Page last updated: 2024-11-11

naproxen-n-butyl nitrate

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

naproxen-n-butyl nitrate: a nitric oxide-releasing NSAID derivative [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

naproxcinod : A carboxylic ester obtained by formal condensation of the carboxy group of naproxen with the hydroxy group of 4-(nitrooxy)butanol. A cyclooxygenase-inhibiting nitric oxide donator that is metabolised to naproxen and a nitric oxide donating moiety, effective in treatment of osteoarthritis. [Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Cross-References

ID SourceID
PubMed CID9884642
CHEMBL ID2103831
CHEBI ID76254
SCHEMBL ID1170879
MeSH IDM0289260

Synonyms (52)

Synonym
hct-3012
azd-3582
naproxcinod
nitronaproxen
naproxen nitroxybutyl ester
zd-3582
ar-p900758xx
no-naproxen
hct 3012
naproxen-n-butyl nitrate
azd 3582
azd3582
v24gr4li3i ,
naproxcinod [usan:inn]
(s)-2-(6-methoxy-2-naphthyl)propanoic acid 4-nitrooxybutyl ester
2-naphthaleneacetic acid, 6-methoxy-alpha-methyl-, 4-(nitrooxy)butyl ester, (s)-
unii-v24gr4li3i
4-(nitrooxy)butyl (2s)-2-(6-methoxynaphthalen-2-yl)propanoate
2-naphthaleneacetic acid, 6-methoxy-alpha-methyl-, 4-(nitrooxy)butyl ester, (alphas)-
163133-43-5
D09568
naproxcinod (usan/inn)
(s)-2-(6-methoxy-2-naphtyl) propionic acid 4-nitrooxybutyl ester
AKFJWRDCWYYTIG-ZDUSSCGKSA-N
CHEMBL2103831
chebi:76254 ,
AKOS015994779
AKOS015914063
naproxcinod [mi]
naproxcinod [usan]
naproxcinod [who-dd]
2-naphthaleneacetic acid, 6-methoxy-.alpha.-methyl-, 4-(nitrooxy)butyl ester, (.alpha.s)-
naproxcinod [inn]
hct3012
naproxcinodum
4-(nitrooxy)butyl (2s)-2-(6-methoxy-2-naphthyl)propanoate
ME-0138
SCHEMBL1170879
AC-23946
DTXSID20167523
gtpl9551
4-nitrooxybutyl (2s)-2-(6-methoxynaphthalen-2-yl)propanoate
Q3335996
4-(nitrooxy)butyl (s)-2-(6-methoxynaphthalen-2-yl)propanoate
DB06682
4-(nitrooxy)butyl-(2s)-2-(6-methoxy-2 naphthyl)propanoate
hct 3012; naproxcinod; nitronaproxen
4-(nitrooxy)butyl(2s)-2-(6-methoxy-2-naphthyl)propanoate
HY-14931
CS-0003642
E87348
AKOS040753214

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" Safety endpoints included vital signs and adverse events."( Efficacy, safety, and tolerability of the cyclooxygenase-inhibiting nitric oxide donator naproxcinod in treating osteoarthritis of the hip or knee.
Aguirre, D; Karlsson, J; Pivodic, A; Schnitzer, TJ, 2009
)
0.35
" Both doses of naproxcinod were well-tolerated, with most adverse events being mild or moderate."( Efficacy and safety of naproxcinod in the treatment of patients with osteoarthritis of the knee: a 13-week prospective, randomized, multicenter study.
Duquesroix, B; Frayssinet, H; Kivitz, A; Schnitzer, TJ, 2010
)
0.36
" Safety assessments included adverse events and in-office blood pressure measurements."( Efficacy, safety, and effects on blood pressure of naproxcinod 750 mg twice daily compared with placebo and naproxen 500 mg twice daily in patients with osteoarthritis of the hip: a randomized, double-blind, parallel-group, multicenter study.
Baerwald, C; Duquesroix, B; Ferreira, T; Frayssinet, H; Verdecchia, P, 2010
)
0.36
" Naproxcinod and naproxen had similar adverse event and general safety profiles."( Efficacy, safety, and effects on blood pressure of naproxcinod 750 mg twice daily compared with placebo and naproxen 500 mg twice daily in patients with osteoarthritis of the hip: a randomized, double-blind, parallel-group, multicenter study.
Baerwald, C; Duquesroix, B; Ferreira, T; Frayssinet, H; Verdecchia, P, 2010
)
0.36

Pharmacokinetics

ExcerptReferenceRelevance
"1%, a half-life (t1/2) of 3 to 10 h and does not accumulate after repeated once- and twice-daily dosing."( Clinical pharmacokinetics of the cyclooxygenase inhibiting nitric oxide donator (CINOD) AZD3582.
Björnsson, MA; Fagerholm, U, 2005
)
0.33
"We report herein the development, synthesis, physicochemical and pharmacological characterization of a novel class of pharmacodynamic hybrids that selectively inhibit cyclooxygenase-2 (COX-2) isoform and present suitable nitric oxide releasing properties."( Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
Alfonso, S; Anzini, M; Battilocchio, C; Biava, M; Calderone, V; Colovic, M; Consalvi, S; Di Capua, A; Di Cesare Mannelli, L; Dovizio, M; Ghelardini, C; Giordani, A; Martelli, A; Patrignani, P; Persiani, S; Poce, G; Rossi, A; Sautebin, L; Testai, L, 2014
)
0.4
" After validation, the method was successfully applied to a pharmacokinetic study of naproxcinod and naproxen in rats."( Simultaneous quantification of naproxcinod and its active metabolite naproxen in rat plasma using LC-MS/MS: application to a pharmacokinetic study.
Cao, D; Du, Y; Hao, Y; Shang, W; Shi, Q; Shi, X; Sun, M; Wang, S; Wang, Y; Xue, N; Zhang, K, 2015
)
0.42

Bioavailability

ExcerptReferenceRelevance
" The steady state bioavailability of naproxen metabolised from AZD3582 was 95% (95% confidence interval 87-101%) of that after naproxen administration."( Gastrointestinal safety of AZD3582, a cyclooxygenase inhibiting nitric oxide donator: proof of concept study in humans.
Atherton, CT; Bebb, JR; Bjarnason, IT; Fagerholm, U; Hawkey, CJ; Jones, JI; Jonzon, B; Karlsson, P; Skelly, MM, 2003
)
0.32
" Its oral bioavailability (F) appears to be maximally a few per cent, and increases by several-fold after food intake."( Clinical pharmacokinetics of the cyclooxygenase inhibiting nitric oxide donator (CINOD) AZD3582.
Björnsson, MA; Fagerholm, U, 2005
)
0.33
" While an aspirin prodrug exhibited comparable oral bioavailability and antiplatelet activity (i."( Gastric-sparing nitric oxide-releasable 'true' prodrugs of aspirin and naproxen.
Borhade, N; Burhan, A; Desai, DC; Dhiman, M; Gaikwad, P; Gund, M; Nemmani, KVS; Patil, M; Satyam, A; Sharma, A; Sharma, S; Sheikh, J; Thakre, G; Tipparam, SG, 2014
)
0.4

Dosage Studied

ExcerptRelevanceReference
"5 and 16 mg kg(-1)) was evaluated using two dosage regimen protocols: (i) preventive, starting oral administration of the drugs at the time of induction of arthritis and for the following 21 days (day 1 - 21); (ii) therapeutic, starting oral administration of the drugs 7 days after adjuvant injection and for the following 14 days (day 7 - 21)."( NO-naproxen modulates inflammation, nociception and downregulates T cell response in rat Freund's adjuvant arthritis.
Bucci, M; Calignano, A; Cicala, C; Cirino, G; Fiorucci, S; Gerli, R; Ianaro, A; Santucci, L; Wallace, JL, 2000
)
0.31
" At the start and end of each dosing period, gastroduodenal injury was assessed by endoscopy and small bowel permeability by differential urinary excretion of lactulose and L-rhamnose."( Gastrointestinal safety of AZD3582, a cyclooxygenase inhibiting nitric oxide donator: proof of concept study in humans.
Atherton, CT; Bebb, JR; Bjarnason, IT; Fagerholm, U; Hawkey, CJ; Jones, JI; Jonzon, B; Karlsson, P; Skelly, MM, 2003
)
0.32
" Following dosing of AZD3582 or naproxen, the t1/2 of naproxen was 5, 9-10 and >40 h in rats, minipigs and dogs, respectively."( Pre-clinical pharmacokinetics of the cyclooxygenase-inhibiting nitric oxide donor (CINOD) AZD3582.
Breuer, O; Fagerholm, U; Hoogstraate, J; Swedmark, S, 2005
)
0.33
"To compare the efficacy, safety, and tolerability of AZD3582 with that of rofecoxib, naproxen, and placebo in patients with osteoarthritis (OA) of the knee, and to define the dosage of AZD3582 (125 mg, 375 mg, and 750 mg twice a day) that is noninferior in efficacy to rofecoxib."( Comparison of the COX-inhibiting nitric oxide donator AZD3582 and rofecoxib in treating the signs and symptoms of Osteoarthritis of the knee.
Hee, A; Kivitz, AJ; Lipetz, RS; Sanders, N; Schnitzer, TJ, 2005
)
0.33
" The naproxen t1/2 and trough steady-state concentrations after AZD3582 and naproxen dosing are similar."( Clinical pharmacokinetics of the cyclooxygenase inhibiting nitric oxide donator (CINOD) AZD3582.
Björnsson, MA; Fagerholm, U, 2005
)
0.33
"The objective of this endoscopic study was to compare the effects on the gastroduodenal mucosa of healthy volunteers of different doses and dosing regimens of AZD3582, a cyclooxygenase-inhibiting nitric oxide donator (CINOD), with equimolar doses of naproxen."( Dose-effect comparisons of the CINOD AZD3582 and naproxen on upper gastrointestinal tract mucosal injury in healthy subjects.
Fornstedt-Wallin, B; Hedman, A; Jonzon, B; Karlsson, P; Wilder-Smith, CH, 2006
)
0.33
"Nineteen male Sprague Dawley rats were divided into three groups and dosed with vehicle, naproxen or naproxcinod by gavage for two weeks."( Intra-renal oxygenation in rat kidneys during water loading: effects of cyclooxygenase (COX) inhibition and nitric oxide (NO) donation.
Du, H; Ji, L; Li, LP; Prasad, PV; Schnitzer, T, 2010
)
0.36
"0001) and the 24 hours following morning dosing (LS mean: -2."( Blood pressure effects of naproxcinod in hypertensive patients.
Bittar, N; Chrysant, SG; Djian, J; Duquesroix, B; Pivodic, A; Ramsay, A; Rosen, J; Smith, W; Townsend, R; Weiss, R, 2011
)
0.37
" Innovative new oral and intra-articular pharmaceutically engineered dosage forms are examined."( What's new in NSAID pharmacotherapy: oral agents to injectables.
Atkinson, TJ; Fudin, J; Jahn, HL; Kubotera, N; Rennick, AL; Rhorer, M, 2013
)
0.39
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Roles (5)

RoleDescription
non-steroidal anti-inflammatory drugAn anti-inflammatory drug that is not a steroid. In addition to anti-inflammatory actions, non-steroidal anti-inflammatory drugs have analgesic, antipyretic, and platelet-inhibitory actions. They act by blocking the synthesis of prostaglandins by inhibiting cyclooxygenase, which converts arachidonic acid to cyclic endoperoxides, precursors of prostaglandins.
non-narcotic analgesicA drug that has principally analgesic, antipyretic and anti-inflammatory actions. Non-narcotic analgesics do not bind to opioid receptors.
prodrugA compound that, on administration, must undergo chemical conversion by metabolic processes before becoming the pharmacologically active drug for which it is a prodrug.
nitric oxide donorAn agent, with unique chemical structure and biochemical requirements, which generates nitric oxide.
EC 1.14.99.1 (prostaglandin-endoperoxide synthase) inhibitorA compound or agent that combines with cyclooxygenases (EC 1.14.99.1) and thereby prevents its substrate-enzyme combination with arachidonic acid and the formation of icosanoids, prostaglandins, and thromboxanes.
[role information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Drug Classes (3)

ClassDescription
nitrate esterAny member of the class of nitrates resulting from the esterification of nitric acid with an alcohol.
carboxylic esterAn ester of a carboxylic acid, R(1)C(=O)OR(2), where R(1) = H or organyl and R(2) = organyl.
methoxynaphthaleneAny alkyloxynaphthalene bearing one or more methoxy substituents.
[compound class information is derived from Chemical Entities of Biological Interest (ChEBI), Hastings J, Owen G, Dekker A, Ennis M, Kale N, Muthukrishnan V, Turner S, Swainston N, Mendes P, Steinbeck C. (2016). ChEBI in 2016: Improved services and an expanding collection of metabolites. Nucleic Acids Res]

Bioassays (13)

Assay IDTitleYearJournalArticle
AID1064086Induction of nitric oxide production in Wistar rat liver homogenate assessed as NOx level at 1 mM after 1 to 150 mins2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1871265NO releasing activity in rat liver homogenate assessed as nitrite formation measured after 120 mins2021European journal of medicinal chemistry, Jan-15, Volume: 210Therapeutic potential for coxibs-nitric oxide releasing hybrids in cystic fibrosis.
AID1064083Induction of nitric oxide production in Wistar rat liver homogenate assessed as nitrate level at 1 mM2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064087Induction of nitric oxide production in Wistar rat liver homogenate assessed as nitrite level at 1 mM after 1 to 150 mins2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1871266NO releasing activity in rat liver homogenate assessed as nitrate formation measured after 120 mins2021European journal of medicinal chemistry, Jan-15, Volume: 210Therapeutic potential for coxibs-nitric oxide releasing hybrids in cystic fibrosis.
AID1064084Induction of nitric oxide production in Wistar rat liver homogenate assessed as NOx level at 1 mM2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064106Ex vivo vasorelaxant activity in Wistar rat endothelium thoracic aortic ring assessed as reduction of KCl-induced contraction in presence of guanylate cyclase inhibitor ODQ2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064085Induction of nitric oxide production in Wistar rat liver homogenate assessed as nitrite level at 1 mM2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064090Ex vivo vasorelaxant activity in Wistar rat endothelium thoracic aortic ring assessed as reduction of KCl-induced contraction at 0.001 uM to 10 uM relative to control2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064088Induction of nitric oxide production in Wistar rat liver homogenate assessed as nitrate level at 1 mM after 1 to 150 mins2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1064107Ex vivo vasorelaxant activity in Wistar rat endothelium thoracic aortic ring assessed as reduction of KCl-induced contraction2014Bioorganic & medicinal chemistry, Jan-15, Volume: 22, Issue:2
Enhancing the pharmacodynamic profile of a class of selective COX-2 inhibiting nitric oxide donors.
AID1345206Human COX-2 (Cyclooxygenase)2009Expert opinion on biological therapy, May, Volume: 9, Issue:5
Naproxcinod, a new cyclooxygenase-inhibiting nitric oxide donator (CINOD).
AID1345284Human COX-1 (Cyclooxygenase)2009Expert opinion on biological therapy, May, Volume: 9, Issue:5
Naproxcinod, a new cyclooxygenase-inhibiting nitric oxide donator (CINOD).
[information is prepared from bioassay data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (61)

TimeframeStudies, This Drug (%)All Drugs %
pre-19900 (0.00)18.7374
1990's3 (4.92)18.2507
2000's36 (59.02)29.6817
2010's21 (34.43)24.3611
2020's1 (1.64)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 10.70

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be weak demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index10.70 (24.57)
Research Supply Index4.37 (2.92)
Research Growth Index5.07 (4.65)
Search Engine Demand Index0.00 (26.88)
Search Engine Supply Index0.00 (0.95)

This Compound (10.70)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials15 (23.81%)5.53%
Reviews14 (22.22%)6.00%
Case Studies0 (0.00%)4.05%
Observational0 (0.00%)0.25%
Other34 (53.97%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (10)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A 12-Week, Phase 1, Multicenter, Double-Blind, Randomized, Dose Ranging, Forced Titration, Naproxen-Controlled, Parallel-Group, Pharmacodynamic Study, to Assess the Effects Different Doses of Naproxcinod and Naproxen on Arterial Blood Pressure as Measured [NCT00662610]Phase 1120 participants (Anticipated)Interventional2008-03-31Completed
A Phase 1, Repeated-Dose, Open-Label Study to Investigate the Pharmacokinetics and Safety of Naproxcinod 750 mg Bid Administered to Patients With Impaired Hepatic Function Compared to Matching Healthy Subjects [NCT00621881]Phase 124 participants (Anticipated)Interventional2008-01-31Completed
A Phase 1 Study to Assess the Pharmacokinetics of Nitrates and Gamma-Hydroxybutyric Acid (GHB) After Oral Administration of Therapeutic and Supratherapeutic Doses of Naproxcinod in Healthy Male Subjects [NCT01404598]Phase 124 participants (Actual)Interventional2010-01-31Completed
A Phase 1, Single-Center, Randomized, Parallel-group, Placebo- and Naproxen- Controlled, Double-blind Study to Evaluate the Effect of Naproxcinod 750 mg Bid Administered for 8 Days on the Renal Hemodynamics, Natriuretic and Renin Responses to a Single Bol [NCT00909519]Phase 131 participants (Actual)Interventional2009-01-31Completed
A 13-Week, Phase 3, Multicenter, Randomized, Parallel-Group, Double-Blind, Placebo Bid and Naproxen 500 mg Bid, Controlled Study on the Efficacy on Signs and Symptoms, and Safety of Naproxcinod (HCT3012) 750 mg Bid, in Patients With Osteoarthritis of the [NCT00541489]Phase 3800 participants (Anticipated)Interventional2007-06-30Completed
A Phase 1 Repeated Dose Open Label Study to Investigate the Pharmacokinetics and Safety of Naproxcinod 750mg Bid Administered to Patients With Impaired Renal Function Compared to Matching Healthy Subjects [NCT00674856]Phase 132 participants (Anticipated)Interventional2008-05-31Completed
A 16-week, Phase 1, Multicenter, Double-Blind, Randomized, Naproxen and Ibuprofen-controlled, Parallel-Group Pharmacological Study, to Assess the Effect of Naproxcinod (375mg and750mg, Bid) Compared to Doses of Naproxen (250mg and 500mg, Bid) and to Ibupr [NCT00662896]Phase 1300 participants (Anticipated)Interventional2008-03-31Completed
301: A Phase 3 Study of the Analgesic Efficacy and Safety of HCT 3012: A Parallel, Randomized, Double Blind, 13 Week Placebo and Naproxen Controlled, Multicenter Study of HCT 3012 (375 mg Bid and 750 mg Bid) in Patients With Osteoarthritis of the Knee, Fo [NCT00542555]Phase 3918 participants (Actual)Interventional2005-12-31Completed
A Phase 3, 53 Weeks Study on Analgesic Efficacy and Safety of Naproxcinod (HCT 3012): 26-Week, Randomized, Parallel-Group, Double-Blind, Placebo (13 Weeks)- and Naproxen (26 Weeks)-Controlled, Multicenter Study of Naproxcinod (375 mg Bid and 750 mg Bid) W [NCT00504127]Phase 31,020 participants (Actual)Interventional2007-04-30Completed
A Phase II Trial of Calcitriol and Naproxen in Patients With Recurrent Prostate Cancer [NCT00383487]Phase 220 participants (Actual)Interventional2005-03-31Terminated(stopped due to Extreme toxicity)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]