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
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
330 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
84.4 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
5 mg 2 times / day multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
696 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1164 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
275 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
5 mg 2 times / day multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
2441 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
50 mg 2 times / day multiple, oral dose: 50 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
2.11 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
25 mg 2 times / day multiple, oral dose: 25 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
|
2.96 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30302038 |
5 mg 2 times / day multiple, oral dose: 5 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
EMRICASAN plasma | Homo sapiens population: UNHEALTHY age: ADULT sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Disc. AE: Cellulitis... Other AEs: Biliary dyskinesia, Colitis... AEs leading to discontinuation/dose reduction: Cellulitis (serious, 1.9%) Other AEs:Biliary dyskinesia (serious, 0.9%) Sources: Colitis (serious, 0.9%) Deep vein thrombosis (serious, 0.9%) Drug hypersensitivity (serious, 0.9%) Enteritis (serious, 0.9%) Hypersensitivity (serious, 0.9%) Inguinal hernia (serious, 0.9%) Intestinal perforatio (serious, 0.9%) Myoclonus (serious, 0.9%) Non-cardiac chest pain (serious, 0.9%) Pneumonia aspiration (serious, 0.9%) Sepsis (serious, 0.9%) Urosepsis (serious, 0.9%) Wound dehiscence (serious, 0.9%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Biliary dyskinesia | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Colitis | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Deep vein thrombosis | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Drug hypersensitivity | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Enteritis | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Hypersensitivity | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Inguinal hernia | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Intestinal perforatio | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Myoclonus | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Non-cardiac chest pain | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Pneumonia aspiration | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Sepsis | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Urosepsis | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Wound dehiscence | serious, 0.9% | 50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN Sources: |
Cellulitis | serious, 1.9% Disc. AE |
50 mg 2 times / day multiple, oral Highest studied dose Dose: 50 mg, 2 times / day Route: oral Route: multiple Dose: 50 mg, 2 times / day Sources: |
unhealthy, ADULT Health Status: unhealthy Age Group: ADULT Sex: M+F Food Status: UNKNOWN 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
Wed Apr 02 09:26:11 GMT 2025
by
admin
on
Wed Apr 02 09:26:11 GMT 2025
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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 Wed Apr 02 09:26:11 GMT 2025 , Edited by admin on Wed Apr 02 09:26:11 GMT 2025
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FDA ORPHAN DRUG |
396113
Created by
admin on Wed Apr 02 09:26:11 GMT 2025 , Edited by admin on Wed Apr 02 09:26:11 GMT 2025
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NCI_THESAURUS |
C471
Created by
admin on Wed Apr 02 09:26:11 GMT 2025 , Edited by admin on Wed Apr 02 09:26:11 GMT 2025
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Code System | Code | Type | Description | ||
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Emricasan
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admin on Wed Apr 02 09:26:11 GMT 2025 , Edited by admin on Wed Apr 02 09:26:11 GMT 2025
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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
Created by
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SUPERSEDED |
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TARGET -> INHIBITOR |
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ACTIVE MOIETY |