KEGG   DRUG: Leflunomide
Entry
D00749                      Drug                                   
Name
Leflunomide (JAN/USP/INN);
Arava (TN)
Product
  Generic
Formula
C12H9F3N2O2
Exact mass
270.0616
Mol weight
270.2073
Structure
Simcomp
Class
Anti-inflammatory
 DG01985  Disease modifying anti-rheumatic drug (DMARD)
Metabolizing enzyme substrate
 DG01633  CYP3A/CYP3A4 substrate
  DG02913  CYP3A4 substrate
Metabolizing enzyme inhibitor
 DG01643  CYP2C9 inhibitor
Remark
Same as: C07905
Therapeutic category: 3999
ATC code: L04AK01
Product: D00749<JP/US>
Efficacy
Antirheumatic, Dihydroorotate dehydrogenase inhibitor
  Disease
Active rheumatoid arthritis [DS:H00630]
Comment
Antineoplastic (blocks PDGF receptor function, inhibiting the growth and survival of human tumor cells when administered intravenously), Used in the treatment of rheumatoid arthritis when administered orally
Target
DHODH [HSA:1723] [KO:K00254]
  Pathway
hsa00240  Pyrimidine metabolism
Metabolism
Enzyme: CYP3A4 [HSA:1576]
Interaction
CYP inhibition: CYP2C9 [HSA:1559]
Structure map
map07046  Immunosuppressive agents
map07050  Antirheumatics - DMARDs and biological agents
Brite
Anatomical Therapeutic Chemical (ATC) classification [BR:br08303]
 L ANTINEOPLASTIC AND IMMUNOMODULATING AGENTS
  L04 IMMUNOSUPPRESSANTS
   L04A IMMUNOSUPPRESSANTS
    L04AK Dihydroorotate dehydrogenase (DHODH) inhibitors
     L04AK01 Leflunomide
      D00749  Leflunomide (JAN/USP/INN) <JP/US>
USP drug classification [BR:br08302]
 Immunological Agents
  Immunosuppressants
   Antimetabolites, Antiproliferative
    Leflunomide
     D00749  Leflunomide (JAN/USP/INN)
Therapeutic category of drugs in Japan [BR:br08301]
 3  Agents affecting metabolism
  39  Other agents affecting metabolism
   399  Miscellaneous
    3999  Others
     D00749  Leflunomide (JAN/USP/INN)
Drug groups [BR:br08330]
 Anti-inflammatory
  DG01985  Disease modifying anti-rheumatic drug (DMARD)
   D00749  Leflunomide
 Metabolizing enzyme substrate
  DG01633  CYP3A/CYP3A4 substrate
   DG02913  CYP3A4 substrate
    D00749  Leflunomide
 Metabolizing enzyme inhibitor
  DG01643  CYP2C9 inhibitor
   D00749  Leflunomide
Drug classes [BR:br08332]
 Antirheumatic agent
  DG01985  Disease modifying anti-rheumatic drug (DMARD)
   D00749  Leflunomide
Target-based classification of drugs [BR:br08310]
 Enzymes
  Oxidoreductases (EC1)
   Dehydrogenases
    DHODH
     D00749  Leflunomide (JAN/USP/INN) <JP/US>
New drug approvals in Europe [br08329.html]
 European public assessment reports (EPAR) authorised medicine
  D00749
New drug approvals in Japan [br08318.html]
 Drugs with new active ingredients
  D00749
Drug metabolizing enzymes and transporters [br08309.html]
 Drug metabolizing enzymes
  D00749
Other DBs
CAS: 75706-12-6
PubChem: 7847814
ChEBI: 6402
LigandBox: D00749
NIKKAJI: J227.599F
KCF data

ATOM        19
            1   C8y C    22.4985  -19.9460
            2   C5a C    23.7261  -19.2621
            3   C8y C    22.4985  -21.3488
            4   C8x C    21.1659  -19.5077
            5   N1b N    24.9360  -19.9577
            6   O5a O    23.7261  -17.8652
            7   O2x O    21.1601  -21.7813
            8   C1a C    23.6268  -22.1788
            9   N5x N    20.3360  -20.6415
            10  C8y C    26.1460  -19.2621
            11  C8x C    26.1460  -17.8592
            12  C8x C    27.3617  -19.9577
            13  C8x C    27.3617  -17.1637
            14  C8x C    28.5657  -19.2621
            15  C8y C    28.5657  -17.8592
            16  C1d C    29.7756  -17.1580
            17  X   F    30.9798  -16.4506
            18  X   F    29.0684  -15.9421
            19  X   F    30.4653  -18.3677
BOND        20
            1     1   2 1
            2     1   3 2
            3     1   4 1
            4     2   5 1
            5     2   6 2
            6     3   7 1
            7     3   8 1
            8     4   9 2
            9     5  10 1
            10   10  11 2
            11   10  12 1
            12   11  13 1
            13   12  14 2
            14   13  15 2
            15   15  16 1
            16   16  17 1
            17   16  18 1
            18   16  19 1
            19    7   9 1
            20   14  15 1

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