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

Details

Stereochemistry ABSOLUTE
Molecular Formula C21H23NO4S
Molecular Weight 385.477
Optical Activity ( - )
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ECADOTRIL

SMILES

CC(=O)SC[C@@H](CC1=CC=CC=C1)C(=O)NCC(=O)OCC2=CC=CC=C2

InChI

InChIKey=ODUOJXZPIYUATO-LJQANCHMSA-N
InChI=1S/C21H23NO4S/c1-16(23)27-15-19(12-17-8-4-2-5-9-17)21(25)22-13-20(24)26-14-18-10-6-3-7-11-18/h2-11,19H,12-15H2,1H3,(H,22,25)/t19-/m1/s1

HIDE SMILES / InChI

Molecular Formula C21H23NO4S
Molecular Weight 385.477
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Ecadotril or sinorphan is the S-enantiomer of racemic acetorphan (racecadotril). It inhibits enkephalinase activity. Ecadotril was studied for the treatment of hypertension and heart failure, however, its development was discontinued.

CNS Activity

Curator's Comment: Ecadotril ((S)-acetorphan) is CNS active in animals when administered parenterally. No human data available.

Originator

Curator's Comment: Roques, B. P., Schwartz, J. C. & Lecomte, J. M., inventors. Derives d'acides amines et leur application therapeutique. Fr. Pat. 8008601, Apr. 17, 1980; Eur. Pat. Appl. EP 38,758; Apr. 14, 1981.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Palliative
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Doses

Doses

DosePopulationAdverse events​
400 mg 2 times / day multiple, oral (max)
Highest studied dose
Dose: 400 mg, 2 times / day
Route: oral
Route: multiple
Dose: 400 mg, 2 times / day
Sources: Page: p.1142
unhealthy, ADULT
n = 31
Health Status: unhealthy
Condition: Cardiac Failure Congestive
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 31
Sources: Page: p.1142
Other AEs: Headache, Dizziness...
Other AEs:
Headache (16%)
Dizziness (grade 1-2, 35%)
Insomnia (6%)
Sources: Page: p.1142
AEs

AEs

AESignificanceDosePopulation
Headache 16%
400 mg 2 times / day multiple, oral (max)
Highest studied dose
Dose: 400 mg, 2 times / day
Route: oral
Route: multiple
Dose: 400 mg, 2 times / day
Sources: Page: p.1142
unhealthy, ADULT
n = 31
Health Status: unhealthy
Condition: Cardiac Failure Congestive
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 31
Sources: Page: p.1142
Insomnia 6%
400 mg 2 times / day multiple, oral (max)
Highest studied dose
Dose: 400 mg, 2 times / day
Route: oral
Route: multiple
Dose: 400 mg, 2 times / day
Sources: Page: p.1142
unhealthy, ADULT
n = 31
Health Status: unhealthy
Condition: Cardiac Failure Congestive
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 31
Sources: Page: p.1142
Dizziness grade 1-2, 35%
400 mg 2 times / day multiple, oral (max)
Highest studied dose
Dose: 400 mg, 2 times / day
Route: oral
Route: multiple
Dose: 400 mg, 2 times / day
Sources: Page: p.1142
unhealthy, ADULT
n = 31
Health Status: unhealthy
Condition: Cardiac Failure Congestive
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 31
Sources: Page: p.1142
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Attenuation of the morphine withdrawal syndrome by inhibition of catabolism of endogenous enkephalins in the periaqueductal gray matter.
1992 Apr
Neutral endopeptidase (EC 3.4.24.11) in cirrhotic liver: a new target to treat portal hypertension?
2005 Nov
Synergy between natriuretic peptides and phosphodiesterase 5 inhibitors ameliorates pulmonary arterial hypertension.
2008 Oct 15
Role of mu- and delta-opioid receptors in the nucleus accumbens in cocaine-seeking behavior.
2009 Jul
A comprehensive review of the pharmacodynamics, pharmacokinetics, and clinical effects of the neutral endopeptidase inhibitor racecadotril.
2012
Patents

Sample Use Guides

Mice: 300 mg/kg
Route of Administration: Intraperitoneal
In saturation binding studies in various mouse tissues [3H]-thiorphan exhibited an affinity (Kd value) of 0.46–0.77 nM, and the density of [3H]-thiorphan binding sites was well correlated with measured enkephalinase activity in a panel of 11 different mouse tissues.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:52:17 GMT 2023
Edited
by admin
on Fri Dec 15 15:52:17 GMT 2023
Record UNII
6XSR933SRK
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
ECADOTRIL
INN   USAN  
INN   USAN  
Official Name English
BAY Y 7432
Code English
BAY-Y-7432
Code English
ECADOTRIL [USAN]
Common Name English
N-[(S)-α-(Mercaptomethyl)hydrocinnamoyl]glycine, benzyl ester, acetate (ester)
Common Name English
ecadotril [INN]
Common Name English
GLYCINE, N-(2-((ACETYLTHIO)METHYL)-1-OXO-3-PHENYLPROPYL)-, PHENYLMETHYL ESTER, (S)-
Common Name English
Sinorphan
Common Name English
S-049
Code English
RACECADOTRIL (S)-FORM [MI]
Common Name English
RACECADOTRIL (S)-FORM
MI  
Common Name English
BP 1.02
Code English
S049
Code English
BP-1.02
Code English
Classification Tree Code System Code
NCI_THESAURUS C783
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
Code System Code Type Description
PUBCHEM
60561
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
WIKIPEDIA
Ecadotril
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
EVMPD
SUB06442MIG
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
FDA UNII
6XSR933SRK
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
EPA CompTox
DTXSID40861036
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
INN
6896
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
CAS
112573-73-6
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
NCI_THESAURUS
C75238
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
MERCK INDEX
m9477
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY Merck Index
MESH
C049331
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
USAN
GG-102
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
SMS_ID
100000080504
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
ChEMBL
CHEMBL1516410
Created by admin on Fri Dec 15 15:52:17 GMT 2023 , Edited by admin on Fri Dec 15 15:52:17 GMT 2023
PRIMARY
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