danicopan   Click here for help

GtoPdb Ligand ID: 11988

Synonyms: ACH-4471 | ACH4471 | Voydeya®
Approved drug
danicopan is an approved drug (Japan PMDA, FDA and EMA (2024))
Compound class: Synthetic organic
Comment: Danicopan (ACH-4471) is an oral, direct inhibitor of the protease activity of complement factor D [1,5-6], which is a component of the alternative complement pathway. It was originally developed for potential to control complement-mediated intravascular hemolysis and prevent C3-mediated extravascular hemolysis in patients with paroxysmal nocturnal hemoglobinuria [4].

COVID-19: Danicoplan is being included in the ACTIV-5 platform trial NCT04988035 that is designed to identify promising agents as potential COVID-19 therapeutics that are suitable for progression to more definitive studies. It is initially being tested as a monotherapy and in combination with remdesivir in hospitalised COVID-19 patients.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 9
Hydrogen bond donors 1
Rotatable bonds 8
Topological polar surface area 122.97
Molecular weight 579.1
XLogP 2.88
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES F[C@H]1CN([C@@H](C1)C(=O)Nc1cccc(n1)Br)C(=O)Cn1nc(c2c1ccc(c2)c1cnc(nc1)C)C(=O)C
Isomeric SMILES Cc1ncc(cn1)c1cc2c(cc1)n(nc2C(=O)C)CC(=O)N1C[C@@H](C[C@H]1C(=O)Nc1nc(ccc1)Br)F
InChI InChI=1S/C26H23BrFN7O3/c1-14(36)25-19-8-16(17-10-29-15(2)30-11-17)6-7-20(19)35(33-25)13-24(37)34-12-18(28)9-21(34)26(38)32-23-5-3-4-22(27)31-23/h3-8,10-11,18,21H,9,12-13H2,1-2H3,(H,31,32,38)/t18-,21+/m1/s1
InChI Key PIBARDGJJAGJAJ-NQIIRXRSSA-N
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Summary of Clinical Use Click here for help
Danicopan was advanced to clinical trial in patients with the complement-mediated disease paroxysmal nocturnal hemoglobinuria. First international approval was issued in Japan (January 2024) [2], indicated as an add-on to treatment with a complement C5 inhibitor (e.g. ravulizumab or eculizumab). FDA approval for this indication followed in March 2024.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT03053102 Study of Danicopan in Participants With Paroxysmal Nocturnal Hemoglobinuria (PNH) Phase 2 Interventional Alexion Pharmaceuticals 4
NCT03472885 Study of Danicopan in Participants With Paroxysmal Nocturnal Hemoglobinuria With Inadequate Response to Eculizumab Phase 2 Interventional Alexion Pharmaceuticals 3
NCT04988035 ACTIV-5 / Big Effect Trial (BET-C) for the Treatment of COVID-19 Phase 2 Interventional National Institute of Allergy and Infectious Diseases (NIAID)