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

Details

Stereochemistry ACHIRAL
Molecular Formula C9H5ClINO
Molecular Weight 305.5
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CLIOQUINOL

SMILES

OC1=C2N=CC=CC2=C(Cl)C=C1I

InChI

InChIKey=QCDFBFJGMNKBDO-UHFFFAOYSA-N
InChI=1S/C9H5ClINO/c10-6-4-7(11)9(13)8-5(6)2-1-3-12-8/h1-4,13H

HIDE SMILES / InChI

Molecular Formula C9H5ClINO
Molecular Weight 305.5
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description
Curator's Comment: Description was created based on several sources, including: https://pubchem.ncbi.nlm.nih.gov/compound/clioquinol; https://www.ebi.ac.uk/chembldb/compound/inspect/CHEMBL497; http://www.cell.com/trends/neurosciences/pdf/S0166-2236(00)02086-5.pdf http://www.ncbi.nlm.nih.gov/pubmed/11598313; http://harvoa.org/polio/smon.htm; http://www.ncbi.nlm.nih.gov/pubmed/20526539

Clioquinol is a broad-spectrum antibacterial with antifungal properties, bacteriostatic. It is used as an antifungal and antiprotozoal topical drug OTC product for treatment of human infections. Previousely was used for wide number of intestinal disorders including lambliasis, shigellosis, balantidiral dysentery and some forms of diarrheas. The physiologic effect of clioquinol is by increased histamine release and cell-mediated immunity. It is a member of a family hydroxyquinolines which inhibit certain enzymes related to DNA replication. It is a copper, iron and zink chelating agent. It is an organic molecule with a quinolinic acid as its apparent core which itself is a neurotransmitter. In large doses it possesses neurotoxicity and may induce neurological disease such as subacute myelo-optic neuropathy by creating copper deficiency that leads to zink excess. SMON (Sub-Acute-Myelo-Optical-Neuropathy) - a polio-like disease began as an epidemic in 1959 in Japan was believed to be a Clioquinol caused. Clioquinol is a standardized chemical allergen. It has been resurrected as a potential treatment for Alzheimer's disease since it perturbs metallo-chemistry of amyloid and clioquinol treatment has been shown to be beneficial in a mouse model of Alzheimer's disease.

CNS Activity

Curator's Comment: Clioquinol is capable of being absorbed into the human nervous system.

Originator

Curator's Comment: Was initially developed in 1934 by CIBA as a topical and intestinal antiseptic. CIBA started marketing clioquinol in 1934 to fight amoebic dysentery as an oral intestinal embicide. By the time the company entered the lucrative Japanese market in 1953, it was pushing clioquinol worldwide for all forms of dysentery. Ciba was permitted to market the drug in Japan for all types of abdominal trouble, with no limitation as to dosage or length of treatment. Ciba promoted the drug throughout the 1950s and 1960s as being safe and effective, even for children, and as having no adverse permanent side effects. The 1970 merger of CIBA and GEIGY (Swiss chemical company) was followed by a lawsuit against the company for clioquinol as a couse of the epidemic of subacute-myelo-optico- neuropathy (SMON) in Japan. In March 1985, Ciba Geigy finally took the drug off the market worldwide.

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
DERMOSCRIBE ICHYBUM

Approved Use

Unknown
Primary
Dermasorb AF

Approved Use

Unknown
Primary
Dermasorb AF

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
42 μg/mL
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
1600 μg × h/mL
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
41 h
1600 mg 2 times / day multiple, oral
dose: 1600 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
CLIOQUINOL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
4 g single, oral
Studied dose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Sources:
unhealthy, 32 years
n = 1
Health Status: unhealthy
Condition: acute episode of abdominal pain and nausea
Age Group: 32 years
Sex: M
Population Size: 1
Sources:
Other AEs: Late onset epilepsy...
Other AEs:
Late onset epilepsy (1 patient)
Sources:
5 g single, oral
Studied dose
Dose: 5 g
Route: oral
Route: single
Dose: 5 g
Sources:
unhealthy, 43 years
n = 1
Health Status: unhealthy
Condition: intestinal infection
Age Group: 43 years
Sex: F
Population Size: 1
Sources:
Other AEs: Late onset epilepsy...
Other AEs:
Late onset epilepsy (1 patient)
Sources:
6 % 1 times / day steady, topical
Recommended
Dose: 6 %, 1 times / day
Route: topical
Route: steady
Dose: 6 %, 1 times / day
Sources:
unhealthy, adult
n = 1756
Health Status: unhealthy
Condition: eczema
Age Group: adult
Sex: unknown
Population Size: 1756
Sources:
Other AEs: Skin irritation...
Other AEs:
Skin irritation (35 patients)
Sources:
AEs

AEs

AESignificanceDosePopulation
Late onset epilepsy 1 patient
4 g single, oral
Studied dose
Dose: 4 g
Route: oral
Route: single
Dose: 4 g
Sources:
unhealthy, 32 years
n = 1
Health Status: unhealthy
Condition: acute episode of abdominal pain and nausea
Age Group: 32 years
Sex: M
Population Size: 1
Sources:
Late onset epilepsy 1 patient
5 g single, oral
Studied dose
Dose: 5 g
Route: oral
Route: single
Dose: 5 g
Sources:
unhealthy, 43 years
n = 1
Health Status: unhealthy
Condition: intestinal infection
Age Group: 43 years
Sex: F
Population Size: 1
Sources:
Skin irritation 35 patients
6 % 1 times / day steady, topical
Recommended
Dose: 6 %, 1 times / day
Route: topical
Route: steady
Dose: 6 %, 1 times / day
Sources:
unhealthy, adult
n = 1756
Health Status: unhealthy
Condition: eczema
Age Group: adult
Sex: unknown
Population Size: 1756
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
[Subacute myelopathy during a course of treatment with clioquinol in a patient colectomized for Crohn's disease].
1978 Jan-Jun
Transient global amnesia after clioquinol: five personal observations from outside Japan.
1979 Dec
[Contribution of Japanese researchers to progress in the field of neurology in the last 100 years: SMON].
2002 Aug 10
New therapies. New Alzheimer's treatments that may ease the mind.
2002 Aug 23
[Analysis of SMON at 30 years after its outbreak ending: special reference to those patients with blindness].
2002 Jun
An iron-responsive element type II in the 5'-untranslated region of the Alzheimer's amyloid precursor protein transcript.
2002 Nov 22
The metallobiology of Alzheimer's disease.
2003 Apr
Current status of metals as therapeutic targets in Alzheimer's disease.
2003 Aug
Why participate in an Alzheimer's disease clinical trial? Is it of benefit to carers and patients?
2003 Jun
Changes in intracellular calcium and glutathione in astrocytes as the primary mechanism of amyloid neurotoxicity.
2003 Jun 15
[SMON--a model of the iatrogenic disease].
2003 Nov
Clioquinol effects on tissue chelatable zinc in mice.
2003 Oct
Cu2+-induced modification of the kinetics of A beta(1-42) channels.
2003 Oct
Traumatic purpuric penile ulcer.
2004
Role of hydrogen peroxide in the aetiology of Alzheimer's disease: implications for treatment.
2004
In vivo model for the evaluation of molecules active towards transmissible spongiform encephalopathies.
2004 Aug
The integrated role of desferrioxamine and phenserine targeted to an iron-responsive element in the APP-mRNA 5'-untranslated region.
2004 Dec
Contribution of redox-active iron and copper to oxidative damage in Alzheimer disease.
2004 Jul
Metals in our minds: therapeutic implications for neurodegenerative disorders.
2004 Jul
Clioquinol, a drug for Alzheimer's disease specifically interfering with brain metal metabolism: structural characterization of its zinc(II) and copper(II) complexes.
2004 Jun 28
Novel chelators for central nervous system disorders that involve alterations in the metabolism of iron and other metal ions.
2004 Mar
Neurodegenerative diseases and oxidative stress.
2004 Mar
[Dientamoeba fragilis: possibly an important cause of persistent abdominal pain in children].
2004 Mar 20
Prana Biotechnology, Limited: metal attenuation in the treatment of neurodegenerative disease.
2004 Nov
Why nutraceuticals do not prevent or treat Alzheimer's disease.
2005 Apr 12
Anticancer activity of the antibiotic clioquinol.
2005 Apr 15
Metal ion-dependent effects of clioquinol on the fibril growth of an amyloid {beta} peptide.
2005 Apr 22
[Antimicrobially effective compounded medications. Clinical value and critical comments].
2005 Aug
Hope for Huntington's from an old antibiotic.
2005 Dec
PBT-1 Prana Biotechnology.
2005 Jan
Clioquinol treatment in familiar early onset of Alzheimer's disease: a case report.
2005 Jul
The oxidative neurotoxicity of clioquinol.
2005 Oct
Alzheimer disease beta-amyloid activity mimics cholesterol oxidase.
2005 Sep
Metal specificity of an iron-responsive element in Alzheimer's APP mRNA 5'untranslated region, tolerance of SH-SY5Y and H4 neural cells to desferrioxamine, clioquinol, VK-28, and a piperazine chelator.
2006
Medical treatment of vulvar squamous cell hyperplasia.
2006 Dec
Pharmacological strategies for the prevention of Alzheimer's disease.
2006 Jan
Clioquinol for the treatment of Alzheimer's Disease.
2006 Jan 25
Metal homeostasis in Alzheimer's disease.
2006 May
Effect of copper and manganese on the de novo generation of protease-resistant prion protein in yeast cells.
2006 May 30
Aluminum and other metals in Alzheimer's disease: a review of potential therapy with chelating agents.
2006 Nov
Short G-rich oligonucleotides as a potential therapeutic for Huntington's Disease.
2006 Oct 2
Natural distribution of environmental radon daughters in the different brain areas of an Alzheimer disease victim.
2006 Sep 11
The redox chemistry of the Alzheimer's disease amyloid beta peptide.
2007 Aug
Clioquinol, a therapeutic agent for Alzheimer's disease, has proteasome-inhibitory, androgen receptor-suppressing, apoptosis-inducing, and antitumor activities in human prostate cancer cells and xenografts.
2007 Feb 15
The inhalation anesthetic isoflurane induces a vicious cycle of apoptosis and amyloid beta-protein accumulation.
2007 Feb 7
Oral administration of metal chelator ameliorates motor dysfunction after a small hemorrhage near the internal capsule in rat.
2007 Jan
Clioquinol attenuates zinc-dependent beta-cell death and the onset of insulitis and hyperglycemia associated with experimental type I diabetes in mice.
2007 Jun 22
Pharmacokinetics and distribution of clioquinol in golden hamsters.
2007 Mar
Mechanisms of copper ion mediated Huntington's disease progression.
2007 Mar 28
Stoichiometry and conditional stability constants of Cu(II) or Zn(II) clioquinol complexes; implications for Alzheimer's and Huntington's disease therapy.
2007 May
Patents

Sample Use Guides

Apply a thin layer to the affected area 3 or 4 times daily (3% clioquinol, 0.5% hydrocortisone)
Route of Administration: Topical
In Vitro Use Guide
Unknown
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:15:31 GMT 2023
Edited
by admin
on Fri Dec 15 15:15:31 GMT 2023
Record UNII
7BHQ856EJ5
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
CLIOQUINOL
EP   HSDB   INN   MART.   ORANGE BOOK   USP   USP-RS   VANDF   WHO-DD  
INN  
Official Name English
CLIOQUINOL [VANDF]
Common Name English
IODOCHLORHYDROXYQUIN
GREEN BOOK   MI  
Common Name English
Clioquinol [WHO-DD]
Common Name English
NSC-74938
Code English
CLIOQUINOL [USP-RS]
Common Name English
CLIOQUINOL [HSDB]
Common Name English
NSC-3531
Code English
clioquinol [INN]
Common Name English
8-QUINOLINOL, 5-CHLORO-7-IODO-
Systematic Name English
CLIOQUINOL [ORANGE BOOK]
Common Name English
5-Chloro-7-iodo-8-quinolinol
Systematic Name English
CLIOQUINOL [MART.]
Common Name English
CLIOQUINOL COMPONENT OF NYSTAFORM
Common Name English
IODOCHLORHYDROXYQUIN [GREEN BOOK]
Common Name English
5-CHLORO-7-IODOQUINOLIN-8-OL
Systematic Name English
CLIOQUINOL [EP MONOGRAPH]
Common Name English
CLIOQUINOL [USP MONOGRAPH]
Common Name English
NYSTAFORM COMPONENT CLIOQUINOL
Common Name English
IODOCHLORHYDROXYQUINOLONE
Common Name English
IODOCHLORHYDROXYQUIN [MI]
Common Name English
Classification Tree Code System Code
WHO-ATC D09AA10
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
CFR 21 CFR 333.210
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
NDF-RT N0000185508
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-VATC QG01AC02
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
NCI_THESAURUS C1742
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
NCI_THESAURUS C254
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-ATC D08AH30
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-VATC QD08AH30
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-ATC P01AA52
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-ATC G01AC02
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
EPA PESTICIDE CODE 24001
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-VATC QD09AA10
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
CFR 21 CFR 520.1158
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-ATC S02AA05
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-ATC P01AA02
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
WHO-VATC QS02AA05
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
Code System Code Type Description
SMS_ID
100000092134
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
NCI_THESAURUS
C65337
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
RXCUI
5942
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY RxNorm
NDF-RT
N0000171131
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY Allergens [Chemical/Ingredient]
DRUG CENTRAL
681
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
RS_ITEM_NUM
1138201
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
NSC
74938
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
NSC
3531
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
INN
2116
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
HSDB
6843
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
MESH
D007464
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
FDA UNII
7BHQ856EJ5
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
CHEBI
74460
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
NDF-RT
N0000175629
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY Increased Histamine Release [PE]
NDF-RT
N0000184306
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY Cell-mediated Immunity [PE]
CAS
130-26-7
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
WIKIPEDIA
Clioquinol
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
ECHA (EC/EINECS)
204-984-4
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
PUBCHEM
2788
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
EVMPD
SUB06669MIG
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
EPA CompTox
DTXSID7022837
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
MERCK INDEX
m6345
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY Merck Index
ChEMBL
CHEMBL497
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
DAILYMED
7BHQ856EJ5
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
DRUG BANK
DB04815
Created by admin on Fri Dec 15 15:15:31 GMT 2023 , Edited by admin on Fri Dec 15 15:15:31 GMT 2023
PRIMARY
Related Record Type Details
METABOLITE -> PARENT
less metabolized to conjugates in human than animal in first pass
MAJOR
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Less metabolized to conjugates in human than animal in first pass
MINOR
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ACTIVE MOIETY