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Details

Stereochemistry ACHIRAL
Molecular Formula C17H12Cl2N6O4
Molecular Weight 435.221
Optical Activity NONE
Defined Stereocenters 0 / 0
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of Resmetirom

SMILES

CC(C)C1=CC(OC2=C(Cl)C=C(C=C2Cl)N3N=C(C#N)C(=O)NC3=O)=NNC1=O

InChI

InChIKey=FDBYIYFVSAHJLY-UHFFFAOYSA-N
InChI=1S/C17H12Cl2N6O4/c1-7(2)9-5-13(22-23-15(9)26)29-14-10(18)3-8(4-11(14)19)25-17(28)21-16(27)12(6-20)24-25/h3-5,7H,1-2H3,(H,23,26)(H,21,27,28)

HIDE SMILES / InChI

Molecular Formula C17H12Cl2N6O4
Molecular Weight 435.221
Charge 0
Count
MOL RATIO 1 MOL RATIO (average)
Stereochemistry ACHIRAL
Additional Stereochemistry No
Defined Stereocenters 0 / 0
E/Z Centers 0
Optical Activity NONE

Description

MGL-3196 is a first-in-class, orally administered, small-molecule, liver-directed, THR β-selective agonist. Preclinical, toxicology and Phase 1 clinical data suggest MGL-3196 has an attractive, differentiated profile as a potential treatment for non-alcoholic steatohepatitis (NASH) and dyslipidemias. THR-β selectivity also enhances the safety profile of MGL-3196, compared to non-selective agents. MGL-3196 has shown no suppression of the central thyroid axis, no THR-α effects on heart rate or bone, and no elevation of liver enzymes. These characteristics make MGL-3196 among the most promising molecules in development in this therapeutic area. MGL-3196 is in a Phase 2 clinical trial for the treatment of non-alcoholic steatohepatitis (NASH).

CNS Activity

Originator

Approval Year

Targets

Primary TargetPharmacologyConditionPotency
0.21 µM [EC50]

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
Unknown
Primary
Unknown

Cmax

ValueDoseCo-administeredAnalytePopulation
1.71 μg/mL
5 mg/kg single, oral
MGL-3196 plasma
Rattus norvegicus

AUC

ValueDoseCo-administeredAnalytePopulation
17.4 μg × h/mL
5 mg/kg single, oral
MGL-3196 plasma
Rattus norvegicus

T1/2

ValueDoseCo-administeredAnalytePopulation
4.08 h
5 mg/kg single, oral
MGL-3196 plasma
Rattus norvegicus

Doses

Overview

CYP3A4CYP2C9CYP2D6hERG


OverviewOther

Other InhibitorOther SubstrateOther Inducer




Drug as perpetrator​

Drug as victim

Tox targets

PubMed

Sample Use Guides

In Vivo Use Guide
A two-week multiple dose study was conducted at doses of 5, 20, 50, 80, 100, and 200 mg per day in healthy subjects with mildly elevated low density lipoprotein (LDL) cholesterol. MGL-3196 was well-tolerated at all doses with no dose-related adverse events or liver enzyme, ECG or vital-sign changes. Doses ranging from 50 to 200 mg demonstrated highly statistically significant reductions relative to placebo of up to: 30% for LDL cholesterol (range, p = 0.05-<0.0001); 28% for non- high density lipoprotein (HDL) cholesterol (range, p = 0.027-0.0001); 24% for Apolipoprotein B (range, p = 0.008-0.0004), and statistical trends of up to 60% reduction in triglycerides (TG) (range, p = 0.13-0.016).
Route of Administration: Oral
In Vitro Use Guide
MGL-3196 is 28-fold selective for THR-β (EC50=0.21 uM) over THR-α (EC50=3.74 uM ) in a functional assay. MGL-3196 shows an IC20 of roughly 30 uM for blockage of the hERG channel. The IC50 for CYP3A4/5 and for CYP2C19 is >50 uM, and there is only weak inhibition (roughly 22 uM) of CYP2C9.
Substance Class Chemical
Record UNII
RE0V0T1ES0
Record Status Validated (UNII)
Record Version