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Details

Stereochemistry ACHIRAL
Molecular Formula C20H28N4O2
Molecular Weight 356.4619
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 4
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of ROLOFYLLINE

SMILES

CCCN1C2=C(NC(=N2)C34C[C@@H]5CC3C[C@H](C4)C5)C(=O)N(CCC)C1=O

InChI

InChIKey=PJBFVWGQFLYWCB-QUYAXPHCSA-N
InChI=1S/C20H28N4O2/c1-3-5-23-16-15(17(25)24(6-4-2)19(23)26)21-18(22-16)20-10-12-7-13(11-20)9-14(20)8-12/h12-14H,3-11H2,1-2H3,(H,21,22)/t12-,13+,14?,20?

HIDE SMILES / InChI

Molecular Formula C20H28N4O2
Molecular Weight 356.4619
Charge 0
Count
Stereochemistry MIXED
Additional Stereochemistry No
Defined Stereocenters 2 / 4
E/Z Centers 0
Optical Activity UNSPECIFIED

Rolofylline is an adenosine A1-receptor antagonist. Plasma adenosine levels are elevated in patients with heart failure and adenosine A1 receptors in the kidney mediate vasoconstriction of afferent arterioles, reabsorption of sodium and water in proximal tubules, and tubuloglomerular feedback in the juxtaglomerular apparatus. Accordingly, inhibition of these receptors would be expected to increase renal blood flow and enhance diuresis. However, rolofylline showed no difference from placebo in the main efficacy end points in Phase III clinical trials for acute heart-failure patients.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
8.0 nM [Ki]
673.0 nM [Ki]
296.0 nM [Ki]
4390.0 nM [Ki]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
ROLOFYLLINE

Approved Use

Unknown
Doses

Doses

DosePopulationAdverse events​
60 mg single, intravenous
Highest studied dose
Dose: 60 mg
Route: intravenous
Route: single
Dose: 60 mg
Sources: Page: p.14
healthy, ADULT
n = 48
Health Status: healthy
Age Group: ADULT
Sex: M+F
Food Status: FASTED
Population Size: 48
Sources: Page: p.14
30 mg 1 times / day multiple, intravenous
Studied dose
Dose: 30 mg, 1 times / day
Route: intravenous
Route: multiple
Dose: 30 mg, 1 times / day
Sources: Page: p.243
unhealthy, ADULT
n = 1356
Health Status: unhealthy
Condition: heart disease
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Population Size: 1356
Sources: Page: p.243
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer




Drug as perpetrator​Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
major
PubMed

PubMed

TitleDatePubMed
Interactions of adenosine A1 and A2a receptors on renal microvascular reactivity.
2001 Mar
Role of the lipid emulsion on an injectable formulation of lipophilic KW-3902, a newly synthesized adenosine A1-receptor antagonist.
2002 Apr
Formulation development of a filter-sterilizable lipid emulsion for lipophilic KW-3902, a newly synthesized adenosine A1-receptor antagonist.
2002 Jan
Interaction of human organic anion transporters 2 and 4 with organic anion transport inhibitors.
2002 Jun
Vasodilator responses to adenosine and hyperemia are mediated by A(1) and A(2) receptors in the cat vascular bed.
2002 Jun
Role of adenosine A(1) receptor in angiotensin II- and norepinephrine-induced renal vasoconstriction.
2002 Oct
Heterodimerization of substance P and mu-opioid receptors regulates receptor trafficking and resensitization.
2003 Dec 19
Evaluation of the carrier potential for the lipid dispersion system with lipophilic compound.
2003 Jul
Ischemic preconditioning protects post-ischemic renal function in anesthetized dogs: role of adenosine and adenine nucleotides.
2005 Jul
Clinical trials update from the European Society of Cardiology heart failure meeting: TNT subgroup analysis, darbepoetin alfa, FERRIC-HF and KW-3902.
2006 Aug
The effect of KW-3902, an adenosine A1 receptor antagonist, on renal function and renal plasma flow in ambulatory patients with heart failure and renal impairment.
2007 Oct
Gateways to clinical trials. July-August 2008.
2008 Jul-Aug
Adenosine A1 antagonists and the cardiorenal syndrome.
2008 Jun
Clinical trials update from the American College of Cardiology 2008: CARISMA, TRENDS, meta-analysis of Cox-2 studies, HAT, ON-TARGET, HYVET, ACCOMPLISH, MOMENTUM, PROTECT, HORIZON-HF and REVERSE.
2008 Jun
Gateways to clinical trials.
2008 May
The PROTECT pilot study: a randomized, placebo-controlled, dose-finding study of the adenosine A1 receptor antagonist rolofylline in patients with acute heart failure and renal impairment.
2008 Oct
Role of adenosine antagonism in the cardiorenal syndrome.
2008 Winter
HOTLINE III: End of the line for rolofylline?
2009 Dec
Clinical trials update from the European Society of Cardiology Meeting 2009: AAA, RELY, PROTECT, ACTIVE-I, European CRT survey, German pre-SCD II registry, and MADIT-CRT.
2009 Dec
Vasodilators in the treatment of acute heart failure: what we know, what we don't.
2009 Dec
Gateways to clinical trials.
2010 May
The effects of adenosine A(1) receptor antagonism in patients with acute decompensated heart failure and worsening renal function: the REACH UP study.
2010 Sep
Patents

Patents

Sample Use Guides

Rolofylline 30 mg once a day, 3 days.
Route of Administration: Intravenous
In Vitro Use Guide
In rat forebrain adenosine A1 receptors labelled with [3H]-cyclohexyladenosine, rolofylline (KW-3902) had a Ki value of 0.19 nM, whereas it showed a Ki value of 170 nM in rat striatal A2A receptors labelled with [3H]-2-[p-(2-carboxyethyl)-phenethylamino]-5'-N-ethylcarboxamidoad enosine, indicating 890 fold A1 receptor selectivity versus the A2A receptor. KW-3902 at 10 microM showed no effect on recombinant rat A3 receptors expressed on CHO cells. Saturation studies with [3H]-KW-3902 revealed that it bound with high affinity (Kd = 77 pM) and limited capacity (Bmax = 470 fmol mg-1 of protein) to a single class of recognition sites.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:56:48 GMT 2023
Edited
by admin
on Fri Dec 15 15:56:48 GMT 2023
Record UNII
7805S5HIHX
Record Status Validated (UNII)
Record Version
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Name Type Language
ROLOFYLLINE
INN   USAN   WHO-DD  
USAN   INN  
Official Name English
KW3902
Code English
rolofylline [INN]
Common Name English
KW-3902
Code English
Rolofylline [WHO-DD]
Common Name English
MK-7418
Code English
3,7-DIHYDRO-1,3-DIPROPYL-8-(3-TRICYCLO(3.3.1.0(SUP 3,7))NONYL)-1H-PURINE-2,6-DIONE
Systematic Name English
1,3-DIPROPYL-8-(TRICYCLO(3.3.1.0(SUP 3,7))NON-3-YL)-3,7-DIHYDRO-1H-PURINE-2,6-DIONE
Systematic Name English
ROLOFYLLINE [USAN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C319
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
Code System Code Type Description
EPA CompTox
DTXSID50929292
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
NCI_THESAURUS
C96195
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
WIKIPEDIA
Rolofylline
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
INN
8923
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
USAN
TT-26
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
SMS_ID
100000175772
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
CAS
136199-02-5
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
DRUG BANK
DB12670
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
ChEMBL
CHEMBL2103819
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
FDA UNII
7805S5HIHX
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
PUBCHEM
11948288
Created by admin on Fri Dec 15 15:56:48 GMT 2023 , Edited by admin on Fri Dec 15 15:56:48 GMT 2023
PRIMARY
Related Record Type Details
TARGET -> INHIBITOR
TRANSPORTER -> INHIBITOR
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ACTIVE MOIETY