deflazacort
Trade name: emflaza
Approved
Feb 9, 2017
Deflazacort is a glucocorticoid developed for the treatment of different inflammatory and immune conditions. The drug is rapidly metabolized to an active metabolite, 21-hydroxy-deflazaxort that may cross the blood brain barrier. Deflazacort acts by suppressing inflammatory response. — NCATS
Clinical trial activity
16 trials · 19 clinical orgs · 10 marketing orgs
Earliest trial started Sep 1, 2003 (NCT00527228)
Timeline
2000s
- Jan 1, 2003
Earliest Phase 2 Sponsor(trial)
2010s
- Jan 1, 2013
Earliest Phase 3 Sponsor(trial)
- Aug 16, 2013
Orphan Drug Designation
- Jan 1, 2014
Earliest Phase 1 Sponsor(trial)
- Feb 9, 2017
Gilead Sciences — Earliest FDA Approval
- Feb 9, 2017
PTC Therapeutics — NDA Secondary Org
- Feb 9, 2017
Gilead Sciences — NDA Organization
2020s
- Mar 29, 2023
Aurobindo Pharma — Marketing Organization
- Apr 25, 2024
Tris Pharma, Inc. — Marketing Organization
- Nov 5, 2024
Upsher-Smith Laboratories — Marketing Organization
- Mar 18, 2025
Sun Pharmaceuticals — Marketing Organization
- Apr 8, 2025
Zydus Discovery DMCC — Marketing Organization
- Jun 30, 2025
Aucta Pharms — Marketing Organization
- Dec 12, 2025
Amneal Pharmaceuticals — Marketing Organization
- May 28, 2026
CARNEGIE — Marketing Organization
Indications
Studied for
- Aspergillosis, Allergic Bronchopulmonary · Phase 2/Phase 3
- Atrophy · Phase 2/Phase 3
- Healthy Volunteers · Phase 1
- Kidney Failure, Chronic · Phase 1
- Liver Diseases · Phase 1
- Muscular Dystrophies, Limb-Girdle · Phase 3
- Musculoskeletal Diseases · Phase 2/Phase 3
- Renal Insufficiency, Chronic · Phase 4
- Tooth Abnormalities · Phase 4
Mechanism of action
- Glucocorticoid receptorAGONIST
NR3C1 agonist
Prodrug - activity due to metabolite, 21-desDFZ
Approval history
- approvedPriority reviewFast trackFeb 9, 2017
Chemistry & pharmacology
SMILES
CC1=N[C@@]2([C@@H](C[C@H]3[C@@H]4CCC5=CC(=O)C=C[C@]5(C)[C@H]4[C@@H](O)C[C@]23C)O1)C(=O)CO- Mol. weight
- 399.4801 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
- WikipediaDeflazacort ↗
- NCATST1LWN33J2P ↗
- ChEMBLCHEMBL1201891 ↗
Also known as
- (11 beta,16 beta)-21-(acetyloxy)-11-hydroxy-2'- methyl-5'h-pregna-1,4-dieno(17,16-d)oxazole-3,20- dione
- azacort
- azacortinol
- calcort
- calcort
- calcort
- calcort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- deflazacort
- dezacor
- dezacor
- dezacort
- emflaza
- emflaza
- emflaza
- flantadin
- lantadin
- mdl-458
- mdl-458
- oxazacort
- zamene
- zamene
- zamene
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT04791345 | Phase 1 | Feb 26, 2021 | Institut Hospital del Mar d'Investigacions Mèdiques |
| NCT04543370 | Phase 1 | Aug 8, 2020 | Catabasis |
| NCT04227483 | Phase 2/Phase 3 (Phase 3) | Jan 15, 2020 | Postgraduate Institute of Medical Education and Research |
| NCT03783923 | Phase 3 | May 15, 2019 | PTC Therapeutics |
| NCT04365088 | Phase 4 | Dec 15, 2018 | Yuzuncu Yıl University |
| NCT03642145 | Phase 3 | Oct 31, 2018 | PTC Therapeutics |
| NCT02592941 | N/A | Oct 29, 2015 | Dohmen Life Science Services, Marathon Pharmaceuticals, Parexel |
| NCT02485431 | Phase 1 | Jun 1, 2015 | ICON, Marathon Pharmaceuticals |
| NCT02251600 | Phase 1 | Dec 1, 2014 | Celerion, Marathon Pharmaceuticals |
| NCT02295748 | Phase 1 | Dec 1, 2014 | Marathon Pharmaceuticals |
| NCT02286622 | Phase 1 | Dec 1, 2014 | Marathon Pharmaceuticals |
| NCT02286609 | Phase 1 | Dec 1, 2014 | Marathon Pharmaceuticals |
| NCT02286635 | Phase 1 | Nov 1, 2014 | Marathon Pharmaceuticals |
| NCT01603407 | Phase 3 | Jan 1, 2013 | National Institute of Neurological Disorders and Stroke (NINDS), Newcastle University, University of Freiburg, University of Rochester |
| NCT01817322 | Phase 4 | Jun 1, 2011 | Ajou University, Seoul National University, Sungkyunkwan University, Yonsei University |
| NCT00527228 | Phase 2/Phase 3 (Phase 3) | Sep 1, 2003 | Ludwig Maximilians University |
Organizations
Research & Development (19)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Marathon Pharmaceuticals | For profit | 7 | 7 | 2 | 2014 |
| PTC Therapeutics | For profit | 2 | 2 | 1 | 2018 |
| Ajou University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Catabasis | For profit | 1 | 1 | 1 | 2020 |
| Celerion | For profit | 1 | 0 | 1 | 2014 |
| Dohmen Life Science Services | For profit | 1 | 0 | 1 | 2015 |
| ICON | For profit | 1 | 0 | 1 | 2015 |
| Institut Hospital del Mar d'Investigacions Mèdiques | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Ludwig Maximilians University | Academic/Hospital | 1 | 1 | 1 | 2003 |
| National Institute of Neurological Disorders and Stroke (NINDS) | Government | 1 | 0 | 1 | 2013 |
| Newcastle University | Academic/Hospital | 1 | 0 | 1 | 2013 |
| Parexel | For profit | 1 | 0 | 1 | 2015 |
| Postgraduate Institute of Medical Education and Research | Academic/Hospital | 1 | 1 | 1 | 2020 |
| Seoul National University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Sungkyunkwan University | Academic/Hospital | 1 | 1 | 1 | 2011 |
| University of Freiburg | Academic/Hospital | 1 | 0 | 1 | 2013 |
| University of Rochester | Academic/Hospital | 1 | 1 | 1 | 2013 |
| Yonsei University | Academic/Hospital | 1 | 0 | 1 | 2011 |
| Yuzuncu Yıl University | Academic/Hospital | 1 | 1 | 1 | 2018 |
Marketing (12)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Amneal Pharmaceuticals | For profit | MKTG | Dec 12, 2025 |
| Aucta Pharms | For profit | MKTG | Jun 30, 2025 |
| Aurobindo Pharma | For profit | MKTG | Mar 29, 2023 |
| Aurobindo Pharma | For profit | SYN | Feb 9, 2024 |
| CARNEGIE | For profit | MKTG | May 28, 2026 |
| Gilead Sciences | For profit | NDA | Feb 9, 2017 |
| PTC Therapeutics | For profit | NDA2 | Feb 9, 2017 |
| Sun Pharmaceuticals | For profit | MKTG | Mar 18, 2025 |
| Sun Pharmaceuticals | For profit | SYN | Jan 27, 2026 |
| Tris Pharma, Inc. | For profit | MKTG | Apr 25, 2024 |
| Upsher-Smith Laboratories | For profit | MKTG | Nov 5, 2024 |
| Zydus Discovery DMCC | For profit | MKTG | Apr 8, 2025 |