levoketoconazole   Click here for help

GtoPdb Ligand ID: 11829

Synonyms: (2S,4R)-ketoconazole | COR-003 | COR003 | Recorlev®
Approved drug PDB Ligand
levoketoconazole is an approved drug (FDA (2021))
Compound class: Synthetic organic
Comment: Levoketoconazole is the pure (2S,4R) enantiomer of the approved drug ketoconazole. Like ketoconazole, levoketoconazole is orally available. It is a more potent inhibitor of glucocorticoid synthesis than the enantiomerically mixed ketoconazole formulation. Levoketoconazole reduces cortisol biosynthesis by inhibiting three key cytochrome P450 enzymes of the glucocorticoid synthesis pathway; 11β-hydroxylase (CYP11B1), 17α-hydroxylase/17,20-lyase (CYP17A1) and steroid 21-hydroxylase (CYP21A2).
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 6
Hydrogen bond donors 0
Rotatable bonds 8
Topological polar surface area 69.06
Molecular weight 530.15
XLogP 4.08
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES Clc1ccc(c(c1)Cl)[C@@]1(OC[C@H](O1)COc1ccc(cc1)N1CCN(CC1)C(=O)C)Cn1cncc1
Isomeric SMILES CC(=O)N1CCN(CC1)c1ccc(cc1)OC[C@@H]1CO[C@@](O1)(Cn1ccnc1)c1c(cc(cc1)Cl)Cl
InChI InChI=1S/C26H28Cl2N4O4/c1-19(33)31-10-12-32(13-11-31)21-3-5-22(6-4-21)34-15-23-16-35-26(36-23,17-30-9-8-29-18-30)24-7-2-20(27)14-25(24)28/h2-9,14,18,23H,10-13,15-17H2,1H3/t23-,26-/m1/s1
InChI Key XMAYWYJOQHXEEK-ZEQKJWHPSA-N
References
1. Njar VC, Kato K, Nnane IP, Grigoryev DN, Long BJ, Brodie AM. (1998)
Novel 17-azolyl steroids, potent inhibitors of human cytochrome 17 alpha-hydroxylase-C17,20-lyase (P450(17) alpha): potential agents for the treatment of prostate cancer.
J Med Chem, 41 (6): 902-12. [PMID:9526564]
2. Rotstein DM, Kertesz DJ, Walker KA, Swinney DC. (1992)
Stereoisomers of ketoconazole: preparation and biological activity.
J Med Chem, 35 (15): 2818-25. [PMID:1495014]