Investigational Drug Details
| Drug ID: | D274 |
| Drug Name: | Phenprocoumon |
| Synonyms: | |
| Type: | small molecule |
| DrugBank ID: | DB00946 |
| DrugBank Description: | Coumarin derivative that acts as a long acting oral anticoagulant. |
| PubChem ID: | 54680692 |
| CasNo: | 435-97-2 |
| Repositioning for NAFLD: | Yes |
| SMILES: | CCC(C1=CC=CC=C1)C1=C(O)C2=C(OC1=O)C=CC=C2 |
| Structure: |
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| InChiKey: | DQDAYGNAKTZFIW-UHFFFAOYSA-N |
| Molecular Weight: | 280.3178 |
| DrugBank Targets: | Vitamin K epoxide reductase complex subunit 1 |
| DrugBank MoA: | Phenprocoumon inhibits vitamin K reductase, resulting in depletion of the reduced form of vitamin K (vitamin KH2). As vitamin K is a cofactor for the carboxylation of glutamate residues on the N-terminal regions of vitamin K-dependent proteins, this limits the gamma-carboxylation and subsequent activation of the vitamin K-dependent coagulant proteins. The synthesis of vitamin K-dependent coagulation factors II, VII, IX, and X and anticoagulant proteins C and S is inhibited. Depression of three of the four vitamin K-dependent coagulation factors (factors II, VII, and X) results in decreased prothrombin levels and a decrease in the amount of thrombin generated and bound to fibrin. This reduces the thrombogenicity of clots. |
| DrugBank Pharmacology: | Phenprocoumon, a coumarin anticoagulant, thins the blood by antagonizing vitamin K which is required for the production of clotting factors in the liver. Anticoagulants such as phenprocoumon have no direct effect on an established thrombus, nor do they reverse ischemic tissue damage (damage caused by an inadequate blood supply to an organ or part of the body). However, once a thrombus has occurred, the goal of anticoagulant treatment is to prevent further extension of the formed clot and prevent secondary thromboembolic complications which may result in serious and possibly fatal sequelae. |
| DrugBank Indication: | Used for the prevention and treatment of thromboembolic disease including venous thrombosis, thromboembolism, and pulmonary embolism as well as for the prevention of ischemic stroke in patients with atrial fibrillation (AF). |
| Targets: | |
| Therapeutic Category: | |
| Clinical Trial Progress: | |
| Latest Progress: |
| Trial ID | Source ID | Phases | Status | Study Results | Start Date | Last Update Posted | |
|---|---|---|---|---|---|---|---|
| L3456 | NCT01959334 | PHASE3 | COMPLETED | YES | 2013-09 | 2019-09-06 | Details |
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