AP1189   Click here for help

GtoPdb Ligand ID: 11292

Synonyms: AP-1189 | example 19 [WO2007141343A1]
Compound class: Synthetic organic
Comment: AP1189 is a biased agonist of melanocortin (MC) receptors. It was designed to elicit the proresolving properties of the MC1 and MC3 receptors in inflammation, whilst sparing their melanogenic effects [2]. This is achieved by bias towards ERK1/2 phosphorylation and and Ca2+ mobilisation rather than inducing canonical cAMP production. The chemical structure is claimed in Action Pharma's patent WO2007141343A1 (compound 2/example 19) [1].

SARS-CoV-2 and COVID-19: The proresolving activity of AP1189 is being investigated as a mechanism to combat the dysfunctional immune response in COVID-19 patients.
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2D Structure
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Physico-chemical Properties
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Hydrogen bond acceptors 4
Hydrogen bond donors 2
Rotatable bonds 5
Topological polar surface area 124.31
Molecular weight 298.12
XLogP 2.81
No. Lipinski's rules broken 0
SMILES / InChI / InChIKey
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Canonical SMILES NC(=N/N=C\C=C\c1cccn1c1ccccc1[N+](=O)[O-])N
Isomeric SMILES NC(=N/N=C\C=C\c1cccn1c1ccccc1[N+](=O)[O-])N
InChI InChI=1S/C14H14N6O2/c15-14(16)18-17-9-3-5-11-6-4-10-19(11)12-7-1-2-8-13(12)20(21)22/h1-10H,(H4,15,16,18)/b5-3+,17-9-
InChI Key ZSDGHWLLLGYAJV-LDRJOUGUSA-N
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Summary of Clinical Use Click here for help
AP1189 has been advanced to clinical investiagtions in rheumatoid arthritis and idiopathic membranous nephropathy. SynAct Pharma (as part of the RESOVIR (Resolution in Viral infection) scientific collaboration between Universidade Federal de Minas, Brazil and Barts and the London School of Medicine, UK) have initiated a Phase 2 clinical study to evaluate the safety and efficacy of AP1189 in COVID-19 confirmed patients with early signs of acute respiratory distress syndrome (ARDS). The primary clinical objective is to demonstrate a reduction in time to respiratory recovery (normalisation of oxygen saturation on ambient air).
Clinical Trials
Clinical Trial ID Title Type Source Comment References
NCT04456816 A Study of the Safety, Tolerability, Pharmacokinetics and Efficacy of Treatment With AP1189 in Patients With iMN Phase 2 Interventional SynAct Pharma Aps
NCT04004429 A Study of the Safety, Tolerability and Efficacy of Treatment With AP1189 in Early RA Patients With Active Joint Disease Phase 2 Interventional SynAct Pharma Aps