bardoxolone
Bardoxolone methyl is an experimental and orally-bioavailable semi-synthetic triterpenoid, based on the scaffold of the natural product oleanolic acid. Pre-clinical studies indicate that the compound acts as an activator of the Nrf2 pathway and an inhibitor of the NF-κB pathway. A phase 3 clinical trial evaluating bardoxolone methyl for the treatment of chronic kidney disease (CKD) was terminated in October 2012 after patients treated with the drug were found to have experienced a higher rate of heart-related adverse events, including heart failure, hospitalizations, and deaths. — Wikipedia
Clinical trial activity
36 trials · 9 clinical orgs · 0 marketing orgs
Earliest trial started Apr 1, 2006 (NCT00508807)
Timeline
Indications
Studied for
- COVID-19 · Phase 2/Phase 3
- Cryptogenic Organizing Pneumonia · Phase 2
- Diabetes Mellitus, Type 1 · Phase 2
- Diabetes Mellitus, Type 2 · Phase 3
- Diabetic Nephropathies · Phase 3
- Dry Eye Syndromes · Phase 3
- Endocardial Fibroelastosis · Phase 2
- Glomerulonephritis, IGA · Phase 2
- Glomerulosclerosis, Focal Segmental · Phase 2
- Hamman-Rich Syndrome · Phase 2
- Healthy Volunteers · Phase 1
- Hypertension, Pulmonary · Phase 3
- Idiopathic Interstitial Pneumonias · Phase 2
- Idiopathic Pulmonary Fibrosis · Phase 2
- Kidney Failure, Chronic · Phase 2
- Liver Diseases · Phase 1/Phase 2
- Lung Diseases · Phase 2
- Lung Diseases, Interstitial · Phase 2
- Lymphoma · Phase 1
- Melanoma · Phase 2
- Neoplasms · Phase 1
- Nephritis, Hereditary · Phase 3
- Obesity · Phase 1
- Pancreatic Neoplasms · Phase 1/Phase 2
- Pneumonia · Phase 2
- Polycystic Kidney, Autosomal Dominant · Phase 3
- Pulmonary Arterial Hypertension · Phase 2
- Renal Insufficiency, Chronic · Phase 3
- Sarcoidosis · Phase 2
Mechanism of action
PPARG antagonist
Ph3 study terminated, safety and efficacy to be re-evaluated in new Ph2 study in 2014/2015. Activates KEAP1-Nrf2 pathway (http://en.wikipedia.org/wiki/Bardoxolone_methyl, http://www.kyowa-kirin.com/news_releases/2014/e20140702_01.html)
IKBKB inhibitor
Ph3 study terminated, safety and efficacy to be re-evaluated in new Ph2 study in 2014/2015. Activates KEAP1-Nrf2 pathway (http://en.wikipedia.org/wiki/Bardoxolone_methyl, http://www.kyowa-kirin.com/news_releases/2014/e20140702_01.html)
- Keap1/Nrf2INHIBITOR
Keap1/Nrf2 inhibitor
Ph3 study terminated, safety and efficacy to be re-evaluated in new Ph2 study in 2014/2015. Activates KEAP1-Nrf2 pathway (http://en.wikipedia.org/wiki/Bardoxolone_methyl, http://www.kyowa-kirin.com/news_releases/2014/e20140702_01.html)
Chemistry & pharmacology
SMILES
CC1(C)CC[C@]2(C(=O)O)CC[C@]3(C)[C@H](C(=O)C=C4[C@@]5(C)C=C(C#N)C(=O)C(C)(C)[C@@H]5CC[C@]43C)[C@@H]2C1- Mol. weight
- 491.67 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Single Stereoisomer
- Inorganic
- No
- Polymer
- No
Oral
No
Parenteral
No
Topical
No
Sources
- WikipediaBardoxolone methyl ↗
- ChEMBLCHEMBL1762621 ↗
- ChEMBLCHEMBL1093059 ↗
Also known as
- 2-cyano-3,12-dioxoolean-1,9-dien-28-oic acid methyl ester
- 2-cyano-3,12-dioxooleana-1,9(11)-dien-28-oic acid
- 2-cyano-3,12-dioxooleana-1,9(11)-dien-28-oic acid
- bardoxolone
- bardoxolone
- bardoxolone
- bardoxolone methyl
- bardoxolone methyl
- bardoxolone methyl
- bardoxolone methyl
- cddo
- cddo
- cddo
- cddo-me
- cddo-me
- cddo-me
- cddo methyl ester
- methyl 2-cyano-3,12-dioxoolean-1,9-dien-28-oate
- nsc-713200
- nsc-713200
- rta-401
- rta-401
- rta 402
- rta 402
- rta-402
- rta-402
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04702997 | Phase 2 | Feb 9, 2021 | Reata Pharmaceuticals, Inc. |
| NCT04494646 | Phase 2/Phase 3 (Phase 3) | Sep 8, 2020 | New York University, Reata Pharmaceuticals, Inc. |
| NCT04548427 | Phase 3 | Aug 18, 2020 | Chong Kun Dang Pharmaceutical, Pusan National University |
| NCT04018339 | Phase 1 | Aug 31, 2019 | Kyowa Hakko Kirin |
| NCT03918447 | Phase 3 | May 29, 2019 | Reata Pharmaceuticals, Inc. |
| NCT04023903 | Phase 1 | Apr 4, 2019 | Kyowa Hakko Kirin |
| NCT03749447 | Phase 3 | Mar 8, 2019 | Reata Pharmaceuticals, Inc. |
| NCT03550443 | Phase 3 | May 30, 2018 | Kyowa Hakko Kirin |
| NCT03366337 | Phase 2 | Dec 26, 2017 | Reata Pharmaceuticals, Inc. |
| NCT03264079 | Phase 1 | Oct 16, 2017 | Reata Pharmaceuticals, Inc. |
| NCT03068130 | Phase 3 | Apr 18, 2017 | Reata Pharmaceuticals, Inc. |
| NCT03019185 | Phase 2/Phase 3 (Phase 3) | Mar 2, 2017 | Reata Pharmaceuticals, Inc. |
| NCT02657356 | Phase 3 | Sep 1, 2016 | Reata Pharmaceuticals, Inc. |
| NCT02316821 | Phase 2 | Dec 1, 2014 | Kyowa Hakko Kirin |
| NCT02036970 | Phase 2 | May 1, 2014 | Reata Pharmaceuticals, Inc. |
| NCT01655186 | Phase 2 | Sep 1, 2012 | Reata Pharmaceuticals, Inc. |
| NCT01689116 | Phase 1 | Aug 1, 2012 | Reata Pharmaceuticals, Inc. |
| NCT01576887 | Phase 2 | Jul 1, 2012 | Reata Pharmaceuticals, Inc. |
| NCT01549769 | Phase 1 | Apr 1, 2012 | Reata Pharmaceuticals, Inc. |
| NCT01563562 | Phase 1 | Apr 1, 2012 | Reata Pharmaceuticals, Inc. |
Organizations
Research & Development (9)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Reata Pharmaceuticals, Inc. | For profit | 28 | 26 | 3 | 2006 |
| Kyowa Hakko Kirin | For profit | 6 | 6 | 3 | 2012 |
| Chong Kun Dang Pharmaceutical | For profit | 1 | 1 | 1 | 2020 |
| Covance | For profit | 1 | 0 | 1 | 2011 |
| National Cancer Institute (NCI) | Government | 1 | 1 | 1 | 2006 |
| New York University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Orlando Clinical Research Center | For profit | 1 | 0 | 1 | 2007 |
| Pusan National University | Academic/Hospital | 1 | 0 | 1 | 2020 |
| University of Texas at Houston | Academic/Hospital | 1 | 1 | 1 | 2006 |