Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C26H27F4N3O7 |
Molecular Weight | 569.5021 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
C[C@H](NC(=O)C(=O)NC1=C(C=CC=C1)C(C)(C)C)C(=O)N[C@@H](CC(O)=O)C(=O)COC2=C(F)C(F)=CC(F)=C2F
InChI
InChIKey=SCVHJVCATBPIHN-SJCJKPOMSA-N
InChI=1S/C26H27F4N3O7/c1-12(31-24(38)25(39)32-16-8-6-5-7-13(16)26(2,3)4)23(37)33-17(10-19(35)36)18(34)11-40-22-20(29)14(27)9-15(28)21(22)30/h5-9,12,17H,10-11H2,1-4H3,(H,31,38)(H,32,39)(H,33,37)(H,35,36)/t12-,17-/m0/s1
Molecular Formula | C26H27F4N3O7 |
Molecular Weight | 569.5021 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 2 / 2 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
Emricasan (IDN- 6556 or PF-03491390) (3-[2-[(2-tert-butyl-phenylaminooxalyl)-amino]-propionylamino]-4-oxo-5-(2,3,5,6-tetrafluoro-phenoxy)-pentanoic acid) is a pan-caspase inhibitor. Testing in vitro enzyme assays demonstrated that emricasan efficiently inhibits all human caspases at low nanomolar concentrations. Preclinically, emricasan was effective in inhibiting apoptosis of sinusoidal endothelial cells. Emricasan has marked efficacy in models of liver disease after oral administration and thus, is an excellent candidate for the treatment of liver diseases characterized by excessive apoptosis. This drug is a first-in-class anti-apoptotic caspase inhibitor with demonstrated preliminary efficacy in liver-impaired patients in humans.
Approval Year
Doses
Dose | Population | Adverse events |
---|---|---|
50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Disc. AE: Cellulitis... Other AEs: Drug hypersensitivity, Sepsis... AEs leading to discontinuation/dose reduction: Cellulitis (serious, 1.9%) Other AEs:Drug hypersensitivity (serious, 0.9%) Sources: Sepsis (serious, 0.9%) Deep vein thrombosis (serious, 0.9%) Myoclonus (serious, 0.9%) Inguinal hernia (serious, 0.9%) Hypersensitivity (serious, 0.9%) Biliary dyskinesia (serious, 0.9%) Colitis (serious, 0.9%) Intestinal perforatio (serious, 0.9%) Enteritis (serious, 0.9%) Non-cardiac chest pain (serious, 0.9%) Urosepsis (serious, 0.9%) Wound dehiscence (serious, 0.9%) Pneumonia aspiration (serious, 0.9%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Biliary dyskinesia | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Colitis | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Deep vein thrombosis | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Drug hypersensitivity | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Enteritis | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Hypersensitivity | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Inguinal hernia | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Intestinal perforatio | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Myoclonus | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Non-cardiac chest pain | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Pneumonia aspiration | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Sepsis | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Urosepsis | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Wound dehiscence | serious, 0.9% | 50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Cellulitis | serious, 1.9% Disc. AE |
50 mg 2 times / day multiple, oral (unknown) Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT n = 106 Health Status: unhealthy Condition: non-alcoholic steatohepatitis Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 106 Sources: |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20163376
Double-blind, randomized, placebo-controlled, parallel-dose study in patients with chronic hepatitis C treated with placebo or Emricasan (IDN- 6556 or PF-03491390) (5, 25 or 50 mg) orally twice daily (b.d.) for up to 12 weeks.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/27194727
Curator's Comment: acute myeloid leukemia (AML) cells are sensitive to birinapant-induced death and that the clinical caspase inhibitor emricasan/IDN-6556 augments, rather than prevents, killing by birinapant. Deletion of caspase-8 sensitized AML to birinapant, whereas combined loss of caspase-8 and the necroptosis effector MLKL (mixed lineage kinase domain-like) prevented birinapant/IDN-6556-induced death, showing that inhibition of caspase-8 sensitizes AML cells to birinapant-induced necroptosis.
Unknown
Substance Class |
Chemical
Created
by
admin
on
Edited
Sat Dec 16 17:40:39 GMT 2023
by
admin
on
Sat Dec 16 17:40:39 GMT 2023
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Record UNII |
P0GMS9N47Q
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Record Status |
Validated (UNII)
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Record Version |
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-
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Classification Tree | Code System | Code | ||
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FDA ORPHAN DRUG |
169603
Created by
admin on Sat Dec 16 17:40:39 GMT 2023 , Edited by admin on Sat Dec 16 17:40:39 GMT 2023
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FDA ORPHAN DRUG |
396113
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admin on Sat Dec 16 17:40:39 GMT 2023 , Edited by admin on Sat Dec 16 17:40:39 GMT 2023
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NCI_THESAURUS |
C471
Created by
admin on Sat Dec 16 17:40:39 GMT 2023 , Edited by admin on Sat Dec 16 17:40:39 GMT 2023
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Emricasan
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P0GMS9N47Q
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DB05408
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CHEMBL197672
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100000175113
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12000240
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8960
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C76660
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DTXSID10180160
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254750-02-2
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TT-62
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624747-15-5
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SUPERSEDED |
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ACTIVE MOIETY |