KEGG   DRUG: Macitentan
Entry
D10135                      Drug                                   
Name
Macitentan (JAN/USAN);
Opsumit (TN)
Product
Formula
C19H20Br2N6O4S
Exact mass
585.9633
Mol weight
588.2729
Structure
Simcomp
Class
Cardiovascular agent
 DG01502  Endothelin receptor antagonist
Metabolizing enzyme substrate
 DG01633  CYP3A/CYP3A4 substrate
  DG02913  CYP3A4 substrate
Remark
Therapeutic category: 2190
ATC code: C02KX04
Product: D10135<JP/US>
Efficacy
Antihypertensive, Endothelin receptor antagonist
  Disease
Pulmonary arterial hypertension [DS:H01621]
Comment
Pulmonary arterial hypertension, idiopathic pulmonary fibrosis, oncology
Target
EDNR [HSA:1909 1910] [KO:K04197 K04198]
  Pathway
hsa04080  Neuroactive ligand-receptor interaction
hsa04270  Vascular smooth muscle contraction
Metabolism
Enzyme: CYP3A4 [HSA:1576]
Interaction
Brite
Anatomical Therapeutic Chemical (ATC) classification [BR:br08303]
 C CARDIOVASCULAR SYSTEM
  C02 ANTIHYPERTENSIVES
   C02K OTHER ANTIHYPERTENSIVES
    C02KX Antihypertensives for pulmonary arterial hypertension
     C02KX04 Macitentan
      D10135  Macitentan (JAN/USAN) <JP/US>
USP drug classification [BR:br08302]
 Respiratory Tract/Pulmonary Agents
  Pulmonary Antihypertensives
   Endothelin Receptor Antagonists
    Macitentan
     D10135  Macitentan (JAN/USAN)
Therapeutic category of drugs in Japan [BR:br08301]
 2  Agents affecting individual organs
  21  Cardiovascular agents
   219  Miscellaneous
    2190  Miscellaneous
     D10135  Macitentan (JAN/USAN)
Drug groups [BR:br08330]
 Cardiovascular agent
  DG01502  Endothelin receptor antagonist
   D10135  Macitentan
 Metabolizing enzyme substrate
  DG01633  CYP3A/CYP3A4 substrate
   DG02913  CYP3A4 substrate
    D10135  Macitentan
Target-based classification of drugs [BR:br08310]
 G Protein-coupled receptors
  Rhodopsin family
   Endothelin
    EDNR
     D10135  Macitentan (JAN/USAN) <JP/US>
New drug approvals in the USA [br08319.html]
 New molecular entities and new therapeutic biological products
  D10135
New drug approvals in Europe [br08329.html]
 European public assessment reports (EPAR) authorised medicine
  D10135
New drug approvals in Japan [br08318.html]
 Drugs with new active ingredients
  D10135
New drug approvals in the USA, Europe and Japan [br08328.html]
 Approval dates by FDA, EMA and PMDA
  D10135
Drug metabolizing enzymes and transporters [br08309.html]
 Drug metabolizing enzymes
  D10135
Other DBs
CAS: 441798-33-0
PubChem: 135626853
ChEBI: 76607
LigandBox: D10135
KCF data

ATOM        32
            1   S4a S    26.3200  -21.2800
            2   N1b N    27.5100  -21.9800
            3   N1b N    25.1300  -21.9800
            4   O3c O    27.3000  -20.3000
            5   O3c O    25.3400  -20.3000
            6   C1b C    23.9400  -21.2800
            7   C1b C    22.7500  -21.9800
            8   C1a C    21.5600  -21.2800
            9   C8y C    27.5100  -23.3800
            10  N5x N    26.3200  -24.0800
            11  C8x C    26.3200  -25.4800
            12  N5x N    27.5100  -26.1800
            13  C8y C    28.7000  -25.4800
            14  C8y C    28.7000  -24.0800
            15  C8y C    29.8900  -23.3800
            16  C8x C    31.0800  -24.0800
            17  C8x C    32.3400  -23.3800
            18  C8y C    32.3400  -21.9800
            19  C8x C    31.1500  -21.2800
            20  C8x C    29.8900  -21.9800
            21  X   Br   33.5300  -21.2800
            22  O2a O    29.8900  -26.1800
            23  C1b C    31.0800  -25.4800
            24  C1b C    32.2700  -26.1800
            25  O2a O    33.4600  -25.4800
            26  C8y C    34.6500  -26.1800
            27  N5x N    34.6500  -27.5800
            28  C8x C    35.9100  -28.2800
            29  C8y C    37.1000  -27.5800
            30  C8x C    37.1000  -26.1800
            31  N5x N    35.9100  -25.4800
            32  X   Br   38.2900  -28.2800
BOND        34
            1     1   2 1
            2     1   3 1
            3     1   4 2
            4     1   5 2
            5     3   6 1
            6     6   7 1
            7     7   8 1
            8     2   9 1
            9     9  10 2
            10   10  11 1
            11   11  12 2
            12   12  13 1
            13   13  14 2
            14    9  14 1
            15   14  15 1
            16   15  16 2
            17   16  17 1
            18   17  18 2
            19   18  19 1
            20   19  20 2
            21   15  20 1
            22   18  21 1
            23   13  22 1
            24   22  23 1
            25   23  24 1
            26   24  25 1
            27   25  26 1
            28   26  27 2
            29   27  28 1
            30   28  29 2
            31   29  30 1
            32   30  31 2
            33   26  31 1
            34   29  32 1

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