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
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
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 |
DescriptionSources: http://www.drugbank.ca/drugs/DB00492Curator's Comment: Description was created based on several sources, including https://www.drugs.com/pro/fosinopril.html
Sources: http://www.drugbank.ca/drugs/DB00492
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
Sources: https://www.drugs.com/ppa/fosinopril-sodium.html
Curator's Comment: Fosinopril does not cross the blood-brain barrier.
Originator
Sources: http://adisinsight.springer.com/drugs/800003012
Curator's Comment: # Bristol-Myers Squibb
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1808 Sources: http://www.drugbank.ca/drugs/DB00492 |
1.0 nM [IC50] | ||
Target ID: P12822 Gene ID: 1.00009272E8 Gene Symbol: ACE Target Organism: Oryctolagus cuniculus (Rabbit) Sources: https://www.ncbi.nlm.nih.gov/pubmed/2481187 |
11.0 nM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | FOSINOPRIL SODIUM Approved UseFosinopril 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 Date2003 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
1556 ng/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3302 ng × h/mL EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/1646240/ |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
3.7 h EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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 EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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% EXPERIMENT https://pubmed.ncbi.nlm.nih.gov/2967089/ |
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
Dose | Population | Adverse 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) Sources: Page: 16Transaminases increased (0.4 - 0.9) Fatigue (0.4 - 0.9) Cough (0.4 - 0.9) |
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
AE | Significance | Dose | Population |
---|---|---|---|
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
Title | Date | PubMed |
---|---|---|
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 |
Sample Use Guides
In Vivo Use Guide
Sources: https://www.drugs.com/dosage/fosinopril.html
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
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/21038689
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
Edited
Fri Dec 15 15:47:29 GMT 2023
by
admin
on
Fri Dec 15 15:47:29 GMT 2023
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Record UNII |
S312EY6ZT8
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Record Status |
Validated (UNII)
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Record Version |
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N0000175562
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NCI_THESAURUS |
C247
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C65762
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m5553
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CHEMBL581
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1546393
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DB14207
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95399-71-6
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ACTIVE MOIETY |
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