Details
Stereochemistry | ABSOLUTE |
Molecular Formula | C27H36N2O5.ClH |
Molecular Weight | 505.046 |
Optical Activity | UNSPECIFIED |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
Cl.COC1=C(OC)C=C2[C@@H](CN(C)CCCN3CCC4=CC(OC)=C(OC)C=C4CC3=O)CC2=C1
InChI
InChIKey=HLUKNZUABFFNQS-ZMBIFBSDSA-N
InChI=1S/C27H36N2O5.ClH/c1-28(17-21-11-20-14-25(33-4)26(34-5)16-22(20)21)8-6-9-29-10-7-18-12-23(31-2)24(32-3)13-19(18)15-27(29)30;/h12-14,16,21H,6-11,15,17H2,1-5H3;1H/t21-;/m1./s1
Molecular Formula | C27H36N2O5 |
Molecular Weight | 468.5851 |
Charge | 0 |
Count |
|
Stereochemistry | ABSOLUTE |
Additional Stereochemistry | No |
Defined Stereocenters | 1 / 1 |
E/Z Centers | 0 |
Optical Activity | UNSPECIFIED |
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 |
DescriptionCurator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/16451297
Curator's Comment: description was created based on several sources, including
https://www.ncbi.nlm.nih.gov/pubmed/16451297
Ivabradine (CORLANOR®) is a hyperpolarization-activated cyclic nucleotide-gated channel blocker that reduces the spontaneous pacemaker activity of the cardiac sinus node by selectively inhibiting the If-current, resulting in heart rate reduction at concentrations that do not affect other cardiac ionic currents. Specific heart-rate lowering with ivabradine (CORLANOR®) reduces myocardial oxygen demand, simultaneously improving oxygen supply. It has no negative inotropic or lusitropic effects, preserving ventricular contractility, and does not change any major electrophysiological parameters unrelated to heart rate.
CNS Activity
Curator's Comment: Ivabradine (CORLANOR®) can also inhibit the retinal current Ih. Ih is involved in curtailing retinal responses to bright light stimuli. Under triggering circumstances (e.g., rapid changes in luminosity), partial inhibition of Ih by ivabradine (CORLANOR®) may underlie the luminous phenomena experienced by patients. Luminous phenomena (phosphenes) are described as a transient enhanced brightness in a limited area of the visual field.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
Target ID: CHEMBL1795171 |
2.05 µM [IC50] | ||
Target ID: CHEMBL1795172 |
2.29 µM [IC50] | ||
Target ID: CHEMBL1795173 |
2.51 µM [IC50] | ||
Target ID: CHEMBL1250417 |
2.15 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Palliative | CORLANOR Approved UseCorlanor is indicated to reduce the risk of hospitalization for worsening heart failure in patients with stable, symptomatic chronic heart failure with left ventricular ejection fraction ≤ 35%, who are in sinus rhythm with resting heart rate ≥ 70 beats per minute and either are on maximally tolerated doses of beta-blockers or have a contraindication to beta-blocker use. Corlanor (ivabradine) is a hyperpolarization-activated cyclic nucleotide-gated channel blocker indicated to reduce the risk of hospitalization for worsening heart failure in patients with stable, symptomatic chronic heart failure with left ventricular ejection fraction ≤ 35%, who are in sinus rhythm with resting heart rate ≥ 70 beats per minute and either are on maximally tolerated doses of beta-blockers or have a contraindication to beta-blocker use. Launch Date2015 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
35.98 ng/mL EXPERIMENT https://doi.org/10.1016/j.apsb.2012.01.004 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
IVABRADINE blood | Homo sapiens population: HEALTHY age: UNKNOWN sex: FEMALE / MALE food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
171.19 μg × h/mL EXPERIMENT https://doi.org/10.1016/j.apsb.2012.01.004 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
IVABRADINE blood | Homo sapiens population: HEALTHY age: UNKNOWN sex: FEMALE / MALE food status: UNKNOWN |
T1/2
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
5.03 h EXPERIMENT https://doi.org/10.1016/j.apsb.2012.01.004 |
5 mg single, oral dose: 5 mg route of administration: Oral experiment type: SINGLE co-administered: |
IVABRADINE blood | Homo sapiens population: HEALTHY age: UNKNOWN sex: FEMALE / MALE food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Other AEs: Nausea, Vision disorders... Other AEs: Nausea (1 patient) Sources: Vision disorders (2 patients) Abdominal pain (1 patient) Leg pain (1 patient) Fatigue (1 patient) |
150 mg single, oral Overdose |
unhealthy, 19 years n = 1 Health Status: unhealthy Age Group: 19 years Sex: F Population Size: 1 Sources: |
Other AEs: Dizziness, Nausea... Other AEs: Dizziness (1 patient) Sources: Nausea (1 patient) Vomiting (1 patient) |
250 mg single, oral Overdose |
unknown, 26 years n = 1 Health Status: unknown Age Group: 26 years Sex: F Population Size: 1 Sources: |
|
10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
healthy, 27.7 years n = 9 Health Status: healthy Age Group: 27.7 years Sex: M Population Size: 9 Sources: |
|
280 mg single, oral Overdose |
unhealthy, 47 years n = 1 Health Status: unhealthy Age Group: 47 years Sex: M Population Size: 1 Sources: |
Other AEs: Drowsiness... |
10 mg 1 times / day multiple, intravenous Dose: 10 mg, 1 times / day Route: intravenous Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 59 - 67 years) n = 14 Health Status: unhealthy Condition: low cardiac output syndrome Age Group: 61 years (range: 59 - 67 years) Sex: M+F Population Size: 14 Sources: |
Disc. AE: Bradyarrhythmia, Heart rate decreased... Other AEs: Pulmonary capillary wedge pressure, Sustained ventricular tachycardia... AEs leading to discontinuation/dose reduction: Bradyarrhythmia (1 patient) Other AEs:Heart rate decreased (3 patients) Pulmonary capillary wedge pressure (5 patients) Sources: Sustained ventricular tachycardia (1 patient) |
5 mg 2 times / day steady, oral Recommended Dose: 5 mg, 2 times / day Route: oral Route: steady Dose: 5 mg, 2 times / day Sources: Page: p. 171 |
unhealthy, adult n = 5477 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 5477 Sources: Page: p. 171 |
Disc. AE: Atrial fibrillation, Heart rate increased... AEs leading to discontinuation/dose reduction: Atrial fibrillation (2.5%) Sources: Page: p. 171Heart rate increased (0.5%) Bradycardia (0.4%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Abdominal pain | 1 patient | 10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Fatigue | 1 patient | 10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Leg pain | 1 patient | 10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Nausea | 1 patient | 10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Vision disorders | 2 patients | 10 mg 2 times / day steady, oral Highest studied dose Dose: 10 mg, 2 times / day Route: oral Route: steady Dose: 10 mg, 2 times / day Sources: |
unhealthy, 18–70 years n = 9 Health Status: unhealthy Condition: asthma Age Group: 18–70 years Sex: M+F Population Size: 9 Sources: |
Dizziness | 1 patient | 150 mg single, oral Overdose |
unhealthy, 19 years n = 1 Health Status: unhealthy Age Group: 19 years Sex: F Population Size: 1 Sources: |
Nausea | 1 patient | 150 mg single, oral Overdose |
unhealthy, 19 years n = 1 Health Status: unhealthy Age Group: 19 years Sex: F Population Size: 1 Sources: |
Vomiting | 1 patient | 150 mg single, oral Overdose |
unhealthy, 19 years n = 1 Health Status: unhealthy Age Group: 19 years Sex: F Population Size: 1 Sources: |
Drowsiness | 1 patient | 280 mg single, oral Overdose |
unhealthy, 47 years n = 1 Health Status: unhealthy Age Group: 47 years Sex: M Population Size: 1 Sources: |
Sustained ventricular tachycardia | 1 patient | 10 mg 1 times / day multiple, intravenous Dose: 10 mg, 1 times / day Route: intravenous Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 59 - 67 years) n = 14 Health Status: unhealthy Condition: low cardiac output syndrome Age Group: 61 years (range: 59 - 67 years) Sex: M+F Population Size: 14 Sources: |
Bradyarrhythmia | 1 patient Disc. AE |
10 mg 1 times / day multiple, intravenous Dose: 10 mg, 1 times / day Route: intravenous Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 59 - 67 years) n = 14 Health Status: unhealthy Condition: low cardiac output syndrome Age Group: 61 years (range: 59 - 67 years) Sex: M+F Population Size: 14 Sources: |
Heart rate decreased | 3 patients Disc. AE |
10 mg 1 times / day multiple, intravenous Dose: 10 mg, 1 times / day Route: intravenous Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 59 - 67 years) n = 14 Health Status: unhealthy Condition: low cardiac output syndrome Age Group: 61 years (range: 59 - 67 years) Sex: M+F Population Size: 14 Sources: |
Pulmonary capillary wedge pressure | 5 patients | 10 mg 1 times / day multiple, intravenous Dose: 10 mg, 1 times / day Route: intravenous Route: multiple Dose: 10 mg, 1 times / day Sources: |
unhealthy, 61 years (range: 59 - 67 years) n = 14 Health Status: unhealthy Condition: low cardiac output syndrome Age Group: 61 years (range: 59 - 67 years) Sex: M+F Population Size: 14 Sources: |
Bradycardia | 0.4% Disc. AE |
5 mg 2 times / day steady, oral Recommended Dose: 5 mg, 2 times / day Route: oral Route: steady Dose: 5 mg, 2 times / day Sources: Page: p. 171 |
unhealthy, adult n = 5477 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 5477 Sources: Page: p. 171 |
Heart rate increased | 0.5% Disc. AE |
5 mg 2 times / day steady, oral Recommended Dose: 5 mg, 2 times / day Route: oral Route: steady Dose: 5 mg, 2 times / day Sources: Page: p. 171 |
unhealthy, adult n = 5477 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 5477 Sources: Page: p. 171 |
Atrial fibrillation | 2.5% Disc. AE |
5 mg 2 times / day steady, oral Recommended Dose: 5 mg, 2 times / day Route: oral Route: steady Dose: 5 mg, 2 times / day Sources: Page: p. 171 |
unhealthy, adult n = 5477 Health Status: unhealthy Age Group: adult Sex: M+F Population Size: 5477 Sources: Page: p. 171 |
Overview
CYP3A4 | CYP2C9 | CYP2D6 | hERG |
---|---|---|---|
OverviewOther
Other Inhibitor | Other Substrate | Other Inducer |
---|---|---|
Drug as perpetrator
Drug as victim
Tox targets
Target | Modality | Activity | Metabolite | Clinical evidence |
---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206143Orig1s000PharmR.pdf#page=57 Page: 57.0 |
||||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2015/206143Orig1s000PharmR.pdf#page=57 Page: 57.0 |
PubMed
Title | Date | PubMed |
---|---|---|
Drug insight: If inhibitors as specific heart-rate-reducing agents. | 2004 Dec |
|
If at first you don't succeed try ... a new target in the treatment of angina. | 2005 Dec |
|
Efficacy of ivabradine, a new selective I(f) inhibitor, compared with atenolol in patients with chronic stable angina. | 2005 Dec |
|
Chronic heart rate reduction remodels ion channel transcripts in the mouse sinoatrial node but not in the ventricle. | 2005 Dec 14 |
|
New agent ivabradine (Procoralan) for treatment of chronic stable angina. | 2005 Sep-Oct |
|
[Ivabradine--the first selective and specific I(f) inhibitor, novel preparation for treatment of stable angina]. | 2006 |
|
Future directions: what data do we need? | 2006 |
|
Heart rate slowing for myocardial dysfunction/heart failure. | 2006 |
|
Clinical perspectives of heart rate slowing for coronary event reduction and heart failure. | 2006 |
|
Heart rate reduction by pharmacological If current inhibition. | 2006 |
|
Impact of increased heart rate on clinical outcomes in hypertension: implications for antihypertensive drug therapy. | 2006 |
|
Bradycardic and proarrhythmic properties of sinus node inhibitors. | 2006 Apr |
|
Properties of ivabradine-induced block of HCN1 and HCN4 pacemaker channels. | 2006 Apr 15 |
|
Comparison of a beta-blocker and an If current inhibitor in rabbits with myocardial infarction. | 2006 Dec |
|
[New drugs; ivabradine]. | 2006 Dec 2 |
|
[Selective I(f) channel inhibition: an alternative for treating coronary artery disease?]. | 2006 Feb |
|
Ivabradine -- the first selective sinus node I(f) channel inhibitor in the treatment of stable angina. | 2006 Feb |
|
Evolving treatment strategies for chronic refractory angina. | 2006 Feb |
|
Comparative effects of ivabradine, a selective heart rate-lowering agent, and propranolol on systemic and cardiac haemodynamics at rest and during exercise. | 2006 Feb |
|
[The best of clinical cardiovascular pharmacology in 2005]. | 2006 Jan |
|
[The discovery of the selective If current inhibitor ivabradine (Procoralan): a new therapeutic approach to ischemic heart disease]. | 2006 Jan |
|
Selective and specific I(f) inhibition: new perspectives for the treatment of stable angina. | 2006 Jun |
|
[Possibilities of reducing heart rate by I(f)-channel inhibitors]. | 2006 Mar 22 |
|
Anti-ischaemic effect of ivabradine. | 2006 May |
|
Funny channels in the control of cardiac rhythm and mode of action of selective blockers. | 2006 May |
|
The discovery of the selective I(f) current inhibitor ivabradine. A new therapeutic approach to ischemic heart disease. | 2006 May |
|
Ivabradine: a selective If current inhibitor in the treatment of stable angina. | 2006 Nov |
|
Lack of pharmacokinetic interaction between omeprazole or lansoprazole and ivabradine in healthy volunteers: an open-label, randomized, crossover, pharmacokinetic interaction clinical trial. | 2006 Oct |
|
Effects of Hypericum perforatum on ivabradine pharmacokinetics in healthy volunteers: an open-label, pharmacokinetic interaction clinical trial. | 2006 Oct |
|
Clinical results of I(f) current inhibition by ivabradine. | 2007 |
|
The funny current: cellular basis for the control of heart rate. | 2007 |
|
If inhibition by Ivabradine. Foreword. | 2007 |
|
Antianginal efficacy and safety of ivabradine compared with amlodipine in patients with stable effort angina pectoris: a 3-month randomised, double-blind, multicentre, noninferiority trial. | 2007 |
|
Ivabradine: new drug. Best avoided in stable angina. | 2007 Apr |
|
Conversion of post-systolic wall thickening into ejectional thickening by selective heart rate reduction during myocardial stunning. | 2007 Apr |
|
Selective inhibition of the pacemaker channel I(f) improves symptoms in severe dilated cardiomyopathy. | 2007 Apr |
|
Heart rate reduction via selective 'funny' channel blockers. | 2007 Apr |
|
Cellular mechanisms underlying the pharmacological induction of phosphenes. | 2007 Feb |
|
Heart rate reduction by inhibition of If or by beta-blockade has different effects on postsystolic wall thickening. | 2007 Feb |
|
Use-dependent inhibition of hHCN4 by ivabradine and relationship with reduction in pacemaker activity. | 2007 Jan |
|
Heart failure management. Interview with Karl Swedberg. | 2007 Jan 9 |
|
Modulation of rate by autonomic agonists in SAN cells involves changes in diastolic depolarization and the pacemaker current. | 2007 Jul |
|
Preservation of coronary reserve by ivabradine-induced reduction in heart rate in infarcted rats is associated with decrease in perivascular collagen. | 2007 Jul |
|
[Selective and specific reduction in the heart rate: a promising direction in the creation of new cardiovascular drugs]. | 2007 Jul-Aug |
|
Ivabradine: a new strategy for management of stable angina. | 2007 Jun |
|
[Heart rate as a cardiovascular risk factor: potential clinical benefit with ivabradine]. | 2007 May 30 |
|
The heart rate-lowering agent ivabradine inhibits the pacemaker current I(f) in human atrial myocytes. | 2007 Nov |
|
I f inhibition with ivabradine : electrophysiological effects and safety. | 2008 |
|
Ivabradine as an alternative therapeutic trial in the therapy of inappropriate sinus tachycardia: a case report. | 2008 |
|
Heart rate in the pathophysiology of coronary blood flow and myocardial ischaemia: benefit from selective bradycardic agents. | 2008 Apr |
Patents
Sample Use Guides
The recommended starting dose of CORLANOR® is 5 mg twice daily with meals.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/16387796
The potential subtype-specificity of the sinus node inhibitors cilobradine, ivabradine, and zatebradine using cyclic nucleotide-gated cation (HCN) channels was tested. All three substances blocked the slow inward current through HCN1, HCN2, HCN3, and HCN4 human channels. There was no subtype-specificity for the steady-state block, with mean IC50 values of 0.99, 2.25, and 1.96 microM for cilobradine, ivabradine, and zatebradine, respectively.
Substance Class |
Chemical
Created
by
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on
Edited
Fri Dec 15 18:56:01 GMT 2023
by
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Record UNII |
TP19837BZK
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Record Status |
Validated (UNII)
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Record Version |
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EMA ASSESSMENT REPORTS |
PROCORALAN (AUTHORIZED: ANGINA PECTORIS)
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NCI_THESAURUS |
C47793
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EMA ASSESSMENT REPORTS |
CORLENTOR (AUTHORIZED: ANGINA PECTORIS)
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1649479
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SUB22933
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Ivabradine hydrochloride
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85969
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