sofpironium   Click here for help

GtoPdb Ligand ID: 13426

Synonyms: BBI-4000 (sofpironium bromide) | Ecclock® | Sofdra®
Approved drug
sofpironium is an approved drug (Japan (2020))
Compound class: Synthetic organic
Comment: Sofpironium is an anticholinergic drug. It is a structural analogue of glycopyrrolate which was modified to be rapidly converted to an inactive metabolite in the circulation so as to restrict action to local sites of administration (i.e. it is a so-called retrometabolic or "soft" drug) and minimise potential systemic side-effects. In relation to its use to reduce sweating in axillary hyperhidrosis its effect is mediated by antagonism of M3 muscarinic acetylcholine receptors in eccrine glands.
2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 5
Hydrogen bond donors 1
Rotatable bonds 9
Topological polar surface area 72.83
Molecular weight 390.49
XLogP 2.1
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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Canonical SMILES CCOC(=O)C[N+]1(C)CC[C@H](C1)OC(=O)[C@](C2=CC=CC=C2)(C3CCCC3)O
Isomeric SMILES CCOC(=O)C[N+]1(CC[C@H](C1)OC(=O)[C@@](C2CCCC2)(C3=CC=CC=C3)O)C
InChI InChI=1S/C22H32NO5/c1-3-27-20(24)16-23(2)14-13-19(15-23)28-21(25)22(26,18-11-7-8-12-18)17-9-5-4-6-10-17/h4-6,9-10,18-19,26H,3,7-8,11-16H2,1-2H3/q+1/t19-,22+,23?/m1/s1
InChI Key SEVCTUCCZYBJER-BSJAROSPSA-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/)

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Summary of Clinical Use Click here for help
Sofpironium (bromide) was first approved in Japan (September 2020) for the topical treatment of primary axillary hyperhidrosis, following successful phase 3 clinical evaluation [1-3]. FDA approval for this indication was granted in June 2024.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT03836287 Safety and Efficacy Study of Sofpironium Bromide in Subjects With Axillary Hyperhidrosis (BBI-4000-CL-301) Phase 3 Interventional Botanix Pharmaceuticals
NCT03948646 Safety and Efficacy Study of Sofpironium Bromide in Subjects With Axillary Hyperhidrosis (BBI-4000-CL-302) Phase 3 Interventional Botanix Pharmaceuticals
NCT03627468 A Safety Study of BBI-4000 Gel in Patients With Axillary Hyperhidrosis Phase 3 Interventional Botanix Pharmaceuticals