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Details

Stereochemistry ABSOLUTE
Molecular Formula C23H34NO5P
Molecular Weight 435.4935
Optical Activity UNSPECIFIED
Defined Stereocenters 2 / 2
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of FOSINOPRILAT

SMILES

OC(=O)[C@@H]1C[C@H](CN1C(=O)CP(O)(=O)CCCCC2=CC=CC=C2)C3CCCCC3

InChI

InChIKey=WOIWWYDXDVSWAZ-RTWAWAEBSA-N
InChI=1S/C23H34NO5P/c25-22(17-30(28,29)14-8-7-11-18-9-3-1-4-10-18)24-16-20(15-21(24)23(26)27)19-12-5-2-6-13-19/h1,3-4,9-10,19-21H,2,5-8,11-17H2,(H,26,27)(H,28,29)/t20-,21+/m1/s1

HIDE SMILES / InChI

Molecular Formula C23H34NO5P
Molecular Weight 435.4935
Charge 0
Count
Stereochemistry ABSOLUTE
Additional Stereochemistry No
Defined Stereocenters 2 / 2
E/Z Centers 0
Optical Activity UNSPECIFIED

Description
Curator's Comment: Description was created based on several sources, including https://www.drugs.com/pro/fosinopril.html

Fosinopril is a phosphinic acid-containing ester prodrug that belongs to the angiotensin-converting enzyme (ACE) inhibitor class of medications. It is rapidly hydrolyzed to fosinoprilat, its principle active metabolite. Fosinoprilat inhibits ACE, the enzyme responsible for the conversion of angiotensin I (ATI) to angiotensin II (ATII). ATII regulates blood pressure and is a key component of the renin-angiotensin-aldosterone system (RAAS). Fosinopril may be used to treat mild to moderate hypertension, as an adjunct in the treatment of congestive heart failure, and to slow the rate of progression of renal disease in hypertensive individuals with diabetes mellitus and microalbuminuria or overt nephropathy.

CNS Activity

Curator's Comment: Fosinopril does not cross the blood-brain barrier.

Originator

Curator's Comment: # Bristol-Myers Squibb

Approval Year

Targets

Targets

Primary TargetPharmacologyConditionPotency
1.0 nM [IC50]
Target ID: P12822
Gene ID: 1.00009272E8
Gene Symbol: ACE
Target Organism: Oryctolagus cuniculus (Rabbit)
11.0 nM [IC50]
Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
FOSINOPRIL SODIUM

Approved Use

Fosinopril sodium tablets are indicated for the treatment of hypertension. They may be used alone or in combination with thiazide diuretics. Fosinopril sodium tablets are indicated in the management of heart failure as adjunctive therapy when added to conventional therapy including diuretics with or without digitalis

Launch Date

2003
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
1556 ng/mL
7.5 mg single, intravenous
dose: 7.5 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
112 ng/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
533 ng/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
711 ng/mL
40 mg 2 times / day steady-state, oral
dose: 40 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
1018 ng/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
1217 ng/mL
80 mg 2 times / day steady-state, oral
dose: 80 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
131 ng/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
5598 ng/mL
640 mg single, oral
dose: 640 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
3302 ng × h/mL
7.5 mg single, intravenous
dose: 7.5 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
920 ng × h/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
3.3 μg × h/mL
40 mg single, oral
dose: 40 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
4.9 μg × h/mL
40 mg 2 times / day steady-state, oral
dose: 40 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
5.6 μg × h/mL
80 mg single, oral
dose: 80 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
7.5 μg × h/mL
80 mg 2 times / day steady-state, oral
dose: 80 mg
route of administration: Oral
experiment type: STEADY-STATE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
1.1 μg × h/mL
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
58.3 μg × h/mL
640 mg single, oral
dose: 640 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT serum
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
3.7 h
7.5 mg single, intravenous
dose: 7.5 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
4.3 h
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
5%
7.5 mg single, intravenous
dose: 7.5 mg
route of administration: Intravenous
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
8%
10 mg single, oral
dose: 10 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
FOSINOPRILAT plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: MALE
food status: UNKNOWN
Doses

Doses

DosePopulationAdverse events​
80 mg 1 times / day multiple, oral
Highest studied dose
Dose: 80 mg, 1 times / day
Route: oral
Route: multiple
Dose: 80 mg, 1 times / day
Sources:
unhealthy, 28 - 68years
n = 12
Health Status: unhealthy
Condition: essential hypertension
Age Group: 28 - 68years
Sex: M+F
Population Size: 12
Sources:
20 mg 1 times / day multiple, oral
Recommended
Dose: 20 mg, 1 times / day
Route: oral
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: 16
unhealthy, >65 years
n = 688
Health Status: unhealthy
Condition: hypertension
Age Group: >65 years
Sex: unknown
Population Size: 688
Sources: Page: 16
Disc. AE: Headache, Transaminases increased...
AEs leading to
discontinuation/dose reduction:
Headache (0.4 - 0.9)
Transaminases increased (0.4 - 0.9)
Fatigue (0.4 - 0.9)
Cough (0.4 - 0.9)
Sources: Page: 16
40 mg 1 times / day steady, oral
MTD
Dose: 40 mg, 1 times / day
Route: oral
Route: steady
Dose: 40 mg, 1 times / day
Sources:
unhealthy, adult
Health Status: unhealthy
Condition: hypertension
Age Group: adult
Sex: unknown
Sources:
AEs

AEs

AESignificanceDosePopulation
Cough 0.4 - 0.9
Disc. AE
20 mg 1 times / day multiple, oral
Recommended
Dose: 20 mg, 1 times / day
Route: oral
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: 16
unhealthy, >65 years
n = 688
Health Status: unhealthy
Condition: hypertension
Age Group: >65 years
Sex: unknown
Population Size: 688
Sources: Page: 16
Fatigue 0.4 - 0.9
Disc. AE
20 mg 1 times / day multiple, oral
Recommended
Dose: 20 mg, 1 times / day
Route: oral
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: 16
unhealthy, >65 years
n = 688
Health Status: unhealthy
Condition: hypertension
Age Group: >65 years
Sex: unknown
Population Size: 688
Sources: Page: 16
Headache 0.4 - 0.9
Disc. AE
20 mg 1 times / day multiple, oral
Recommended
Dose: 20 mg, 1 times / day
Route: oral
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: 16
unhealthy, >65 years
n = 688
Health Status: unhealthy
Condition: hypertension
Age Group: >65 years
Sex: unknown
Population Size: 688
Sources: Page: 16
Transaminases increased 0.4 - 0.9
Disc. AE
20 mg 1 times / day multiple, oral
Recommended
Dose: 20 mg, 1 times / day
Route: oral
Route: multiple
Dose: 20 mg, 1 times / day
Sources: Page: 16
unhealthy, >65 years
n = 688
Health Status: unhealthy
Condition: hypertension
Age Group: >65 years
Sex: unknown
Population Size: 688
Sources: Page: 16
PubMed

PubMed

TitleDatePubMed
A Comparison of the Cough Profile of Fosinopril and Enalapril in Hypertensive Patients with a History of ACE Inhibitor-Associated Cough.
1995 Oct
Effect of valsartan and fosinopril on catecholamine-induced cardiac hypertrophy.
2000 Sep
Effects of spironolactone and fosinopril on the spontaneous and chronic ventricular arrhythmias in a rat model of myocardial infarction.
2001
Effects of omapatrilat on blood pressure and insulin sensitivity in an animal model of insulin resistance.
2001
[Effects of lorsartan, fosinopril on myocardial fibrosis, angiotensin II and cardiac remolding in hypertensive rats].
2001 Apr 28
Hepatotoxicity induced by fosinopril.
2001 Aug
Endogenous natriuretic peptides participate in renal and humoral actions of acute vasopeptidase inhibition in experimental mild heart failure.
2001 Aug
Vasopeptidase inhibition attenuates the progression of renal injury in subtotal nephrectomized rats.
2001 Aug
[Effectiveness and tolerance of fosinopril in the treatment of arterial hypertension of mild and medium severity].
2001 Dec
ACE inhibitor-induced angioedema of the intestine: Case report, incidence, pathophysiology, diagnosis and management.
2001 Dec
Diverse effects of chronic treatment with losartan, fosinopril, and amlodipine on apoptosis, angiotensin II in the left ventricle of hypertensive rats.
2001 Dec
The cardiovascular actions of omapatrilat in spontaneously hypertensive rats.
2001 Dec
Effects of fosinopril on renal function, baroreflex response and noradrenaline pressor response in conscious normotensive dogs.
2001 Jul
Fenofibrate and warfarin interaction.
2001 Jul
The effects of ACE inhibitor therapy on left ventricular myocardial mass and diastolic filling in previously untreated hypertensive patients: a cine MRI study.
2001 Jul
The quantitative determination of several inhibitors of the angiotensin-converting enzyme by CE.
2001 Jul
Simultaneous determination of hydrochlorothiazide and several inhibitors of angiotensin-converting enzyme by capillary electrophoresis.
2001 Jul 27
Pharmacoutilization of antihypertensive drugs: a model of analysis.
2001 Jun
Comparison of the first dose response of fosinopril and captopril in congestive heart failure: a randomized, double-blind, placebo controlled study.
2001 Mar
A random comparison of fosinopril and nifedipine GITS in patients with primary renal disease.
2001 Oct
Angiotensin converting enzyme inhibition improves cardiac neuronal uptake of noradrenaline in spontaneously hypertensive rats.
2001 Oct
Effects of combination of angiotensin-converting enzyme inhibitor and angiotensin receptor antagonist on inflammatory cellular infiltration and myocardial interstitial fibrosis after acute myocardial infarction.
2001 Oct
Mechanism of intestinal absorption and renal reabsorption of an orally active ace inhibitor: uptake and transport of fosinopril in cell cultures.
2001 Oct
Angiotensin-converting enzyme inhibition induces apoptosis in erythroid precursors and affects insulin-like growth factor-1 in posttransplantation erythrocytosis.
2001 Sep
Fosinopril as a possible pemphigus-inducing drug.
2002
Fosinopril-induced hepatotoxicity in a complex medical patient.
2002 Apr
Using ACE inhibitors appropriately.
2002 Aug 1
Regression of ventricular and vascular hypertrophy: are there differences between structurally different angiotensin-converting enzyme inhibitors?
2002 Dec
[Effect of Erigeron breviscapus injection on ventricular and vascular remodeling in spontaneous hypertension rats].
2002 Feb
Current recommendations for the treatment of hypertension: are they still valid?
2002 Feb
Additive antiproteinuric effect of combined ACE inhibition and angiotensin II receptor blockade.
2002 Jan
Fosinopril versus amlodipine comparative treatments study: a randomized trial to assess effects on plasminogen activator inhibitor-1.
2002 Jan 29
Rapid determination of partition coefficients between n-octanol/water for cardiovascular therapies.
2002 Jan-Feb
[Renoprotective effect of monopril in patients with diabetes mellitus in the preclinical stage of diabetic nephropathy].
2002 Jul-Sep
Safe drug prescribing.
2002 Jun 25
Fosinopril improves left ventricular diastolic function in young mildly hypertensive patients without hypertrophy.
2002 Mar
Simultaneous determination of fosinopril and hydrochlorothiazide in pharmaceutical formulations by spectrophotometric methods.
2002 Mar 1
Physiologic consequences of vasopeptidase inhibition in humans: effect of sodium intake.
2002 Oct
The effects of losartan and fosinopril in hypertensive type 2 diabetic patients.
2002 Oct
Effect of xuezhikang, a cholestin extract, on reflecting postprandial triglyceridemia after a high-fat meal in patients with coronary heart disease.
2003 Jun
ANP but not BNP reflects early left diastolic dysfunction in type 1 diabetics with myocardial dysinnervation.
2003 May
Effect of dual angiotensin converting enzyme/neutral endopeptidase inhibition, angiotensin converting enzyme inhibition, or AT1 antagonism on coronary microvasculature in spontaneously hypertensive rats.
2003 Nov
Introduction to monitoring. What is what you prescribed actually doing?
2003 Oct
Fosinopril and amlodipine in the treatment of isolated systolic hypertension.
2004 Jan-Feb
Possible induction of diabetes by treatment of hypertension with indapamide (with four case reports).
2004 Sep
Patents

Sample Use Guides

Usual Adult Dose for Hypertension Initial dose: 10 mg orally once a day alone or in combination with a diuretic Maintenance dose: 20 to 40 mg orally once a day; some patients may have further response at 80 mg once a day Usual Adult Dose for Congestive Heart Failure Initial dose: 10 mg orally once a day Target dose range: 20 to 40 mg orally once a day Maximum dose: 40 mg orally once a day
Route of Administration: Oral
Fosinopril up-regulated klotho mRNA in NRK-52E cells pretreated with Fos(10(-5) mol/L) for 12 h incubated with AngII
Substance Class Chemical
Created
by admin
on Fri Dec 15 15:47:29 GMT 2023
Edited
by admin
on Fri Dec 15 15:47:29 GMT 2023
Record UNII
S312EY6ZT8
Record Status Validated (UNII)
Record Version
  • Download
Name Type Language
FOSINOPRILAT
INN   USAN  
USAN   INN  
Official Name English
FOSINOPRILAT [USAN]
Common Name English
FOSINOPRIL RELATED COMPOUND A [USP IMPURITY]
USP-RS  
Common Name English
(4S)-4-CYCLOHEXYL-1-((HYDROXY(4-PHENYLBUTYL)PHOSPHINYL)ACETYL)-L-PROLINE
Systematic Name English
fosinoprilat [INN]
Common Name English
SQ 27,519
Code English
PU6BA2D2MD
Code English
L-PROLINE, 4-CYCLOHEXYL-1-((HYDROXY(4-PHENYLBUTYL)PHOSPHINYL)ACETYL)-, TRANS-
Systematic Name English
(2S,4S)-4-CYCLOHEXYL-1-((HYDROXY(4-PHENYLBUTYL)PHOSPHORYL)ACETYL)PYRROLIDINE-2-CARBOXYLIC ACID
Systematic Name English
FOSINOPRIL SODIUM IMPURITY A [EP IMPURITY]
Common Name English
FOSINOPRILIC ACID
Common Name English
FOSFENOPRIL
Common Name English
SQ-27519
Code English
FOSINOPRIL DIACID [MI]
Common Name English
FOSINOPRIL RELATED COMPOUND A [USP-RS]
Common Name English
FOSINOPRIL DIACID
MI  
Common Name English
SO-27519
Code English
Classification Tree Code System Code
NDF-RT N0000175562
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
NCI_THESAURUS C247
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
Code System Code Type Description
MESH
C046965
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
NCI_THESAURUS
C65762
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
RS_ITEM_NUM
1283415
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
USAN
BB-46
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
DAILYMED
S312EY6ZT8
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
EPA CompTox
DTXSID80869253
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
CHEBI
116962
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
IUPHAR
6457
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
FDA UNII
S312EY6ZT8
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
EVMPD
SUB07800MIG
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
MERCK INDEX
m5553
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY Merck Index
ChEMBL
CHEMBL581
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
RXCUI
1546393
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY RxNorm
DRUG BANK
DB14207
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
INN
6555
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
SMS_ID
100000080440
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
PUBCHEM
62956
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
CAS
95399-71-6
Created by admin on Fri Dec 15 15:47:29 GMT 2023 , Edited by admin on Fri Dec 15 15:47:29 GMT 2023
PRIMARY
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