Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C17H22N4O2.H2O4S |
| Molecular Weight | 412.461 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
OS(O)(=O)=O.CCOCC1=NC2=C(N1CC(C)(C)O)C3=C(C=CC=C3)N=C2N
InChI
InChIKey=DGMINEMBFOEPHX-UHFFFAOYSA-N
InChI=1S/C17H22N4O2.H2O4S/c1-4-23-9-13-20-14-15(21(13)10-17(2,3)22)11-7-5-6-8-12(11)19-16(14)18;1-5(2,3)4/h5-8,22H,4,9-10H2,1-3H3,(H2,18,19);(H2,1,2,3,4)
| Molecular Formula | H2O4S |
| Molecular Weight | 98.078 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
| Molecular Formula | C17H22N4O2 |
| Molecular Weight | 314.3822 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionSources: https://pubchem.ncbi.nlm.nih.gov/compound/159603Curator's Comment: description was created based on several sources, including
http://en.pharmacodia.com/web/drug/1_983.html |
https://www.ncbi.nlm.nih.gov/pubmed/19841637
Sources: https://pubchem.ncbi.nlm.nih.gov/compound/159603
Curator's Comment: description was created based on several sources, including
http://en.pharmacodia.com/web/drug/1_983.html |
https://www.ncbi.nlm.nih.gov/pubmed/19841637
Resiquimod is an imidazoquinolinamine and Toll-like receptor (TLR) agonist with potential immune response modifying activity. Resiquimod exerts its effect through the TLR signaling pathway by binding to and activating TLR7 and 8 mainly on dendritic cells, macrophages, and B-lymphocytes. This induces the nuclear translocation of the transcription activator NF-kB as well as activation of other transcription factors. This may lead to an increase in mRNA levels and subsequent production of cytokines, especially interferon-alpha (INF-a) and other cytokines, thereby enhancing T-helper 1 (Th1) immune responses. In addition, topical application of resiquimod appears to activate Langerhans' cells, leading to an enhanced activation of T-lymphocytes. Resiquimod is used as a topical gel[1] in the treatment of skin lesions[2] such as those caused by the herpes simplex virus[3][4] and cutaneous T cell lymphoma. Due to its immunostimulatory activity, this agent may potentially be used as a vaccine adjuvant.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: Q9NYK1 Gene ID: 51284.0 Gene Symbol: TLR7 Target Organism: Homo sapiens (Human) |
1.4 µM [EC50] | ||
Target ID: Q9NR97 Gene ID: 51311.0 Gene Symbol: TLR8 Target Organism: Homo sapiens (Human) |
6.4 µM [EC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | Unknown Approved UseUnknown |
|||
| Curative | Unknown Approved UseUnknown |
|||
| Curative | Unknown Approved UseUnknown |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
3.82 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17532523 |
0.01 mg/kg single, oral dose: 0.01 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
RESIQUIMOD plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
7.55 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17532523 |
0.02 mg/kg single, oral dose: 0.02 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
RESIQUIMOD plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
45.66 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17532523 |
0.02 mg/kg single, oral dose: 0.02 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
RESIQUIMOD plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6.82 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/17532523 |
0.02 mg/kg single, oral dose: 0.02 mg/kg route of administration: Oral experiment type: SINGLE co-administered: |
RESIQUIMOD plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
0.02 mg/kg 2 times / week multiple, oral Highest studied dose Dose: 0.02 mg/kg, 2 times / week Route: oral Route: multiple Dose: 0.02 mg/kg, 2 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: Lymphopenia, Lymphopenia... AEs leading to discontinuation/dose reduction: Lymphopenia (grade 3, 9%) Sources: Lymphopenia (grade 3, 9%) Flu-like symptoms (grade 3, 9%) |
0.1 % 3 times / week multiple, topical Studied dose Dose: 0.1 %, 3 times / week Route: topical Route: multiple Dose: 0.1 %, 3 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: Localized skin reaction... AEs leading to discontinuation/dose reduction: Localized skin reaction Sources: |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Flu-like symptoms | grade 3, 9% Disc. AE |
0.02 mg/kg 2 times / week multiple, oral Highest studied dose Dose: 0.02 mg/kg, 2 times / week Route: oral Route: multiple Dose: 0.02 mg/kg, 2 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Lymphopenia | grade 3, 9% Disc. AE |
0.02 mg/kg 2 times / week multiple, oral Highest studied dose Dose: 0.02 mg/kg, 2 times / week Route: oral Route: multiple Dose: 0.02 mg/kg, 2 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Lymphopenia | grade 3, 9% Disc. AE |
0.02 mg/kg 2 times / week multiple, oral Highest studied dose Dose: 0.02 mg/kg, 2 times / week Route: oral Route: multiple Dose: 0.02 mg/kg, 2 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
| Localized skin reaction | Disc. AE | 0.1 % 3 times / week multiple, topical Studied dose Dose: 0.1 %, 3 times / week Route: topical Route: multiple Dose: 0.1 %, 3 times / week Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
PubMed
| Title | Date | PubMed |
|---|---|---|
| Selective inhibition of the NLRP3 inflammasome by targeting to promyelocytic leukemia protein in mouse and human. | 2013-04-18 |
|
| A critical role for MAPK signalling pathways in the transcriptional regulation of toll like receptors. | 2013 |
|
| Tetra-O-methyl nordihydroguaiaretic acid (Terameprocol) inhibits the NF-κB-dependent transcription of TNF-α and MCP-1/CCL2 genes by preventing RelA from binding its cognate sites on DNA. | 2010-12-07 |
|
| An intranasally delivered Toll-like receptor 7 agonist elicits robust systemic and mucosal responses to Norwalk virus-like particles. | 2010-12 |
|
| Inhibition of the type I interferon antiviral response during arenavirus infection. | 2010-11 |
|
| Cellular and molecular mechanisms underlying the strong neonatal IL-12 response of lamb mesenteric lymph node cells to R-848. | 2010-10-28 |
|
| Protective effects of Sm-p80 in the presence of resiquimod as an adjuvant against challenge infection with Schistosoma mansoni in mice. | 2010-09 |
|
| TLR8 agonists stimulate newly recruited monocyte-derived cells into potent APCs that enhance HBsAg immunogenicity. | 2010-08-31 |
|
| Herpes simplex virus and human papillomavirus genital infections: new and investigational therapeutic options. | 2010-07 |
|
| Dendritic cells in uninfected infants born to hepatitis B virus-positive mothers. | 2010-07 |
|
| 2,3,7,8-tetrachlorodibenzo-p-dioxin-mediated suppression of toll-like receptor stimulated B-lymphocyte activation and initiation of plasmacytic differentiation. | 2010-07 |
|
| Immune mechanisms of protection: can adjuvants rise to the challenge? | 2010-04-12 |
|
| Topical resiquimod: a promising adjuvant for vaccine development? | 2010-01 |
|
| The Toll-like receptor 7/8 agonist resiquimod greatly increases the immunostimulatory capacity of human acute myeloid leukemia cells. | 2010-01 |
|
| Targeting Toll-like receptors for treatment of SLE. | 2010 |
|
| Toll-like receptors: role in dermatological disease. | 2010 |
|
| Molecular modulation of intestinal epithelial barrier: contribution of microbiota. | 2010 |
|
| Short-term cultured, interleukin-15 differentiated dendritic cells have potent immunostimulatory properties. | 2009-12-18 |
|
| Pharmacotherapy of actinic keratosis. | 2009-12 |
|
| Toward the discovery of vaccine adjuvants: coupling in silico screening and in vitro analysis of antagonist binding to human and mouse CCR4 receptors. | 2009-11-30 |
|
| Growth inhibition of thyroid follicular cell-derived cancers by the opioid growth factor (OGF) - opioid growth factor receptor (OGFr) axis. | 2009-10-18 |
|
| Nanoparticle-delivered multimeric soluble CD40L DNA combined with Toll-Like Receptor agonists as a treatment for melanoma. | 2009-10-08 |
|
| Topical resiquimod promotes priming of CTL to parenteral antigens. | 2009-09-25 |
|
| Modulation of the allergic asthma transcriptome following resiquimod treatment. | 2009-08-07 |
|
| Sequence determinants of innate immune activation by short interfering RNAs. | 2009-07-24 |
|
| Oxidative stress augments toll-like receptor 8 mediated neutrophilic responses in healthy subjects. | 2009-06-15 |
|
| Do postsurgical interventions optimize ultimate scar cosmesis. | 2009-06 |
|
| Rectal and vaginal immunization of mice with human papillomavirus L1 virus-like particles. | 2009-04-14 |
|
| Reversal of human papillomavirus-specific T cell immune suppression through TLR agonist treatment of Langerhans cells exposed to human papillomavirus type 16. | 2009-03-01 |
|
| Expression and activity of Toll-like receptors 1-9 in the human term placenta and changes associated with labor at term. | 2009-02 |
|
| Toll-like receptor 7-induced naive human B-cell differentiation and immunoglobulin production. | 2009-01 |
|
| TLR7 and TLR8 ligands and antiphospholipid antibodies show synergistic effects on the induction of IL-1beta and caspase-1 in monocytes and dendritic cells. | 2009 |
|
| Hepatitis C virus is a weak inducer of interferon alpha in plasmacytoid dendritic cells in comparison with influenza and human herpesvirus type-1. | 2009 |
|
| Imiquimod upregulates the opioid growth factor receptor to inhibit cell proliferation independent of immune function. | 2008-08 |
|
| Comparison of human B cell activation by TLR7 and TLR9 agonists. | 2008-07-24 |
|
| A phase II dose-ranging study of topical resiquimod to treat actinic keratosis. | 2008-07 |
|
| Differential regulation of interleukin 12 and interleukin 23 production in human dendritic cells. | 2008-06-09 |
|
| Intra-colonic administration of the TLR7 agonist R-848 induces an acute local and systemic inflammation in mice. | 2008-03-07 |
|
| TLR7 and TLR8 as targets in cancer therapy. | 2008-01-07 |
|
| Toll-like receptors and viruses: induction of innate antiviral immune responses. | 2008 |
|
| Primary prevention of allergic diseases: current concepts and mechanisms. | 2007-12-15 |
|
| HIV-1/HSV-2 co-infected adults in early HIV-1 infection have elevated CD4+ T cell counts. | 2007-10-24 |
|
| Transcriptional networks in plasmacytoid dendritic cells stimulated with synthetic TLR 7 agonists. | 2007-10-12 |
|
| Resiquimod and other immune response modifiers as vaccine adjuvants. | 2007-10 |
|
| TLR agonists induce the differentiation of human bone marrow CD34+ progenitors into CD11c+ CD80/86+ DC capable of inducing a Th1-type response. | 2007-10 |
|
| Impaired CCR7 expression on plasmacytoid dendritic cells of HIV-infected children and adolescents with immunologic and virologic failure. | 2007-08-15 |
|
| Oral resiquimod in chronic HCV infection: safety and efficacy in 2 placebo-controlled, double-blind phase IIa studies. | 2007-08 |
|
| Topical resiquimod 0.01% gel decreases herpes simplex virus type 2 genital shedding: a randomized, controlled trial. | 2007-05-01 |
|
| Generation of clinical grade dendritic cells with capacity to produce biologically active IL-12p70. | 2007-04-12 |
|
| Natural and synthetic TLR7 ligands inhibit CpG-A- and CpG-C-oligodeoxynucleotide-induced IFN-alpha production. | 2007-04-01 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/26228486
Curator's Comment: Subjects applied up to 500 mg of study drug per day to up to 4 target lesions in the 0.06% group or to 5 target lesions in the 0.03% group covering a surface area of up to 100 cm^2. Dosing was started at 3 times per week, and patients were evaluated every 2 weeks. Dosing frequency (1, 2, 3, 5, or 7 times per week) was adjusted in a stepwise manner every 2 weeks based on physician assessment of tolerability (maintained, increased, decreased with or without a dosing interruption). Resiquimod was applied for 8 weeks followed by a 4-week no-treatment period to allow resiquimod-induced inflammation to resolve so that accurate skin scores could be obtained.
Resiquimod has also been investigated as an oral treatment of HCV infection in a Phase IIa study in which patients received a 0.01 mg/kg dose of resiquimod twice weekly for 4 weeks.
Topical -- up to 500 mg of resiquimod as a gel (0.06% and 0.03%) covering a surface area of up to 100 cm^2.
Oral -- 0.01 mg/kg dose of resiquimod twice weekly for 4 weeks.
Route of Administration:
Other
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/19841637
THP-1 cells were exposed for 2, 4, 8 and 16 h with 0.1 mg/ml of resiquimod. Resiquimod induce decrease in hypoxia-inducible factor-1a (HIF-1a) prolyl hydroxylase (PHD) activity
| Substance Class |
Chemical
Created
by
admin
on
Edited
Tue Apr 01 20:55:07 GMT 2025
by
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on
Tue Apr 01 20:55:07 GMT 2025
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| Record UNII |
C8FKIS4P1N
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| Record Status |
Validated (UNII)
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| Record Version |
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MN-270
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