monlunabant   Click here for help

GtoPdb Ligand ID: 13717

Synonyms: (S)-MRI-1891 | INV-202 | MRI-1891
PDB Ligand
Compound class: Synthetic organic
Comment: Monlunabant (INV-202; MRI-1891) is a peripherally acting cannabinoid CB1 receptor inverse agonist [2,4-5]. Structurally it is a derivative of ibipinabant that has been modified to prevent the molecule from penetrating the blood-brain barrier. Bias towards β-arrestin-2 recruitment over G protein signalling has been claimed [5].
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 9
Hydrogen bond donors 2
Rotatable bonds 9
Topological polar surface area 137.96
Molecular weight 591.01
XLogP 2.3
No. Lipinski's rules broken 1

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 CC(=O)N/C(=N/C(=N/S(=O)(=O)C1=CC=C(C=C1)C(F)(F)F)/N2C[C@H](C3=CC=CC=C3)C(=N2)C4=CC=C(C=C4)Cl)/N
Isomeric SMILES CC(=O)N/C(=N/C(=N/S(=O)(=O)C1=CC=C(C=C1)C(F)(F)F)/N2C[C@@H](C(=N2)C3=CC=C(C=C3)Cl)C4=CC=CC=C4)/N
InChI InChI=1S/C26H22ClF3N6O3S/c1-16(37)32-24(31)33-25(35-40(38,39)21-13-9-19(10-14-21)26(28,29)30)36-15-22(17-5-3-2-4-6-17)23(34-36)18-7-11-20(27)12-8-18/h2-14,22H,15H2,1H3,(H3,31,32,33,35,37)/t22-/m1/s1
InChI Key GYJPQNPVIJXXTA-JOCHJYFZSA-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
Monlunabant is being developed (by Novo Nordisk) for weight loss potential (targeting metabolic syndrome and obesity) and diabetic kidney disease (nephropathy) [3]. Satisfactory tolerability, weight loss and improvements in metabolic syndrome markers have been reported from a phase 1 study in patients with features of metabolic syndrome [1]. Information (included in Novo Nordisk's financial report for 2024 [6]) coming from a phase 2 diabetic kidney disease trial indicates failure to meet the study's primary endpoint and mild to moderate neuropsychiatric side effects.
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT06542536 A Research Study Investigating Safety and Concentration in the Blood After One Dose Tablet of the New Medicine Monlunabant in Healthy Weight Japanese and Caucasian Men Phase 1 Interventional Novo Nordisk A/S
NCT05514548 Phase 2 Study of INV-202 in Patients With Diabetic Kidney Disease Phase 2 Interventional Inversago Pharma Inc.
NCT05891834 Study of INV-202 in Patients With Obesity and Metabolic Syndrome Phase 2 Interventional Inversago Pharma Inc.
NCT05282446 A Study to Explore the PK and PD of INV-202 in Metabolic Syndrome Phase 1 Interventional Inversago Pharma Inc. 1