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

Details

Stereochemistry ABSOLUTE
Molecular Formula C20H22ClNO4S
Molecular Weight 407.911
Optical Activity UNSPECIFIED
Defined Stereocenters 1 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of TERUTROBAN

SMILES

CC1=CC=C2C[C@@H](CCC2=C1CCC(O)=O)NS(=O)(=O)C3=CC=C(Cl)C=C3

InChI

InChIKey=HWEOXFSBSQIWSY-MRXNPFEDSA-N
InChI=1S/C20H22ClNO4S/c1-13-2-3-14-12-16(6-9-19(14)18(13)10-11-20(23)24)22-27(25,26)17-7-4-15(21)5-8-17/h2-5,7-8,16,22H,6,9-12H2,1H3,(H,23,24)/t16-/m1/s1

HIDE SMILES / InChI

Molecular Formula C20H22ClNO4S
Molecular Weight 407.911
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Terutroban (S18886), a specific thromboxane A2 receptor antagonist, which improves endothelial function and has an antiatherosclerotic effect. The compound is under development by Servier for the potential treatment of cardiovascular diseases and coronary artery disease. In addition, it participated in phase III clinical trials PERFORM (Prevention of cerebrovascular and cardiovascular Events of ischemic origin with teRutroban in patients with a history oF ischemic strOke or tRansient ischeMic attack), but this study was stopped, and the result was not achieved.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: P21731
Gene ID: 6915.0
Gene Symbol: TBXA2R
Target Organism: Homo sapiens (Human)
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Preventing
Unknown

Approved Use

Unknown
Preventing
Unknown

Approved Use

Unknown
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
496 ng/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
1480 ng/mL
30 mg single, oral
dose: 30 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
42 ng/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
236 ng/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
124 ng/mL
2.5 mg single, oral
dose: 2.5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
3029 ng × h/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
5852 ng × h/mL
30 mg single, oral
dose: 30 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
283 ng × h/mL
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
1023 ng × h/mL
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
495 ng × h/mL
2.5 mg single, oral
dose: 2.5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
8 h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: UNKNOWN
6.7 h
30 mg single, oral
dose: 30 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.4 h
1 mg single, oral
dose: 1 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
6.8 h
5 mg single, oral
dose: 5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
7.2 h
2.5 mg single, oral
dose: 2.5 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
TERUTROBAN plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
30 mg 1 times / day multiple, oral
Highest studied dose
Dose: 30 mg, 1 times / day
Route: oral
Route: multiple
Dose: 30 mg, 1 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
Thromboxane Antagonism with terutroban in Peripheral Arterial Disease: the TAIPAD study.
2010-11
Controversies and future perspectives of antiplatelet therapy in secondary stroke prevention.
2010-10
Terutroban, a thromboxane/prostaglandin endoperoxide receptor antagonist, increases survival in stroke-prone rats by preventing systemic inflammation and endothelial dysfunction: comparison with aspirin and rosuvastatin.
2010-07
Novel antiplatelet agents in the prevention of cardiovascular complications--focus on ticagrelor.
2010-06-01
Antiplatelet drugs--do we need new options? With a reappraisal of direct thromboxane inhibitors.
2010-05-07
Rationale, design and population baseline characteristics of the PERFORM vascular project: an ancillary study of the Prevention of cerebrovascular and cardiovascular Events of ischemic origin with teRutroban in patients with a history oF ischemic strOke or tRansient ischeMic attack (PERFORM) trial.
2010-04
Pharmacokinetic, pharmacodynamic and clinical profile of novel antiplatelet drugs targeting vascular diseases.
2010-02-01
[Update on new antithrombotic treatments].
2010-01-20
Emerging antiplatelet agents, differential pharmacology, and clinical utility.
2010
New antiplatelet agents: why they are needed.
2009-12
New antiplatelet agents.
2009-09
Update on oral antiplatelet therapy: principles, problems and promises.
2009-05
Effect of the thromboxane prostaglandin receptor antagonist terutroban on arterial thrombogenesis after repeated administration in patients treated for the prevention of ischemic stroke.
2009
Rationale and design of the Prevention of Cerebrovascular and Cardiovascular Events of Ischemic Origin with Terutroban in Patients with a History of Ischemic Stroke or Transient Ischemic Attack (PERFORM) Study.
2009
TP receptor antagonism: a new concept in atherothrombosis and stroke prevention.
2009
The Prevention of cerebrovascular and cardiovascular Events of ischemic origin with teRutroban in patients with a history oF ischemic strOke or tRansient ischeMic attack (PERFORM) study: baseline characteristics of the population.
2009
Rationale and design of a randomized, double-blind, parallel-group study of terutroban 30 mg/day versus aspirin 100 mg/day in stroke patients: the prevention of cerebrovascular and cardiovascular events of ischemic origin with terutroban in patients with a history of ischemic stroke or transient ischemic attack (PERFORM) study.
2009
Negative effects of rofecoxib treatment on cardiac function after ischemia-reperfusion injury in APOE3Leiden mice are prevented by combined treatment with thromboxane prostanoid-receptor antagonist S18886 (terutroban).
2008-09
Hypertension and the absence of EDHF-mediated responses favour endothelium-dependent contractions in renal arteries of the rat.
2008-09
Antiplatelet therapy for secondary prevention of noncardioembolic ischemic stroke: a critical review.
2008-05
The role of prostaglandin E and thromboxane-prostanoid receptors in the response to prostaglandin E2 in the aorta of Wistar Kyoto rats and spontaneously hypertensive rats.
2008-04-01
Two isoforms of cyclooxygenase contribute to augmented endothelium-dependent contractions in femoral arteries of 1-year-old rats.
2008-02
Increased spontaneous tone in renal arteries of spontaneously hypertensive rats.
2007-09
Experimental models of thrombosis and atherosclerosis.
2007-01-25
[Terutroban and endothelial TP receptors in atherogenesis].
2006-04
The thromboxane receptor antagonist S18886 attenuates renal oxidant stress and proteinuria in diabetic apolipoprotein E-deficient mice.
2006-01
Synthesis and biological evaluation of new tetrahydronaphthalene derivatives as thromboxane receptor antagonists.
1998-06-02

Sample Use Guides

30 mg/day
Route of Administration: Oral
In Vitro Use Guide
Unknown
Substance Class Chemical
Created
by admin
on Mon Mar 31 18:31:16 GMT 2025
Edited
by admin
on Mon Mar 31 18:31:16 GMT 2025
Record UNII
A6WX9391D8
Record Status Validated (UNII)
Record Version
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Name Type Language
TERUTROBAN
INN   WHO-DD  
INN  
Official Name English
Terutroban [WHO-DD]
Preferred Name English
3-((6R)-6-(4-CHLOROBENZENESULFONAMIDO)-2-METHYL-5,6,7,8-TETRAHYDRONAPHTHALEN-1-YL)PROPANOIC ACID
Systematic Name English
terutroban [INN]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C1327
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
Code System Code Type Description
EVMPD
SUB23570
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
SMS_ID
100000089023
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
INN
8452
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
EPA CompTox
DTXSID30870091
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
MESH
C501362
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
FDA UNII
A6WX9391D8
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
ChEMBL
CHEMBL2107786
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
PUBCHEM
9938840
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
WIKIPEDIA
TERUTROBAN
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
NCI_THESAURUS
C90753
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
CAS
165538-40-9
Created by admin on Mon Mar 31 18:31:16 GMT 2025 , Edited by admin on Mon Mar 31 18:31:16 GMT 2025
PRIMARY
Related Record Type Details
TARGET -> INHIBITOR
SALT/SOLVATE -> PARENT
Related Record Type Details
ACTIVE MOIETY