Diosmin

drug
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Also known as BarosminBuchu resinDaflonDiosminaDiosmineDiosvenDiovenDiovenorFlebavenFlebavenaFlebosmilFlebostenHemervenHesperidinInsuvenLitosmilNSC-758417ToveneVarinon

Summary

Diosmin (CHEMBL231884) is an approved small-molecule anti-inflammatory agent (ATC C05CA53); indicated across 8 conditions including cardiovascular disorder and venous insufficiency.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: C05CA53 (+1 more)
  • Indications: 8 conditions
  • Clinical trials: 44
  • Chemistry: 608.5 Da · C28H32O15

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL231884
NameDiosmin
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID5281613
ChEBICHEBI:4631
ATCC05CA53, C05CA03
Molecular formulaC28H32O15
Molecular weight608.5
InChIKeyGZSOSUNBTXMUFQ-YFAPSIMESA-N

SMILES: C[C@H]1[C@@H]([C@H]([C@H]([C@@H](O1)OC[C@@H]2[C@H]([C@@H]([C@H]([C@@H](O2)OC3=CC(=C4C(=C3)OC(=CC4=O)C5=CC(=C(C=C5)OC)O)O)O)O)O)O)O)O

IUPAC name: 5-hydroxy-2-(3-hydroxy-4-methoxyphenyl)-7-[(2S,3R,4S,5S,6R)-3,4,5-trihydroxy-6-[[(2R,3R,4R,5R,6S)-3,4,5-trihydroxy-6-methyloxan-2-yl]oxymethyl]oxan-2-yl]oxychromen-4-one

ChEBI definition: A disaccharide derivative that consists of diosmetin substituted by a 6-O-(α-L-rhamnopyranosyl)-β-D-glucopyranosyl moiety at position 7 via a glycosidic linkage.

Pharmacological roles (ChEBI): antioxidant, anti-inflammatory agent.

Also known as: Barosmin, Buchu resin, Daflon, Diosmin, Diosmina, Diosmine, Diosven, Dioven, Diovenor, Flebaven, Flebavena, Flebosmil

Patent coverage: 1,929 distinct patent families (4,880 SureChEMBL compound mentions), from 4 matched compound structure(s). One matched structure accounts for 4,744 (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

Broader ChEMBL bioactivity targets: 7 (assay-derived). Sample: Histone-lysine N-methyltransferase 2A, Inhibitor of nuclear factor kappa-B kinase subunit beta, Beta-lactamase, Menin/Histone-lysine N-methyltransferase MLL, Tumour suppressor protein p53/Mdm4, DNA polymerase beta, Lysine-specific histone demethylase 1A.

Bioactivity

ChEMBL activities: 2 potent at pChembl ≥ 5 of 7 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
IKBKB5.41IC503890nMCHEMBL_ACT_22874937
MDM45.41IC503890nMCHEMBL_ACT_25872942

Target pathways

No target-pathway data for this drug (no mapped target genes).

Indications & clinical

Indications

8 indications (1 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
cardiovascular disorder4MONDO:0004995EFO:0000319
venous insufficiency3MONDO:0000945MONDO:0000945
rheumatoid arthritis3MONDO:0008383EFO:0000685
ulcerative colitis3MONDO:0005101EFO:0000729
peptic ulcer disease3MONDO:0004247HP:0004398
metabolic dysfunction-associated steatotic liver disease3MONDO:0013209EFO:0003095
infertility disorder2MONDO:0005047EFO:0000545

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

Clinical trials

Total trials: 44.

Phase distribution

PhaseTrials
Not specified17
PHASE313
PHASE45
PHASE25
PHASE1/PHASE22
PHASE2/PHASE31
EARLY_PHASE11

Top trials by phase / activity

NCTPhaseStatusTitle
NCT07598214PHASE4RECRUITINGEffect of Diosmin/Hesperidin Combination on Platinum Compounds-Induced Nephropathy in Cancer Patients
NCT03413618PHASE4COMPLETEDRivaroxaban With Diosmin in Long-term Treatment of Deep Vein Thrombosis
NCT03471910PHASE4COMPLETEDClinical Non-inferiority Study Between Diosmin 600mg & Diosmin + Hesperidin in Symptomatic Chronic Venous Insufficiency
NCT04358497PHASE4UNKNOWNEndovascular Versus Medical Treatment for the Pelvic Congestion Syndrome
NCT06083935PHASE4UNKNOWNEvaluation of the Effects of Diosmin/Hespiridin Combination on the Clinical Outcomes in Patients With Polycystic Ovary Syndrome
NCT05756179PHASE3RECRUITINGEffect of Diosmin and Hesperidin in Treatment of Patients With Rheumatoid Arthritis
NCT06584799PHASE3RECRUITINGVenoactive Drug Treatment of Pelvic Venous Disorders
NCT06811220PHASE3NOT_YET_RECRUITINGThe Effect of Oral Administration of Hesperidin and Diosmin in Reducing Paclitaxel-induced Peripheral Neuropathy in Breast Cancer Patients
NCT00330096PHASE3COMPLETEDEffects of Hesperidin on Bone Mineral Density and Bone Metabolism of Postmenopausal Women
NCT01110512PHASE3UNKNOWNComparative Efficacy of Two Preparations of the Association Diosmin (450 mg) + Hesperidin (50 mg) in the Treatment of Chronic Venous Insufficiency (CVI)
NCT01321619PHASE3UNKNOWNEfficacy and Tolerability of the Use of Varicell Compared With Daflon
NCT01477281PHASE3UNKNOWNStudy to Evaluate the Efficacy and Tolerability of Venaflon Use in Reducing the Symptoms Caused by Chronic Venous Insufficiency When Compared With Daflon
NCT01532882PHASE3COMPLETEDEfficacy and Safety of Diosmin 600mg Versus Placebo on Painful Symptomatology in Patients With Chronic Venous Disease of Lower Limbs
NCT02134249PHASE2/PHASE3COMPLETEDDiosmin Versus Cabergoline for Prevention of Ovarian Hyperstimulation Syndrome
NCT02927483PHASE3UNKNOWNStudy to Assess the Efficacy and Safety of Endolex Forte VErsus Diosmin and Hesperidin in Reducing VeNous Insufficiency
NCT05243706PHASE3UNKNOWNEvaluation of The Effect of Loratadine Versus Diosmin/Hesperidin Combination on Vinca Alkaloids Induced Neuropathy
NCT05626166PHASE3UNKNOWNthe Efficacy and Safety of Diosmin in Patients With Ulcerative Colitis
NCT05670457PHASE3UNKNOWNDiosmin as Adjuvant Therapy in Treatment of Non-bleeding Peptic Ulcer
NCT05942547PHASE3UNKNOWNthe Efficacy and Safety of Diosmin on Non-diabetic Patients With Non-alcoholic Steatohepatitis.
NCT06546111PHASE1/PHASE2RECRUITINGClinical Study to Evaluate the Possible Efficacy and Safety of Diosmin and Hesperidin Combined Therapy in Patients With Helicobacter Pylori Infection
NCT00545116PHASE2COMPLETEDEffects of Hesperidin on Bone Biomarkers in Postmenopausal Women
NCT00914251PHASE2UNKNOWNVascular Effects of Hesperidin in Metabolic Syndrome
NCT01773486PHASE2WITHDRAWNEffects of Hesperidin on Insulin Sensitivity
NCT02610491PHASE2COMPLETEDThe Effect of Hesperidin on Glucose / Insulin Metabolism
NCT02616731PHASE1/PHASE2UNKNOWNOral Tranexamic Acid Versus Diosmin for Treatment of Menorrhagia in Women Using Copper IUD
NCT04715932PHASE2COMPLETEDStudy of Hesperidin Therapy on COVID-19 Symptoms (HESPERIDIN)
NCT04452799EARLY_PHASE1UNKNOWNHesperidin and Diosmin for Treatment of COVID-19
NCT06256575Not specifiedRECRUITINGStudy of Diosmin for the Treatment of Digital Ulcers in Systemic Sclerosis
NCT06318988Not specifiedNOT_YET_RECRUITINGOutcomes of Different Treatment Options in Chronic Venous Disease
NCT07293767Not specifiedRECRUITINGSilymarin vs Hesperidin/Diosmin in Fibromyalgia
NCT07452562Not specifiedRECRUITINGHesperidin RCT in MS
NCT01881204Not specifiedCOMPLETEDHesperidin and Bone Health in Postmenopausal Women
NCT03377140Not specifiedUNKNOWNThe Effects of Hesperidin on Biochemical Factors and Hepatic Fibrosis in Nonalcoholic Fatty Liver Disease
NCT03377153Not specifiedUNKNOWNThe Effects of Hesperidin and Flaxseed on Biochemical Factors and Hepatic Fibrosis in Nonalcoholic Fatty Liver Disease
NCT03734835Not specifiedUNKNOWNThe Effect of Supplementation of Flaxseed, Hesperidin, Flaxseed and Hesperidin Together in Metabolic Syndrome
NCT03734874Not specifiedUNKNOWNThe Effects of Hesperidin on Metabolic Syndrome
NCT03737422Not specifiedCOMPLETEDThe Effects of Hesperidin and Flaxseed in Prediabetes
NCT03984916Not specifiedCOMPLETEDStudy of the Bioavailability of Three Hesperidin Extracts.
NCT04316390Not specifiedCOMPLETEDInfluence of Hesperidin and Vitamin C on Uric Acid Concentration
NCT04512443Not specifiedCOMPLETEDClinical Efficacy of Conservative Treatment in Female Patients With Plevic Congestion Syndrome

Clinical evidence (CIViC)

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

Pharmacology

Pharmacogenomics

No PharmGKB pharmacogenomic data curated for this drug.

No competitor molecules sharing a primary target (ChEMBL phase ≥2 or PubChem drug-class).