procaine merethoxylline
Approved
Sep 19, 1952
Procaine is an anesthetic agent indicated for production of local or regional anesthesia, particularly for oral surgery. Procaine (like cocaine) has the advantage of constricting blood vessels which reduces bleeding, unlike other local anesthetics like lidocaine. Procaine is an ester anesthetic. It is metabolized in the plasma by the enzyme pseudocholinesterase through hydrolysis into para-aminobenzoic acid (PABA), which is then excreted by the kidneys into the urine. Procaine acts mainly by inhibiting sodium influx through voltage gated sodium channels in the neuronal cell membrane of peripheral nerves. When the influx of sodium is interrupted, an action potential cannot arise and signal conduction is thus inhibited. The receptor site is thought to be located at the cytoplasmic (inner) portion of the sodium channel. Procaine has also been shown to bind or antagonize the function of N-methyl-D-aspartate (NMDA) receptors as well as nicotinic acetylcholine receptors and the serotonin receptor-ion channel complex. — NCATS
Clinical trial activity
8 trials · 8 clinical orgs · 12 marketing orgs
Earliest trial started Sep 1, 1997 (NCT00299338)
Timeline
1910s
- Jul 1, 1917
Evidence of US Marketing
1950s
1970s
- Sep 15, 1972
Hospira — Marketing Organization
- Dec 8, 1972
Abraxis — Marketing Organization
- Oct 12, 1973
Elkins Sinn — Marketing Organization
- Nov 26, 1973
Belmar Pharmacy — Marketing Organization
- Apr 1, 1974
Watson Pharmaceuticals — Marketing Organization
1990s
- Jan 1, 1997
Earliest Phase 1 Sponsor(trial)
2000s
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2011
Earliest Phase 3 Sponsor(trial)
Indications
Approved for
Mechanism of action
- Sodium channel alpha subunitBLOCKER
Sodium channel alpha subunit blocker
- Sodium channel protein type 1 subunit alpha (SCN1A) ↗
- Sodium channel protein type 5 subunit alpha (SCN5A) ↗
- Sodium channel protein type 4 subunit alpha (SCN4A) ↗
- Sodium channel protein type 7 subunit alpha (SCN7A) ↗
- Sodium channel protein type 2 subunit alpha (SCN2A) ↗
- Sodium channel protein type 9 subunit alpha (SCN9A) ↗
- Sodium channel protein type 3 subunit alpha (SCN3A) ↗
- Sodium channel protein type 11 subunit alpha (SCN11A) ↗
- Sodium channel protein type 8 subunit alpha (SCN8A) ↗
- Sodium channel protein type 10 subunit alpha (SCN10A) ↗
- Sodium channel protein type I alpha subunit
- Sodium channel protein type V alpha subunit
- Sodium channel protein type IV alpha subunit
- Sodium channel protein type VII alpha subunit
- Sodium channel protein type IX alpha subunit
- Sodium channel protein type II alpha subunit
- Sodium channel protein type III alpha subunit
- Sodium channel protein type XI alpha subunit
- Sodium channel protein type VIII alpha subunit
- Sodium channel protein type X alpha subunit
- Sodium channel alpha subunits; brain (Types I, II, III)
Combination products
dicurin procaine
with theophylline
ravocaine and novocain w/ levophe
with norepinephrine, propoxycaine
ravocaine and novocain w/ neo-cobefrin
with propoxycaine, levonordefrin
tetracyn
with tetracycline
Approval history
- approvedSep 19, 1952
- approvedJul 1, 1917
Chemistry & pharmacology
SMILES
CCN(CC)CCOC(=O)c1ccc(N)cc1- Mol. weight
- 236.31 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Parenteral
- Availability
- Discontinued
Oral
No
Parenteral
Yes
Topical
No
Sources
- ChEMBLCHEMBL569 ↗
- WikipediaProcaine ↗
- NCATS4Z8Y51M438 ↗
- ChEMBLCHEMBL1200841 ↗
- ChEMBLCHEMBL1200443 ↗
Also known as
- 2-diethylaminoethyl p-aminobenzoate
- 2-diethylaminoethyl p-aminobenzoate
- 4-aminobenzoic acid 2-diethylaminoethyl ester
- 4-aminobenzoic acid 2-diethylaminoethyl ester
- dicurin procaine
- diethylaminoethyl p-aminobenzoate
- herocaine
- irocaine
- isocain
- isocaine
- merethoxylline procaine
- merethoxylline procaine
- merethoxylline procaine
- novocain
- novocain
- novocain
- novocaine
- novocaine
- p-aminobenzoic acid 2-diethylaminoethyl ester
- p-aminobenzoic acid 2-diethylaminoethyl ester
- pasconeural n
- procain
- procaina
- procaina
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine
- procaine hcl
- procaine hcl
- procaine hcl
- procaine hydrochloride
- procaine hydrochloride
- procaine hydrochloride
- procaine hydrochloride
- procaine merethoxylline
- procaine merethoxylline
- procaine merethoxylline
- procainum
- procainum
- rocaine
- rocaine
- sp01a
- sp01a
- spinocaine
- vitamin h3
- vitamin h3
- β-(diethylamino)ethyl 4-aminobenzoate
- β-(diethylamino)ethyl 4-aminobenzoate
- β-(diethylamino)ethyl p-aminobenzoate
- β-(diethylamino)ethyl p-aminobenzoate
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT02726620 | N/A | Jan 1, 2017 | Utrecht University, Vanderbilt University |
| NCT02735317 | Phase 2 | Apr 1, 2016 | Sun Yat-Sen University |
| NCT02331576 | N/A | Jan 1, 2015 | Chonnam National University |
| NCT01845532 | N/A | Apr 1, 2013 | Yonsei University |
| NCT00857688 | Phase 3 | May 1, 2011 | Azidus |
| NCT00299897 | Phase 2 | Mar 1, 2006 | Samaritan Pharmaceuticals |
| NCT00113412 | Phase 2 | May 1, 2005 | Samaritan Pharmaceuticals |
| NCT00299338 | Phase 1/Phase 2 (Phase 2) | Sep 1, 1997 | AIDS Research Alliance, Samaritan Pharmaceuticals |
Organizations
Research & Development (8)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Samaritan Pharmaceuticals | For profit | 3 | 3 | 1 | 1997 |
| AIDS Research Alliance | Academic/Hospital | 1 | 0 | 1 | 1997 |
| Azidus | For profit | 1 | 1 | 1 | 2011 |
| Chonnam National University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| Sun Yat-Sen University | Academic/Hospital | 1 | 1 | 1 | 2016 |
| Utrecht University | Academic/Hospital | 1 | 0 | 1 | 2017 |
| Vanderbilt University | Academic/Hospital | 1 | 1 | 1 | 2017 |
| Yonsei University | Academic/Hospital | 1 | 1 | 1 | 2013 |
Marketing (12)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Abraxis | For profit | MKTG | Dec 8, 1972 |
| American Cyanamid | For profit | NDA2 | Jul 1, 1954 |
| Belmar Pharmacy | For profit | MKTG | Nov 26, 1973 |
| Eli Lilly | For profit | NDA | Jan 4, 1954 |
| Elkins Sinn | For profit | MKTG | Oct 12, 1973 |
| G D Searle | For profit | MKTG | — |
| Hospira | For profit | MKTG | Sep 15, 1972 |
| Kodak | For profit | NDA2 | Sep 19, 1952 |
| Lederle | For profit | MKTG | Jul 1, 1954 |
| Miles | For profit | MKTG | — |
| Pfizer | For profit | MKTG | Jan 4, 1954 |
| Watson Pharmaceuticals | For profit | MKTG | Apr 1, 1974 |