ranolazine   Click here for help

GtoPdb Ligand ID: 7291

Synonyms: CVT-303 | Ranexa® | RS-43285 | RS-43285-003
Approved drug
ranolazine is an approved drug (FDA (2006), EMA (2008))
Compound class: Synthetic organic
Comment: The mechanism of action of ranolazine is largely unknown, but may have some antianginal effects by inhibition of the late sodium current in cardiac cells.
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View more information in the IUPHAR Pharmacology Education Project: ranolazine

2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 2
Rotatable bonds 9
Topological polar surface area 77.76
Molecular weight 427.25
XLogP 1.9
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES COc1ccccc1OCC(CN1CCN(CC1)CC(=Nc1c(C)cccc1C)O)O
Isomeric SMILES COc1ccccc1OCC(CN1CCN(CC1)CC(=Nc1c(C)cccc1C)O)O
InChI InChI=1S/C24H33N3O4/c1-18-7-6-8-19(2)24(18)25-23(29)16-27-13-11-26(12-14-27)15-20(28)17-31-22-10-5-4-9-21(22)30-3/h4-10,20,28H,11-17H2,1-3H3,(H,25,29)
InChI Key XKLMZUWKNUAPSZ-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Used to treat chronic angina pectoris.
A Phase 3 clinical trial evaluating ranolazine in patients with incomplete revascularization post-PCI (percutaneous coronary intervention) is underway.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
The precise mechanism by which this drug works is unknown. However, ChEMBL lists the sodium channel type IV and V alpha subunits (SCN4A and SCN5A respectively) as the molecular targets of this drug. These proteins mediate voltage-dependent sodium ion permeability of excitable membranes [1]. SCN4A is also known as the skeletal muscle sodium channel isoform and SCN5A is known as the cardiac sodium channel isoform. So SCN5A is potentially responsible for the drug's cardiac effects.
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