atrasentan   Click here for help

GtoPdb Ligand ID: 3487

Synonyms: A-127722 | A-147627 | ABT-627
Compound class: Synthetic organic
Comment: Atrasentan (ABT-627) is an orally available, nonpeptide endothelin receptor antagonist. The stereochemistry represented here matches that defined in the INN record for atrasentan.
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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 13
Topological polar surface area 88.54
Molecular weight 510.27
XLogP 4.23
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES CCCCN(C(=O)CN1CC(C(C1c1ccc(cc1)OC)C(=O)O)c1ccc2c(c1)OCO2)CCCC
Isomeric SMILES CCCCN(C(=O)CN1C[C@@H]([C@H]([C@@H]1c1ccc(cc1)OC)C(=O)O)c1ccc2c(c1)OCO2)CCCC
InChI InChI=1S/C29H38N2O6/c1-4-6-14-30(15-7-5-2)26(32)18-31-17-23(21-10-13-24-25(16-21)37-19-36-24)27(29(33)34)28(31)20-8-11-22(35-3)12-9-20/h8-13,16,23,27-28H,4-7,14-15,17-19H2,1-3H3,(H,33,34)/t23-,27-,28+/m1/s1
InChI Key MOTJMGVDPWRKOC-QPVYNBJUSA-N
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Summary of Clinical Use Click here for help
Atrasentan was assessed in a Phase 1/II clinical trial as a potential anti-cancer treatment (in combination with paclitaxel and carboplatin) but the compound did not show improved efficacy compared to chemotherapy alone in NSCLC [1]. Phase 3 evaluation in prostate cancer also failed. Development of atrasentan for diabetic nephropathy was continued reached Phase 3 [7-8]. Most recently, Chinook Therapeutics were evaluating atrasentan as a treatment for kidney diseases such as IgA nephropathy and Alport syndrome.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Atrasentan is an antagonist of the endothelin A (ETA) receptor. The molecular machanism underlying anti-cancer effects are attributed to atrasentan's ability to inhibit endothelin-induced cell proliferation [5]. This effect is particularly relevant in prostate cancer where endothelin levels are elevated [3]. As a treatment for diabetic nephropathy, atrasentan is reported to reduce renal injury via an anti-inflammatory mechanism involving inhibition of superoxide production [6].
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT01858532 Study Of Diabetic Nephropathy With Atrasentan Phase 3 Interventional AbbVie The SONAR study 2
NCT00036556 Study of Atrasentan in Men With Non-Metastatic, Hormone-Refractory Prostate Cancer Phase 3 Interventional Abbott
NCT04573478 Atrasentan in Patients With IgA Nephropathy Phase 3 Interventional Chinook Therapeutics, Inc.
NCT04573920 Atrasentan in Patients With Proteinuric Glomerular Diseases Phase 2 Interventional Chinook Therapeutics, Inc.