U.S. Department of Health & Human Services Divider Arrow National Institutes of Health Divider Arrow NCATS
Olesoxime (TRO19622) a small-molecule with a cholesterol-like structure has remarkable neuroprotective properties for motor neurons in cell culture and in rodents. The biopharmaceutical company Trophos initially developed this compound. This medicine is in phase II clinical trial in treating spinal muscular atrophy and in phase I for patients with stable relapsing remitting multiple sclerosis. This drug was also investigated in phase III clinical trial for amyotrophic lateral sclerosis, but it did not demonstrate a significant increase in survival versus placebo and that study was discontinued. Preclinical studies have demonstrated that the olesoxime promoted the function and survival of neurons and other cell types under disease-relevant stress conditions through interactions with the mitochondrial permeability transition pore (mPTP).

CNS Activity

Curator's Comment: Known to be CNS penetrant in mouse, rat. Human data not available

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: mitochondrial permeability transition pore
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
Primary
Unknown

Approved Use

Unknown
PubMed

PubMed

TitleDatePubMed
Specific antinociceptive activity of cholest-4-en-3-one, oxime (TRO19622) in experimental models of painful diabetic and chemotherapy-induced neuropathy.
2008 Aug
Dysfunction of mitochondria and sarcoplasmic reticulum in the pathogenesis of collagen VI muscular dystrophies.
2008 Dec
Olesoxime (cholest-4-en-3-one, oxime): analgesic and neuroprotective effects in a rat model of painful peripheral neuropathy produced by the chemotherapeutic agent, paclitaxel.
2009 Dec 15
Clinical trials in CNS--SMi's eighth annual conference.
2010 Feb
Patents

Patents

Sample Use Guides

Participants will receive 10 milligrams per kilogram (mg/kg) suspension once a day either orally or via a naso-gastric or gastrostomy tube with the main meal (preferably at the same time of the day)
Route of Administration: Oral
Neuroprotective dose-effect of olesoxime against motor neuron cell death was studied. Rat embryonic motor neurons were cultured in 96-well plates in the absence of trophic factors and with increasing concentrations of olesoxime (concentrations ranging from 0.1 to 10 µM), or with pure syn or anti forms of olesoxime. Motor neuron survival was measured after 3 days or 7 days in vitro by direct counting of live cells labeled with calcein-AM. Survival is expressed as a ratio of surviving cell (A-B) relative to positive controls treated with a cocktail of neurotrophic factors (NTFs) and negative controls that received DMSO alone (0.1%). Treatment with olesoxime produced a dose-dependent increase in cell survival with EC50 around 3 µM. Importantly, both syn and anti forms were equally potent.
Substance Class Mixture
Created
by admin
on Sat Dec 16 08:50:01 GMT 2023
Edited
by admin
on Sat Dec 16 08:50:01 GMT 2023
Record UNII
A6778U5IFY
Record Status Validated (UNII)
Record Version
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Name Type Language
OLESOXIME
INN   USAN   WHO-DD  
USAN   INN  
Official Name English
(EZ)-N-(CHOLEST-4-EN-3-YLIDENE)HYDROXYLAMINE
Common Name English
TRO-19622
Code English
olesoxime [INN]
Common Name English
OLESOXIME [USAN]
Common Name English
TRO19622
Code English
Olesoxime [WHO-DD]
Common Name English
NSC-21311
Code English
CHOLEST-4-EN-3-ONE, OXIME
Common Name English
4-CHOLEST-EN-3-ONE, OXIME
Common Name English
Cholest-4-en-3-ylidenehydroxylamine
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 214305
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
FDA ORPHAN DRUG 273108
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
EU-Orphan Drug EU/3/05/264
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
Code System Code Type Description
ChEMBL
CHEMBL3545254
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
INN
8968
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
MESH
C000475
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
PUBCHEM
76971721
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
DRUG BANK
DB05185
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
SMS_ID
100000125943
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
EVMPD
SUB32715
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
WIKIPEDIA
Olesoxime
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
CAS
22033-87-0
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
FDA UNII
A6778U5IFY
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
EPA CompTox
DTXSID001029582
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
MESH
C522838
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
USAN
CD-67
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
NSC
21311
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
NCI_THESAURUS
C174604
Created by admin on Sat Dec 16 08:50:01 GMT 2023 , Edited by admin on Sat Dec 16 08:50:01 GMT 2023
PRIMARY
All of the following components must be present:
Related Record Type Details
ACTIVE MOIETY
Definition References