suzetrigine   Click here for help

GtoPdb Ligand ID: 12630

Synonyms: Compound 7 [WO2021113627A1] | Journavx® | VX-548 | VX548
Approved drug
suzetrigine is an approved drug
Compound class: Synthetic organic
Comment: Suzetrigine (VX-548) is an oral, selective NaV1.8 (SCN10A) allosteric inhibitor [2], that was developed for analgesic potential in acute and chronic pain [3]. NaV1.8 is validated target for peripheral pain management, that offers a non-opioid therapeutic option that mitigates the off-target effects of opioids in the brain. This chemical structure is claimed in Vertex Pharmaceuticals' patent WO2021113627A1 [1]. The ligand docks within the channel's second voltage sensing domain (VSD2) and stabilises its closed state [3]. Suzetrigine's FDA approval in early 2025 made it the first-in-class NaV1.8-targeting analgesic to reach the clinic.
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Ligand Activity Visualisation Charts

These are box plot that provide a unique visualisation, summarising all the activity data for a ligand taken from ChEMBL and GtoPdb across multiple targets and species. Click on a plot to see the median, interquartile range, low and high data points. A value of zero indicates that no data are available. A separate chart is created for each target, and where possible the algorithm tries to merge ChEMBL and GtoPdb targets by matching them on name and UniProt accession, for each available species. However, please note that inconsistency in naming of targets may lead to data for the same target being reported across multiple charts.

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View interactive charts of activity data across species

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2D Structure
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2D Structure

An image of the ligand's 2D structure. For small molecules with SMILES these are drawn using the NCI/CADD Chemical Identifier Resolver. Click on the image to access the chemical structure search tool with the ligand pre-loaded in the structure editor. For other types of ligands, e.g. longer nucleotides and peptides, a manually drawn representation of the molecule may be provided.

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Physico-chemical Properties
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Physico-chemical Properties

Calculated molecular properties are available for small molecules and natural products (not peptides). Properties were generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/). All properties were selected to enable the prediction of the Lipinski Rule-of-Five profile or ‘druglikeness’ for each ligand. For more info on each category see the help pages.

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Hydrogen bond acceptors 7
Hydrogen bond donors 2
Rotatable bonds 7
Topological polar surface area 103.01
Molecular weight 473.39
XLogP 1.21
No. Lipinski's rules broken 0

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)
SMILES / InChI / InChIKey
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SMILES / InChI / InChIKey

SMILES (Simplified Molecular Input Line Entry Specification) A specification for unambiguously describing the structure of chemical molecules using short ASCII strings. Canonical SMILES specify a unique representation of the 2D structure without chiral or isotopic specifications. Isomeric SMILES include chiral specification and isotopes.

Standard InChI (IUPAC International Chemical Identifier) and InChIKey InChI is a non-proprietary, standard, textual identifier for chemical substances designed to facilitate linking of information and database searching. An InChIKey is a simplified version of a full InChI, designed for easier web searching.

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)

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Canonical SMILES C[C@H]1[C@@H](C2=CC=C(C(=C2OC)F)F)[C@H](C(=O)NC3=CC=NC(=C3)C(=O)N)O[C@@]1(C)C(F)(F)F
Isomeric SMILES COC1=C(F)C(F)=CC=C1[C@@H]2[C@H](C)[C@@](C)(O[C@H]2C(=O)NC3=CC(=NC=C3)C(N)=O)C(F)(F)F
InChI InChI=1S/C21H20F5N3O4/c1-9-14(11-4-5-12(22)15(23)16(11)32-3)17(33-20(9,2)21(24,25)26)19(31)29-10-6-7-28-13(8-10)18(27)30/h4-9,14,17H,1-3H3,(H2,27,30)(H,28,29,31)/t9-,14-,17+,20+/m0/s1
InChI Key XSQUJFKRXZMOKA-PAFIKIDNSA-N

Generated using the Chemistry Development Kit (CDK) (Willighagen EL et al. Journal of Cheminformatics vol. 9:33. 2017, doi:10.1186/s13321-017-0220-4; https://cdk.github.io/)
References
1. Durrant SJ. (2021)
Substituted tetrahydrofurans as modulators of sodium channels.
Patent number: WO2021113627A1. Assignee: Vertex Pharmaceuticals Incorporated. Priority date: 04/12/2020. Publication date: 10/06/2021.
2. Jones J, Correll DJ, Lechner SM, Jazic I, Miao X, Shaw D, Simard C, Osteen JD, Hare B, Beaton A et al.. (2023)
Selective Inhibition of NaV1.8 with VX-548 for Acute Pain.
N Engl J Med, 389 (5): 393-405. [PMID:37530822]
3. Osteen JD, Immani S, Tapley TL, Indersmitten T, Hurst NW, Healey T, Aertgeerts K, Negulescu PA, Lechner SM. (2025)
Pharmacology and Mechanism of Action of Suzetrigine, a Potent and Selective NaV1.8 Pain Signal Inhibitor for the Treatment of Moderate to Severe Pain.
Pain Ther, 14 (2): 655-674. [PMID:39775738]