Chemistry:Iguratimod

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Short description: Chemical compound with medical applications
Iguratimod
Iguratimod.svg
Clinical data
Trade namesCareram; Kolbet
Other namesT-614
ATC code
  • None
Identifiers
CAS Number
PubChem CID
ChemSpider
UNII
ChEMBL
Chemical and physical data
FormulaC17H14N2O6S
Molar mass374.37 g·mol−1
3D model (JSmol)

Iguratimod is an anti-inflammatory small molecule drug used for the treatment of rheumatoid arthritis, together with methotrexate in Japan and China.[1] As of 2015 the biological target was not known, but it prevents NF-κB activation and subsequently selectively inhibits COX-2 and several inflammatory cytokines.[1]

Adverse effects include elevated transaminases, nausea, vomiting, stomach pain; rashes, and itchiness.[1]

It is a derivative of 7-methanesulfonylamino-6-phenoxychromones and is a chromone with two amide groups; it was first published in 2000.[1][2] It was submitted for regulatory approval in Japan in 2003; the application was withdrawn in 2009, and it was resubmitted with additional data in 2011 and approved for marketing in Japan in 2012.[1] Eisai and Toyama Chemical market it in Japan.[3] Approval was obtained in China in 2011 by Simcere, independently of the Japanese originators.[1][4]

During discovery and development it was called T-614 and it is marketed under the names Careram and Kolbet.[5]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 "Iguratimod for the treatment of rheumatoid arthritis in Japan". Expert Review of Clinical Immunology 11 (5): 565–73. May 2015. doi:10.1586/1744666X.2015.1027151. PMID 25797025. 
  2. "Synthesis and antiinflammatory activity of 7-methanesulfonylamino-6-phenoxychromones. Antiarthritic effect of the 3-formylamino compound (T-614) in chronic inflammatory disease models". Chemical & Pharmaceutical Bulletin 48 (1): 131–9. January 2000. doi:10.1248/cpb.48.131. PMID 10705489. https://www.jstage.jst.go.jp/article/cpb1958/48/1/48_1_131/_pdf/-char/en. 
  3. "Chapter Thirty-One – To Market, To Market—2011". Annual Reports in Medicinal Chemistry 47: 499–569. 2012. doi:10.1016/B978-0-12-396492-2.00031-X. 
  4. "Iguratimod - Simcere" (in en). AdisInsight. https://adisinsight.springer.com/drugs/800032226. 
  5. "Iguratimod - Toyama Chemical" (in en). AdisInsight. https://adisinsight.springer.com/drugs/800001541.