Details
| Stereochemistry | ACHIRAL |
| Molecular Formula | C17H14Cl2F2N2O3 |
| Molecular Weight | 403.207 |
| Optical Activity | NONE |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
FC(F)OC1=CC=C(C=C1OCC2CC2)C(=O)NC3=C(Cl)C=NC=C3Cl
InChI
InChIKey=MNDBXUUTURYVHR-UHFFFAOYSA-N
InChI=1S/C17H14Cl2F2N2O3/c18-11-6-22-7-12(19)15(11)23-16(24)10-3-4-13(26-17(20)21)14(5-10)25-8-9-1-2-9/h3-7,9,17H,1-2,8H2,(H,22,23,24)
| Molecular Formula | C17H14Cl2F2N2O3 |
| Molecular Weight | 403.207 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ACHIRAL |
| Additional Stereochemistry | No |
| Defined Stereocenters | 0 / 0 |
| E/Z Centers | 0 |
| Optical Activity | NONE |
DescriptionCurator's Comment: description was created based on several sources, including
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/002398/WC500103075.pdf
Curator's Comment: description was created based on several sources, including
http://www.ema.europa.eu/docs/en_GB/document_library/EPAR_-_Public_assessment_report/human/002398/WC500103075.pdf
Roflumilast is a specific phosphodiesterase type (4PDE4) inhibitor indicated for use as a treatment to reduce the risk of COPD exacerbations in patients with severe COPD associated with chronic bronchitis and a history of exacerbations.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL2093863 |
0.8 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Secondary | DALIRESP Approved UseIndicated as a treatment to reduce the risk of COPD exacerbations in patients with severe
COPD associated with chronic bronchitis and a history of exacerbations. Limitations of Use: DALIRESP is not a bronchodilator and is not indicated for the relief of acute bronchospasm. Launch Date2011 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
12.5 ng/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30538429 |
0.5 mg single, oral dose: 0.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROFLUMILAST plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
65.1 ng × h/mL EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30538429 |
0.5 mg single, oral dose: 0.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROFLUMILAST plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
17 h |
ROFLUMILAST plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
||
19.9 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/30538429 |
0.5 mg single, oral dose: 0.5 mg route of administration: Oral experiment type: SINGLE co-administered: |
ROFLUMILAST plasma | Homo sapiens population: HEALTHY age: ADULT sex: FEMALE / MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
1% |
ROFLUMILAST plasma | Homo sapiens population: UNKNOWN age: UNKNOWN sex: UNKNOWN food status: UNKNOWN |
Doses
| Dose | Population | Adverse events |
|---|---|---|
450 ug 1 times / day steady, oral Recommended Dose: 450 ug, 1 times / day Route: oral Route: steady Dose: 450 ug, 1 times / day Sources: |
unhealthy, 64 years (range: 40-91 years) Health Status: unhealthy Age Group: 64 years (range: 40-91 years) Sex: M+F Sources: |
Disc. AE: Diarrhea, Nausea... AEs leading to discontinuation/dose reduction: Diarrhea (2.4%) Sources: Nausea (1.6%) |
5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
Other AEs: Headache, Gastrointestinal disorders... Other AEs: Headache (1 patient) Sources: Gastrointestinal disorders (1 patient) Dizziness (1 patient) Palpitations (1 patient) Lightheadedness (1 patient) Clamminess (1 patient) Arterial hypotension (1 patient) |
AEs
| AE | Significance | Dose | Population |
|---|---|---|---|
| Nausea | 1.6% Disc. AE |
450 ug 1 times / day steady, oral Recommended Dose: 450 ug, 1 times / day Route: oral Route: steady Dose: 450 ug, 1 times / day Sources: |
unhealthy, 64 years (range: 40-91 years) Health Status: unhealthy Age Group: 64 years (range: 40-91 years) Sex: M+F Sources: |
| Diarrhea | 2.4% Disc. AE |
450 ug 1 times / day steady, oral Recommended Dose: 450 ug, 1 times / day Route: oral Route: steady Dose: 450 ug, 1 times / day Sources: |
unhealthy, 64 years (range: 40-91 years) Health Status: unhealthy Age Group: 64 years (range: 40-91 years) Sex: M+F Sources: |
| Arterial hypotension | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Clamminess | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Dizziness | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Gastrointestinal disorders | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Headache | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Lightheadedness | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
| Palpitations | 1 patient | 5000 ug single, oral Highest studied dose Dose: 5000 ug Route: oral Route: single Dose: 5000 ug Sources: |
healthy, adult Health Status: healthy Age Group: adult Sources: |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 6.0 |
no | |||
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no | |||
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no | |||
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no | |||
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no | |||
Page: 4.0 |
no | |||
Page: 6.0 |
weak |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 3.0 |
major | yes (co-administration study) Comment: fluvoxamine increased roflumilast cmax 12%, auc 156%; enoxacin increased roflumilast cmax 20%, auc 56%; cimetadine increased roflumilast cmax 46%, auc 85% Page: 3.0 |
||
Page: 3.0 |
major | yes (co-administration study) Comment: erythromycin increased roflumilast cmax 40% and auc 70%; ketoconazole increased roflumilast cmax 23%, auc 99%; rifampicin decreased roflumilast cmax 68%, auc 80% Page: 3.0 |
||
Page: 52.0 |
no | |||
Page: 52.0 |
no | |||
Page: 52.0 |
no | |||
Page: 52.0 |
no | |||
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no | |||
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no | |||
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no | |||
Page: 52.0 |
no | |||
Page: 52.0 |
no | |||
Page: 5.0 |
no |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 81.0 |
PubMed
| Title | Date | PubMed |
|---|---|---|
| The molecular basis for the inhibition of phosphodiesterase-4D by three natural resveratrol analogs. Isolation, molecular docking, molecular dynamics simulations, binding free energy, and bioassay. | 2013-10 |
|
| Simultaneous quantitation of IC87114, roflumilast and its active metabolite roflumilast N-oxide in plasma by LC-MS/MS: application for a pharmacokinetic study. | 2012-12 |
|
| Roflumilast inhibits the release of chemokines and TNF-α from human lung macrophages stimulated with lipopolysaccharide. | 2012-03 |
|
| Phosphodiesterase 4 inhibitors for chronic obstructive pulmonary disease. | 2011-05-11 |
|
| [Pharmacological profile of roflumilast]. | 2010-12 |
|
| Effects of roflumilast, a phosphodiesterase-4 inhibitor, on hypoxia- and monocrotaline-induced pulmonary hypertension in rats. | 2009-07 |
|
| Quinolines as a novel structural class of potent and selective PDE4 inhibitors: optimisation for oral administration. | 2009-03-01 |
|
| Inhibition of phosphodiesterase type 4 decreases stress-induced defecation in rats and mice. | 2008 |
|
| Reduction in sputum neutrophil and eosinophil numbers by the PDE4 inhibitor roflumilast in patients with COPD. | 2007-12 |
|
| Roflumilast inhibits leukocyte-endothelial cell interactions, expression of adhesion molecules and microvascular permeability. | 2007-10 |
|
| Phosphodiesterase 4 inhibitors augment levels of glucocorticoid receptor in B cell chronic lymphocytic leukemia but not in normal circulating hematopoietic cells. | 2007-08-15 |
|
| Treating COPD with PDE 4 inhibitors. | 2007 |
|
| Phosphodiesterase type 4 inhibitors cause proinflammatory effects in vivo. | 2006-10 |
|
| Phosphodiesterase 4 inhibitors for the treatment of asthma and COPD. | 2006 |
|
| Roflumilast for asthma and chronic obstructive pulmonary disease. | 2005-10 |
|
| Dynamic activation of cystic fibrosis transmembrane conductance regulator by type 3 and type 4D phosphodiesterase inhibitors. | 2005-08 |
Patents
Sample Use Guides
The recommended dosage for patients with COPD is one 500 ug tablet per day, with or without food.
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/?term=17704822
To study the potency of roflumilast to inhibit adhesion of PMNL (polymorphonuclear leukocytes isolated from human peripheral venous blood) to TNFa-prestimulated HUVEC (human umbilical vein endothelial cells isolated from human umbilical cords) endothelial cell monolayers were stimulated with 0.3 ng/ml1 TNFa for 3 h. Medium was removed and roflumilast (10 pM–1 mM) was added followed by PMNL (50 000 cells per well) addition for 30 min. Roflumilast reduced adherence of PMNL to HUVEC with IC50 of 3.2 nM.
| Substance Class |
Chemical
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0P6C6ZOP5U
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Validated (UNII)
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WHO-ATC |
R03DX07
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LIVERTOX |
NBK548195
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EMA ASSESSMENT REPORTS |
DAXAS (AUTHORIZED: PULMONARY DISEASE, CHRONIC OBSTRUCTIVE )
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QR03DX07
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N0000182961
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NCI_THESAURUS |
C744
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EMA ASSESSMENT REPORTS |
DALIRESP (AUTHORIZED: PULMONARY DISEASE, CHRONIC OBSTRUCTIVE )
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EMA ASSESSMENT REPORTS |
LIBERTEK (AUTHORIZED: PULMONARY DISEASE, CHRONIC OBSTRUCTIVE)
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ROFLUMILAST
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N0000182960
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CHEMBL193240
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Roflumilast
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| Related Record | Type | Details | ||
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METABOLIC ENZYME -> SUBSTRATE | |||
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BINDER->LIGAND |
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EXCRETED UNCHANGED |
The major route of elimination for roflumilast is through hepatic metabolism. Roflumilast was not detectable in urine. Roflumilast N-oxide was only a trace metabolite in urine (less than 1%).
URINE
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METABOLIC ENZYME -> SUBSTRATE | |||
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METABOLIC ENZYME -> SUBSTRATE | |||
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TARGET -> INHIBITOR |
| Related Record | Type | Details | ||
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METABOLITE -> PARENT |
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METABOLITE -> PARENT |
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METABOLITE ACTIVE -> PARENT |
The N-oxide accounts for about 90% of the biological action of roflumilast
and produces a long-lasting, competitive inhibition of PDE4over a 24-hr period such that roflumilast may be administered once daily.
MAJOR
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE -> PARENT | |||
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METABOLITE INACTIVE -> PARENT |
conjugated metabolite
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METABOLITE -> PARENT |
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Tmax | PHARMACOKINETIC |
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| Volume of Distribution | PHARMACOKINETIC |
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| Biological Half-life | PHARMACOKINETIC |
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