Cenicriviroc

drug
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Also known as TAK-652TBR-652

Summary

Cenicriviroc (CHEMBL2110727) is a phase-3 clinical-stage small-molecule chemokine receptor 5 antagonist targeting CCR5; indicated across 8 conditions including metabolic dysfunction-associated steatohepatitis and metabolic dysfunction-associated steatotic liver disease.

At a glance

  • Status: Max clinical phase 3 (not approved)
  • Modality: Small molecule
  • Targets: 1 (CCR5)
  • Indications: 8 conditions
  • Clinical trials: 15
  • Chemistry: 696.9 Da · C41H52N4O4S

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL2110727
NameCenicriviroc
TypeSmall molecule
Max phase3
FDA approvedno
PubChem CID11285792
ChEBICHEBI:149636
Molecular formulaC41H52N4O4S
Molecular weight696.9
InChIKeyPNDKCRDVVKJPKG-WHERJAGFSA-N

SMILES: CCCCOCCOC1=CC=C(C=C1)C2=CC/3=C(C=C2)N(CCC/C(=C3)/C(=O)NC4=CC=C(C=C4)[S@@](=O)CC5=CN=CN5CCC)CC(C)C

IUPAC name: (5E)-8-[4-(2-butoxyethoxy)phenyl]-1-(2-methylpropyl)-N-[4-[(S)-(3-propylimidazol-4-yl)methylsulfinyl]phenyl]-3,4-dihydro-2H-1-benzazocine-5-carboxamide

ChEBI definition: A member of the class of benzazocines that is (5Z)-1,2,3,4-tetrahydro-1-benzazocine which is substituted by a 2-methylpropyl, N-{4-[(S)-(1-propyl-1H-imidazol-5-yl)methanesulfinyl]phenyl}carboxamide and 4-(2-butoxyethoxy)phenyl groups at positions 1, 5 and 8, respectively. It is a potent chemokine 2 and 5 receptor antagonist currently in development for the treatment of liver fibrosis in adults with nonalcoholic steatohepatitis (NASH).

Pharmacological roles (ChEBI): chemokine receptor 5 antagonist, anti-HIV agent, chemokine receptor 2 antagonist, antirheumatic drug, anti-inflammatory agent, antifibrotic agent.

Also known as: Cenicriviroc, TAK-652, TBR-652, CENICRIVIROC

Parent form; salt/anhydrous children: CHEMBL2105686

Patent coverage: 729 distinct patent families (2,137 SureChEMBL compound mentions), from 3 matched compound structure(s). One matched structure accounts for 2,074 (97%) of the total. Mentions count patents naming the compound (not distinct inventions), so promiscuous / reference molecules inflate the mention figure — families are the dedup metric.

Targets

Targets

Primary targets (GtoPdb curated mechanism): the Cancer dependency column is the DepMap CRISPR fitness signal (% of screened cell lines dependent on the target).

GeneTargetActionpAffinityCancer dependencyUniProt
CCR5CCR5Antagonist8.60.7%P51681

Broader ChEMBL bioactivity targets: 4 (assay-derived). Sample: C-C chemokine receptor type 5, C-C chemokine receptor type 5, C-C chemokine receptor type 2, C-C chemokine receptor type 7.

Bioactivity

ChEMBL activities: 5 potent at pChembl ≥ 5 of 5 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
P516829.6IC500.25nMCHEMBL_ACT_18393158
CCR58.52IC503nMCHEMBL_ACT_12149722
CCR78.51IC503.1nMCHEMBL_ACT_19005400
CCR28.23IC505.9nMCHEMBL_ACT_12149721
CCR28.23IC505.9nMCHEMBL_ACT_19005399

Target pathways

Aggregated over 1 target gene(s): CCR5.

Top Reactome pathways

19 total, by targets touching each:

PathwayTargetsGenes
Cytokine Signaling in Immune system1CCR5
Signal Transduction1CCR5
HIV Life Cycle1CCR5
Early Phase of HIV Life Cycle1CCR5
HIV Infection1CCR5
Disease1CCR5
Immune System1CCR5
Binding and entry of HIV virion1CCR5
Signaling by GPCR1CCR5
Class A/1 (Rhodopsin-like receptors)1CCR5
Peptide ligand-binding receptors1CCR5
Chemokine receptors bind chemokines1CCR5
GPCR downstream signalling1CCR5
G alpha (i) signalling events1CCR5
Signaling by Interleukins1CCR5
GPCR ligand binding1CCR5
Infectious disease1CCR5
Interleukin-10 signaling1CCR5
Viral Infection Pathways1CCR5

Dominant GO biological processes

GO termTargets
MAPK cascade1
dendritic cell chemotaxis1
calcium ion transport1
apoptotic process1
chemotaxis1
inflammatory response1
immune response1
cellular defense response1
cell surface receptor signaling pathway1
G protein-coupled receptor signaling pathway1
positive regulation of cytosolic calcium ion concentration1
cell-cell signaling1
release of sequestered calcium ion into cytosol by sarcoplasmic reticulum1
calcium-mediated signaling1
signaling1

Indications & clinical

Indications

8 indications (0 at ChEMBL trial phase 4). Phase below is the highest clinical-trial phase recorded for this drug against each disease — not the molecule’s overall approval status (that is in the Summary).

IndicationTrial phaseMONDOEFO
metabolic dysfunction-associated steatohepatitis3MONDO:0007027EFO:1001249
metabolic dysfunction-associated steatotic liver disease3MONDO:0013209EFO:0003095
severe acute respiratory syndrome3MONDO:0005091MONDO:0100096
HIV infectious disease2MONDO:0005109EFO:0000180
sclerosing cholangitis2MONDO:0018646EFO:0004268
liver disorder1MONDO:0005154EFO:0001421

2 further indication records had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.

Clinical trials

Total trials: 15.

Phase distribution

PhaseTrials
PHASE29
PHASE14
PHASE31
PHASE1/PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT03028740PHASE3TERMINATEDAURORA: A Study for the Efficacy and Safety of Cenicriviroc (CVC) for the Treatment of Liver Fibrosis in Adults With Nonalcoholic Steatohepatitis (NASH)
NCT04488081PHASE2ACTIVE_NOT_RECRUITINGI-SPY COVID-19 TRIAL: An Adaptive Platform Trial for Critically Ill Patients
NCT01092104PHASE1/PHASE2COMPLETEDA Proof of Concept Study to Evaluate the Antiviral Activity, Safety, and Pharmacokinetics of the CCR5 Antagonist TBR 652 in HIV 1-Infected, Antiretroviral Treatment-Experienced, CCR5 Antagonist-Naïve Patients
NCT01338883PHASE2COMPLETEDEfficacy, Safety, and Tolerability of Cenicriviroc (CVC) in Combination With Truvada or Sustiva Plus Truvada in HIV 1-infected, Antiretroviral Treatment-naïve, Adult Patients Infected With Only CCR5-tropic Virus
NCT02128828PHASE2COMPLETEDEffect of Cenicriviroc on HIV Neurocognitive Impairment
NCT02217475PHASE2COMPLETEDEfficacy and Safety Study of Cenicriviroc for the Treatment of Nonalcoholic Steatohepatitis (NASH) in Adult Participants With Liver Fibrosis
NCT02330549PHASE2COMPLETEDORION: Effects of Cenicriviroc on Insulin Sensitivity in Subjects With Prediabetes or Type 2 Diabetes Mellitus (T2DM) and Suspected NAFLD
NCT02653625PHASE2COMPLETEDPERSEUS: Preliminary Efficacy and Safety of Cenicriviroc in Adult Participants With Primary Sclerosing Cholangitis
NCT03059446PHASE2TERMINATEDRollover Study of Cenicriviroc for the Treatment of Liver Fibrosis in Participants With Nonalcoholic Steatohepatitis
NCT03517540PHASE2COMPLETEDStudy of Safety, Tolerability, and Efficacy of a Combination Treatment of LJN452 and CVC in Adult Patients With NASH and Liver Fibrosis
NCT04500418PHASE2TERMINATEDCharité Trial of Cenicriviroc (CVC) Treatment for COVID-19 Patients
NCT01827540PHASE1COMPLETEDStudy of Dolutegravir (DTG) on PK of Cenicriviroc (CVC), and CVC on PK of DTG & on a Single Dose of Midazolam
NCT02342067PHASE1COMPLETEDPharmacokinetic and Safety Study of Cenicriviroc and Pioglitazone, When Dosed Alone or in Combination
NCT02684799PHASE1COMPLETEDPharmacokinetic and Safety Study of Cenicriviroc and Acid Reducing Agents When Dosed Alone or in Combination
NCT03376841PHASE1COMPLETEDImpact of Severe Hepatic Impairment on Pharmacokinetics of Cenicriviroc and Its Metabolites

Clinical evidence (CIViC)

No CIViC predictive evidence (expected for non-precision-medicine drugs).

Pharmacology

Pharmacogenomics

No CPIC/DPWG dosing guideline or drug-level clinical/variant annotations in PharmGKB for this molecule.

Molecules sharing ≥1 of this drug’s curated primary targets, merged from two biobtree sources and ranked by shared-target count, then clinical phase: ChEMBL clinical-stage candidates (development phase ≥2) and PubChem drug-class bioactivity (approved / known drugs acting on the target). Deduplicated by drug name; the drug’s own salt forms are excluded. Note: for a drug with few primary targets a shared-target match can reflect off-target / promiscuous binding rather than the same therapeutic mechanism — the phase ordering surfaces bona-fide therapeutics first.

13 molecules share ≥1 primary target. Top 13 by shared-target count:

MoleculeSourceStatusShared targets
ABAMETAPIRChEMBLPhase 4 (approved)CCR5
DISULFIRAMChEMBLPhase 4 (approved)CCR5
MARAVIROCChEMBLPhase 4 (approved)CCR5
TERFENADINEChEMBLPhase 4 (approved)CCR5
APLAVIROCChEMBLPhase 3CCR5
VICRIVIROCChEMBLPhase 3CCR5
ANCRIVIROCChEMBLPhase 2CCR5
AZD5672ChEMBLPhase 2CCR5
BMS-741672ChEMBLPhase 2CCR5
BMS-813160ChEMBLPhase 2CCR5
INCB-9471ChEMBLPhase 2CCR5
JNJ-17166864 CATIONChEMBLPhase 2CCR5
MavorixaforPubChemApprovedCCR5