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zalunfiban   Click here for help

GtoPdb Ligand ID: 14275

Synonyms: compound 13 [PMID: 24461295] | RUC-4 | RUC4
Compound class: Synthetic organic
Comment: Zalunfiban (RUC-4; CeleCor Therapeutics) is a integrin αIIbβ3 (glycoprotein IIb/IIIa) inhibitor/antagonist [1,4,7]. It binds to the β3 subunit's metal ion-dependent adhesion site (MIDAS) but does not alter the protein conformation [2].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 10
Hydrogen bond donors 3
Rotatable bonds 5
Topological polar surface area 153.08
Molecular weight 386.43
XLogP -1.82
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

SMILES / InChI / InChIKey
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Canonical SMILES C1CN(CCN1)C2=CC(=O)N3C(=N2)SC(=N3)C4=CN=CC(=C4)NC(=O)CN
Isomeric SMILES C1CN(CCN1)C2=CC(=O)N3C(=N2)SC(=N3)C4=CC(=CN=C4)NC(=O)CN
InChI InChI=1S/C16H18N8O2S/c17-7-13(25)20-11-5-10(8-19-9-11)15-22-24-14(26)6-12(21-16(24)27-15)23-3-1-18-2-4-23/h5-6,8-9,18H,1-4,7,17H2,(H,20,25)
InChI Key LTVKZVGAALCRFW-UHFFFAOYSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

References
1. Bor WL, Zheng KL, Tavenier AH, Gibson CM, Granger CB, Bentur O, Lobatto R, Postma S, Coller BS, van 't Hof AWJ et al.. (2021)
Pharmacokinetics, pharmacodynamics, and tolerability of subcutaneous administration of a novel glycoprotein IIb/IIIa inhibitor, RUC-4, in patients with ST-segment elevation myocardial infarction.
EuroIntervention, 17 (5): e401-e410. [PMID:34031019]
2. Jiang JK, McCoy JG, Shen M, LeClair CA, Huang W, Negri A, Li J, Blue R, Harrington AW, Naini S et al.. (2014)
A novel class of ion displacement ligands as antagonists of the αIIbβ3 receptor that limit conformational reorganization of the receptor.
Bioorg Med Chem Lett, 24 (4): 1148-53. [PMID:24461295]
3. Kereiakes DJ, Henry TD, DeMaria AN, Bentur O, Carlson M, Seng Yue C, Martin LH, Midkiff J, Mueller M, Meek T et al.. (2020)
First Human Use of RUC-4: A Nonactivating Second-Generation Small-Molecule Platelet Glycoprotein IIb/IIIa (Integrin αIIbβ3) Inhibitor Designed for Subcutaneous Point-of-Care Treatment of ST-Segment-Elevation Myocardial Infarction.
J Am Heart Assoc, 9 (17): e016552. [PMID:32844723]
4. Li J, Vootukuri S, Shang Y, Negri A, Jiang JK, Nedelman M, Diacovo TG, Filizola M, Thomas CJ, Coller BS. (2014)
RUC-4: a novel αIIbβ3 antagonist for prehospital therapy of myocardial infarction.
Arterioscler Thromb Vasc Biol, 34 (10): 2321-9. [PMID:25147334]
5. Rikken SAOF, Selvarajah A, Hermanides RS, Coller BS, Gibson CM, Granger CB, Lapostolle F, Postma S, van de Wetering H, van Vliet RCW et al.. (2023)
Prehospital treatment with zalunfiban (RUC-4) in patients with ST- elevation myocardial infarction undergoing primary percutaneous coronary intervention: Rationale and design of the CELEBRATE trial.
Am Heart J, 258: 119-128. [PMID:36592878]
6. Van't Hof AWJ, Gibson CM, Rikken SAOF, Januzzi JL, Granger CB, van Beurden A, Rasoul S, Ruiters L, Vainer J, Verburg A et al.. (2025)
Zalunfiban at First Medical Contact for ST-Elevation Myocardial Infarction.
NEJM Evid,: EVIDoa2500268 [Epub ahead of print]. [PMID:41211981]
7. Vootukuri S, Li J, Nedelman M, Thomas C, Jiang JK, Babayeva M, Coller BS. (2019)
Preclinical Studies of RUC-4, a Novel Platelet αIIbβ3 Antagonist, in Non-Human Primates and With Human Platelets.
J Clin Transl Sci, 3 (2-3): 65-74. [PMID:31544007]