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Also known as: 594839-88-0, Vyndamax, 2-(3,5-dichlorophenyl)-1,3-benzoxazole-6-carboxylic acid, Fx-1006, Tafamidisum, 8fg9h9d31j
Molecular Formula
C14H7Cl2NO3
Molecular Weight
308.1  g/mol
InChI Key
TXEIIPDJKFWEEC-UHFFFAOYSA-N
FDA UNII
8FG9H9D31J

DTXCID20130676
may be effective in treating transthyretin amyloid polyneuropathy
1 2D Structure

DTXCID20130676

2 Identification
2.1 Computed Descriptors
2.1.1 IUPAC Name
2-(3,5-dichlorophenyl)-1,3-benzoxazole-6-carboxylic acid
2.1.2 InChI
InChI=1S/C14H7Cl2NO3/c15-9-3-8(4-10(16)6-9)13-17-11-2-1-7(14(18)19)5-12(11)20-13/h1-6H,(H,18,19)
2.1.3 InChI Key
TXEIIPDJKFWEEC-UHFFFAOYSA-N
2.2 Other Identifiers
2.2.1 UNII
8FG9H9D31J
2.3 Synonyms
2.3.1 MeSH Synonyms

1. Fx006

2. Vyndamax

2.3.2 Depositor-Supplied Synonyms

1. 594839-88-0

2. Vyndamax

3. 2-(3,5-dichlorophenyl)-1,3-benzoxazole-6-carboxylic Acid

4. Fx-1006

5. Tafamidisum

6. 8fg9h9d31j

7. 2-(3,5-dichlorophenyl)benzoxazole-6-carboxylic Acid

8. Chebi:78538

9. Fx1006

10. Fx-1005

11. Dtxsid00208185

12. 6-benzoxazolecarboxylic Acid, 2-(3,5-dichlorophenyl)-

13. Refchem:56085

14. Dtxcid20130676

15. N07xx08

16. 813-715-5

17. Fx006

18. 2-(3,5-dichlorophenyl)-6-benzoxazole Carboxylic Acid

19. 2-(3,5-dichlorophenyl)benzo[d]oxazole-6-carboxylic Acid

20. C14h7cl2no3

21. Mfcd16621109

22. 594839-88-0 (free Acid)

23. Tafamidis [usan]

24. Tafamidis [usan:inn]

25. Unii-8fg9h9d31j

26. 4his

27. Tafamidis-meglumine

28. Vyndamax (tn)

29. 3mi

30. 2-(3,5-dichlorophenyl)-6-benzoxazolecarboxylic Acid

31. Vynmac (tn)

32. Tafamidis;fx 1006

33. Tafamidis [inn]

34. Tafamidis [jan]

35. Tafamidis [mi]

36. Tafamidis [mart.]

37. Tafamidis [who-dd]

38. Tafamidis (jan/usan/inn)

39. Schembl442508

40. Gtpl8378

41. Orb1302753

42. Tafamidis [orange Book]

43. Chembl2103837

44. Pf-06291826(tafamidis)

45. Schembl29361223

46. Pf-06291826(tafamidis)?

47. Glxc-10770

48. Hms3741e09

49. Hms5085b06

50. Ex-a3575

51. Bdbm50197883

52. S6465

53. Akos017550076

54. Db11644

55. Fd27988

56. Vs-0125

57. Ncgc00390731-01

58. 137464-18-7

59. Hy-14852

60. Sy217402

61. Db-072645

62. Ns00072572

63. C75776

64. D09673

65. En300-307185

66. 839d880

67. Q519447

68. Brd-k23728141-001-01-2

69. Z1443584665

70. Tafamidis; 2-(3,5-dichlorophenyl)-6-benzoxazole Carboxylic Acid

2.4 Create Date
2006-10-26
3 Chemical and Physical Properties
Molecular Weight 308.1 g/mol
Molecular Formula C14H7Cl2NO3
XLogP34.2
Hydrogen Bond Donor Count1
Hydrogen Bond Acceptor Count4
Rotatable Bond Count2
Exact Mass Da
Monoisotopic Mass Da
Topological Polar Surface Area63.3
Heavy Atom Count20
Formal Charge0
Complexity371
Isotope Atom Count0
Defined Atom Stereocenter Count0
Undefined Atom Stereocenter Count0
Defined Bond Stereocenter Count0
Undefined Bond Stereocenter Count0
Covalently Bonded Unit Count1
4 Drug and Medication Information
4.1 Drug Indication

Tafamidis is indicated to treat cardiomyopathy of wild type or hereditary transthyretin-mediated amyloidosis in adults.


FDA Label



Tafamidis is an innovative drug used to treat certain forms of ATTR amyloidosis (Transthyretin). ATTR amyloidosis is due to transthyretin (prealbumin) misfolding, which becomes unstable and deposits within the extracellular space of mainly cardiac tissue and nerves. It is of two types: the wild or senile type (ATTRwt) and the variant type (ATTRv), also known as hereditary or familial type. ATTRwt amyloidosis presents in elderly males with a predominant cardiac phenotype: Whereas the ATTRv amyloidosis mainly presents as sensorimotor peripheral neuropathy, specifically in patients with V30M mutation.


5 Pharmacology and Biochemistry
5.1 MeSH Pharmacological Classification

Anti-Inflammatory Agents

Substances that reduce or suppress INFLAMMATION.


Glucocorticoids

A group of CORTICOSTEROIDS that affect carbohydrate metabolism (GLUCONEOGENESIS, liver glycogen deposition, elevation of BLOOD SUGAR), inhibit ADRENOCORTICOTROPIC HORMONE secretion, and possess pronounced anti-inflammatory activity. They also play a role in fat and protein metabolism, maintenance of arterial blood pressure, alteration of the connective tissue response to injury, reduction in the number of circulating lymphocytes, and functioning of the central nervous system.


Immunosuppressive Agents

Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging.


5.2 ATC Code

N07XX08

S76 | LUXPHARMA | Pharmaceuticals Marketed in Luxembourg | Pharmaceuticals marketed in Luxembourg, as published by d'Gesondheetskeess (CNS, la caisse nationale de sante, www.cns.lu), mapped by name to structures using CompTox by R. Singh et al. (2021) DOI:10.1021/acsenvironau.1c00008. List downloaded from https://cns.public.lu/en/legislations/textes-coordonnes/liste-med-comm.html. Dataset DOI:10.5281/zenodo.4587355


N - Nervous system

N07 - Other nervous system drugs

N07X - Other nervous system drugs

N07XX - Other nervous system drugs

N07XX08 - Tafamidis


ATCvet Code

QN - Nervous system

QN07 - Other nervous system drugs

QN07X - Other nervous system drugs

QN07XX - Other nervous system drugs

QN07XX08 - Tafamidis


5.3 Absorption, Distribution and Excretion

Absorption

Tafamidis reaches a Cmax of 1430.93ng/mL with a Tmax of 1.75h fasted and 4h fed. The AUC of tafamidis is 47,864.31ng\*h/mL.


Route of Elimination

A 20mg oral dose of tafamidis is approximately 59% recovered in the feces, largely as unchanged drug. Approximately 22% of a 20mg oral dose is recovered in the urine, mostly as the glucuronide metabolite.


Volume of Distribution

The apparent volume of distribution at steady state is 18.5L.


Clearance

The oral clearance of tafamidis is 0.263L/h. The apparent total clearance is 0.44L/h.


5.4 Metabolism/Metabolites

Tafamidis is largely not subject to first pass or oxidative metabolism, being 90% unchanged after in in vitro experiments. Preclinical data suggest tafamidis is mainly metabolized through glucuronidation and excreted in bile.


5.5 Biological Half-Life

The half life of tafamidis is 49h.


5.6 Mechanism of Action

Genetic mutations or natural misfolding of transthyretin destabalizes transthyretin tetramers, leading to their dissociation and aggregation in tissues, and disrupting the normal function of these tissues. Tafamidis binds to transthyretin tetramers at the thyroxin binding sites, stabilizing the tetramer, reducing the availability of monomers for amyloidogenesis.


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