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

Details

Stereochemistry ABSOLUTE
Molecular Formula C27H34N2O7.ClH
Molecular Weight 535.029
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of MOEXIPRIL HYDROCHLORIDE

SMILES

Cl.CCOC(=O)[C@H](CCC1=CC=CC=C1)N[C@@H](C)C(=O)N2CC3=C(C[C@H]2C(O)=O)C=C(OC)C(OC)=C3

InChI

InChIKey=JXRAXHBVZQZSIC-JKVLGAQCSA-N
InChI=1S/C27H34N2O7.ClH/c1-5-36-27(33)21(12-11-18-9-7-6-8-10-18)28-17(2)25(30)29-16-20-15-24(35-4)23(34-3)14-19(20)13-22(29)26(31)32;/h6-10,14-15,17,21-22,28H,5,11-13,16H2,1-4H3,(H,31,32);1H/t17-,21-,22-;/m0./s1

HIDE SMILES / InChI

Molecular Formula ClH
Molecular Weight 36.461
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C27H34N2O7
Molecular Weight 498.5681
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 3 / 3
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: The description was created based on several sources, including https://www.ncbi.nlm.nih.gov/pubmed/16620521 | https://www.ncbi.nlm.nih.gov/pubmed/26076923 | https://www.ncbi.nlm.nih.gov/pubmed/9257913 | https://www.ncbi.nlm.nih.gov/pubmed/9079232

Moexipril is a non-sulfhydryl containing the precursor of the active angiotensin-converting enzyme (ACE) inhibitor moexiprilat. Moexipril hydrochloride is a prodrug for Moexiprilat, which inhibits ACE in humans and animals. The mechanism through which Moexiprilat lowers blood pressure is believed to be primarily inhibition of ACE activity. ACE is a peptidyl dipeptidase that catalyzes the conversion of the inactive decapeptide angiotensin I to the vasoconstrictor substance angiotensin II. Angiotensin II is a potent peripheral vasoconstrictor that also stimulates aldosterone secretion by the adrenal cortex and provides negative feedback on renin secretion. ACE is identical to kininase II, an enzyme that degrades bradykinin, an endothelium-dependent vasodilator. Moexiprilat is about 1000 times as potent as Moexipril in inhibiting ACE and kininase II. Inhibition of ACE results in decreased angiotensin II formation, leading to decreased vasoconstriction, increased plasma renin activity and decreased aldosterone secretion. The latter results in diuresis and natriuresis and a small increase in serum potassium concentration.

Approval Year

TargetsConditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Moexipril

Approved Use

Moexipril hydrochloride is indicated for treatment of patients with hypertension. It may be used alone or in combination with thiazide diuretics. In using moexipril hydrochloride, consideration should be given to the fact that another ACE inhibitor, captopril, has caused agranulocytosis, particularly in patients with renal impairment or collagen-vascular disease. Available data are insufficient to show that moexipril hydrochloride does not have a similar risk (see WARNINGS). In considering use of moexipril hydrochloride, it should be noted that in controlled trials ACE inhibitors have an effect on blood pressure that is less in black patients than in non-blacks. In addition, ACE inhibitors (for which adequate data are available) cause a higher rate of angioedema in black than in non-black patients (see WARNINGS , Angioedema ).

Launch Date

7.9824958E11
Primary
Moexipril

Approved Use

Moexipril hydrochloride is indicated for treatment of patients with hypertension. It may be used alone or in combination with thiazide diuretics. In using moexipril hydrochloride, consideration should be given to the fact that another ACE inhibitor, captopril, has caused agranulocytosis, particularly in patients with renal impairment or collagen-vascular disease. Available data are insufficient to show that moexipril hydrochloride does not have a similar risk (see WARNINGS). In considering use of moexipril hydrochloride, it should be noted that in controlled trials ACE inhibitors have an effect on blood pressure that is less in black patients than in non-blacks. In addition, ACE inhibitors (for which adequate data are available) cause a higher rate of angioedema in black than in non-black patients (see WARNINGS , Angioedema ).

Launch Date

7.9816321E11
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
16 ng/mL
15 mg 1 times / day multiple, oral
dose: 15 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
24 ng/mL
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
97 ng/mL
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
154 ng/mL
15 mg 1 times / day multiple, oral
dose: 15 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRIL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
98 ng × h/mL
15 mg 1 times / day multiple, oral
dose: 15 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
68 μg × h/mL
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
160 ng × h/mL
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRIL plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
328 ng × h/mL
15 mg 1 times / day multiple, oral
dose: 15 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRIL plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
10 h
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
30%
15 mg 1 times / day multiple, oral
dose: 15 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
30%
30 mg 1 times / day multiple, oral
dose: 30 mg
route of administration: Oral
experiment type: MULTIPLE
co-administered:
MOEXIPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: UNKNOWN
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
30 mg 1 times / day multiple, oral
Recommended
Dose: 30 mg, 1 times / day
Route: oral
Route: multiple
Dose: 30 mg, 1 times / day
Sources:
unhealthy, 55.4
n = 45
Health Status: unhealthy
Condition: hypertension
Age Group: 55.4
Sex: M+F
Population Size: 45
Sources:
Overview

Overview

CYP3A4CYP2C9CYP2D6hERG

OverviewOther

Other InhibitorOther SubstrateOther Inducer




Drug as victim
PubMed

PubMed

TitleDatePubMed
Tricenter assessment of the efficacy of the ACE inhibitor, moexipril, by ambulatory blood pressure monitoring.
1995 Mar
Oestrogen action on the myocardium in vivo: specific and permissive for angiotensin-converting enzyme inhibition.
2002 May
Should perindopril be used to treat patients with heart failure?
2002 May 1
Moexipril and quinapril inhibition of tissue angiotensin-converting enzyme activity in the rat: evidence for direct effects in heart, lung and kidney and stimulation of prostacyclin generation.
2003 Jan
[Hypertension in postmenopausal women: medical and social significance and results of therapy with moexipril.].
2004
Pharmacological and clinical profile of moexipril: a concise review.
2004 Aug
[The use of moexipril in postmenopausal women with hypertension and associated changes of bone mineral density].
2005
MORE--MOexipril and REgression of left ventricle hypertrophy in combination therapy A multicentric open label clinical trial.
2005 Apr 20
Regression of left ventricular hypertrophy with moexipril, an angiotensin-converting enzyme inhibitor, in hypertensive patients.
2005 Jan-Feb
Prediction of genotoxicity of chemical compounds by statistical learning methods.
2005 Jun
Moexipril and left ventricular hypertrophy.
2007
[Clinico-economical efficacy of angiotensin converting enzyme inhibitors in patients with arterial hypertension and ischemic heart disease].
2008
Transport of angiotensin-converting enzyme inhibitors by H+/peptide transporters revisited.
2008 Nov
Iatrogenic QT Abnormalities and Fatal Arrhythmias: Mechanisms and Clinical Significance.
2009 Aug
Impact of statins and ACE inhibitors on mortality after COPD exacerbations.
2009 Jun 3
Drugs associated with more suicidal ideations are also associated with more suicide attempts.
2009 Oct 2
Inhibition of central angiotensin-converting enzyme with enalapril protects the brain from ischemia/reperfusion injury in normotensive rat.
2010
Development of a list of potentially inappropriate drugs for the korean elderly using the delphi method.
2010 Dec
Spectrophotometric method for simultaneous estimation of atenolol in combination with losartan potassium and hydrochlorothiazide in bulk and tablet formulation.
2010 Oct
Patents

Sample Use Guides

Unknown
Route of Administration: Intravenous
In Vitro Use Guide
After 24 h incubation in serum- and phenol red-free medium (DMEM), neonatal rat cardiac fibroblasts were stimulated with 17b-oestradiol (10^-7 ± 10^-9 M), oestrone (10^-7 ± 10^-9M), angiotensin II (10^-7 M) and moexiprilat (10^-7 M). Cells were harvested after 24 h and cellular proliferation was assessed by BrdU incorporation by use of a colorimetric immunoassay. Moexiprilat (10^-7 M) completely inhibited oestrone-induced cardiac fibroblast growth.
Substance Class Chemical
Created
by admin
on Sat Dec 16 07:44:11 UTC 2023
Edited
by admin
on Sat Dec 16 07:44:11 UTC 2023
Record UNII
Q1UMG3UH45
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
MOEXIPRIL HYDROCHLORIDE
MART.   MI   ORANGE BOOK   USAN   USP-RS   VANDF   WHO-DD  
USAN  
Official Name English
UNIVASC
Brand Name English
MOEXIPRIL HCL
Common Name English
(3S)-2-[(2S)-N-[(1S)-1-Carboxy-3-phenylpropyl]alanyl]-1,2,3,4-tetrahydro-6,7-dimethoxy-3-isoquinolinecarboxylic acid, 2-ethyl ester, monohydrochloride
Common Name English
MOEXIPRIL HYDROCHLORIDE [USP-RS]
Common Name English
UNIRETIC COMPONENT MOEXIPRIL HYDROCHLORIDE
Common Name English
SPM-925
Code English
SPM 925
Code English
MOEXIPRIL HYDROCHLORIDE [MI]
Common Name English
CI 925
Code English
RS-10085-197
Code English
MOEXIPRIL HYDROCHLORIDE COMPONENT OF UNIRETIC
Common Name English
MOEXIPRIL HYDROCHLORIDE [USAN]
Common Name English
(3S)-2-((2S)-2-(((1S)-1-(ETHOXYCARBONYL)-3-PHENYLPROPYL)AMINO)-1-OXOPROPYL)-1,2,3,4-TETRAHYDRO-6,7-DIMETHOXY-3-ISOQUINOLINECARBOXYLIC ACID HYDROCHLORIDE
Systematic Name English
MOEXIPRIL HYDROCHLORIDE [ORANGE BOOK]
Common Name English
MOEXIPRIL HYDROCHLORIDE [USP MONOGRAPH]
Common Name English
CI-925
Code English
3-ISOQUINOLINECARBOXYLIC ACID, 2-(2-((1-(ETHOXYCARBONYL)-3-PHENYLPROPYL)AMINO)-1-OXOPROPYL)-1,2,3,4-TETRAHYDRO-6,7-DIMETHOXY-, MONOHYDROCHLORIDE, (3S-(2(R*(R*)),3R*))-
Common Name English
MOEXIPRIL HYDROCHLORIDE [MART.]
Common Name English
MOEXIPRIL HYDROCHLORIDE [VANDF]
Common Name English
Moexipril hydrochloride [WHO-DD]
Common Name English
Classification Tree Code System Code
NCI_THESAURUS C247
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
Code System Code Type Description
DRUG BANK
DBSALT000504
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
PUBCHEM
54889
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
ChEMBL
CHEMBL1165
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
EVMPD
SUB03312MIG
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
RS_ITEM_NUM
1445426
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
NCI_THESAURUS
C29267
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
MERCK INDEX
m7585
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY Merck Index
DAILYMED
Q1UMG3UH45
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
RXCUI
236066
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY RxNorm
SMS_ID
100000091389
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
FDA UNII
Q1UMG3UH45
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
EPA CompTox
DTXSID7044267
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
CAS
82586-52-5
Created by admin on Sat Dec 16 07:44:11 UTC 2023 , Edited by admin on Sat Dec 16 07:44:11 UTC 2023
PRIMARY
Related Record Type Details
PARENT -> SALT/SOLVATE
Related Record Type Details
IMPURITY -> PARENT
Related Record Type Details
ACTIVE MOIETY