Chiglitazar
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Also known as Carfloglitazar, (s)-CS 038CS-038
Summary
Chiglitazar (CHEMBL4650349) is a phase-3 clinical-stage small molecule targeting PPARA and PPARG; indicated across 5 conditions including type 2 diabetes mellitus and metabolic dysfunction-associated steatohepatitis.
At a glance
- Status: Max clinical phase 3 (not approved)
- Modality: Small molecule
- Targets: 2 (PPARA, PPARG)
- Indications: 5 conditions
- Clinical trials: 17
- Chemistry: 572.6 Da · C36H29FN2O4
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL4650349 |
| Name | Chiglitazar |
| Type | Small molecule |
| Max phase | 3 |
| FDA approved | no |
| PubChem CID | 71402018 |
| Molecular formula | C36H29FN2O4 |
| Molecular weight | 572.6 |
| InChIKey | QNLWMPLUWMWDMQ-YTTGMZPUSA-N |
SMILES: C1=CC=C2C(=C1)C3=CC=CC=C3N2CCOC4=CC=C(C=C4)C[C@@H](C(=O)O)NC5=CC=CC=C5C(=O)C6=CC=C(C=C6)F
IUPAC name: (2S)-3-[4-(2-carbazol-9-ylethoxy)phenyl]-2-[2-(4-fluorobenzoyl)anilino]propanoic acid
Also known as: Carfloglitazar, (s)-, Chiglitazar, CS 038, CS-038, CHIGLITAZAR
Patent coverage: 163 distinct patent families (443 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 439 (99%) 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).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| PPARA | Peroxisome proliferator-activated receptor-α | Agonist | 5.92 | 0.7% | Q07869 |
| PPARG | Peroxisome proliferator-activated receptor-γ | Agonist | 7.1 | 2.6% | P37231 |
Bioactivity
No ChEMBL bioactivity rows at pChembl ≥ 5 (expected for biologics / antibodies).
Target pathways
Aggregated over 2 target gene(s): PPARA, PPARG.
Top Reactome pathways
16 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| PPARA activates gene expression | 2 | PPARA, PPARG |
| Transcriptional regulation of white adipocyte differentiation | 2 | PPARA, PPARG |
| Nuclear Receptor transcription pathway | 2 | PPARA, PPARG |
| SUMOylation of intracellular receptors | 2 | PPARA, PPARG |
| Transcriptional regulation of brown and beige adipocyte differentiation by EBF2 | 2 | PPARA, PPARG |
| BMAL1:CLOCK,NPAS2 activates circadian expression | 1 | PPARA |
| Transcriptional activation of mitochondrial biogenesis | 1 | PPARA |
| Activation of gene expression by SREBF (SREBP) | 1 | PPARA |
| Regulation of lipid metabolism by PPARalpha | 1 | PPARA |
| Regulation of PTEN gene transcription | 1 | PPARG |
| MECP2 regulates transcription factors | 1 | PPARG |
| Cytoprotection by HMOX1 | 1 | PPARA |
| Heme signaling | 1 | PPARA |
| MLL4 and MLL3 complexes regulate expression of PPARG target genes in adipogenesis and hepatic steatosis | 1 | PPARG |
| Expression of BMAL (ARNTL), CLOCK, and NPAS2 | 1 | PPARA |
| RORA,B,C and NR1D1 (REV-ERBA) regulate gene expression | 1 | PPARA |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| negative regulation of transcription by RNA polymerase II | 2 |
| fatty acid metabolic process | 2 |
| heart development | 2 |
| response to nutrient | 2 |
| hormone-mediated signaling pathway | 2 |
| negative regulation of macrophage derived foam cell differentiation | 2 |
| negative regulation of cholesterol storage | 2 |
| cell differentiation | 2 |
| negative regulation of transforming growth factor beta receptor signaling pathway | 2 |
| intracellular receptor signaling pathway | 2 |
| peroxisome proliferator activated receptor signaling pathway | 2 |
| regulation of circadian rhythm | 2 |
| positive regulation of DNA-templated transcription | 2 |
| positive regulation of fatty acid metabolic process | 2 |
| positive regulation of transcription by RNA polymerase II | 2 |
Indications & clinical
Indications
5 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).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| type 2 diabetes mellitus | 3 | MONDO:0005148 | MONDO:0005148 |
| metabolic dysfunction-associated steatohepatitis | 2 | MONDO:0007027 | EFO:1001249 |
| polycystic ovary syndrome | 2 | MONDO:0008487 | EFO:0000660 |
| liver disorder | 1 | MONDO:0005154 | EFO:0001421 |
| kidney disorder | 1 | MONDO:0005240 | EFO:0003086 |
Clinical trials
Total trials: 17.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 6 |
| PHASE1 | 5 |
| PHASE3 | 3 |
| PHASE2 | 2 |
| PHASE2/PHASE3 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT02121717 | PHASE3 | COMPLETED | Study of Chiglitazar Compare With Placebo in Type 2 Diabetes Patients |
| NCT02173457 | PHASE3 | COMPLETED | Study of Chiglitazar Compare With Sitagliptin in Type 2 Diabetes Patients |
| NCT04807348 | PHASE3 | COMPLETED | Chiglitazar Added to Metformin for Type 2 Diabetes |
| NCT06125587 | PHASE2/PHASE3 | COMPLETED | Chiglitazar/Metformin in Non-obese Women With PCOS |
| NCT07303803 | PHASE2 | NOT_YET_RECRUITING | A Study of Chiglitazar in Patients With Metabolic Dysfunction-associated Steatohepatitis and Type 2 Diabetes Mellitus |
| NCT05193916 | PHASE2 | COMPLETED | A Phase II Clinical Trial of Chiglitazar for NASH |
| NCT07511010 | PHASE1 | NOT_YET_RECRUITING | Food Effect and Multiple-Dose Study of Chiglitazar/Metformin Extended-Release Tablets |
| NCT05515445 | PHASE1 | COMPLETED | Pharmacokinetics of Chiglitazar in Subjects With Hepatic Impairment and Normal Hepatic Function |
| NCT05515458 | PHASE1 | COMPLETED | Pharmacokinetics of Chiglitazar in Subjects With Renal Impairment and Normal Renal Function |
| NCT05681273 | PHASE1 | COMPLETED | Drug-Drug Interaction Study of Chiglitazar in Healthy Subjects. |
| NCT05760677 | PHASE1 | UNKNOWN | Study on the Efficacy and Safety of Chiglitazar Sodium in PCOS With T2DM |
| NCT06773221 | Not specified | NOT_YET_RECRUITING | The Efficacy and Safety of Chiglitazar in Patients with MAFLD-related Cirrhosis |
| NCT07519265 | Not specified | NOT_YET_RECRUITING | Bioequivalence Study of Chiglitazar/Metformin Extended-Release Tablets |
| NCT07558525 | Not specified | NOT_YET_RECRUITING | Evaluation of Chiglitazar Sodium With Lifestyle Intervention for Reversing Prediabetes |
| NCT07580638 | Not specified | NOT_YET_RECRUITING | Chiglitazar Added to SGLT-2 Inhibitors for Type 2 Diabetes |
| NCT06007014 | Not specified | UNKNOWN | Efficacy and Safety of Chiglitazar Added to Glargine in Patients With Type 2 Diabetes |
| NCT06191328 | Not specified | UNKNOWN | A Prospective, Open, Self-controlled Study of the Effects of Chiglitazar Sodium on Glucose and Lipid Metabolism in Patients With Type 2 Diabetes Mellitus (T2DM) |
Clinical evidence (CIViC)
No CIViC predictive evidence (expected for non-precision-medicine drugs).
Pharmacology
Pharmacogenomics
No CPIC/DPWG dosing guideline, but PharmGKB curates 0 clinical and 1 variant annotation(s) for this drug (gene-keyed; see PharmGKB).
Related molecules
Related molecules
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.
94 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| ELAFIBRANOR | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| FENOFIBRATE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| FENOFIBRIC ACID | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| GEMFIBROZIL | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| PEMAFIBRATE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| PIOGLITAZONE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| ROSIGLITAZONE | ChEMBL | Phase 4 (approved) | PPARA, PPARG |
| ALEGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| BEZAFIBRATE | ChEMBL | Phase 3 | PPARA, PPARG |
| GAMOLENIC ACID | ChEMBL | Phase 3 | PPARA, PPARG |
| ICOSAPENT | ChEMBL | Phase 3 | PPARA, PPARG |
| IMIGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| LANIFIBRANOR | ChEMBL | Phase 3 | PPARA, PPARG |
| LOBEGLITAZONE | ChEMBL | Phase 3 | PPARA, PPARG |
| MURAGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| TESAGLITAZAR | ChEMBL | Phase 3 | PPARA, PPARG |
| DIHOMO-GAMMA-LINOLENIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| FARGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| GW501516 | ChEMBL | Phase 2 | PPARA, PPARG |
| GW590735 | ChEMBL | Phase 2 | PPARA, PPARG |
| INDEGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| LINOLEIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| LY-518674 | ChEMBL | Phase 2 | PPARA, PPARG |
| NAVEGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| OLEIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| PIRINIXIC ACID | ChEMBL | Phase 2 | PPARA, PPARG |
| RAGAGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| REGLITAZAR | ChEMBL | Phase 2 | PPARA, PPARG |
| FULVESTRANT | ChEMBL + PubChem | Phase 4 (approved) | PPARG |
| SELADELPAR | ChEMBL + PubChem | Phase 4 (approved) | PPARA |
| BENZBROMARONE | ChEMBL | Phase 4 (approved) | PPARG |
| BERBERINE | ChEMBL | Phase 4 (approved) | PPARA |
| BEXAROTENE | ChEMBL | Phase 4 (approved) | PPARG |
| CANDESARTAN CILEXETIL | ChEMBL | Phase 4 (approved) | PPARG |
| CANNABIDIOL | ChEMBL | Phase 4 (approved) | PPARG |
| CARVEDILOL | ChEMBL | Phase 4 (approved) | PPARG |
| CEFAMANDOLE | ChEMBL | Phase 4 (approved) | PPARG |
| CEFOTAXIME | ChEMBL | Phase 4 (approved) | PPARG |
| CEFOXITIN | ChEMBL | Phase 4 (approved) | PPARG |
| CEFTAZIDIME | ChEMBL | Phase 4 (approved) | PPARG |
| CEFTRIAXONE | ChEMBL | Phase 4 (approved) | PPARG |
| CIPROFIBRATE | ChEMBL | Phase 4 (approved) | PPARA |
| CLOBETASOL PROPIONATE | ChEMBL | Phase 4 (approved) | PPARG |
| CLOFIBRATE | ChEMBL | Phase 4 (approved) | PPARA |
| CYCLOSPORINE | ChEMBL | Phase 4 (approved) | PPARA |
| EFAVIRENZ | ChEMBL | Phase 4 (approved) | PPARG |
| GLYBURIDE | ChEMBL | Phase 4 (approved) | PPARG |
| INDOMETHACIN | ChEMBL | Phase 4 (approved) | PPARG |
| LASOFOXIFENE | ChEMBL | Phase 4 (approved) | PPARG |
| LEVOTHYROXINE | ChEMBL | Phase 4 (approved) | PPARG |
| LIOTHYRONINE | ChEMBL | Phase 4 (approved) | PPARG |
| LUMIRACOXIB | ChEMBL | Phase 4 (approved) | PPARG |
| MASOPROCOL | ChEMBL | Phase 4 (approved) | PPARG |
| METHYLENE BLUE | ChEMBL | Phase 4 (approved) | PPARG |
| MONTELUKAST | ChEMBL | Phase 4 (approved) | PPARG |
| NINTEDANIB | ChEMBL | Phase 4 (approved) | PPARG |
| RACECADOTRIL | ChEMBL | Phase 4 (approved) | PPARA |
| RIMONABANT | ChEMBL | Phase 4 (approved) | PPARG |
| SULINDAC | ChEMBL | Phase 4 (approved) | PPARG |
| TELMISARTAN | ChEMBL | Phase 4 (approved) | PPARG |
Related Atlas pages
- Genes: PPARA, PPARG
- Diseases: type 2 diabetes mellitus
- Drugs: Elafibranor, Fenofibrate, Fenofibric Acid, Gemfibrozil, Pemafibrate, Pioglitazone, Rosiglitazone, Aleglitazar, Bezafibrate, Gamolenic Acid, Icosapent, Imiglitazar, Lanifibranor, Lobeglitazone, Muraglitazar, Tesaglitazar, Fulvestrant, Seladelpar, Benzbromarone, Berberine, Bexarotene, Candesartan Cilexetil, Cannabidiol, Carvedilol, Cefamandole, Cefotaxime, Cefoxitin, Ceftazidime, Ceftriaxone, Ciprofibrate, Clobetasol Propionate, Clofibrate, Cyclosporine, Efavirenz, Glyburide, Indomethacin, Lasofoxifene, Levothyroxine, Liothyronine, Lumiracoxib, Masoprocol, Methylene Blue, Montelukast, Nintedanib, Racecadotril, Rimonabant, Sulindac, Telmisartan