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Details

Stereochemistry RACEMIC
Molecular Formula C14H12ClNO2.ClH
Molecular Weight 298.165
Optical Activity ( + / - )
Defined Stereocenters 0 / 1
E/Z Centers 0
Charge 0

SHOW SMILES / InChI
Structure of CICLETANINE HYDROCHLORIDE

SMILES

Cl.CC1=NC=C2C(OCC2=C1O)C3=CC=C(Cl)C=C3

InChI

InChIKey=QLMBAIRFQQLJJX-UHFFFAOYSA-N
InChI=1S/C14H12ClNO2.ClH/c1-8-13(17)12-7-18-14(11(12)6-16-8)9-2-4-10(15)5-3-9;/h2-6,14,17H,7H2,1H3;1H

HIDE SMILES / InChI

Molecular Formula C14H12ClNO2
Molecular Weight 261.704
Charge 0
Count
Stereochemistry RACEMIC
Additional Stereochemistry No
Defined Stereocenters 0 / 1
E/Z Centers 0
Optical Activity ( + / - )

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

Cicletanine is a diuretic, developed by Ipsen for the treatment of hypertension. The drug was marketed in France by Recordati under the name Tenstaten. The mechanism(s) by which cicletanine exerts its biological effects has not been definitely established. The salidiuretic activity appears to be the result of an action of the sulfoconjugated metabolite of cicletanine, which inhibits the apical Na+-dependent Cl-/HCO3- anion exchanger in the distal convoluted tubule. The mechanism of the vasodilating effect of cicletanine may include stimulation of vascular prostaglandin synthesis, inhibition of the low Km cyclic GMP phosphodiesterases, and blockade of Ca2+ channels either directly or indirectly. The drug has also been shown to interact with other proteins, including alpha-adrenergic, vascular histamine, and muscarinic receptors.

Originator

Curator's Comment: In october 2005 Ipsen and Recordati announced the signature of an agreement by which Ipsen grants to Recordati the exclusive marketing and selling rights in France of Tenstaten (cicletanine).

Approval Year

Conditions

Conditions

ConditionModalityTargetsHighest PhaseProduct
Primary
TENSTATEN

Approved Use

Hypertension.

Launch Date

1986
Cmax

Cmax

ValueDoseCo-administeredAnalytePopulation
20 μg/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
14 μg/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
13 μg/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
AUC

AUC

ValueDoseCo-administeredAnalytePopulation
115 μg × h/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
81 μg × h/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
109 μg × h/mL
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
T1/2

T1/2

ValueDoseCo-administeredAnalytePopulation
7.4 h
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: HEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
12.4 h
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
31 h
300 mg single, oral
dose: 300 mg
route of administration: Oral
experiment type: SINGLE
co-administered:
CICLETANINE plasma
Homo sapiens
population: UNHEALTHY
age: ADULT
sex: FEMALE / MALE
food status: FASTED
Funbound

Funbound

ValueDoseCo-administeredAnalytePopulation
7%
CICLETANINE plasma
Homo sapiens
Doses

Doses

DosePopulationAdverse events​
100 mg 1 times / day multiple, oral
Studied dose
Dose: 100 mg, 1 times / day
Route: oral
Route: multiple
Dose: 100 mg, 1 times / day
Sources:
unhealthy, ADULT
Health Status: unhealthy
Age Group: ADULT
Sex: M+F
Food Status: UNKNOWN
Sources:
150 mg single, oral
Studied dose
Dose: 150 mg
Route: oral
Route: single
Dose: 150 mg
Sources:
healthy, ADULT
Health Status: healthy
Age Group: ADULT
Sex: M
Food Status: UNKNOWN
Sources:
PubMed

PubMed

TitleDatePubMed
Emerging therapies for the treatment of pulmonary hypertension.
2010-03
Blood pressure lowering efficacy of loop diuretics for primary hypertension.
2009-10-07
Update on pulmonary hypertension complicating chronic obstructive pulmonary disease.
2009
Cicletanine for the treatment of pulmonary arterial hypertension.
2008-10-27
Updated meta-analytical approach to the efficacy of antihypertensive drugs in reducing blood pressure.
2007
Insulin sensitization induced by oral cicletanine in conscious rabbits.
2006-09
Protective effect of cicletanine on renal function in diabetic spontaneously hypertensive rats.
2004-11
Myocardial PKC beta2 and the sensitivity of Na/K-ATPase to marinobufagenin are reduced by cicletanine in Dahl hypertension.
2003-03
Diuretics in the therapy of hypertension.
2002-03
Effect of cicletanine on the nitric oxide pathway in human umbilical vein endothelial cells.
2001-08
Cicletanine stimulates nitric oxide release and scavenges superoxide in endothelial cells.
2001-06
Nitric oxide, peroxynitrite and cGMP in atherosclerosis-induced hypertension in rabbits: beneficial effects of cicletanine.
2001-02-15
Renal-protective effect of nondepressor dose of cicletanine in diabetic rats with hypertension.
2000-03
[Comparison of the effects of cicletanine and captopril on kidney and heart lesions in spontaneously hypertensive rats (SHR-SP)].
1989-11
Patents

Sample Use Guides

The treatment is initiated with 50 mg/day, but the effective dosage is usually 100 mg/day.
Route of Administration: Oral
In Vitro Use Guide
The effect of cicletanine on active tension was investigated in rat thoracic aortas. At concentrations from 3*10(-5) M to 3*10(-4) M the drug caused a concentration-related relaxation of noradrenaline, serotonin and prostaglandin F2alpha-induced contractions.
Substance Class Chemical
Created
by admin
on Mon Mar 31 21:25:11 GMT 2025
Edited
by admin
on Mon Mar 31 21:25:11 GMT 2025
Record UNII
T0SY6373OQ
Record Status Validated (UNII)
Record Version
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Name Type Language
CICLETANINE HYDROCHLORIDE
MART.   MI   WHO-DD  
Common Name English
WIN 90,000 HCL
Preferred Name English
CICLETANINE HYDROCHLORIDE [JAN]
Common Name English
WIN-90000 HCL
Code English
CICLETANINE HYDROCHLORIDE [MI]
Common Name English
Cicletanine hydrochloride [WHO-DD]
Common Name English
FURO(3,4-C)PYRIDIN-7-OL, 3-(4-CHLOROPHENYL)-1,3-DIHYDRO-6-METHYL-, HYDROCHLORIDE, (±)-
Systematic Name English
CICLETANINE HCL
Common Name English
CICLETANINE HYDROCHLORIDE [MART.]
Common Name English
Classification Tree Code System Code
FDA ORPHAN DRUG 261608
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
NCI_THESAURUS C448
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
Code System Code Type Description
EPA CompTox
DTXSID801002869
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
RXCUI
235874
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY RxNorm
MESH
C038068
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
PUBCHEM
54909
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
EVMPD
SUB01291MIG
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
CAS
82747-56-6
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
FDA UNII
T0SY6373OQ
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
SMS_ID
100000084826
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
NCI_THESAURUS
C101534
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY
MERCK INDEX
m3537
Created by admin on Mon Mar 31 21:25:11 GMT 2025 , Edited by admin on Mon Mar 31 21:25:11 GMT 2025
PRIMARY Merck Index
Related Record Type Details
ENANTIOMER -> RACEMATE
PARENT -> SALT/SOLVATE
ENANTIOMER -> RACEMATE
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ACTIVE MOIETY