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
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?
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.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL226 Sources: https://www.drugbank.ca/drugs/DB12670 |
8.0 nM [Ki] | ||
Target ID: CHEMBL251 Sources: https://www.drugbank.ca/drugs/DB12670 |
673.0 nM [Ki] | ||
Target ID: CHEMBL255 Sources: https://www.drugbank.ca/drugs/DB12670 |
296.0 nM [Ki] | ||
Target ID: CHEMBL256 Sources: https://www.drugbank.ca/drugs/DB12670 |
4390.0 nM [Ki] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
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Primary | ROLOFYLLINE Approved UseUnknown |
Doses
Dose | Population | Adverse 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 |
PubMed
Title | Date | PubMed |
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Interactions of adenosine A1 and A2a receptors on renal microvascular reactivity. | 2001 Mar |
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Role of the lipid emulsion on an injectable formulation of lipophilic KW-3902, a newly synthesized adenosine A1-receptor antagonist. | 2002 Apr |
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Formulation development of a filter-sterilizable lipid emulsion for lipophilic KW-3902, a newly synthesized adenosine A1-receptor antagonist. | 2002 Jan |
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Interaction of human organic anion transporters 2 and 4 with organic anion transport inhibitors. | 2002 Jun |
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Vasodilator responses to adenosine and hyperemia are mediated by A(1) and A(2) receptors in the cat vascular bed. | 2002 Jun |
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Role of adenosine A(1) receptor in angiotensin II- and norepinephrine-induced renal vasoconstriction. | 2002 Oct |
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Heterodimerization of substance P and mu-opioid receptors regulates receptor trafficking and resensitization. | 2003 Dec 19 |
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Evaluation of the carrier potential for the lipid dispersion system with lipophilic compound. | 2003 Jul |
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Ischemic preconditioning protects post-ischemic renal function in anesthetized dogs: role of adenosine and adenine nucleotides. | 2005 Jul |
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Clinical trials update from the European Society of Cardiology heart failure meeting: TNT subgroup analysis, darbepoetin alfa, FERRIC-HF and KW-3902. | 2006 Aug |
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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 |
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Gateways to clinical trials. July-August 2008. | 2008 Jul-Aug |
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Adenosine A1 antagonists and the cardiorenal syndrome. | 2008 Jun |
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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 |
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Gateways to clinical trials. | 2008 May |
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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 |
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Role of adenosine antagonism in the cardiorenal syndrome. | 2008 Winter |
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HOTLINE III: End of the line for rolofylline? | 2009 Dec |
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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 |
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Vasodilators in the treatment of acute heart failure: what we know, what we don't. | 2009 Dec |
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Gateways to clinical trials. | 2010 May |
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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
Sample Use Guides
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/8732272
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
Edited
Fri Dec 15 15:56:48 GMT 2023
by
admin
on
Fri Dec 15 15:56:48 GMT 2023
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Record UNII |
7805S5HIHX
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Record Status |
Validated (UNII)
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Record Version |
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NCI_THESAURUS |
C319
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DTXSID50929292
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C96195
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Rolofylline
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8923
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TT-26
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136199-02-5
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DB12670
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CHEMBL2103819
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7805S5HIHX
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11948288
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