resiniferatoxin   Click here for help

GtoPdb Ligand ID: 2491

Abbreviated name: RTX
PDB Ligand
Comment: Resiniferatoxin, an extract from resin spurge (Euphorbia resinifera), is a TRPV1 agonist.
There is some ambiguity online and in the literature as to the exact stereochemistry of resiniferatoxin. The representation shown here matches that in the PubChem and ChEMBL links above, while several tautomers and stereoisomers are also listed on PubChem, and ChEBI represents the compound with the entry CHEBI:8809.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 7
Hydrogen bond donors 2
Rotatable bonds 9
Topological polar surface area 120.75
Molecular weight 628.27
XLogP 2.85
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES COc1cc(ccc1O)CC(=O)OCC1=CC2C3OC4(OC2(C2C(C1)(O)C(=O)C(=C2)C)C(CC3(O4)C(=C)C)C)Cc1ccccc1
Isomeric SMILES COc1cc(ccc1O)CC(=O)OCC1=C[C@H]2[C@H]3O[C@]4(O[C@]2([C@H]2[C@@](C1)(O)C(=O)C(=C2)C)[C@@H](C[C@@]3(O4)C(=C)C)C)Cc1ccccc1
InChI InChI=1S/C37H40O9/c1-21(2)35-17-23(4)37-27(33(35)44-36(45-35,46-37)19-24-9-7-6-8-10-24)14-26(18-34(41)30(37)13-22(3)32(34)40)20-43-31(39)16-25-11-12-28(38)29(15-25)42-5/h6-15,23,27,30,33,38,41H,1,16-20H2,2-5H3/t23-,27+,30-,33-,34-,35-,36-,37-/m1/s1
InChI Key DSDNAKHZNJAGHN-MXTYGGKSSA-N
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Summary of Clinical Use Click here for help
Clinical trials NCT00804154 (Phase 1) and NCT02522611 (Phase 1/2) which have both suspended participant recruitment, were designed to evaluate intrathecal/preganglionic administration of resiniferatoxin as therapy for severe (intractable) pain in patients with advanced cancer.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
The rationale for using resiniferatoxin as pain control is reviewed in [4].
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT00804154 Resiniferatoxin to Treat Severe Pain Associated With Advanced Cancer Phase 1 Interventional National Institutes of Health Clinical Center (CC)
NCT02522611 Periganglionic Resiniferatoxin for the Treatment of Intractable Pain Due to Cancer-induced Bone Pain Phase 1/Phase 2 Interventional National Institutes of Health Clinical Center (CC)