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

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
Structure of EMRICASAN

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

HIDE SMILES / InChI

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

Doses

DosePopulationAdverse 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%)
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%)
Sources:
AEs

AEs

AESignificanceDosePopulation
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:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer

Drug as victim

Drug as victim

TargetModalityActivityMetaboliteClinical evidence
no
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
First-in-class pan caspase inhibitor developed for the treatment of liver disease.
2005 Nov 3
Patents

Patents

Sample Use Guides

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
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 Sat Dec 16 17:40:39 UTC 2023
Edited
by admin
on Sat Dec 16 17:40:39 UTC 2023
Record UNII
P0GMS9N47Q
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
EMRICASAN
INN   USAN  
USAN   INN  
Official Name English
L-ALANINAMIDE, N-(2-(1,1-DIMETHYLETHYL)PHENYL)-2-OXOGLYCYL-N-((1S)-1-(CARBOXYMETHYL)-2-OXO-3-(2,3,5,6-TETRAFLUOROPHENOXY)PROPYL)-
Systematic Name English
IDN 6556
Code English
PF 03491390
Code English
VAY-785
Code English
emricasan [INN]
Common Name English
EMRICASAN [USAN]
Common Name English
PF-03491390
Code English
(3S)-3-(N2-((2-TERT-BUTYLPHENYL)OXAMOYL)-L-ALANINAMIDO)-4-OXO-5-(2,3,5,6-TETRAFLUOROPHENOXY)PENTANOIC ACID
Systematic Name English
(3S)-3-((2S)-2-((N-(2-TERT-BUTYL)PHENYL)CARBAMOYL)CARBONYLAMINO) PROPANOYLAMINO)-4-OXO-5-(2,3,5,6-TETRAFLUOROPHENOXY)PENTANOIC ACID
Systematic Name English
Emricasan [WHO-DD]
Common Name English
IDN-6556
Code English
VAY785
Code English
Classification Tree Code System Code
FDA ORPHAN DRUG 169603
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
FDA ORPHAN DRUG 396113
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
NCI_THESAURUS C471
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
Code System Code Type Description
WIKIPEDIA
Emricasan
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
FDA UNII
P0GMS9N47Q
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
DRUG BANK
DB05408
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
ChEMBL
CHEMBL197672
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
SMS_ID
100000175113
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
PUBCHEM
12000240
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
INN
8960
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
NCI_THESAURUS
C76660
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
EPA CompTox
DTXSID10180160
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
CAS
254750-02-2
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
USAN
TT-62
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
PRIMARY
CAS
624747-15-5
Created by admin on Sat Dec 16 17:40:39 UTC 2023 , Edited by admin on Sat Dec 16 17:40:39 UTC 2023
SUPERSEDED
Related Record Type Details
TARGET -> INHIBITOR
Related Record Type Details
ACTIVE MOIETY