Investigational Drug Details
| Drug ID: | D068 |
| Drug Name: | Metoprolol |
| Synonyms: | |
| Type: | small molecule |
| DrugBank ID: | DB00264 |
| DrugBank Description: | Metoprolol is a selective beta-1 blocker commonly employed as the succinate and tartrate derivatives depending if the formulation is designed to be of immediate release or extended release.[A175159, L5530] The possibility of the generation of these formulations comes from the lower systemic bioavailability of the succinate derivative.[T274] To this date, it is one of the preferred beta-blockers in general clinical guidelines and it is widely prescribed in the Netherlands, New Zealand, and the US.[A175162] Metoprolol was developed since 1969 by US Pharmaceutical Holdings I and FDA approved in 1978.[L5527] |
| PubChem ID: | 4171 |
| CasNo: | 51384-51-1 |
| Repositioning for NAFLD: | Yes |
| SMILES: | COCCC1=CC=C(OCC(O)CNC(C)C)C=C1 |
| Structure: |
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| InChiKey: | IUBSYMUCCVWXPE-UHFFFAOYSA-N |
| Molecular Weight: | 267.3639 |
| DrugBank Targets: | Beta-1 adrenergic receptor; Beta-2 adrenergic receptor; Beta adrenergic receptor |
| DrugBank MoA: | Metoprolol is a beta-1-adrenergic receptor inhibitor specific to cardiac cells with negligible effect on beta-2 receptors. This inhibition decreases cardiac output by producing negative chronotropic and inotropic effects without presenting activity towards membrane stabilization nor intrinsic sympathomimetics.[A175141] |
| DrugBank Pharmacology: | Administration of metoprolol in normal subjects is widely reported to produce a dose-dependent reduction on heart rate and cardiac output.[A175141] This effect is generated due to a decreased cardiac excitability, cardiac output, and myocardial oxygen demand.[T76] In the case of arrhythmias, metoprolol produces its effect by reducing the slope of the pacemaker potential as well as suppressing the rate of atrioventricular conduction.[T451] The Metoprolol Atherosclerosis Prevention in Hypertensives (MAPHY) trial showed a significant improvement in sudden cardiac death and myocardial infarction when patients were given with metoprolol as compared with diuretics. As well, in clinical trials performed in 1990, metoprolol reduces mortality and re-infarction in 17% of the individuals when administered chronically after an episode of myocardial infarction.[A175141] |
| DrugBank Indication: | Metoprolol is indicated for the treatment of angina, heart failure, myocardial infarction, atrial fibrillation, atrial flutter and hypertension.[A175141] Some off-label uses of metoprolol include supraventricular tachycardia and thyroid storm.[A175141] All the indications of metoprolol are part of cardiovascular diseases. These conditions correspond to a number of diseases that involve the function of the heart and blood vessels. The underlying causes of these conditions are variable and can be due to genetic disposition, lifestyle decisions such as smoking, obesity, diet, and lack of exercise, and comorbidity with other conditions such as diabetes. The cardiovascular diseases are the leading cause of death on a global scale.[L5533] |
| Targets: | |
| Therapeutic Category: | |
| Clinical Trial Progress: | |
| Latest Progress: |
| Trial ID | Source ID | Phases | Status | Study Results | Start Date | Last Update Posted | |
|---|---|---|---|---|---|---|---|
| L0414 | NCT01090037 | PHASE2|PHASE3 | COMPLETED | NO | 2010-03 | 2015-02-04 | Details |
| L0701 | NCT00908310 | PHASE4 | COMPLETED | YES | 2009-05 | 2014-07-17 | Details |
| L3425 | NCT05594563 | PHASE2 | RECRUITING | NO | 2023-03-14 | 2025-04-02 | Details |
| L7020 | NCT02413398 | PHASE3 | COMPLETED | YES | 2015-06-15 | 2018-10-31 | Details |
| Strategy ID | Strategy | Synonyms | Related Targets | Related Drugs |
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