deferiprone
Trade name: ferriprox
Approved
Oct 14, 2011
Deferiprone (trade name Ferriprox) is an iron chelator indicated for the treatment of patients with transfusional iron overload due to thalassemia syndromes when current chelation therapy is inadequate. Deferiprone is an orally bioavailable bidentate ligand with iron chelating activity. Deferiprone binds to iron in a 3:1 (ligand:iron) molar ratio. By binding to iron, deferiprone is able to remove excess iron from the body. All the adverse effects of deferiprone are considered reversible, controllable and manageable. These include agranulocytosis with frequency of about 0.6%, neutropenia 6%, musculoskeletal and joint pains 15%, gastrointestinal complains 6% and zinc deficiency 1%. — NCATS
Clinical trial activity
58 trials · 58 clinical orgs · 6 marketing orgs
Earliest trial started Sep 1, 2000 (NCT00733811)
Timeline
2000s
2010s
- Oct 14, 2011
Apotex — Earliest FDA Approval
- Oct 14, 2011
Chiesi — Marketing Organization
- Oct 14, 2011
Apotex — NDA Secondary Org
- Oct 14, 2011
Apotex — NDA Organization
- Oct 14, 2011
Chiesi — NDA Secondary Org
- Feb 8, 2019
Taro Pharmaceuticals — Marketing Organization
- Feb 8, 2019
Sun Pharmaceuticals — Marketing Organization
2020s
- Mar 29, 2021
Hikma — Marketing Organization
- Dec 11, 2025
Senores Pharms — Marketing Organization
Indications
Studied for
- Acute Kidney Injury · Phase 3
- Alzheimer Disease · Phase 2
- Amyotrophic Lateral Sclerosis · Phase 2/Phase 3
- Anemia · Phase 4
- Anemia, Sickle Cell · Phase 4
- Ascorbic Acid · Phase 2/Phase 3
- beta-Thalassemia · Phase 4
- Blood Platelet Disorders · Phase 2/Phase 3
- Blood Transfusion · Phase 2
- Cardiomyopathies · Phase 4
- Cardiovascular Diseases · Phase 2
- Cognitive Dysfunction · Phase 2
- Dementia · Phase 2
- Diabetes Mellitus · Phase 2/Phase 3
- Friedreich Ataxia · Phase 2
- Healthy Volunteers · Phase 1
- Hearing Loss, Sensorineural · Phase 2/Phase 3
- Heart · Phase 4
- Heart Diseases · Phase 2
- Hemochromatosis · Phase 3
- Hemosiderosis · Phase 4
- HIV Infections · Phase 1
- Iron · Early Phase 1
- Iron Metabolism Disorders · Phase 2/Phase 3
- Iron Overload · Phase 4
- Kidney Diseases · Phase 2
- Kidney Failure, Chronic · Phase 4
- Liver Diseases · Phase 4
- Myelodysplastic Syndromes · Phase 2
- Myocardial Infarction · Phase 1
- Neurodegenerative Diseases · Phase 2
- Optic Atrophy · Phase 2/Phase 3
- Pantothenate Kinase-Associated Neurodegeneration · Phase 3
- Parkinson Disease · Phase 2/Phase 3
- Peptic Ulcer · Phase 2/Phase 3
- Stroke · Phase 2
- Subarachnoid Hemorrhage · Phase 2
- Thalassemia · Phase 2/Phase 3
- Therapeutic Equivalency · Phase 1
Mechanism of action
- Unspecified targetOTHER
Unknown
Approval history
- approvedAcceleratedOct 14, 2011
Chemistry & pharmacology
SMILES
CN1C=CC(=O)C(O)=C1C- Mol. weight
- 139.1519 g/mol
- Lipinski Ro5
- Pass
- Rule of 3
- Yes
- Chirality
- Achiral Molecule
- Inorganic
- No
- Polymer
- No
- Delivery
- Oral
- Availability
- Prescription Only
Oral
Yes
Parenteral
No
Topical
No
Sources
- WikipediaDeferiprone ↗
- NCATS2BTY8KH53L ↗
- ChEMBLCHEMBL70927 ↗
Also known as
- 1,2-dimethyl-3-hydroxy-4-pyridinone
- 1,2-dimethyl-3-hydroxypyrid-4-one
- 1,2-dimethyl-3-hydroxypyrid-4-one
- 1,2-dimethyl-3-hydroxypyrid-4-one
- 1,2-dimethyl-3-hydroxypyridin-4-one
- 3-hydroxy-1,2-dimethyl-4(1h)-pyridone
- 3-hydroxy-1,2-dimethyl-4(1h)-pyridone
- 3-hydroxy-1,2-dimethyl-4-pyridinone
- apo-066
- apo-066
- apo-066
- apo-66
- apo-66
- cp20
- cp20
- cp20
- crmd-001
- crmd-001
- deferione
- deferipron
- deferiprona
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- deferiprone
- défériprone
- défériprone
- deferiproni
- deferipronum
- deferypron
- defriprone
- dimethylhydroxypyridone
- dimethylhydroxypyridone
- dmohpo
- dn-180-01-af
- dn-180-01-af
- ferriprox
- ferriprox
- ferriprox
- ferriprox
- ferriprox
- ferriprox
- hdmpp cpd
- hdpp
- l1
- l1
- l1 oral chelate
- pl1
- pl1
- pl-1
Clinical trials
| NCT ID | Phase | Start date | Sponsor(s) |
|---|---|---|---|
| NCT07023666 | Phase 2 | Oct 7, 2025 | Inova Health System |
| NCT05604131 | Phase 1 | Nov 24, 2022 | Indiana University |
| NCT05111821 | Phase 2 | Jan 1, 2022 | University of Bordeaux |
| NCT04184453 | Early Phase 1 (Phase 1) | Nov 26, 2019 | Fujian Medical University |
| NCT03754725 | Phase 2 | Jul 1, 2019 | University of Iowa |
| NCT03802916 | Phase 2 | Mar 6, 2019 | Apotex |
| NCT03293069 | Phase 2/Phase 3 (Phase 3) | Sep 30, 2018 | Government of France, University of Lille |
| NCT03591575 | Phase 4 | Aug 1, 2018 | Apotex |
| NCT03234686 | Phase 2 | Jan 19, 2018 | Neuroscience Trials Australia |
| NCT02882477 | Phase 2/Phase 3 (Phase 3) | Dec 1, 2016 | Hebrew University |
| NCT02878538 | N/A | Sep 1, 2016 | University of Texas, San Antonio |
| NCT02980458 | Phase 1 | Aug 1, 2016 | SocraMetrics GmbH, SocraTec R&D GmbH |
| NCT02728843 | Phase 2 | Jul 1, 2016 | Apotex |
| NCT02477631 | Phase 2 | Feb 1, 2016 | Bar Ilan University, Hebrew University, Tel Aviv University |
| NCT02655315 | Phase 2 | Feb 1, 2016 | Apotex, European Commission, University of Lille |
| NCT02635841 | N/A | Dec 17, 2015 | Apotex |
| NCT02465489 | Phase 1 | Jun 1, 2015 | Algorithme Pharma Inc, Apotex |
| NCT02456558 | Phase 1 | Jun 1, 2015 | Apotex |
| NCT02443545 | Phase 4 | May 1, 2015 | Apotex, University of Pennsylvania |
| NCT02442310 | Phase 1 | May 1, 2015 | Algorithme Pharma Inc, Apotex |
Organizations
Research & Development (58)
| Organization | Org type | Trials | As lead sponsor | Phases | Earliest year |
|---|---|---|---|---|---|
| Apotex | For profit | 26 | 22 | 5 | 2002 |
| Ain Shams University | Academic/Hospital | 5 | 4 | 2 | 2007 |
| University of Lille | Academic/Hospital | 5 | 5 | 3 | 2009 |
| University of Pennsylvania | Academic/Hospital | 4 | 2 | 3 | 2006 |
| European Commission | Government | 3 | 0 | 2 | 2012 |
| University of California, San Francisco | Academic/Hospital | 3 | 0 | 2 | 2005 |
| University of London | Academic/Hospital | 3 | 2 | 2 | 2004 |
| Algorithme Pharma Inc | For profit | 2 | 0 | 1 | 2015 |
| Consorzio per Valutazioni Biologiche e Farmacologiche | Academic/Hospital | 2 | 2 | 2 | 2012 |
| CorMedix | For profit | 2 | 2 | 2 | 2010 |
| Fondazione I.R.C.C.S. Istituto Neurologico Carlo Besta | Academic/Hospital | 2 | 0 | 1 | 2008 |
| Free University of Brussels | Academic/Hospital | 2 | 0 | 1 | 2008 |
| Hebrew University | Academic/Hospital | 2 | 1 | 2 | 2016 |
| La Fundaction Para la Investigacion Biomedica, Madrid, Spain | Academic/Hospital | 2 | 0 | 1 | 2008 |
| Lipomed | For profit | 2 | 2 | 2 | 2002 |
| University of Cagliari | Academic/Hospital | 2 | 0 | 1 | 2001 |
| University of Paris | Academic/Hospital | 2 | 0 | 1 | 2008 |
| Aga Khan University | Academic/Hospital | 1 | 1 | 1 | 2014 |
| Azienda Ospedaliera V. Cervello | Academic/Hospital | 1 | 1 | 1 | 2000 |
| Bar Ilan University | Academic/Hospital | 1 | 0 | 1 | 2016 |
Marketing (10)
| Organization | Org type | Relationship | Date |
|---|---|---|---|
| Apotex | For profit | NDA2 | Oct 14, 2011 |
| Apotex | For profit | NDA | Oct 14, 2011 |
| Chiesi | For profit | MKTG | Oct 14, 2011 |
| Chiesi | For profit | NDA2 | Oct 14, 2011 |
| Hikma | For profit | MKTG | Mar 29, 2021 |
| Hikma | For profit | SYN | Mar 29, 2021 |
| Senores Pharms | For profit | MKTG | Dec 11, 2025 |
| Sun Pharmaceuticals | For profit | MKTG | Feb 8, 2019 |
| Taro Pharmaceuticals | For profit | SYN | Feb 8, 2019 |
| Taro Pharmaceuticals | For profit | MKTG | Feb 8, 2019 |