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Details

Stereochemistry ABSOLUTE
Molecular Formula C23H20F2N5O5PS.C6H14N2O2.C2H6O
Molecular Weight 739.727
Optical Activity UNSPECIFIED
Defined Stereocenters 3 / 3
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FOSRAVUCONAZOLE L-LYSINE ETHANOLATE

SMILES

CCO.NCCCC[C@H](N)C(O)=O.C[C@@H](C1=NC(=CS1)C2=CC=C(C=C2)C#N)[C@@](CN3C=NC=N3)(OCOP(O)(O)=O)C4=CC=C(F)C=C4F

InChI

InChIKey=VOWYGLHOVNSCSA-NRVKWRQJSA-N
InChI=1S/C23H20F2N5O5PS.C6H14N2O2.C2H6O/c1-15(22-29-21(10-37-22)17-4-2-16(9-26)3-5-17)23(11-30-13-27-12-28-30,34-14-35-36(31,32)33)19-7-6-18(24)8-20(19)25;7-4-2-1-3-5(8)6(9)10;1-2-3/h2-8,10,12-13,15H,11,14H2,1H3,(H2,31,32,33);5H,1-4,7-8H2,(H,9,10);3H,2H2,1H3/t15-,23+;5-;/m00./s1

HIDE SMILES / InChI

Molecular Formula C2H6O
Molecular Weight 46.0684
Charge 0
Count
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Molecular Formula C6H14N2O2
Molecular Weight 146.1876
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 1 / 1
E/Z Centers 0
Optical Activity UNSPECIFIED

Molecular Formula C23H20F2N5O5PS
Molecular Weight 547.471
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Ravuconazole is a triazole with antifungal properties that inhibits cytochrome P450 sterol 14a-demethylase, an enzyme involved in sterol synthesis, resulting in lysis of the fungal cell wall and fungal cell death. It was investigated for the treatment of aspergillosis, candidiasis, and onychomycosis, but these studies were discontinued. Ravuconazole is now in phase II clinical trials to investigate efficacy in preventing fungal infections in patients undergoing chemotherapy and stem cell transplantation.

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
Target ID: cytochrome P450 sterol 14a-demethylase
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Curative
Unknown

Approved Use

Unknown
Preventing
Unknown

Approved Use

Unknown
Curative
Unknown

Approved Use

Unknown
Overview

Overview

Drug as perpetrator​

Drug as perpetrator​

TargetModalityActivityMetaboliteClinical evidence
likely
likely
moderate [Ki 1.1 uM]
weak (co-administration study)
Comment: Increased Nelfinavir Cmax and AUC by 30.7%, 31.9% (day 2) and decreased by 7.9%, increased by 16.2% (day 29)
no
no
no
no
no
no
no
no
no
yes [IC50 1.14 uM]
yes [IC50 1.51 uM]
yes [IC50 2.28 uM]
yes [IC50 2.69 uM]
yes [IC50 2.8 uM]
yes [IC50 7.12 uM]
yes [IC50 7.49 uM]
Tox targets

Tox targets

TargetModalityActivityMetaboliteClinical evidence
Sourcing

Sourcing

Vendor/AggregatorIDURL
PubMed

PubMed

TitleDatePubMed
Efficacy of ER-30346, a novel oral triazole antifungal agent, in experimental models of aspergillosis, candidiasis, and cryptococcosis.
1996 Oct
In vitro and in vivo antifungal activities of ER-30346, a novel oral triazole with a broad antifungal spectrum.
1996 Oct
New azole antifungals. 3. Synthesis and antifungal activity of 3-substituted-4(3H)-quinazolinones.
1998 May 21
New azole antifungals. 2. Synthesis and antifungal activity of heterocyclecarboxamide derivatives of 3-amino-2-aryl-1-azolyl-2-butanol.
1998 May 21
Efficacies of two new antifungal agents, the triazole ravuconazole and the echinocandin LY-303366, in an experimental model of invasive aspergillosis.
2000 Dec
In vitro activity of the new triazole BMS-207147 against Aspergillus species in comparison with itraconazole and amphotericin B.
2000 Feb
Antifungals: what's in the pipeline.
2001 Oct
In vitro activities of ravuconazole and voriconazole compared with those of four approved systemic antifungal agents against 6,970 clinical isolates of Candida spp.
2002 Jun
Efficacy of ravuconazole in treatment of systemic murine histoplasmosis.
2002 Mar
Synthesis of novel water soluble benzylazolium prodrugs of lipophilic azole antifungals.
2002 Oct 7
Activities of caspofungin, itraconazole, posaconazole, ravuconazole, voriconazole, and amphotericin B against 448 recent clinical isolates of filamentous fungi.
2003 Aug
In vitro activity of ravuconazole against 923 clinical isolates of nondermatophyte filamentous fungi.
2005 Dec
Discovery of novel indazole-linked triazoles as antifungal agents.
2007 Jun 15
Design, synthesis, and structure-activity relationship studies of novel fused heterocycles-linked triazoles with good activity and water solubility.
2014 May 8
Patents

Sample Use Guides

In an asceding oral dose study, single doses of ravuconazole (from 50 to 800 mg once daily)
Route of Administration: Oral
Ravuconazole showed very potent in vitro anti-T. cruzi activity with minimal inhibitory concentrations (MIC) of 300 and 1 nM against the extracellular epimastigote and intracellular amastigote forms, respectively.
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:53:01 GMT 2023
Edited
by admin
on Fri Dec 15 15:53:01 GMT 2023
Record UNII
QC4G8XS0H0
Record Status Validated (UNII)
Record Version
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Name Type Language
FOSRAVUCONAZOLE L-LYSINE ETHANOLATE
Common Name English
((1R,2R)-2-(4-(4-CYANOPHENYL)-2-THIAZOLYL)-1-(2,4-DIFLUOROPHENYL)-1-(1H-1,2,4-TRIAZOL-1-YLMETHYL)PROPOXY) METHYL ESTER COMPOUND WITH LYSINE, ETHANOLATE (1:1:1)
Systematic Name English
FOSRAVUCONAZOLE L-LYSINE ETHANOLATE [MI]
Common Name English
FOSRAVUCONAZOLE L-LYSINE ETHANOLATE [JAN]
Common Name English
Fosravuconazole L-lysine ethanolate [WHO-DD]
Common Name English
L-LYSINE, COMPD. WITH 4-(2-((1R,2R)-2-(2,4-DIFLUOROPHENYL)-1-METHYL-2-((PHOSPHONOOXY)METHOXY)-3-(1H-1,2,4-TRIAZOL-1-YL)PROPYL)-4-THIAZOLYL)BENZONITRILE AND ETHANOL (1:1:1)
Systematic Name English
Code System Code Type Description
CAS
914361-45-8
Created by admin on Fri Dec 15 15:53:01 GMT 2023 , Edited by admin on Fri Dec 15 15:53:01 GMT 2023
PRIMARY
MERCK INDEX
m12079
Created by admin on Fri Dec 15 15:53:01 GMT 2023 , Edited by admin on Fri Dec 15 15:53:01 GMT 2023
PRIMARY
PUBCHEM
112499965
Created by admin on Fri Dec 15 15:53:01 GMT 2023 , Edited by admin on Fri Dec 15 15:53:01 GMT 2023
PRIMARY
SMS_ID
300000020493
Created by admin on Fri Dec 15 15:53:01 GMT 2023 , Edited by admin on Fri Dec 15 15:53:01 GMT 2023
PRIMARY
FDA UNII
QC4G8XS0H0
Created by admin on Fri Dec 15 15:53:01 GMT 2023 , Edited by admin on Fri Dec 15 15:53:01 GMT 2023
PRIMARY
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