fevipiprant   Click here for help

GtoPdb Ligand ID: 8995

Synonyms: NVP-QAW039 | QAW039
PDB Ligand Immunopharmacology Ligand
Compound class: Synthetic organic
Comment: Fevipiprant is an orally available, selective antagonist of the prostanoid DP2 receptor (CRTh2) with anti-inflammatory action [2].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 1
Rotatable bonds 6
Topological polar surface area 97.64
Molecular weight 426.09
XLogP 3.73
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES OC(=O)Cc1c(C)n(c2c1cccn2)Cc1ccc(cc1C(F)(F)F)S(=O)(=O)C
Isomeric SMILES OC(=O)Cc1c(C)n(c2c1cccn2)Cc1ccc(cc1C(F)(F)F)S(=O)(=O)C
InChI InChI=1S/C19H17F3N2O4S/c1-11-15(9-17(25)26)14-4-3-7-23-18(14)24(11)10-12-5-6-13(29(2,27)28)8-16(12)19(20,21)22/h3-8H,9-10H2,1-2H3,(H,25,26)
InChI Key GFPPXZDRVCSVNR-UHFFFAOYSA-N
No information available.
Summary of Clinical Use Click here for help
Phase 2I clinical trials evaluating QAW039 in asthma patients (NCT02555683 and NCT02563067) are registered with ClinicalTrials.gov.

Phase 2 trial results are published in [1] and report that fevipiprant is well tolerated and reduces eosinophilic airway inflammation in patients with persistent moderate-to-severe asthma resistant to inhaled corticosteroid treatment (i.e. patients maintaining raised sputum eosinophil counts whilst using corticosteroids).
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Prostaglandin D2 (PGD2) is an established activator of the allergic inflammatory response. The DP2 receptor is notably expressed on T helper 2 (Th2) inflammatory cells. Antagonising PGD2-induced DP2 receptor activation is considered a valid therapeutic modality for treatment of asthma, allergic rhinitis and atopic dematitis.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT02555683 Study of Efficacy and Safety of QAW039 in Patients With Severe Asthma Inadequately Controlled With Standard of Care Asthma Treatment. Phase 3 Interventional Novartis
NCT02563067 Study of Efficacy and Safety of QAW039 in Patients With Severe Asthma Inadequately Controlled With Standard of Care Asthma Treatment. Phase 3 Interventional Novartis