eluxadoline   Click here for help

GtoPdb Ligand ID: 7691

Synonyms: JNJ-27018966 | Truberzi®
Approved drug
eluxadoline is an approved drug (FDA (2015), EMA (2016))
Compound class: Synthetic organic
Comment: Eluxadoline is a first-in-class, locally-acting dual μ-opioid receptor agonist and δ-opioid receptor antagonist [1-2].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 8
Hydrogen bond donors 4
Rotatable bonds 12
Topological polar surface area 164.63
Molecular weight 569.26
XLogP 3.86
No. Lipinski's rules broken 1
SMILES / InChI / InChIKey
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Canonical SMILES COc1ccc(cc1C(=O)O)CN(C(c1ncc([nH]1)c1ccccc1)C)C(=O)C(Cc1c(C)cc(cc1C)C(=O)N)N
Isomeric SMILES COc1ccc(cc1C(=O)O)CN([C@H](c1ncc([nH]1)c1ccccc1)C)C(=O)[C@H](Cc1c(C)cc(cc1C)C(=O)N)N
InChI InChI=1S/C32H35N5O5/c1-18-12-23(29(34)38)13-19(2)24(18)15-26(33)31(39)37(17-21-10-11-28(42-4)25(14-21)32(40)41)20(3)30-35-16-27(36-30)22-8-6-5-7-9-22/h5-14,16,20,26H,15,17,33H2,1-4H3,(H2,34,38)(H,35,36)(H,40,41)/t20-,26-/m0/s1
InChI Key QFNHIDANIVGXPE-FNZWTVRRSA-N
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Summary of Clinical Use Click here for help
In September 2014 the US FDA granted fast-track status to facilitate the development and expedite the review of this comound as a treatment for diarrhea-predominant irritable bowel syndrome (IBS-D). This decision was based on the results of two Phase 3 clinical studies that met their primary endpoints, showing significant improvement over placebo in both pain and diarrhea. In May 2015 the drug received full FDA marketing authorisation for IBS-D. Click here to view a list of clinical trials involving eluxadoline (using its company research code JNJ-27018966) hosted on the ClinicalTrials.gov website.
Mechanism Of Action and Pharmacodynamic Effects Click here for help
Eluxadoline acts locally in the gastrointestinal tract. Whilst the μ opioid receptor agonist action treats pain it also reduces gastric propulsion and can lead to opioid induced constipation. The concomittant δ opioid receptor antagonist action should help reduce this constipation and permit the drug to deliver relief from the symptoms of IBS-D.
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