diacerein   Click here for help

GtoPdb Ligand ID: 10800

Synonyms: Artrodar® | Fisiodar®
Approved drug
diacerein is an approved drug
Compound class: Synthetic organic
Comment: Diacerein is a prodrug which is metabolized to rhein. It has anti-inflammatory activity via antagonism of the interleukin-1 receptor. It is an anthraquinone type compound and growth-inhibitory effects of diacerein have been shown against various drug-resistant staphylococcal strains [2].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 1
Rotatable bonds 5
Topological polar surface area 124.04
Molecular weight 368.05
XLogP 2.29
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES CC(=O)Oc1cc(cc2c1C(=O)c1c(C2=O)cccc1OC(=O)C)C(=O)O
Isomeric SMILES CC(=O)Oc1cc(cc2c1C(=O)c1c(C2=O)cccc1OC(=O)C)C(=O)O
InChI InChI=1S/C19H12O8/c1-8(20)26-13-5-3-4-11-15(13)18(23)16-12(17(11)22)6-10(19(24)25)7-14(16)27-9(2)21/h3-7H,1-2H3,(H,24,25)
InChI Key TYNLGDBUJLVSMA-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Diacerein is not approved by the FDA or the EMA, but has been granted marketing authorisation by regulatory agencies in a number of countries. It is used to treat osteoarthritis, but this use is limited by its propensity to cause severe diarrhea. Clinical trials in other conditions are ongoing.
Orphan designation for the treatment of epidermolysis bullosa was issued by the EMA in May 2019 [1].
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT04351100 Efficacy of Diacerein on Ocular Surface Disease in Degenerative Arthritis Patients Observational Chulalongkorn University
NCT03389308 Long Term Open-label Study Evaluating Safety of Diacerein 1% Ointment Topical Formulation in Subjects With Epidermolysis Bullosa Simplex Phase 2 Interventional Castle Creek Pharmaceuticals, LLC
NCT02242149 Efficacy Study of Diacerein on Glycemic Control and Liver Fat in Type 2 Diabetes Subjects Phase 3 Interventional Universidade Federal do Rio de Janeiro
NCT02060552 Immune Molecular and Inflammatory Cytokines Dysfunction Analysis in Gout Patients With Different Urate Levels Phase 4 Interventional Tongji Hospital