zibotentan   Click here for help

GtoPdb Ligand ID: 3539

Synonyms: ZD 4054 | ZD-4054 | ZD4054
Compound class: Synthetic organic
Comment: Zibotentan is an endothelin receptor antagonist.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 8
Hydrogen bond donors 1
Rotatable bonds 6
Topological polar surface area 141.37
Molecular weight 424.1
XLogP 3.54
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES COc1nc(C)cnc1NS(=O)(=O)c1cccnc1c1ccc(cc1)c1nnco1
Isomeric SMILES COc1nc(C)cnc1NS(=O)(=O)c1cccnc1c1ccc(cc1)c1nnco1
InChI InChI=1S/C19H16N6O4S/c1-12-10-21-17(19(23-12)28-2)25-30(26,27)15-4-3-9-20-16(15)13-5-7-14(8-6-13)18-24-22-11-29-18/h3-11H,1-2H3,(H,21,25)
InChI Key FJHHZXWJVIEFGJ-UHFFFAOYSA-N
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Summary of Clinical Use Click here for help
Zibotentan was assessed as an anti-cancer treatment, but development was discontinued due to lack of efficacy. It has more recently been repurposed, with trials progressing for chronic kidney disease (CKD), in which the combination of zibotentan and dapagliflozin is being evaluated. The diuretic effects of dapagliflozin are predicted to counter-act the fluid retention associated with zibotentan-mediated endothelin A receptor antagonism [3] and to enhance the therapeutic benefit of the drug combination compared to dapagliflozin monotherapy in CKD patients.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT06087835 Study to Investigate Efficacy, Safety, and Tolerability of Zibotentan/Dapagliflozin Compared to Dapagliflozin in Participants With Chronic Kidney Disease and High Proteinuria (ZENITH High Proteinuria) Phase 3 Interventional AstraZeneca
NCT05570305 Zibotentan and Dapagliflozin in Patients With Type 2 Diabetes and Elevated Albuminuria Phase 2 Interventional University Medical Center Groningen
NCT04724837 Zibotentan and Dapagliflozin for the Treatment of CKD (ZENITH-CKD Trial) Phase 2 Interventional AstraZeneca 1