Details
Stereochemistry | RACEMIC |
Molecular Formula | C11H12N2O2S |
Molecular Weight | 236.29 |
Optical Activity | ( + / - ) |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Charge | 0 |
SHOW SMILES / InChI
SMILES
CC(N(O)C(N)=O)C1=CC2=C(S1)C=CC=C2
InChI
InChIKey=MWLSOWXNZPKENC-UHFFFAOYSA-N
InChI=1S/C11H12N2O2S/c1-7(13(15)11(12)14)10-6-8-4-2-3-5-9(8)16-10/h2-7,15H,1H3,(H2,12,14)
Molecular Formula | C11H12N2O2S |
Molecular Weight | 236.29 |
Charge | 0 |
Count |
|
Stereochemistry | RACEMIC |
Additional Stereochemistry | No |
Defined Stereocenters | 0 / 1 |
E/Z Centers | 0 |
Optical Activity | ( + / - ) |
Zileuton is an asthma drug that differs chemically and pharmacologically from other antiasthmatic agents. It blocks leukotriene synthesis by inhibiting 5-lipoxygenase, an enzyme of the eicosanoid synthesis pathway. Current data indicates that asthma is a chronic inflammatory disorder of the airways involving the production and activity of several endogenous inflammatory mediators, including leukotrienes. Sulfido-peptide leukotrienes (LTC4, LTD4, LTE4, also known as the slow-releasing substances of anaphylaxis) and LTB4, a chemoattractant for neutrophils and eosinophils, are derived from the initial unstable product of arachidonic acid metabolism, leukotriene A4 (LTA4), and can be measured in a number of biological fluids including bronchoalveolar lavage fluid (BALF) from asthmatic patients. In humans, pretreatment with zileuton attenuated bronchoconstriction caused by cold air challenge in patients with asthma. Zileuton is a specific inhibitor of 5-lipoxygenase and thus inhibits leukotriene (LTB4, LTC4, LTD4, and LTE4) formation. Both the R(+) and S(-) enantiomers are pharmacologically active as 5-lipoxygenase inhibitors in in vitro systems. Leukotrienes are substances that induce numerous biological effects including augmentation of neutrophil and eosinophil migration, neutrophil and monocyte aggregation, leukocyte adhesion, increased capillary permeability, and smooth muscle contraction. These effects contribute to inflammation, edema, mucus secretion, and bronchoconstriction in the airways of asthmatic patients. Zileuton is marketed under the trade name ZYFLO.
Originator
Approval Year
Targets
Primary Target | Pharmacology | Condition | Potency |
---|---|---|---|
0.3 µM [IC50] |
Conditions
Condition | Modality | Targets | Highest Phase | Product |
---|---|---|---|---|
Primary | ZYFLO Approved UseZYFLO is indicated for the prophylaxis and chronic treatment of asthma in adults and
children 12 years of age and older. Launch Date8.5000323E11 |
Cmax
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
4.98 μg/mL |
600 mg 4 times / day multiple, oral dose: 600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
ZILEUTON unknown | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
AUC
Value | Dose | Co-administered | Analyte | Population |
---|---|---|---|---|
19.2 μg × h/mL |
600 mg 4 times / day multiple, oral dose: 600 mg route of administration: Oral experiment type: MULTIPLE co-administered: |
ZILEUTON unknown | Homo sapiens population: UNHEALTHY age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
Dose | Population | Adverse events |
---|---|---|
600 mg 4 times / day multiple, oral Studied dose Dose: 600 mg, 4 times / day Route: oral Route: multiple Dose: 600 mg, 4 times / day Sources: Page: p.846 |
unhealthy, ADULT n = 2458 Health Status: unhealthy Condition: chronic asthma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 2458 Sources: Page: p.846 |
Disc. AE: Dyspepsia... Other AEs: Nausea, ALT increased... AEs leading to discontinuation/dose reduction: Dyspepsia (1.6%) Other AEs:Nausea (2.4%) Sources: Page: p.846ALT increased (2.7%) Asthma (3.7%) |
AEs
AE | Significance | Dose | Population |
---|---|---|---|
Dyspepsia | 1.6% Disc. AE |
600 mg 4 times / day multiple, oral Studied dose Dose: 600 mg, 4 times / day Route: oral Route: multiple Dose: 600 mg, 4 times / day Sources: Page: p.846 |
unhealthy, ADULT n = 2458 Health Status: unhealthy Condition: chronic asthma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 2458 Sources: Page: p.846 |
Nausea | 2.4% | 600 mg 4 times / day multiple, oral Studied dose Dose: 600 mg, 4 times / day Route: oral Route: multiple Dose: 600 mg, 4 times / day Sources: Page: p.846 |
unhealthy, ADULT n = 2458 Health Status: unhealthy Condition: chronic asthma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 2458 Sources: Page: p.846 |
ALT increased | 2.7% | 600 mg 4 times / day multiple, oral Studied dose Dose: 600 mg, 4 times / day Route: oral Route: multiple Dose: 600 mg, 4 times / day Sources: Page: p.846 |
unhealthy, ADULT n = 2458 Health Status: unhealthy Condition: chronic asthma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 2458 Sources: Page: p.846 |
Asthma | 3.7% | 600 mg 4 times / day multiple, oral Studied dose Dose: 600 mg, 4 times / day Route: oral Route: multiple Dose: 600 mg, 4 times / day Sources: Page: p.846 |
unhealthy, ADULT n = 2458 Health Status: unhealthy Condition: chronic asthma Age Group: ADULT Sex: M+F Food Status: UNKNOWN Population Size: 2458 Sources: Page: p.846 |
PubMed
Title | Date | PubMed |
---|---|---|
Prostaglandins and leukotriene B4 are potent inhibitors of 11beta-hydroxysteroid dehydrogenase type 2 activity in human choriocarcinoma JEG-3 cells. | 1999 Jul |
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Anti-inflammatory effects of zileuton in a subpopulation of allergic asthmatics. | 2000 Apr |
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Platelet-leukocyte cross talk in whole blood. | 2000 Dec |
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Inhibition by troglitazone of the antigen-induced production of leukotrienes in immunoglobulin E-sensitized RBL-2H3 cells. | 2000 Jan |
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Acute effects of antileukotrienes on sinonasal polyposis and sinusitis. | 2000 Jan |
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Recurrent panniculitis in a man with asthma receiving treatment with leukotriene-modifying agents. | 2000 Jun |
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Involvement of lipoxygenase in lysophosphatidic acid-stimulated hydrogen peroxide release in human HaCaT keratinocytes. | 2000 Mar 15 |
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Comparative effects of long-acting beta2-agonists, leukotriene receptor antagonists, and a 5-lipoxygenase inhibitor on exercise-induced asthma. | 2000 Sep |
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Clinical and biochemical effects of zileuton in patients with the Sjögren-Larsson syndrome. | 2001 Dec |
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Leukotriene modifiers in pediatric asthma management. | 2001 Feb |
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Efficacy of antileukotriene agents in asthma management. | 2001 Jun |
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Discovery of leukotrienes and development of antileukotriene agents. | 2001 Jun |
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The role of antileukotrienes in the treatment of asthma. | 2001 Jun |
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Safety of antileukotriene agents in asthma management. | 2001 Jun |
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Antileukotrienes in asthma: present situation. | 2001 Mar |
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N-Aminoindoline derivatives as inhibitors of 5-lipoxygenase. | 2001 Mar 26 |
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Peroxynitrite-induced nitrotyrosination of proteins is blocked by direct 5-lipoxygenase inhibitor zileuton. | 2001 Oct |
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Leukotrienes in respiratory disease. | 2001 Sep |
|
Anti-inflammatory activities of LDP-392, a dual PAF receptor antagonist and 5-lipoxygenase inhibitor. | 2001 Sep |
|
Pharmacogenetics, pharmacogenomics and airway disease. | 2002 |
|
Treatment of disseminated granuloma annulare with a 5-lipoxygenase inhibitor and vitamin E. | 2002 Apr |
|
Hyperforin is a dual inhibitor of cyclooxygenase-1 and 5-lipoxygenase. | 2002 Dec 15 |
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[Anti-leukotriene drugs and Churg Strauss syndrome]. | 2002 Feb |
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Role of lung inflammatory mediators as a cause of exercise-induced arterial hypoxemia in young athletes. | 2002 Jul |
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Role of Ca(2+)-independent phospholipase A(2) and cyclooxygenase/lipoxygenase pathways in the nitric oxide production by murine macrophages stimulated by lipopolysaccharides. | 2002 May |
|
Mechanisms of idiosyncratic drug reactions: the case of felbamate. | 2002 Nov 10 |
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Mediators of adenosine- and ovalbumen-induced bronchoconstriction of sensitized guinea-pig isolated airways. | 2002 Sep 6 |
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Anti-leukotriene drugs in the prevention and treatment of hepatorenal syndrome. | 2003 Apr |
|
Lipoxygenase and cyclooxygenase metabolism: new insights in treatment and chemoprevention of pancreatic cancer. | 2003 Jan 7 |
|
[Anti-leukotrienes in allergic diseases in children]. | 2003 Jun |
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Toxicity of human monocytic THP-1 cells and microglia toward SH-SY5Y neuroblastoma cells is reduced by inhibitors of 5-lipoxygenase and its activating protein FLAP. | 2003 Mar |
|
Hyperalgesia induced by Asp49 and Lys49 phospholipases A2 from Bothrops asper snake venom: pharmacological mediation and molecular determinants. | 2003 May |
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Mechanism-based inhibition of human liver microsomal cytochrome P450 1A2 by zileuton, a 5-lipoxygenase inhibitor. | 2003 Nov |
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Inhibition of neutrophil leukotriene B4 production by a novel synthetic N-3 polyunsaturated fatty acid analogue, beta-oxa 21:3n-3. | 2003 Nov 1 |
|
Effects of imatinib mesylate (STI571, Glivec) on the pharmacokinetics of simvastatin, a cytochrome p450 3A4 substrate, in patients with chronic myeloid leukaemia. | 2003 Nov 17 |
|
Use of a low-density microarray for studying gene expression patterns induced by hepatotoxicants on primary cultures of rat hepatocytes. | 2003 Oct |
|
Leukotrienes mediate part of Ova-induced lung effects in mice via EGFR. | 2003 Oct |
|
Zileuton, a 5-lipoxygenase inhibitor, increases production of thromboxane A2 and platelet aggregation in patients with asthma. | 2003 Sep |
|
Idiopathic pulmonary fibrosis: pathogenesis and therapeutic approaches. | 2004 |
|
Involvement of mast cells in basal and neurotensin-induced intestinal absorption of taurocholate in rats. | 2004 Aug |
|
Advances in therapy with antileukotriene drugs. | 2004 Autumn |
|
In vitro metabolism of 2-acetylbenzothiophene: relevance to zileuton hepatotoxicity. | 2004 Feb |
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Effect of 5-lipoxygenase inhibition on events associated with inflammatory bowel disease in rats. | 2004 Jul |
|
Leukotriene modifier use and asthma severity: how is a new medication being used by adults with asthma? | 2004 Mar 22 |
|
Anti-proliferative effects of lichen-derived lipoxygenase inhibitors on twelve human cancer cell lines of different tissue origin in vitro. | 2004 Nov |
|
Overexpression of 5-lipoxygenase in rat and human esophageal adenocarcinoma and inhibitory effects of zileuton and celecoxib on carcinogenesis. | 2004 Oct 1 |
Sample Use Guides
The recommended dosage of ZYFLO (Zileuton) for the symptomatic treatment of patien ts with
asthma is one 600-mg tablet four times a day for a total daily dose of 2400 mg. For ease
of administration, ZYFLO may be taken with meals and at bedtime.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/10319915
Zileuton (5 uM) inhibited LTB4 production by 99% in purified human neutrophils in the presence of fatty acid saturated albumin (fraction V).
Substance Class |
Chemical
Created
by
admin
on
Edited
Wed Jul 05 23:21:39 UTC 2023
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on
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Record UNII |
V1L22WVE2S
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Validated (UNII)
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NDF-RT |
N0000008683
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NDF-RT |
N0000175956
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LIVERTOX |
NBK548397
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NCI_THESAURUS |
C1322
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N0000175955
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NDF-RT |
N0000008683
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EXCRETED UNCHANGED |
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ENANTIOMER -> RACEMATE | |||
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BINDER->LIGAND |
BINDING
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TARGET -> INHIBITOR | |||
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BINDER->LIGAND |
BINDING
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IN-VITRO
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METABOLITE -> PARENT |
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ACTIVE MOIETY |
Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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Biological Half-life | PHARMACOKINETIC |
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Route of Elimination | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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ORAL ADMINISTRATION |
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Volume of Distribution | PHARMACOKINETIC |
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Tmax | PHARMACOKINETIC |
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Route of Elimination | PHARMACOKINETIC |
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