proteins of soluble guanylyl cyclase indicate proximity of the heme nitric oxide domain and catalytic domain.
2010 Jul 15
Structure of cinaciguat (BAY 58-2667) bound to Nostoc H-NOX domain reveals insights into heme-mimetic activation of the soluble guanylyl cyclase.
2010 Jul 16
Cinaciguat, a soluble guanylate cyclase activator for the potential treatment of acute heart failure.
2010 Sep
Patents

Sample Use Guides

25 ug/h, 10 ug/h during 48 h
Route of Administration: Intravenous
Cinaciguat (1-50 nM) infused for 60 min starting 5 min before reperfusion significantly reduced infarction from 33.0 +/- 3.2% in control isolated rabbit hearts to 9.5-12.7% (P < 0.05).
Substance Class Chemical
Created
by admin
on Fri Dec 15 16:12:35 UTC 2023
Edited
by admin
on Fri Dec 15 16:12:35 UTC 2023
Record UNII
59K0Y58UAD
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CINACIGUAT
INN   JAN  
INN  
Official Name English
CINACIGUAT [JAN]
Common Name English
cinaciguat [INN]
Common Name English
BAY 58-2667
Code English
Cinaciguat [WHO-DD]
Common Name English
BAY-58-2667
Systematic Name English
4-(((4-CARBOXYBUTYL)(2-(2-((4-(2-PHENYLETHYL)PHENYL)METHOXY)PHENYL)ETHYL)AMINO)METHYL)BENZOIC ACID
Systematic Name English
Classification Tree Code System Code
NCI_THESAURUS C29707
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
Code System Code Type Description
NCI_THESAURUS
C87280
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
MESH
C480588
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
FDA UNII
59K0Y58UAD
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
SMS_ID
100000175111
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
CAS
329773-35-5
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
CHEBI
142433
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
PUBCHEM
9808022
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
INN
8856
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
EPA CompTox
DTXSID40954614
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
WIKIPEDIA
CINACIGUAT
Created by admin on Fri Dec 15 16:12:35 UTC 2023 , Edited by admin on Fri Dec 15 16:12:35 UTC 2023
PRIMARY
Related Record Type Details
TARGET -> ACTIVATOR
Related Record Type Details
ACTIVE MOIETY