acitretin
Trade name: soriatane
Approved
Oct 28, 1996
Acitretin is all-Trans-9-(4-methoxy-2, 3, 6¬ trimethylphenyl)-three, 7-dimethyl-2, 4, 6, 8-nonatetraenoic acid. It is a metabolite of exterminate and is related to both retinoic acid and retinol (vitamin A). It is taken orally, and is typically used for psoriasis. The mechanism of action of is unknown. However it is believed to work by targeting specific receptors (retinoid receptors such as RXR and RAR) in the skin, which help normalize the growth cycle of skin cells. Studies on nuclear retinoic acid receptors have shown that acitretin activates all 3 receptor subtypes (RAR-alpha, -beta, and -gamma) without measurable receptor binding; this paradox remains unexplained. — NCATS
Clinical trial activity
29 trials · 38 clinical orgs · 7 marketing orgs
Earliest trial started Nov 2, 1999 (NCT00002143)
Timeline
1990s
- Oct 28, 1996
Stiefel Laboratories — Earliest FDA Approval
- Oct 28, 1996
Stiefel Laboratories — NDA Organization
- Oct 28, 1996
Stiefel Laboratories — NDA Secondary Org
- Jan 1, 1999
Earliest Phase 3 Sponsor(trial)
2000s
- Jan 1, 2005
Earliest Phase 2 Sponsor(trial)
2010s
- Apr 4, 2013
Barr Laboratories — Marketing Organization
- Apr 4, 2013
Teva — Marketing Organization
- May 22, 2015
Sigmapharm Laboratories — Marketing Organization
- Sep 10, 2015
Mylan — Marketing Organization
- Dec 23, 2015
Impax Laboratories — Marketing Organization
- Jan 1, 2019
Earliest Phase 1 Sponsor(trial)
2020s
- Aug 5, 2024
Alembic — Marketing Organization
Indications
Approved for
Mechanism of action
- Retinoid receptorAGONIST
Retinoid receptor agonist
Precise mechanism uncertain. RARG/RXRA are predominant forms in skin
- Retinoic acid receptor RXR-beta (RXRB) ↗
- Retinoic acid receptor gamma (RARG) ↗
- Retinoic acid receptor RXR-gamma (RXRG) ↗
- Retinoic acid receptor beta (RARB) ↗
- Retinoic acid receptor alpha (RARA) ↗
- Retinoic acid receptor RXR-alpha (RXRA) ↗
- Retinoic acid receptor alpha
- Retinoic acid receptor gamma
- Retinoid X receptor gamma
- Retinoic acid receptor beta
- Retinoid X receptor alpha
- Retinoid X receptor beta
- Retinoic acid receptor
- Retinoid X receptor
- Retinoid X receptor gamma/retinoic acid receptor alpha
- Retinoic acid receptor alpha/Retinoid X receptor alpha
- Retinoic acid receptor RXR-alpha/Retinoic acid receptor beta
- Retinoic acid receptor RXR-alpha/gamma
Approval history
- approvedOct 28, 1996
Chemistry & pharmacology
SMILES
COC1=CC(C)=C(\C=C\C(C)=C\C=C\C(C)=C\C(O)=O)C(C)=C1C- Mol. weight
- 326.4293 g/mol
- Lipinski Ro5
- 1 violation(s)
- Rule of 3
- No
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaAcitretin ↗
- NCATSLCH760E9T7 ↗
- ChEMBLCHEMBL1131 ↗
Also known as
- acetretin
- acetretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretin
- acitretina
- acitretina
- acitretine
- acitretine
- acitretinoin
- acitretinum
- acitretinum
- actiretin
- (all-e)-9-(4-methoxy-2,3,6-trimethylphenyl)-3,7-dimethyl-2,4,6,8-nonatetraenoic acid
- (all-e)-9-(4-methoxy-2,3,6-trimethylphenyl)-3,7-dimethyl-2,4,6,8-nonatetraenoic acid
- all-trans-3,7-dimethyl-9-(4-methoxy-2,3,6-trimethylphenyl)-2,4,6,8-nonatetraenoic acid
- all-trans-3,7-dimethyl-9-(4-methoxy-2,3,6-trimethylphenyl)-2,4,6,8-nonatetraenoic acid
- etretin
- etretin
- etretin
- etretin
- isoacitretin
- isoetretin
- neotigason
- neotigason
- neotigason
- neotigason
- neotigason
- ro-101670000
- ro-101670000
- soriatane
- soriatane
- soriatane
- soriatane
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT06998875 | Phase 4 | Mar 1, 2025 | People's Liberation Army of China |
| NCT06739551 | Phase 2 | Dec 10, 2024 | Sheikh Zayed Medical College |
| NCT05184348 | Phase 4 | Nov 23, 2021 | South Valley University |
| NCT05401006 | Phase 4 | Jun 5, 2021 | South Valley University |
| NCT04537689 | Phase 4 | Nov 16, 2020 | Singapore General Hospital, SingHealth Investigational Medicine Unit |
| NCT04239859 | Phase 4 | Feb 29, 2020 | Singapore General Hospital, SingHealth Investigational Medicine Unit |
| NCT04245319 | N/A | Jan 1, 2020 | Cairo University |
| NCT03753867 | Phase 1 | Jan 7, 2019 | University of Ottawa |
| NCT05203354 | Phase 4 | Sep 1, 2018 | Aswan University |
| NCT02715960 | Phase 2 | Dec 1, 2015 | Central South University |
| NCT02181790 | Phase 4 | Jun 1, 2014 | Icahn School of Medicine at Mount Sinai |
| NCT02050321 | Phase 2 | Dec 1, 2013 | University of Arizona |
| NCT02191020 | N/A | Feb 1, 2013 | Dalian Medical University, Henan Medical University, People's Liberation Army of China |
| NCT01545284 | Phase 2/Phase 3 (Phase 3) | Mar 1, 2012 | Innovaderm, Tribute Pharmaceuticals, Windsor Clinical Research |
| NCT01443338 | Phase 4 | Sep 1, 2011 | Government of China, Zhejiang University |
| NCT01299220 | Phase 4 | Nov 1, 2010 | OSI Pharmaceuticals, University of Pittsburgh |
| NCT01228409 | Phase 4 | Oct 1, 2010 | Frankel, Amylynne, M.D., GlaxoSmithKline |
| NCT01078168 | Phase 2 | Mar 1, 2010 | Alzheimer Forschungsinitiative e.V., Johannes Gutenburg University |
| NCT01094717 | N/A | Jan 31, 2010 | University of Utah |
| NCT00832364 | Phase 4 | Oct 1, 2009 | GlaxoSmithKline, Stiefel Laboratories |
Organizations
Research & Development (38)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| GlaxoSmithKline | For profit | 2 | 0 | 1 | 2009 |
| Mayo Clinic | Academic/Hospital | 2 | 1 | 1 | 2000 |
| National Cancer Institute (NCI) | Government | 2 | 1 | 1 | 2000 |
| People's Liberation Army of China | Government | 2 | 2 | 2 | 2013 |
| Singapore General Hospital | Academic/Hospital | 2 | 2 | 1 | 2020 |
| SingHealth Investigational Medicine Unit | For profit | 2 | 0 | 1 | 2020 |
| South Valley University | Academic/Hospital | 2 | 2 | 1 | 2021 |
| Alzheimer Forschungsinitiative e.V. | Academic/Hospital | 1 | 0 | 1 | 2010 |
| Aswan University | Academic/Hospital | 1 | 1 | 1 | 2018 |
| Cairo University | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Central South University | Academic/Hospital | 1 | 1 | 1 | 2015 |
| Connetics | For profit | 1 | 0 | 1 | 2005 |
| Dalian Medical University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Frankel, Amylynne, M.D. | Academic/Hospital | 1 | 1 | 1 | 2010 |
| Government of China | Government | 1 | 1 | 1 | 2011 |
| Henan Medical University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Icahn School of Medicine at Mount Sinai | Academic/Hospital | 1 | 1 | 1 | 2014 |
| Innovaderm | For profit | 1 | 1 | 1 | 2012 |
| Istituti Fisioterapici Ospitalieri | Academic/Hospital | 1 | 1 | 1 | 2005 |
| Johannes Gutenburg University | Academic/Hospital | 1 | 1 | 1 | 2010 |
Marketing (9)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alembic | For profit | MKTG | Aug 5, 2024 |
| Barr Laboratories | For profit | MKTG | Apr 4, 2013 |
| Impax Laboratories | For profit | MKTG | Dec 23, 2015 |
| Mylan | For profit | MKTG | Sep 10, 2015 |
| Mylan | For profit | SYN | Sep 10, 2015 |
| Sigmapharm Laboratories | For profit | MKTG | May 22, 2015 |
| Stiefel Laboratories | For profit | NDA | Oct 28, 1996 |
| Stiefel Laboratories | For profit | NDA2 | Oct 28, 1996 |
| Teva | For profit | MKTG | Apr 4, 2013 |