dronedarone
Trade name: multaq
Approved
Jul 1, 2009
Dronedarone is an antiarrhythmic that is FDA approved for the treatment of atrial fibrillation in patients in sinus rhythm with a history of paroxysmal or persistent atrial fibrillation (AF). Dronedarone is multichannel blocker. Common adverse reactions include abdominal pain, diarrhea, indigestion, nausea, vomiting, asthenia and raised serum creatinine. Dronedarone has potentially important pharmacodynamics interactions: Digoxin: Consider discontinuation or halve dose of digoxin before treatment and monitor; Calcium channel blockers (CCB): Initiate CCB with low dose and increase after ECG verification of tolerability; Beta-blockers: May provoke excessive bradycardia, Initiate with low dose and increase after ECG verification of tolerability. — NCATS
Clinical trial activity
32 trials · 29 clinical orgs · 10 marketing orgs
Earliest trial started Nov 1, 2001 (NCT00259376)
Timeline
2000s
- Jan 1, 2001
Earliest Phase 3 Sponsor(trial)
- Jul 1, 2009
Sanofi-Aventis — Earliest FDA Approval
- Jul 1, 2009
Sanofi-Aventis — NDA Organization
2010s
- Jan 1, 2010
Earliest Phase 2 Sponsor(trial)
- Jan 1, 2011
Earliest Phase 1 Sponsor(trial)
- Dec 31, 2015
Alkem Labs Ltd — Marketing Organization
- Dec 31, 2015
Glenmark Pharmaceuticals — Marketing Organization
- Dec 31, 2015
Watson Pharmaceuticals — Marketing Organization
- Dec 31, 2015
Allergan PLC (2015) — Marketing Organization
- May 12, 2017
Amneal Pharmaceuticals — Marketing Organization
2020s
- May 17, 2021
Sandoz — Marketing Organization
- May 17, 2021
Novartis — Marketing Organization
- Apr 27, 2023
Aurobindo Pharma — Marketing Organization
- Jan 31, 2024
Lupin — Marketing Organization
Indications
Mechanism of action
KCNJ2 blocker
HCN4 blocker
HCN4 is predominant form in sinoatrial node and atrioventricular node
- Sodium channel alpha subunitBLOCKER
Sodium channel alpha subunit blocker
Dronedarone reported to have antiarrhythmic properties belonging to all four Vaughan-Williams classes
- 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)
Voltage-gated L-type calcium channel blocker
Dronedarone reported to have antiarrhythmic properties belonging to all four Vaughan-Williams classes, importance of beta adrenergic receptors and calcium channels disputed in PMID: 23647933
Approval history
- approvedPriority reviewJul 1, 2009
Chemistry & pharmacology
SMILES
CCCCc1oc2ccc(NS(C)(=O)=O)cc2c1C(=O)c1ccc(OCCCN(CCCC)CCCC)cc1- Mol. weight
- 556.77 g/mol
- Lipinski Ro5
- 2 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
- ChEMBLCHEMBL184412 ↗
- WikipediaDronedarone ↗
- NCATSJQZ1L091Y2 ↗
- ChEMBLCHEMBL1201729 ↗
Also known as
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone
- dronedarone hcl
- dronedarone hcl
- dronedarone hcl
- dronedarone hydrochloride
- dronedarone hydrochloride
- dronedarone hydrochloride
- dronedarone hydrochloride
- multaq
- multaq
- multaq
- multaq
- multaq
- n-(2-butyl-3-(4-(3-(dibutylamino)propoxy)benzoyl)-5-benzofuranyl)-methanesulfonamide
- n-(2-butyl-3-(4-(3-(dibutylamino)propoxy)benzoyl)-5-benzofuranyl)-methanesulfonamide
- n-(2-butyl-3-(p-(3-(dibutylamino)propoxy)benzoyl)-5-benzofuranyl)methanesulfonamide
- n-(2-butyl-3-(p-(3-(dibutylamino)propoxy)benzoyl)-5-benzofuranyl)methanesulfonamide
- sr 33589
- sr 33589
- sr 33589
- sr 33589b
- sr 33589b
- sr 33589b
- sr33598b
- sr-33598b
- sr-33598b
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07270848 | Phase 4 | Dec 1, 2025 | Inha University |
| NCT05939076 | Phase 3 | Aug 21, 2023 | Orebro University, Swedish Heart Lung Foundation, The Swedish Research Council, Uppsala University |
| NCT05655468 | Phase 4 | Jan 31, 2023 | Huazhong University of Science and Technology |
| NCT05130268 | Phase 4 | Dec 31, 2021 | American Heart Association, Duke University, Sanofi |
| NCT04942834 | N/A | Aug 31, 2021 | Jiao Tong University |
| NCT04704050 | Phase 4 | May 15, 2021 | Cardiac Designs Inc., Marrek, INC, Preventice, Sanofi, Tulane University, University of Washington |
| NCT04037397 | Phase 3 | Jul 22, 2019 | Biosense Webster, Inc., Texas Cardiac Arrhythmia Institute, University of Pennsylvania |
| NCT03905759 | Phase 2/Phase 3 (Phase 3) | Apr 3, 2019 | Beni Suef University |
| NCT02825979 | N/A | Jan 1, 2017 | University of British Columbia, University of Ottawa |
| NCT02459574 | N/A | May 1, 2015 | University of London |
| NCT01522651 | Phase 2 | Jan 1, 2012 | Gilead Sciences |
| NCT01430806 | N/A | Oct 1, 2011 | Tel Aviv University |
| NCT01991119 | N/A | May 1, 2011 | Sungkyunkwan University |
| NCT01266681 | N/A | Mar 1, 2011 | Eastbourne General Hospital |
| NCT01306162 | Phase 1 | Feb 1, 2011 | Boehringer Ingelheim |
| NCT01182376 | Phase 3 | Nov 1, 2010 | Sanofi, University of Utah |
| NCT01199081 | Phase 4 | Oct 1, 2010 | Sanofi |
| NCT01213368 | Phase 2 | Sep 1, 2010 | Sanofi |
| NCT01140581 | Phase 4 | Sep 1, 2010 | Sanofi |
| NCT01198873 | Phase 4 | Sep 1, 2010 | Sanofi |
Organizations
Research & Development (29)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Sanofi | For profit | 17 | 14 | 3 | 2001 |
| Eastbourne General Hospital | Academic/Hospital | 2 | 2 | 2 | 2010 |
| Swedish Heart Lung Foundation | Academic/Hospital | 2 | 0 | 2 | 2008 |
| Uppsala University | Academic/Hospital | 2 | 1 | 2 | 2008 |
| American Heart Association | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Beni Suef University | Academic/Hospital | 1 | 1 | 1 | 2019 |
| Biosense Webster, Inc. | For profit | 1 | 0 | 1 | 2019 |
| Boehringer Ingelheim | For profit | 1 | 1 | 1 | 2011 |
| Cardiac Designs Inc. | For profit | 1 | 0 | 1 | 2021 |
| Duke University | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Gilead Sciences | For profit | 1 | 1 | 1 | 2012 |
| Huazhong University of Science and Technology | Academic/Hospital | 1 | 1 | 1 | 2023 |
| Inha University | Academic/Hospital | 1 | 1 | 1 | 2025 |
| Jiao Tong University | Academic/Hospital | 1 | 1 | 1 | 2021 |
| Marrek, INC | Academic/Hospital | 1 | 0 | 1 | 2021 |
| Orebro University | Academic/Hospital | 1 | 1 | 1 | 2023 |
| Preventice | For profit | 1 | 0 | 1 | 2021 |
| Sungkyunkwan University | Academic/Hospital | 1 | 1 | 1 | 2011 |
| Tel Aviv University | Academic/Hospital | 1 | 1 | 1 | 2011 |
| Texas Cardiac Arrhythmia Institute | Academic/Hospital | 1 | 0 | 1 | 2019 |
Marketing (10)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Alkem Labs Ltd | For profit | MKTG | Dec 31, 2015 |
| Allergan PLC (2015) | For profit | MKTG | Dec 31, 2015 |
| Amneal Pharmaceuticals | For profit | MKTG | May 12, 2017 |
| Aurobindo Pharma | For profit | MKTG | Apr 27, 2023 |
| Glenmark Pharmaceuticals | For profit | MKTG | Dec 31, 2015 |
| Lupin | For profit | MKTG | Jan 31, 2024 |
| Novartis | For profit | MKTG | May 17, 2021 |
| Sandoz | For profit | MKTG | May 17, 2021 |
| Sanofi-Aventis | For profit | NDA | Jul 1, 2009 |
| Watson Pharmaceuticals | For profit | MKTG | Dec 31, 2015 |