Epinastine

drug
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Also known as EpinastinaPurivistWAL-801SID90340676SID29217549SID50111706EPINASTINE HCL

Summary

Epinastine (CHEMBL1106) is an approved small-molecule anti-allergic agent (ATC S01GX10) targeting HRH1; indicated across 5 conditions including eye allergy and allergic disease.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: S01GX10 (+1 more)
  • Targets: 1 (HRH1)
  • Indications: 5 conditions
  • Clinical trials: 8
  • Chemistry: 249.31 Da · C16H15N3

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL1106
NameEpinastine
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID3241
ChEBICHEBI:51032
ATCS01GX10, R06AX24
Molecular formulaC16H15N3
Molecular weight249.31
InChIKeyWHWZLSFABNNENI-UHFFFAOYSA-N

SMILES: C1C2C3=CC=CC=C3CC4=CC=CC=C4N2C(=N1)N

IUPAC name: 2,4-diazatetracyclo[12.4.0.02,6.07,12]octadeca-1(18),3,7,9,11,14,16-heptaen-3-amine

ChEBI definition: A benzazepine that is 6,11-dihydro-5H-dibenzo[b,e]azepine in which the azepine ring is fused to the e side of 4,5-dihydro-1H-imidazol-2-amine.

Pharmacological roles (ChEBI): anti-allergic agent, histamine antagonist, ophthalmology drug, H1-receptor antagonist.

Also known as: Epinastina, Epinastine, Purivist, WAL-801, SID90340676, SID29217549, SID50111706, epinastine, EPINASTINE, EPINASTINE HCL, Epinastine HCl

Parent form; salt/anhydrous children: CHEMBL1200491

Patent coverage: 2,384 distinct patent families (8,530 SureChEMBL compound mentions), from 2 matched compound structure(s). One matched structure accounts for 8,523 (100%) 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
HRH1H1 receptorAntagonist7.60%P35367

Broader ChEMBL bioactivity targets: 13 (assay-derived). Sample: Solute carrier family 22 member 2, Multidrug and toxin extrusion protein 1, Multidrug and toxin extrusion protein 2, Alpha-2A adrenergic receptor, D(1A) dopamine receptor, 5-hydroxytryptamine receptor 1A, Sodium-dependent noradrenaline transporter, Sodium-dependent serotonin transporter, Alpha-1A adrenergic receptor, Mu-type opioid receptor.

Bioactivity

ChEMBL activities: 9 potent at pChembl ≥ 5 of 16 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
P313898.85Ki1.41nMCHEMBL_ACT_245433
P313898.8IC501.58nMCHEMBL_ACT_245434
DRD16.9AC50124.6nMCHEMBL_ACT_25115289
ADRA2A6.6AC50252.7nMCHEMBL_ACT_25156508
SLC47A15.96IC501100nMCHEMBL_ACT_12637866
HTR1A5.89AC501284nMCHEMBL_ACT_25165103
ADRA1A5.6AC502532nMCHEMBL_ACT_25218916
SLC22A25.37IC504300nMCHEMBL_ACT_12636205
SLC6A25.34AC504580nMCHEMBL_ACT_25146079

Target pathways

Aggregated over 1 target gene(s): HRH1.

Top Reactome pathways

2 total, by targets touching each:

PathwayTargetsGenes
Histamine receptors1HRH1
G alpha (q) signalling events1HRH1

Dominant GO biological processes

GO termTargets
inflammatory response1
G protein-coupled receptor signaling pathway1
G protein-coupled receptor signaling pathway, coupled to cyclic nucleotide second messenger1
phospholipase C-activating G protein-coupled receptor signaling pathway1
chemical synaptic transmission1
memory1
visual learning1
regulation of vascular permeability1
positive regulation of vasoconstriction1
regulation of synaptic plasticity1
cellular response to histamine1
signal transduction1
phospholipase C-activating serotonin receptor signaling pathway1

Indications & clinical

Indications

5 indications (2 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
eye allergy4MONDO:0005551EFO:0005751
allergic disease4MONDO:0005271MONDO:0005271
seasonal allergic rhinitis3MONDO:0005324EFO:0003956
allergic rhinitis3MONDO:0011786EFO:0005854
perennial allergic rhinitis3MONDO:0024332EFO:1001417

Clinical trials

Total trials: 8.

Phase distribution

PhaseTrials
PHASE13
PHASE42
PHASE32
PHASE21

Top trials by phase / activity

NCTPhaseStatusTitle
NCT00489398PHASE4WITHDRAWNComparison of CL Wear Between Two Allergy Drops
NCT02251613PHASE4COMPLETEDEffectiveness of Olopatadine HCl Ophthalmic Solution for the Treatment of Allergic Conjunctivitis in Japan
NCT02182518PHASE3COMPLETEDEpinastine + Pseudoephedrine SR (Slow Release) Versus Epinastine Alone in Patients With Perennial Allergic Rhinitis
NCT06212973PHASE3COMPLETEDA Study to Evaluate the Efficacy and Safety of Epinastine Hydrochloride Eye Drops in the Treatment of Chinese Seasonal Allergic Conjunctivitis Patients
NCT01382654PHASE2COMPLETEDTwo Formulations and Concentrations of Epinastine Nasal Spray Versus Azelastine Nasal Solution for Allergic Rhinitis
NCT02182531PHASE1COMPLETEDEpinastine and Pseudoephedrine Fixed Combination Compared to Separate Administration in Healthy Volunteers
NCT02260037PHASE1COMPLETEDDose Tolerance Study in Healthy Male Volunteers After Intranasal Application of Epinastine Nasal
NCT02260063PHASE1COMPLETEDRelative Bioavailability of Epinastine Syrup Compared to Tablets in Healthy Volunteers

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.

296 molecules share ≥1 primary target. Top 60 by shared-target count:

MoleculeSourceStatusShared targets
ACLIDINIUM BROMIDEChEMBL + PubChemPhase 4 (approved)HRH1
DESLORATADINEChEMBL + PubChemPhase 4 (approved)HRH1
DIHYDROERGOTAMINEChEMBL + PubChemPhase 4 (approved)HRH1
PALIPERIDONEChEMBL + PubChemPhase 4 (approved)HRH1
PRAMIPEXOLEChEMBL + PubChemPhase 4 (approved)HRH1
ABEMACICLIBChEMBLPhase 4 (approved)HRH1
ACETOPHENAZINEChEMBLPhase 4 (approved)HRH1
ACRIVASTINEChEMBLPhase 4 (approved)HRH1
AMIODARONEChEMBLPhase 4 (approved)HRH1
AMISULPRIDEChEMBLPhase 4 (approved)HRH1
AMITRIPTYLINEChEMBLPhase 4 (approved)HRH1
AMOXAPINEChEMBLPhase 4 (approved)HRH1
AMSACRINEChEMBLPhase 4 (approved)HRH1
ANTAZOLINEChEMBLPhase 4 (approved)HRH1
APOMORPHINEChEMBLPhase 4 (approved)HRH1
ARIPIPRAZOLEChEMBLPhase 4 (approved)HRH1
ASENAPINEChEMBLPhase 4 (approved)HRH1
ASTEMIZOLEChEMBLPhase 4 (approved)HRH1
ATOMOXETINEChEMBLPhase 4 (approved)HRH1
AZATADINEChEMBLPhase 4 (approved)HRH1
AZELASTINEChEMBLPhase 4 (approved)HRH1
BENFLUOREXChEMBLPhase 4 (approved)HRH1
BENPERIDOLChEMBLPhase 4 (approved)HRH1
BENZBROMARONEChEMBLPhase 4 (approved)HRH1
BENZTROPINEChEMBLPhase 4 (approved)HRH1
BEPRIDILChEMBLPhase 4 (approved)HRH1
BETAMETHASONE PHOSPHORIC ACIDChEMBLPhase 4 (approved)HRH1
BIPERIDENChEMBLPhase 4 (approved)HRH1
BREXPIPRAZOLEChEMBLPhase 4 (approved)HRH1
BROMPERIDOLChEMBLPhase 4 (approved)HRH1
BROMPHENIRAMINEChEMBLPhase 4 (approved)HRH1
BUCLIZINEChEMBLPhase 4 (approved)HRH1
BUPROPIONChEMBLPhase 4 (approved)HRH1
BUSPIRONEChEMBLPhase 4 (approved)HRH1
BUTRIPTYLINEChEMBLPhase 4 (approved)HRH1
CABERGOLINEChEMBLPhase 4 (approved)HRH1
CANDESARTAN CILEXETILChEMBLPhase 4 (approved)HRH1
CAPTOPRILChEMBLPhase 4 (approved)HRH1
CARBINOXAMINEChEMBLPhase 4 (approved)HRH1
CARIPRAZINEChEMBLPhase 4 (approved)HRH1
CETIRIZINEChEMBLPhase 4 (approved)HRH1
CHLORDIAZEPOXIDEChEMBLPhase 4 (approved)HRH1
CHLORPHENIRAMINEChEMBLPhase 4 (approved)HRH1
CHLORPHENTERMINEChEMBLPhase 4 (approved)HRH1
CHLORPROMAZINEChEMBLPhase 4 (approved)HRH1
CHLORPROTHIXENEChEMBLPhase 4 (approved)HRH1
CINACALCETChEMBLPhase 4 (approved)HRH1
CINNARIZINEChEMBLPhase 4 (approved)HRH1
CISAPRIDEChEMBLPhase 4 (approved)HRH1
CITALOPRAMChEMBLPhase 4 (approved)HRH1
CLEMASTINEChEMBLPhase 4 (approved)HRH1
CLOFAZIMINEChEMBLPhase 4 (approved)HRH1
CLOMIPRAMINEChEMBLPhase 4 (approved)HRH1
CLOTRIMAZOLEChEMBLPhase 4 (approved)HRH1
CLOZAPINEChEMBLPhase 4 (approved)HRH1
CYCLIZINEChEMBLPhase 4 (approved)HRH1
CYCLOBENZAPRINEChEMBLPhase 4 (approved)HRH1
CYPROHEPTADINEChEMBLPhase 4 (approved)HRH1
DAUNORUBICINChEMBLPhase 4 (approved)HRH1
DESIPRAMINEChEMBLPhase 4 (approved)HRH1