Topiroxostat
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Topiroxostat
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CAS No:
577778-58-6
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Formula:
C13H8N6
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Chemical Name:
Topiroxostat
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Synonyms:
2-Pyridinecarbonitrile,4-[3-(4-pyridinyl)-1H-1,2,4-triazol-5-yl]-;2-Pyridinecarbonitrile,4-[5-(4-pyridinyl)-1H-1,2,4-triazol-3-yl]-;4-[3-(4-Pyridinyl)-1H-1,2,4-triazol-5-yl]-2-pyridinecarbonitrile;5-(2-Cyano-4-pyridyl)-3-(4-pyridyl)-1,2,4-triazole;FYX 051;Topiroxostat
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CAS No:
Description
Topiroxostat(FYX-051) is a novel and potent xanthine oxidoreductase (XOR) inhibitor with IC50 value of 5.3 nM.IC50 value: 5.3 nM [1]Target: xanthine oxidoreductasein vitro: Steady-state kinetics study showed that FYX-051 initially behaved as a competitive-type inhibitor with a K(i) value of 5.7 × 10(-9) M, then after a few minutes it formed a tight complex with XOR via a Mo-oxygen-carbon atom covalent linkage, as reported previously [3].in vivo: FYX-051 exhibited a weak CYP3A4-inhibitory
Topiroxostat is a selective xanthine oxidase inhibitor developed for treatment and management of hyperuricemia and gout. Xanthine oxidase, or xanthine oxidoreductase (XOR), regulates purine metabolism, and inhibition of the enzyme results in efficacious reduction of serum urate levels. Xanthine oxidase inhibitors are classified into two groups; purine analogs such as [DB00437] and [DB05262], and non-purine agents which includes topiroxostat. While [DB00437] is considered a first-line therapy in treating hyperuricemic conditions, it is often associated with side effects and ineffective in reducing uric acid levels under recommended dosing regimens. Renal complications are major comorbidities that limit the [DB00437] therapy as dose reductions are recommended. Topiroxostat and its metabolites are shown to be unaffected by renal complications, thus may be effective in patients with chronic kidney diseases. Approved for therapeutic use in Japan since 2013, topiroxostat is marketed under the name Topiloric and Uriadec and is orally administered twice daily.
Toxicity
Topiroxostat is not reported to be carcinogenic, genotoxic, or teratogenic. Some reported adverse events of topiroxostat therapy include nasopharyngitis, pain in extremity, elevated alanine aminotransferase (ALT), decreased white blood cell count, eczema and gout arthritis. The no-observed-adverse-effect-level (NOAEL) was determined to be ≥300 mg/kg/day in a study of once-daily, 52-week oral administration of 0/10/30/100 mg/kg/day topiroxostat in monkeys.
The mean protein binding of radiolabeled (14C)-topiroxostat in human plasma is >97.5% at 20ng/mL, 98.8% at 200ng/mL, and 98.4% at 2000ng/mL. Binding to serum albumin is most predominant with 92.3-93.2%, and mean protein binding to α1-acid protein and γ-globulin is 12.3% to 16.8% and 34.7% to 40.4%, respectively.
Drug Information
Indicated for the treatment of gout and hyperurcemia in Japan.
Topiroxostat reduces the synthesis of uric acid by competitively inhibiting xanthine oxidase in a selective and time-dependent manner. It serves to reduce the concentration of insoluble urates and uric acid in tissues, plasma and urine. Topiroxostat is not reported to cause QT prolongation.
Compounds or agents that combine with an enzyme in such a manner as to prevent the normal substrate-enzyme combination and the catalytic reaction. (See all compounds classified as Enzyme Inhibitors.)
The time to reach peak plasma concentration of 229.9 ng/mL was 0.67 hour following a single oral dose of 20mg topiroxostat. The oral bioavailability in male rats was 69.6% after oral administration of a single dose of 1mg/kg.|Urinary excretion and fecal excretion of radiolabeled topiroxostat are 30.4% and 40.9% of total dose of 1mg/kg administered to rats, respectively. Within 24 h after a single oral administration of 120mg of topiroxostat, the main metabolites of topiroxostat, N-oxide, N1-gluculonide, and N2-gluculonide, are excreted into urine about 4.8, 43.3, and 16.1 % of the dose, respectively. Unchanged topiroxostat and the hydroxide metabolite was 0.1% or less.|The distribution of 14C-topiroxostat (20, 200, and 2000 ng/mL) in human blood cells was 6.7% to 12.8%.|The apparent total body clearance rate is 89.5 L/h and the renal clearance rate is 17.4 mL/h following a single oral dose of 20mg topiroxostat.
Topiroxostat is mainly inactivated by hepatic metabolism. 2-hydroxy topiroxostat is formed from primary hydroxylation of the drug by xanthine oxidase and still retains an inhibitory activity on the enzyme. Topiroxostat N-oxide is another major metabolite that can be detected in plasma and urine. It is determined that the N-oxide and hydroxide metabolites are pyridine N-oxide and pyridine 2 (or 6)-hydroxide, respectively. Topiroxostat is mainly inactivated by hepatic metabolism where it undergoes glucuronidation. The metabolism of topiroxostat to N1-and N2-glucuronide conjugates is mainly mediated by UGT1A1, 1A7, and 1A9, with UGT1A9 being the most predominant.|FYX-051 has known human metabolites that include (2S,3S,4S,5R)-6-[3-(2-cyanopyridin-4-yl)-5-pyridin-4-yl-1,2,4-triazol-1-yl]-3,4,5-trihydroxyoxane-2-carboxylic acid and 4-[2-[(3R,4S,5S,6S)-6-carboxy-3,4,5-trihydroxyoxan-2-yl]-5-pyridin-4-yl-1,2,4-triazol-3-yl]pyridine-2-carbonitrilium.
The mean half life of topiroxostat after a single oral dose of 20mg topiroxostat is 5 hours under fasting condition. The complex of molybdenum (IV)- topiroxostat has an approximate half life of 20.4 hours.
Uric acid synthesis depends on the action of xanthine oxidase activity in the conversion of hypoxanthine to xanthine, followed by the conversion of xanthine to uric acid. Xanthine oxidase consists of a molybdenum ion as cofactor in the active center that has different redox states upon substrate binding. When a substrate such as hypoxanthine or xanthine binds, xanthine oxidase hydroxylates it and molybdenum ion is reduced from hexavalent, Mo(VI), to tetravalent form, Mo(IV). Molybdenum ion is reoxidized into hexavalent state once the hydroxylated substrate, xanthine or uric acid, dissociates from the active site. Topiroxostat is shown to interact with multiple amino acid residues of the solvent channel and additionally forms a reaction intermediate by covalent binding with molybdenum (IV) ion via an oxygen atom. It also forms hydrogen bonds with molybdenum (VI) ion, suggesting that it has multiple inhibition modes to xanthine oxidase. Enhanced binding interactions to xanthine oxidase achieves delayed dissociation of topiroxostat from the enzyme. 2-hydroxy-topiroxostat, the metabolite formed by primary hydroxylation of topiroxostat by xanthine oxidase, also causes time and concentration-dependent inhibition of the enzyme. Topiroxostat is shown to inhibit ATP-binding cassette transporter G2 (ABCG2) in vitro, which is a membrane protein responsible for recovering uric acid in the kidneys and secreting uric acid from the intestines.
4-(5-pyridin-4-yl-1H-(1,2,4) triazol-3-yl)pyridine-2-carbonitrile
Topiroxostat Use and Manufacturing
Take 3-(4-pyridyl)-5-(1-oxo-4-pyridinyl)-1, 2, 4-triazole p-toluenesulfonic acid 200g, 1.5 liters of DMF, and put it into a 3-liter three-necked flask.Add 120 ml of N, N-dimethylformyl chloride and stir at 5-10 ° C for 1 h.95 ml of trimethylsilyl cyanide was added dropwise, and the mixture was heated to 50 ° C.Stir the reaction for 2 h, until the temperature drops below 30 °C, 2N potassium carbonate solution was added dropwise to ph=7.5, stirred for 1 h, and filtered.It was obtained as a white solid, dried under vacuum at 55 ° C for 8 h, and obtained 10 g of topisita.The yield was 90.4percent.100 ml of anhydrous ethanol was put into a 500 ml reaction flask, and sliced sodium was added.Stir the reaction to prepare sodium ethoxide. After the reaction is complete, continue stirring for 1 hour. Add 10.8 g of 4-cyanopyridine, control the temperature at 25°C and stir for 1 hour. Add acetic acid to adjust the pH to 5.0.Stir for 10 minutes, Added 14 g of the intermediate 2-cyanoisonicotinic acid hydrazide prepared in Example 1, Start oil bath heating and circulation, reflux temperature 80 °C, reflux 7h, HPLC monitoring, When the raw material 2-cyanoisonicotinic acid hydrazide obtained by the peak area normalization method is ≤ 0.5percent, Stop the heating and circulation, release the heat transfer oil in the jacket, wait until the temperature drops below 30°C, feed and centrifuge, and filter cake is rinsed twice with 50 ml of ethanol. The filter cake was transferred to an enamel baking dish and dried under reduced pressure (80°C/The 4-cyano pyridine 11.5g (110mmol) dissolved in 500 ml methanol, then adding sodium methoxide 3.5g, stir to dissolve. Then add 2-cyano [...] 16.2g (100mmol), heating reflux for 8 hours. After the reaction, the separated solid filter, vacuum drying after washing with methanol, to obtain he holds a department 21.4g, yield 85.6percent, purity 99.5percent (HPLC).A solution of 1.04 g (10 mmol) of the compound of the formula (2) in 50 ml of methanol was added with sodium methoxide 50mg, stirring to dissolve. Then, 1.62 g (10 mmol) of the compound of the formula (3) 2-cyanoisoniazide was added and the mixture was refluxed for 10 hours Time. After the completion of the reaction, the precipitated solid was filtered off, washed with methanol and dried with vacuum chestnut to give a yellow powdery product Pisitatum (1.93 g, yield 78percent, HPLC purity (normalized method): 98.5percent.Compound (2) (2 g, 10 mmol) was added to 10 ml of ethanol and 10 ml of water, stirred at room temperature and dissolved. A solution of sodium hydrogencarbonate (sodium hydrogencarbonate 0.84 g in 10 ml of water) was added, and stirred at room temperature for 2 hours. The crystals were obtained by filtration, washed with water and ethanol, abd vacuum-dried to obtain 2.39 g of the objective compound as pale yellow crystals, i.e., the compound of the formula (1).
Topiroxostat, a selective xanthine oxidoreductase inhibitor, is used in Japan for the treatment of hyperuricemic patients with or without gout. In terms of the effectiveness of topiroxostat in lowering serum urate levels, the dose–response relationship has been evaluated; however, it remains to be verified. A randomized, multi-center, double-blinded study of topiroxostat was performed for Japanese hyperuricemic patients with or without gout. During the 16-week study, 157 Japanese hyperuricemic patients with or without gout were randomly assigned to receive a placebo, topiroxostat at 120 or 160 mg/day, or allopurinol at 200 mg/day. The primary endpoint of this study was to determine the lowering rate of serum uric acid levels compared to those of baseline at the end of administration. A dose–response relationship (regarding decreases in the serum urate levels) was confirmed for the placebo and topiroxostat at 120 and at 160 mg/day. Moreover, at the end of administration, the lowering rate of serum urate levels was determined to be ?44.8% in the topiroxostat 160-mg/day group. No significant difference in the incidence of adverse events was observed among all groups, including the allopurinol group. The serum urate-lowering effect of topiroxostat was found to have a dose–response relationship in Japanese hyperuricemic patients with or without gout.
Computed Properties
Molecular Weight:248.24
XLogP3:1.2
Hydrogen Bond Donor Count:1
Hydrogen Bond Acceptor Count:5
Rotatable Bond Count:2
Exact Mass:248.08104428
Monoisotopic Mass:248.08104428
Topological Polar Surface Area:91.1
Heavy Atom Count:19
Complexity:344
Covalently-Bonded Unit Count:1
Compound Is Canonicalized:Yes
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