benazepril
Trade name: lotensin
Approved
Jun 25, 1991
Benazepril is a prodrug which is metabolized by the liver into its active form benazeprilat via cleavage of the drug's ester group. Benazepril and Benazeprilat inhibit angiotensin-converting enzyme (ACE) in human subjects and animals. Benazeprilat has much greater ACE inhibitory activity than does Benazepril. It is indicated for the treatment of hypertension. It may be used alone or in combination with thiazide diuretics. Adverse reactions reported in controlled clinical trials and rarer events seen in post-marketing experience, include the following: Stevens-Johnson syndrome, pemphigus, apparent hypersensitivity reactions (manifested by dermatitis, pruritus, or rash), photosensitivity, and flushing, nausea, pancreatitis, constipation, gastritis, vomiting, and melena, thrombocytopenia and hemolytic anemia, anxiety, decreased libido, hypertonia, insomnia, nervousness, and paresthesia. Patients on diuretics, especially those in whom diuretic therapy was recently instituted, may occasionally experience an excessive reduction of blood pressure after initiation of therapy with Benazepril. Increased serum lithium levels and symptoms of lithium toxicity have been reported in patients receiving ACE inhibitors (including benazepril) during therapy with lithium. — NCATS
Clinical trial activity
43 trials · 49 clinical orgs · 31 marketing orgs
Earliest trial started Sep 1, 1999 (NCT00000620)
Timeline
1990s
- Jun 25, 1991
Earliest FDA Approval
- Jun 25, 1991
Validus Pharmaceuticals — NDA Secondary Org
- Mar 3, 1995
Novartis — Marketing Organization
- Mar 3, 1995
Novartis — NDA Secondary Org
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2001
- Jan 1, 2004
Earliest Phase 2 Sponsor(trial)
- Feb 11, 2004
Chartwell Pharmaceuticals — Marketing Organization
- Feb 11, 2004
Ani Pharmaceuticals — Marketing Organization
- Feb 11, 2004
Actavis — Marketing Organization
- Feb 11, 2004
CASI Pharmaceuticals, Inc. — Marketing Organization
- Feb 11, 2004
Genpharm — Marketing Organization
- Feb 11, 2004
Heritage Pharma — Marketing Organization
- Feb 11, 2004
Teva — Marketing Organization
- Feb 11, 2004
Mylan — Marketing Organization
- Feb 11, 2004
Prinston Inc — Marketing Organization
- Feb 11, 2004
Sandoz — Marketing Organization
- Feb 11, 2004
Sun Pharmaceuticals — Marketing Organization
- Feb 11, 2004
Rising Pharmaceuticals — Marketing Organization
- Feb 11, 2004
Medarex — Marketing Organization
- Feb 3, 2006
Amneal Pharmaceuticals — Marketing Organization
- Mar 8, 2006
Corepharma — Marketing Organization
- Mar 8, 2006
Annora Pharma — Marketing Organization
- Mar 8, 2006
Apotex — Marketing Organization
- Mar 8, 2006
Impax Laboratories — Marketing Organization
- Sep 15, 2006
Dr. Reddy's Laboratories — NDA Secondary Org
- May 22, 2008
Aurobindo Pharma — Marketing Organization
- May 23, 2008
Cadila Healthcare — Marketing Organization
2010s
- Feb 5, 2010
Lupin — Marketing Organization
- Apr 15, 2010
Dr. Reddy's Laboratories — Marketing Organization
- Jul 29, 2010
Par Pharmaceuticals — Marketing Organization
- Jul 29, 2010
Strides Pharma Science — Marketing Organization
- Oct 14, 2010
Watson Pharmaceuticals — Marketing Organization
- Jul 5, 2011
PHARMOBEDIENT — Marketing Organization
- Mar 28, 2013
Zydus Discovery DMCC — Marketing Organization
- Dec 7, 2018
Cipla — Marketing Organization
Indications
Studied for
- Albuminuria · Phase 4
- Atherosclerosis · Phase 3
- Cardiomyopathy, Dilated · Phase 4
- Cardiovascular Diseases · Phase 3
- Coronary Disease · Phase 3
- Diabetes Mellitus · Phase 4
- Diabetes Mellitus, Type 2 · Phase 4
- Fasting · Phase 1
- Healthy Volunteers · Phase 1
- Hypercholesterolemia · Phase 3
- Hypertension · Phase 4
- Hypertrophy, Left Ventricular · Phase 4
- Hypotension · Phase 4
- Kidney Diseases · Phase 3
- Lupus Erythematosus, Systemic · Phase 2
- Neoplasms · Phase 2
- Nephritis, Hereditary · Phase 2
- Proteinuria · Phase 4
- Purpura · Phase 2
Mechanism of action
- Angiotensin-converting enzymeINHIBITOR
ACE inhibitor
Combination products
lotensin hct
with hydrochlorothiazide
lotrel
with amlodipine
Approval history
- approvedJun 25, 1991
Chemistry & pharmacology
SMILES
CCOC(=O)[C@H](CCc1ccccc1)N[C@H]1CCc2ccccc2N(CC(=O)O)C1=O- Mol. weight
- 424.5 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- ChEMBLCHEMBL838 ↗
- WikipediaBenazepril ↗
- NCATSJRM708L703 ↗
- ChEMBLCHEMBL1694 ↗
- ChEMBLCHEMBL1192519 ↗
Also known as
- 1h-1-benzazepine-1-acetic acid, 3-((1-(ethoxycarbonyl)-3-phenylpropyl)amino)-2,3,4,5-tetrahydro-2-oxo-, (s-(r*,r*))-
- benazapril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril
- benazepril hcl
- benazepril hcl
- benazepril hcl
- benazepril hydrochloride
- benazepril hydrochloride
- benazepril hydrochloride
- benazepril hydrochloride
- benazepril hydrochloride
- benazepril hydrochloride
- benazeprilum
- benazeprilum
- benzazepril
- briem
- cgs-14824a
- cgs-14824a
- cgs-14824a
- cgs-14824-a
- cgs-14824a hcl
- cgs-14824a hcl
- cibacen
- cibacen
- cibacen
- cibacen
- cibacène
- labopal
- lotensin
- lotensin
- lotensin
- lotensin
- lotensin
- lotrel
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04937907 | Phase 2 | Sep 8, 2021 | Jiao Tong University |
| NCT04486118 | Phase 2 | Feb 1, 2021 | Feinstein Institute for Medical Research, Lupus Research Alliance, Northwell Health |
| NCT03682692 | Phase 4 | Jun 1, 2018 | Jiao Tong University |
| NCT02532777 | Phase 2 | Aug 1, 2015 | Nanjing Medical University |
| NCT01669434 | Phase 4 | Jun 1, 2015 | University of Nebraska |
| NCT03591471 | Phase 1/Phase 2 (Phase 2) | Sep 30, 2014 | Chengdu University of Traditional Chinese Medicines, Fudan University, Henan University of Traditional Chinese Medicine, Jiao Tong University, Peking University, Yunnan University of Traditional Chinese Medicine |
| NCT01603940 | Phase 4 | May 1, 2012 | Rio de Janeiro State University |
| NCT01234922 | Phase 2 | Feb 1, 2011 | Wake Forest University |
| NCT01095939 | Phase 3 | Apr 1, 2010 | University of Geneva |
| NCT00721773 | N/A | Sep 1, 2008 | Anhui Medical University, Central South University, Guangxi Medical University, Guangzhou Medical University, Huazhong University of Science and Technology, Peking University, Shenzhen University, Sichuan University, Sun Yat-Sen University, Tsinghua University |
| NCT00630708 | N/A | Feb 1, 2008 | Southern Medical University |
| NCT01375322 | Phase 4 | Jun 1, 2007 | Taichung Veterans General Hospital, TSH Biopharm Corporation Limited |
| NCT00503152 | Phase 3 | May 1, 2007 | Agenzia Italiana del Farmaco, Mario Negri Institute |
| NCT00494715 | Phase 3 | May 1, 2007 | Agenzia Italiana del Farmaco, Mario Negri Institute |
| NCT01505998 | Phase 1 | Mar 1, 2007 | Dr. Reddy's Laboratories, Vimta Labs Ltd. |
| NCT01506011 | Phase 1 | Mar 1, 2007 | Dr. Reddy's Laboratories, Vimta Labs Ltd. |
| NCT00367094 | Phase 3 | Jul 1, 2006 | Novartis |
| NCT00270426 | N/A | Dec 23, 2005 | Southern Medical University |
| NCT00185120 | Phase 4 | Sep 1, 2005 | Daiichi Sankyo |
| NCT00907374 | N/A | Jul 1, 2005 | Charles Drew University |
Organizations
Research & Development (49)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Novartis | For profit | 7 | 7 | 2 | 2001 |
| Dr. Reddy's Laboratories | For profit | 4 | 4 | 1 | 2004 |
| Mylan | For profit | 4 | 4 | 1 | 2002 |
| PRACS | For profit | 4 | 0 | 1 | 2001 |
| Teva | For profit | 4 | 4 | 1 | 2001 |
| Jiao Tong University | Academic/Hospital | 3 | 2 | 2 | 2014 |
| Mario Negri Institute | Academic/Hospital | 3 | 3 | 2 | 2004 |
| Southern Medical University | Academic/Hospital | 3 | 3 | 1 | 2002 |
| Agenzia Italiana del Farmaco | Government | 2 | 0 | 1 | 2007 |
| Kendle International Inc. | For profit | 2 | 0 | 1 | 2004 |
| MDS Pharma | For profit | 2 | 0 | 1 | 2004 |
| Peking University | Academic/Hospital | 2 | 0 | 2 | 2008 |
| Ranbaxy | For profit | 2 | 2 | 1 | 2004 |
| SFBC Anapharm | For profit | 2 | 0 | 1 | 2004 |
| Vimta Labs Ltd. | For profit | 2 | 0 | 1 | 2007 |
| Wake Forest University | Academic/Hospital | 2 | 1 | 2 | 1999 |
| Abbott | For profit | 1 | 1 | 1 | 2004 |
| Anhui Medical University | Academic/Hospital | 1 | 0 | 1 | 2008 |
| Centers for Disease Control and Prevention (CDC) | Government | 1 | 0 | 1 | 1999 |
| Central South University | Academic/Hospital | 1 | 0 | 1 | 2008 |
Marketing (48)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | Feb 11, 2004 |
| Amneal Pharmaceuticals | For profit | MKTG | Feb 3, 2006 |
| Amneal Pharmaceuticals | For profit | SYN | Dec 7, 2018 |
| Ani Pharmaceuticals | For profit | MKTG | Feb 11, 2004 |
| Ani Pharmaceuticals | For profit | SYN | Feb 11, 2004 |
| Annora Pharma | For profit | MKTG | Mar 8, 2006 |
| Apotex | For profit | SYN | Mar 8, 2006 |
| Apotex | For profit | MKTG | Mar 8, 2006 |
| Aurobindo Pharma | For profit | MKTG | May 22, 2008 |
| Aurobindo Pharma | For profit | SYN | Sep 5, 2012 |
| Aurobindo Pharma | For profit | MKTG | Feb 11, 2004 |
| CASI Pharmaceuticals, Inc. | For profit | MKTG | Feb 11, 2004 |
| Cadila Healthcare | For profit | MKTG | May 23, 2008 |
| Chartwell Pharmaceuticals | For profit | MKTG | Feb 11, 2004 |
| Ciba-Geigy | For profit | NDA | — |
| Cipla | For profit | MKTG | Dec 7, 2018 |
| Corepharma | For profit | MKTG | Mar 8, 2006 |
| Dr. Reddy's Laboratories | For profit | MKTG | Apr 15, 2010 |
| Dr. Reddy's Laboratories | For profit | SYN | Sep 15, 2006 |
| Dr. Reddy's Laboratories | For profit | NDA2 | Sep 15, 2006 |
| Genpharm | For profit | MKTG | Feb 11, 2004 |
| Heritage Pharma | For profit | MKTG | Feb 11, 2004 |
| Heritage Pharma | For profit | SYN | Dec 30, 2013 |
| Impax Laboratories | For profit | MKTG | Mar 8, 2006 |
| Lupin | For profit | MKTG | Feb 5, 2010 |
| Medarex | For profit | MKTG | Feb 11, 2004 |
| Mylan | For profit | MKTG | Feb 11, 2004 |
| Mylan | For profit | SYN | Feb 11, 2004 |
| Novartis | For profit | MKTG | Mar 3, 1995 |
| Novartis | For profit | NDA2 | Mar 3, 1995 |
| PHARMOBEDIENT | For profit | MKTG | Jul 5, 2011 |
| Par Pharmaceuticals | For profit | MKTG | Jul 29, 2010 |
| Prinston Inc | For profit | MKTG | Feb 11, 2004 |
| Rising Pharmaceuticals | For profit | SYN | Feb 11, 2004 |
| Rising Pharmaceuticals | For profit | MKTG | Feb 11, 2004 |
| Sandoz | For profit | MKTG | Feb 11, 2004 |
| Strides Pharma Science | For profit | MKTG | Jul 29, 2010 |
| Sun Pharmaceuticals | For profit | MKTG | Feb 11, 2004 |
| Teva | For profit | MKTG | Feb 11, 2004 |
| Teva | For profit | SYN | Feb 11, 2004 |
| Teva | For profit | SYN | May 18, 2007 |
| Validus Pharmaceuticals | For profit | SYN | Jun 25, 1991 |
| Validus Pharmaceuticals | For profit | NDA2 | Jun 25, 1991 |
| Watson Pharmaceuticals | For profit | MKTG | Oct 14, 2010 |
| Watson Pharmaceuticals | For profit | SYN | Jul 5, 2011 |
| Zydus Discovery DMCC | For profit | SYN | May 23, 2008 |
| Zydus Discovery DMCC | For profit | MKTG | Mar 28, 2013 |
| Zydus Discovery DMCC | For profit | SYN | May 23, 2008 |