cilostazol
Trade name: pletal
Approved
Jan 15, 1999
Cilostazol is a PDE3 inhibitor which is used for the treatment of intermittent claudication. The drug positively affects the platelet aggregation and may be used off-label as a measure to prevent coronary thrombosis/restenosis and stroke recurrence. — NCATS
Clinical trial activity
150 trials · 144 clinical orgs · 19 marketing orgs
Earliest trial started Apr 1, 1992 (NCT00766545)
Timeline
1990s
2000s
- Jan 1, 2003
- Nov 23, 2004
CASI Pharmaceuticals, Inc. — Marketing Organization
- Nov 23, 2004
Epic Pharma Llc — Marketing Organization
- Nov 23, 2004
Aurobindo Pharma — Marketing Organization
- Nov 26, 2004
Actavis — Marketing Organization
- Dec 10, 2004
Apotex — Marketing Organization
- Mar 1, 2005
Teva — Marketing Organization
- May 17, 2005
West-Ward Pharmaceutical — Marketing Organization
- May 17, 2005
Hikma — Marketing Organization
- Mar 29, 2006
Frontida BioPharm — Marketing Organization
- Mar 29, 2006
Slate Pharmaceuticals — Marketing Organization
- Mar 29, 2006
SLATE RUN PHARMA — Marketing Organization
- Apr 20, 2006
Mylan — Marketing Organization
- Apr 20, 2006
Rising Pharmaceuticals — Marketing Organization
- Jan 1, 2007
Earliest Phase 2 Sponsor(trial)
- Oct 29, 2007
Pliva — Marketing Organization
- Oct 29, 2007
Barr Laboratories — Marketing Organization
- Sep 28, 2009
Nostrum Laboratories — Marketing Organization
- Sep 28, 2009
Esteve Labs — Marketing Organization
2010s
- Sep 24, 2012
Chartwell Pharmaceuticals — Marketing Organization
Indications
Approved for
Studied for
- Acute Coronary Syndrome · Phase 4
- Alzheimer Disease · Phase 4
- Angina Pectoris · Phase 3
- Angina, Stable · Phase 4
- Angioplasty, Balloon, Coronary · Phase 4
- Anti-Inflammatory Agents · Phase 4
- Antiphospholipid Syndrome · Phase 4
- Arterial Occlusive Diseases · Phase 4
- Arteriosclerosis Obliterans · Phase 4
- Arthritis, Rheumatoid · Phase 3
- Atherosclerosis · Phase 4
- Atrial Fibrillation · Phase 4
- Blood Platelet Disorders · Phase 3
- Blood Platelets · Phase 3
- Brain Ischemia · Phase 4
- Breast Neoplasms · Phase 1/Phase 2
- CADASIL · Phase 1/Phase 2
- Cardiovascular Diseases · Phase 4
- Carotid Artery Diseases · Phase 4
- Cerebral Hemorrhage · Phase 2
- Cerebral Infarction · Phase 4
- Cerebral Small Vessel Diseases · Phase 4
- Cerebrovascular Disorders · Phase 4
- Chronic Limb-Threatening Ischemia · Phase 4
- Chronic Urticaria · Phase 2
- Cognition Disorders · Phase 3
- Cognitive Dysfunction · Phase 2
- Contraception · Phase 2
- Coronary Artery Disease · Phase 4
- Coronary Restenosis · Phase 4
- Coronary Stenosis · Phase 4
- Dementia, Vascular · Phase 4
- Diabetes Complications · Phase 4
- Diabetes Mellitus · Phase 3
- Diabetes Mellitus, Type 2 · Phase 4
- Diabetic Nephropathies · Phase 4
- Drugs, Investigational · Phase 4
- Dyslipidemias · Phase 1
- Endovascular Procedures · Phase 4
- Fallopian Tube Neoplasms · Phase 2
- Fatty Liver · Phase 1/Phase 2
- Hamartoma · Phase 2
- Healthy Volunteers · Phase 4
- Heart Diseases · Phase 3
- Heart Failure, Diastolic · Phase 2
- Hemodialysis, Home · Phase 4
- Hemorrhage · Phase 4
- Hypercholesterolemia · Phase 4
- Hyperlipidemias · Phase 4
- Intermittent Claudication · Phase 4
- Intracranial Aneurysm · Phase 4
- Intracranial Hemorrhages · Phase 4
- Ischemic Attack, Transient · Phase 4
- Ischemic Stroke · Phase 4
- Metabolic Syndrome · Phase 4
- Migraine with Aura · Early Phase 1
- Myocardial Infarction · Phase 4
- Myocardial Ischemia · Phase 4
- Myocardial Reperfusion Injury · Phase 4
- Neoplasm Metastasis · Phase 2
- Neoplasms · Phase 2
- Non-alcoholic Fatty Liver Disease · Phase 1/Phase 2
- Osteoarthritis · Phase 1/Phase 2
- Ovarian Neoplasms · Phase 2
- Pain · Phase 1
- Parkinson Disease · Phase 2
- Percutaneous Coronary Intervention · Phase 4
- Peripheral Arterial Disease · Phase 4
- Peripheral Nervous System Diseases · Phase 1/Phase 2
- Peripheral Vascular Diseases · Phase 4
- Platelet Aggregation Inhibitors · Phase 4
- Polyneuropathies · Phase 4
- Raynaud Disease · Phase 4
- Renal Insufficiency, Chronic · Phase 4
- Reperfusion · Phase 2
- Stroke · Phase 4
- Stroke, Lacunar · Phase 2/Phase 3
- Subarachnoid Hemorrhage · Phase 4
- Therapeutic Equivalency · Phase 1
- Therapeutics · Phase 4
- Thrombosis · Phase 4
- Uterine Cervical Neoplasms · Phase 2
- Vulvar Neoplasms · Phase 2
- White Matter · Phase 1/Phase 2
- Wound Healing · Phase 2/Phase 3
Mechanism of action
- Phosphodiesterase 3AINHIBITOR
PDE3A inhibitor
Approval history
- approvedJan 15, 1999
Chemistry & pharmacology
SMILES
O=C1CCC2=C(N1)C=CC(OCCCCC3=NN=NN3C4CCCCC4)=C2- Mol. weight
- 369.4607 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaCilostazol ↗
- NCATSN7Z035406B ↗
- ChEMBLCHEMBL799 ↗
Also known as
- 2(1h)-quinolinone, 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydro-
- 3,4-dihydro-6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-2(1h)-quinolinone
- 3,4-dihydro-6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-2(1h)-quinolinone
- 6-[4-(1-cyclohexyl-1h-tetrazol-5-yl)-butoxy]-3,4-dihydro-1h-quinolin-2-one
- 6-[4-(1-cyclohexyl-1h-tetrazol-5-yl)-butoxy]-3,4-dihydro-1h-quinolin-2-one
- 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydro-2(1h)-quinolinone
- 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydro-2(1h)-quinolinone
- 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydro-2(1h)-quinolinone
- 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydrocarbostyril
- 6-(4-(1-cyclohexyl-1h-tetrazol-5-yl)butoxy)-3,4-dihydrocarbostyril
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazol
- cilostazole
- cilostazole
- cilostazole
- cilostazole
- cilostazolum
- cilostazolum
- cisostazol
- opc 13013
- opc 13013
- opc 13013
- opc 13013
- opc 13013
- opc 13013
- opc-13013
- opc-13013
- opc-13013
- opc-13013
- opc-21
- opc-21
- pletal
- pletal
- pletal
- pletal
- pletal
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07174414 | Phase 3 | Aug 31, 2026 | Medical University of South Carolina, National Institute of Neurological Disorders and Stroke (NINDS), Stanford University, University of Cincinnati, Yale University |
| NCT07144956 | Phase 3 | Dec 15, 2025 | Centre Hospitalier St Anne |
| NCT06919835 | Phase 3 | Dec 1, 2025 | Northern California Institute of Research and Education |
| NCT07249853 | Phase 3 | Nov 30, 2025 | Capital Medical University |
| NCT07238985 | Phase 1/Phase 2 (Phase 2) | Nov 1, 2025 | Tanta University |
| NCT07180472 | Phase 4 | Sep 20, 2025 | Sichuan University |
| NCT07040085 | Phase 3 | Aug 5, 2025 | Capital Medical University, NeuroDawn Pharmaceutical Co., Ltd. |
| NCT06757764 | Phase 4 | Mar 15, 2025 | Otsuka, University of Ulsan |
| NCT06702657 | N/A | Feb 15, 2025 | Changhai Hospital, The First People's Hospital of Changzhou |
| NCT06989697 | Phase 3 | Jan 1, 2025 | Seoul National University, SK Chemicals |
| NCT06612593 | Phase 2 | Oct 1, 2024 | Ain Shams University |
| NCT06561867 | Phase 3 | Aug 30, 2024 | Kafrelsheikh University |
| NCT06504576 | Phase 2 | Aug 1, 2024 | National Taiwan University |
| NCT06492070 | Phase 2 | Aug 1, 2024 | Emory University, National Cancer Institute (NCI) |
| NCT06530537 | Phase 3 | Jul 18, 2024 | Zhejiang University |
| NCT06402747 | Phase 4 | Apr 16, 2024 | Samjin Pharmaceutical Co., Ltd., Seoul National University |
| NCT06202755 | Phase 3 | Mar 30, 2024 | Kafrelsheikh University |
| NCT05995600 | Phase 4 | Dec 31, 2023 | Samjin Pharmaceutical Co., Ltd., Seoul National University |
| NCT06196047 | Phase 3 | Dec 1, 2023 | Kafrelsheikh University |
| NCT06138834 | Phase 2 | Nov 30, 2023 | Capital Medical University, NeuroDawn Pharmaceutical Co., Ltd. |
Organizations
Research & Development (144)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Otsuka | For profit | 36 | 18 | 5 | 1992 |
| Seoul National University | Academic/Hospital | 11 | 9 | 2 | 2006 |
| University of Ulsan | Academic/Hospital | 10 | 7 | 2 | 2005 |
| Kafrelsheikh University | Academic/Hospital | 9 | 9 | 1 | 2022 |
| University of Copenhagen | Academic/Hospital | 7 | 7 | 2 | 2013 |
| Peking University | Academic/Hospital | 6 | 1 | 3 | 2004 |
| Yonsei University | Academic/Hospital | 6 | 5 | 4 | 2009 |
| Gyeongsang University | Academic/Hospital | 5 | 5 | 2 | 2008 |
| Inje University | Academic/Hospital | 5 | 2 | 3 | 2006 |
| SK Chemicals | For profit | 5 | 4 | 3 | 2007 |
| Sungkyunkwan University | Academic/Hospital | 5 | 4 | 3 | 2008 |
| Capital Medical University | Academic/Hospital | 4 | 4 | 3 | 2017 |
| China Medical University | Academic/Hospital | 4 | 4 | 1 | 2004 |
| Genovate Biotechnology Co., Ltd., | For profit | 4 | 4 | 2 | 2016 |
| Government of Taiwan | Government | 4 | 0 | 1 | 2010 |
| Korea University | Academic/Hospital | 4 | 2 | 1 | 2006 |
| National Cheng Kung University | Academic/Hospital | 4 | 3 | 1 | 2010 |
| Ain Shams University | Academic/Hospital | 3 | 3 | 2 | 2022 |
| National Cerebral and Cardiovascular Center | Government | 3 | 2 | 3 | 2013 |
| National Taiwan University | Academic/Hospital | 3 | 1 | 3 | 2010 |
Marketing (22)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Actavis | For profit | MKTG | Nov 26, 2004 |
| Apotex | For profit | MKTG | Dec 10, 2004 |
| Aurobindo Pharma | For profit | MKTG | Nov 23, 2004 |
| Barr Laboratories | For profit | MKTG | Oct 29, 2007 |
| CASI Pharmaceuticals, Inc. | For profit | MKTG | Nov 23, 2004 |
| Chartwell Pharmaceuticals | For profit | MKTG | Sep 24, 2012 |
| Epic Pharma Llc | For profit | MKTG | Nov 23, 2004 |
| Esteve Labs | For profit | MKTG | Sep 28, 2009 |
| Frontida BioPharm | For profit | MKTG | Mar 29, 2006 |
| Hikma | For profit | MKTG | May 17, 2005 |
| Hikma | For profit | SYN | May 17, 2005 |
| Mylan | For profit | MKTG | Apr 20, 2006 |
| Mylan | For profit | SYN | Nov 23, 2004 |
| Nostrum Laboratories | For profit | MKTG | Sep 28, 2009 |
| Otsuka | For profit | NDA | Jan 15, 1999 |
| Pliva | For profit | MKTG | Oct 29, 2007 |
| Rising Pharmaceuticals | For profit | MKTG | Apr 20, 2006 |
| SLATE RUN PHARMA | For profit | MKTG | Mar 29, 2006 |
| Slate Pharmaceuticals | For profit | MKTG | Mar 29, 2006 |
| Teva | For profit | MKTG | Mar 1, 2005 |
| Teva | For profit | SYN | Nov 24, 2004 |
| West-Ward Pharmaceutical | For profit | MKTG | May 17, 2005 |