Details
| Stereochemistry | ABSOLUTE |
| Molecular Formula | C22H19N3O4 |
| Molecular Weight | 389.404 |
| Optical Activity | ( + ) |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Charge | 0 |
SHOW SMILES / InChI
SMILES
CN1CC(=O)N2[C@H](CC3=C(NC4=C3C=CC=C4)[C@H]2C5=CC=C6OCOC6=C5)C1=O
InChI
InChIKey=WOXKDUGGOYFFRN-IIBYNOLFSA-N
InChI=1S/C22H19N3O4/c1-24-10-19(26)25-16(22(24)27)9-14-13-4-2-3-5-15(13)23-20(14)21(25)12-6-7-17-18(8-12)29-11-28-17/h2-8,16,21,23H,9-11H2,1H3/t16-,21-/m1/s1
| Molecular Formula | C22H19N3O4 |
| Molecular Weight | 389.404 |
| Charge | 0 |
| Count |
|
| Stereochemistry | ABSOLUTE |
| Additional Stereochemistry | No |
| Defined Stereocenters | 2 / 2 |
| E/Z Centers | 0 |
| Optical Activity | UNSPECIFIED |
DescriptionSources: http://www.drugbank.ca/drugs/DB00820Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
Sources: http://www.drugbank.ca/drugs/DB00820
Curator's Comment: Description was created based on several sources, including
http://www.accessdata.fda.gov/drugsatfda_docs/label/2011/021368s20s21lbl.pdf
Tadalafil is used to treat male erectile dysfunction (impotence) and pulmonary arterial hypertension (PAH). Part of the physiological process of erection involves the release of nitric oxide (NO) in the corpus cavernosum. This then activates the enzyme guanylate cyclase which results in increased levels of cyclic guanosine monophosphate (cGMP), leading to smooth muscle relaxation in the corpus cavernosum, resulting in increased inflow of blood and an erection. Tadalafil is a potent and selective inhibitor of cGMP specific phosphodiesterase type 5 (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum. This means that, with tadalafil on board, normal sexual stimulation leads to increased levels of cGMP in the corpus cavernosum which leads to better erections. Without sexual stimulation and no activation of the NO/cGMP system, tadalafil should not cause an erection.Tadalafil inhibits the cGMP specific phosphodiesterase type 5 (PDE5) which is responsible for degradation of cGMP in the corpus cavernosum located around the penis. Penile erection during sexual stimulation is caused by increased penile blood flow resulting from the relaxation of penile arteries and corpus cavernosal smooth muscle. This response is mediated by the release of nitric oxide (NO) from nerve terminals and endothelial cells, which stimulates the synthesis of cGMP in smooth muscle cells. Cyclic GMP causes smooth muscle relaxation and increased blood flow into the corpus cavernosum. The inhibition of phosphodiesterase type 5 (PDE5) by tadalafil enhances erectile function by increasing the amount of cGMP. Tadalafil is used for the treatment of erectile dysfunction.
CNS Activity
Sources: https://www.ncbi.nlm.nih.gov/pubmed/22776546
Curator's Comment: Tadalafil crosses the blood-brain barrier and reverses cognitive dysfunction in a mouse model of AD.
Originator
Approval Year
Targets
| Primary Target | Pharmacology | Condition | Potency |
|---|---|---|---|
Target ID: CHEMBL240 Sources: https://www.ncbi.nlm.nih.gov/pubmed/27581752 |
100.0 µM [IC50] | ||
Target ID: CHEMBL2097163 Sources: https://www.ncbi.nlm.nih.gov/pubmed/24180640 |
5.1 µM [IC50] | ||
Target ID: CHEMBL2717 Sources: https://www.ncbi.nlm.nih.gov/pubmed/21384413 |
0.05 µM [IC50] | ||
Target ID: CHEMBL1827 |
5.0 nM [IC50] |
Conditions
| Condition | Modality | Targets | Highest Phase | Product |
|---|---|---|---|---|
| Primary | CIALIS Approved UseCIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of:
• erectile dysfunction (ED)
• the signs and symptoms of benign prostatic hyperplasia (BPH)
• ED and the signs and symptoms of BPH (ED/BPH) Launch Date2003 |
|||
| Primary | CIALIS Approved UseCIALIS® is a phosphodiesterase 5 (PDE5) inhibitor indicated for the treatment of:
• erectile dysfunction (ED)
• the signs and symptoms of benign prostatic hyperplasia (BPH)
• ED and the signs and symptoms of BPH (ED/BPH) Launch Date2003 |
Cmax
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
308.1 μg/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
AUC
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
7225 μg × h/L EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
T1/2
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
15 h |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
|
17.4 h EXPERIMENT https://www.ncbi.nlm.nih.gov/pubmed/29719379 |
20 mg single, oral dose: 20 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: MALE food status: FASTED |
Funbound
| Value | Dose | Co-administered | Analyte | Population |
|---|---|---|---|---|
6% |
40 mg single, oral dose: 40 mg route of administration: Oral experiment type: SINGLE co-administered: |
TADALAFIL plasma | Homo sapiens population: HEALTHY age: ADULT sex: UNKNOWN food status: UNKNOWN |
Overview
| CYP3A4 | CYP2C9 | CYP2D6 | hERG |
|---|---|---|---|
OverviewOther
| Other Inhibitor | Other Substrate | Other Inducer |
|---|---|---|
Drug as perpetrator
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | |||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on PK of theophylline Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on PK of theophylline Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: Tadalafil had no clinically significant effect on exposure (AUC) to S-warfarin or R-warfarin, nor did tadalafil affect changes in prothrombin time induced by warfarin. Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: Tadalafil had no clinically significant effect on exposure (AUC) to S-warfarin or R-warfarin, nor did tadalafil affect changes in prothrombin time induced by warfarin. Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on exposure (AUC) to midazolam or lovastatin Page: 14.0 |
||
Page: 14.0 |
no | no (co-administration study) Comment: taladafil had no clinically significant effect on exposure (AUC) to midazolam or lovastatin Page: 14.0 |
||
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=40 Page: 40.0 |
not significant [Ki 73 uM] |
Drug as victim
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=49 Page: 49.0 |
major | yes (co-administration study) Comment: coadministration with ketoconazole (inhibitor) increased tadalafil exposure by 107%; ritonavir (inhibitor) increased tadalafil AUC by 124%; coadministration with rifampin (inducer) reduced taladafil AUC by 88%; Sources: https://www.accessdata.fda.gov/drugsatfda_docs/nda/2003/21-368_Cialis_BioPharmr_P2.pdf#page=49 Page: 49.0 |
||
| yes |
Tox targets
| Target | Modality | Activity | Metabolite | Clinical evidence |
|---|---|---|---|---|
PubMed
| Title | Date | PubMed |
|---|---|---|
| Nocturnal electrobioimpedance volumetric assessment in diabetic men with erectile dysfunction before and after tadalafil intake. | 2004-10 |
|
| Interactions between cGMP- and cAMP-pathways are involved in the regulation of penile smooth muscle tone. | 2004-10 |
|
| [Erectile dysfunction. New drugs with special consideration of the PDE 5 inhibitors]. | 2004-07 |
|
| Time course of the interaction between tadalafil and nitrates. | 2004-06-02 |
|
| The efficacy and safety of tadalafil: an update. | 2004-06 |
|
| Re: tadalafil has no detrimental effect on human spermatogenesis or reproductive hormones. | 2004-06 |
|
| Emerging oral drugs for erectile dysfunction. | 2004-05 |
|
| New drugs of 2003. | 2004-04-22 |
|
| Sexual dysfunction and diabetes. | 2004-04 |
|
| [Comparison of efficacy and safety of phosphodiesterase type 5 inhibitors in the treatment of erectile dysfunction]. | 2004-04 |
|
| Gateways to clinical trials. | 2004-04 |
|
| Tadalafil and vardenafil. | 2004-04 |
|
| Novel phosphodiesterase type 5 inhibitors: assessing hemodynamic effects and safety parameters. | 2004-04 |
|
| Phosphodiesterase type 5 inhibitor differentiation based on selectivity, pharmacokinetic, and efficacy profiles. | 2004-04 |
|
| Pills for erectile dysfunction: now there are three. | 2004-04 |
|
| Treatment of erectile dysfunction. | 2004-04 |
|
| A multicenter, randomized, double-blind, crossover study to evaluate patient preference between tadalafil and sildenafil. | 2004-04 |
|
| Atazanavir (Reyataz): new recommendations if combined with tenofovir (Viread) -- and warning on Viagra, Cialis, and Levitra. | 2004-03-26 |
|
| Third drug for impotence. | 2004-03-23 |
|
| Pharmacokinetics, pharmacodynamics, and efficacy of phosphodiesterase type 5 inhibitors. | 2004-03 |
|
| Therapeutic options for patients returning to sexual activity. | 2004-03 |
|
| Gateways to clinical trials. | 2004-03 |
|
| Long-term safety and tolerability of tadalafil in the treatment of erectile dysfunction. | 2004-03 |
|
| [Treatment of erectile dysfunction]. | 2004-02-29 |
|
| Cialis is here. The soft sell. | 2004-02-02 |
|
| Tadalafil (Cialis) and vardenafil (Levitra) recently approved drugs for erectile dysfunction. | 2004-02 |
|
| [Erectile dysfunction. Epidemiology, physiology, etiology, diagnosis and therapy]. | 2004-02 |
|
| Cardioprotection with phosphodiesterase-5 inhibition--a novel preconditioning strategy. | 2004-02 |
|
| [Efficacy and safety of the application of cialis for erectile dysfunction]. | 2004-01-08 |
|
| Are they better than Viagra? Two new drugs for erectile dysfunction work like Viagra and carry similar risks and benefits. Their subtle differences, however, may make a difference for some men. | 2004-01 |
|
| Tadalafil (cialis) for erectile dysfunction. | 2003-12-22 |
|
| Novel PDE5 inhibitors for the treatment of male erectile dysfunction. | 2003-12-06 |
|
| Tadalafil: new preparation. Slightly more convenient, but poorly assessed in organic disorders. | 2003-12 |
|
| Oral drug treatment of erectile dysfunction. | 2003-12 |
|
| Tadalafil in the treatment of erectile dysfunction. | 2003-12 |
|
| Molecular mechanisms and pharmacokinetics of phosphodiesterase-5 antagonists. | 2003-12 |
|
| Tadalafil for the treatment of erectile dysfunction. | 2003-12 |
|
| Time course of the interaction between tadalafil and nitrates. | 2003-11-19 |
|
| [Pleasure and pain in sexual relations. The basis and reasons for sex counseling by the general practitioner]. | 2003-11-13 |
|
| Roundtable discussion: tadalafil study group. | 2003-11-06 |
|
| Cardiovascular effects of tadalafil in patients on common antihypertensive therapies. | 2003-11-06 |
|
| Cardiovascular effects of tadalafil. | 2003-11-06 |
|
| Efficacy and tolerability of tadalafil, a novel phosphodiesterase 5 inhibitor, in treatment of erectile dysfunction. | 2003-11-06 |
|
| Overview of phosphodiesterase 5 inhibition in erectile dysfunction. | 2003-11-06 |
|
| Switching patients with erectile dysfunction from sildenafil citrate to tadalafil: results of a European multicenter, open-label study of patient preference. | 2003-11 |
|
| A multicenter, randomized, double-blind, crossover study of patient preference for tadalafil 20 mg or sildenafil citrate 50 mg during initiation of treatment for erectile dysfunction. | 2003-11 |
|
| Review of tadalafil in the treatment of erectile dysfunction. | 2003-11 |
|
| Therapy of ED: PDE-5 Inhibitors. | 2003-09-15 |
|
| [Medication of the month. Vardenafil (Levitra)]. | 2003-09 |
|
| Effects of tadalafil on erectile dysfunction in men with diabetes. | 2003-08 |
Patents
Sample Use Guides
ED: Starting dose: 10 mg as needed prior to sexual activity. Increase to
20 mg or decrease to 5 mg based upon efficacy/tolerability. Improves
erectile function compared to placebo up to 36 hours post dose. Not to
be taken more than once per day
Route of Administration:
Oral
In Vitro Use Guide
Sources: https://www.ncbi.nlm.nih.gov/pubmed/20555034
Increasing levels of tadalafil (1–25 uM) attenuated proliferation of human primary prostatic stromal cells (PrSCs) in a dose-dependent manner with concentrations above 5 uM showing highly significant effects
| Substance Class |
Chemical
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742SXX0ICT
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Validated (UNII)
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WHO-ATC |
C02KX52
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FDA ORPHAN DRUG |
528316
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EMA ASSESSMENT REPORTS |
CIALIS (AUTHORIZED: ERECTILE DYSFUNCTIONS)
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NDF-RT |
N0000175599
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EMA ASSESSMENT REPORTS |
ADCIRCA (AUTHORIZED: HYPERTENSION, PULMONARY)
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NDF-RT |
N0000020026
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FDA ORPHAN DRUG |
476415
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EMA ASSESSMENT REPORTS |
TADALAFIL MYLAN (AUTHORIZED: ERECTILE DYSFUNCTIONS)
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FDA ORPHAN DRUG |
228206
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NCI_THESAURUS |
C2127
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WHO-VATC |
QG04BE08
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509615
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WHO-ATC |
G04BE08
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LIVERTOX |
NBK547910
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750236
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8136
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7299
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100000089310
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358263
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Tadalafil
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C429886
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742SXX0ICT
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DB00820
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110635
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SUB12602MIG
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CHEMBL779
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C47743
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LL-07
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TADALAFIL
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| Related Record | Type | Details | ||
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
EP
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BASIS OF STRENGTH->SUBSTANCE |
ASSAY (HPLC)
USP
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BINDER->LIGAND |
BINDING
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METABOLIC ENZYME -> SUBSTRATE |
MAJOR
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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METABOLITE -> PARENT |
MAJOR
URINE
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METABOLITE -> PARENT |
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| Related Record | Type | Details | ||
|---|---|---|---|---|
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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|
IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
ASSAY (HPLC)
EP
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IMPURITY -> PARENT |
UNSPECIFIED
EP
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IMPURITY -> PARENT |
CHROMATOGRAPHIC PURITY (HPLC/UV)
USP
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ACTIVE MOIETY |
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| Name | Property Type | Amount | Referenced Substance | Defining | Parameters | References |
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| Volume of Distribution | PHARMACOKINETIC |
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| Tmax | PHARMACOKINETIC |
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SINGLE ORAL ADMINISTRATION |
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| Biological Half-life | PHARMACOKINETIC |
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