ensifentrine   Click here for help

GtoPdb Ligand ID: 11865

Synonyms: RPL554
Immunopharmacology Ligand
Compound class: Synthetic organic
Comment: Ensifentrine (RPL-554) is an inhibitor of phosphodiesterases 3 and 4 (PDE3 and PDE4) [2]. It has bronchodilatory action [4,6] that is associated with short-term improvement in lung function [3], and has been investigated for therapeutic potential in asthma and chronic obstructive pulmonary disease (COPD). Ensifentrine also has anti-inflammatory effects in vitro (e.g. reducing TNFα release from human monocytes) and in vivo. Anti-inflammatory action in bronchial epithelial cells from cystic fibrosis patients is likely mediated via inhibition of PDE4 isozymes [5]. Ensifentrine is active when delivered orally or by inhalation [1].

COVID-19: A pilot study of ensifentrine in hospitalised COVID-19 patients was initiated in mid-late 2020.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 2
Rotatable bonds 7
Topological polar surface area 112.87
Molecular weight 477.24
XLogP 3.7
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES COc1cc2c(cc1OC)CCn1c2cc(=Nc2c(C)cc(cc2C)C)n(c1=O)CCNC(=O)N
Isomeric SMILES Cc1cc(c(c(c1)C)N=c1cc2c3cc(c(cc3CCn2c(=O)n1CCNC(=O)N)OC)OC)C
InChI InChI=1S/C26H31N5O4/c1-15-10-16(2)24(17(3)11-15)29-23-14-20-19-13-22(35-5)21(34-4)12-18(19)6-8-30(20)26(33)31(23)9-7-28-25(27)32/h10-14H,6-9H2,1-5H3,(H3,27,28,32)
InChI Key CSOBIBXVIYAXFM-UHFFFAOYSA-N
References
1. Bjermer L, Abbott-Banner K, Newman K. (2019)
Efficacy and safety of a first-in-class inhaled PDE3/4 inhibitor (ensifentrine) vs salbutamol in asthma.
Pulm Pharmacol Ther, 58: 101814. [PMID:31202957]
2. Boswell-Smith V, Spina D, Oxford AW, Comer MB, Seeds EA, Page CP. (2006)
The pharmacology of two novel long-acting phosphodiesterase 3/4 inhibitors, RPL554 [9,10-dimethoxy-2(2,4,6-trimethylphenylimino)-3-(n-carbamoyl-2-aminoethyl)-3,4,6,7-tetrahydro-2H-pyrimido[6,1-a]isoquinolin-4-one] and RPL565 [6,7-dihydro-2-(2,6-diisopropylphenoxy)-9,10-dimethoxy-4H-pyrimido[6,1-a]isoquinolin-4-one].
J Pharmacol Exp Ther, 318 (2): 840-8. [PMID:16682455]
3. Cazzola M, Page C. (2018)
An inhaled "bifunctional" dual PDE3/4 inhibitor provides additional short-term improvements in lung function compared to existing classes of bronchodilator: implications for future treatment of COPD.
Eur Respir J, 52 (5). DOI: 10.1183/13993003.01675-2018 [PMID:30385603]
4. Singh D, Abbott-Banner K, Bengtsson T, Newman K. (2018)
The short-term bronchodilator effects of the dual phosphodiesterase 3 and 4 inhibitor RPL554 in COPD.
Eur Respir J, 52 (5). DOI: 10.1183/13993003.01074-2018 [PMID:30166326]
5. Turner MJ, Dauletbaev N, Lands LC, Hanrahan JW. (2020)
The Phosphodiesterase Inhibitor Ensifentrine Reduces Production of Proinflammatory Mediators in Well Differentiated Bronchial Epithelial Cells by Inhibiting PDE4.
J Pharmacol Exp Ther, 375 (3): 414-429. [PMID:33012706]
6. Venkatasamy R, Spina D. (2016)
Novel relaxant effects of RPL554 on guinea pig tracheal smooth muscle contractility.
Br J Pharmacol, 173 (15): 2335-51. [PMID:27174172]
7. Watz H, Rickard K, Rheault T, Bengtsson T, Singh D. (2020)
Symptom Improvement Following Treatment with the Inhaled Dual Phosphodiesterase 3 and 4 Inhibitor Ensifentrine in Patients with Moderate to Severe COPD - A Detailed Analysis.
Int J Chron Obstruct Pulmon Dis, 15: 2199-2206. [PMID:32982212]