Fluocinolone Acetonide

drug
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Also known as Acetonide de fluocinoloneAcetonido de fluocinolonaCapexDerma-smoothe/fsDermoticFlucinolone acetonideFluocetFluocinolide (acetate)FluocinoloneFluonidFluotrexFs shampooIluvienNSC-92339Oto-synalarRetisertSynalarSynalar fteSynalar-c

Summary

Fluocinolone Acetonide (CHEMBL989) is an approved small-molecule anti-inflammatory drug (ATC S01BA15) targeting NR3C1; indicated across 17 conditions including eye disorder and uveitis.

At a glance

  • Status: Approved (max clinical phase 4)
  • Modality: Small molecule
  • ATC class: S01BA15 (+3 more)
  • Targets: 1 (NR3C1)
  • Indications: 17 conditions
  • Clinical trials: 27
  • Chemistry: 452.5 Da · C24H30F2O6

Identifiers

Drug identity and classification

FieldValue
ChEMBL IDCHEMBL989
NameFluocinolone Acetonide
TypeSmall molecule
Max phase4
FDA approvedyes
PubChem CID6215
ChEBICHEBI:31623
ATCS01BA15, S02BA08, D07AC04, C05AA10
Molecular formulaC24H30F2O6
Molecular weight452.5
InChIKeyFEBLZLNTKCEFIT-VSXGLTOVSA-N

SMILES: C[C@]12C[C@@H]([C@]3([C@H]([C@@H]1C[C@@H]4[C@]2(OC(O4)(C)C)C(=O)CO)C[C@@H](C5=CC(=O)C=C[C@@]53C)F)F)O

IUPAC name: (1S,2S,4R,8S,9S,11S,12R,13S,19S)-12,19-difluoro-11-hydroxy-8-(2-hydroxyacetyl)-6,6,9,13-tetramethyl-5,7-dioxapentacyclo[10.8.0.02,9.04,8.013,18]icosa-14,17-dien-16-one

ChEBI definition: A fluorinated steroid that is flunisolide in which the hydrogen at position 9 is replaced by fluorine. A corticosteroid with glucocorticoid activity, it is used (both as the anhydrous form and as the dihydrate) in creams, gels and ointments for the treatment of various skin disorders.

Pharmacological roles (ChEBI): anti-inflammatory drug, antipruritic drug.

Also known as: Acetonide de fluocinolone, Acetonido de fluocinolona, Capex, Derma-smoothe/fs, Dermotic, Flucinolone acetonide, Fluocet, Fluocinolide (acetate), Fluocinolone, Fluocinolone acetonide, Fluonid, Fluotrex

Patent coverage: 9,504 distinct patent families (30,570 SureChEMBL compound mentions), from 1 matched compound structure(s). 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
NR3C1Glucocorticoid receptorAgonist8.50.9%P04150

Broader ChEMBL bioactivity targets: 7 (assay-derived). Sample: Lysine-specific demethylase 4E, Prelamin-A/C, Androgen receptor, Glucocorticoid receptor, Progesterone receptor, Mitogen-activated protein kinase 1, Hypoxia-inducible factor 1-alpha.

Bioactivity

ChEMBL activities: 7 potent at pChembl ≥ 5 of 9 total. Top 100 by potency (10 = 0.1 nM, 6 = 1 µM):

TargetpChemblTypeValueUnitActivity ID
HIF1A8.89Potency1.3nMCHEMBL_ACT_4132662
HIF1A8.89Potency1.3nMCHEMBL_ACT_4519431
NR3C18.85Ki1.42nMCHEMBL_ACT_7644318
NR3C18.5IC503.13nMCHEMBL_ACT_7644317
PGR7.97AC5010.7nMCHEMBL_ACT_25204024
MAPK15.5Potency3162nMCHEMBL_ACT_4737562
AR5.27AC505382nMCHEMBL_ACT_25203091

Target pathways

Aggregated over 1 target gene(s): NR3C1.

Top Reactome pathways

8 total, by targets touching each:

PathwayTargetsGenes
HSP90 chaperone cycle for steroid hormone receptors (SHR) in the presence of ligand1NR3C1
Nuclear Receptor transcription pathway1NR3C1
SUMOylation of intracellular receptors1NR3C1
PTK6 Expression1NR3C1
Regulation of RUNX2 expression and activity1NR3C1
FOXO-mediated transcription of oxidative stress, metabolic and neuronal genes1NR3C1
Potential therapeutics for SARS1NR3C1
Regulation of NPAS4 gene transcription1NR3C1

Dominant GO biological processes

GO termTargets
negative regulation of transcription by RNA polymerase II1
regulation of gluconeogenesis1
chromatin organization1
regulation of DNA-templated transcription1
regulation of transcription by RNA polymerase II1
apoptotic process1
chromosome segregation1
signal transduction1
glucocorticoid metabolic process1
response to wounding1
gene expression1
microglia differentiation1
adrenal gland development1
nuclear receptor-mediated steroid hormone signaling pathway1
regulation of glucocorticoid biosynthetic process1

Indications & clinical

Indications

8 approved indications. FDA phase 4, plus an anticancer drug’s labelled cancer uses (which ChEMBL often logs at phase 3).

IndicationPhaseMONDOEFO
eye disorder4MONDO:0005328EFO:0005752
uveitis4MONDO:0020283EFO:1001231
hemorrhoid4MONDO:0004872EFO:0009552
atopic eczema4MONDO:0004980EFO:0000274
psoriasis4MONDO:0005083EFO:0000676
skin disorder4MONDO:0005093EFO:0000701
infectious disease4MONDO:0005550EFO:0005741
seborrheic dermatitis4MONDO:0006608EFO:1000764

6 diseases in clinical trials (phase 1–3, investigational — not approved indications). Highest ChEMBL trial phase per disease; a non-cancer approved use is occasionally logged at phase 3 here.

Disease (in trials)PhaseMONDOEFO
posterior uveitis3MONDO:0006918EFO:1001119
anterior uveitis3MONDO:0006651EFO:1000811
intermediate uveitis3MONDO:0006806EFO:1000986
age-related macular degeneration2MONDO:0005150EFO:0001365
retinal disorder2MONDO:0005283EFO:0003839
macular degeneration2MONDO:0003004EFO:0009606

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

Clinical trials

Total trials: 27.

Phase distribution

PhaseTrials
PHASE48
Not specified6
PHASE34
PHASE24
PHASE2/PHASE33
PHASE12

Top trials by phase / activity

NCTPhaseStatusTitle
NCT06539481PHASE4RECRUITINGOpen Label Trial Studying the Safety and Effectiveness of ILUVIEN® (190μg) in Children and Adolescents, Who Have Recurrent Non-infectious Uveitis Affecting the Posterior Segment of the Eye.
NCT00469183PHASE4COMPLETEDAssessment of Atrophogenic Potential of Triple Combination Cream for Treatment of Melasma
NCT00472966PHASE4COMPLETEDEfficacy and Safety of Therapy With Tri-Luma® Cream in Sequence With Glycolic Acid Peels for Melasma
NCT00669071PHASE4TERMINATEDTreatment w/ Tri-Luma® Cream & Intense Pulsed Light (IPL) vs a Mild Inactive Control Cream & Intense Pulsed Light (IPL) in Melasma
NCT00720928PHASE4UNKNOWNFlucinolone Acetonide Implant for Treating Refractory Ocular Behcet’s Disease
NCT02359526PHASE4COMPLETEDA Pilot Study on the Effect and Safety of Iluvien® in Chronic Diabetic Macular Edema Patients
NCT02424019PHASE4COMPLETEDPhase 4 IOP Signals Associated With ILUVIEN®
NCT02472366PHASE4COMPLETEDA Non-Randomized, Open-Label, Single Center Phase 4 Study of the Effect and Safety of ILUVIEN® in Chronic Diabetic Macular Edema Patients Considered Insufficiently Responsive to Available Therapies (Laser, Anti-VEGF) With or Without Intravitreal Corticosteroid Therapy
NCT05844982PHASE3RECRUITINGIntravitreal Faricimab Injections or Fluocinolone Acetonide (0.19 mg) Intravitreal Implants vs Observation for Prevention of VA Loss Due to Radiation Retinopathy
NCT00344968PHASE3COMPLETEDFluocinolone Acetonide Implant Compared to Sham Injection in Patients With Diabetic Macular Edema
NCT00407082PHASE2/PHASE3COMPLETEDSafety and Efficacy of Fluocinolone Acetonide Intravitreal Implants
NCT00456482PHASE2/PHASE3TERMINATEDSafety and Efficacy of Fluocinolone Acetonide Intravitreal Implant
NCT00490815PHASE3COMPLETEDPharmacokinetic and Efficacy Study of Fluocinolone Acetonide Inserts in Patients With Diabetic Macular Edema
NCT00502541PHASE2/PHASE3COMPLETEDEfficacy of Fluocinolone Acetonide Intravitreal Implant in Diabetic Macular Edema
NCT01304706PHASE3COMPLETEDFluocinolone Acetonide in Diabetic Macular Edema (FAME) Extension Study
NCT00032396PHASE2UNKNOWNA Study to Evaluate Retisert in the Treatment of Patients With the Wet Form of Age-Related Macular Degeneration
NCT00605423PHASE2COMPLETEDThe MAP Study: Fluocinolone Acetonide (FA)/Medidur (TM) for Age Related Macular Degeneration (AMD) Pilot
NCT00695318PHASE2TERMINATEDFluocinolone Acetonide Intravitreal Inserts in Geographic Atrophy
NCT00770770PHASE2TERMINATEDFluocinolone Acetonide Intravitreal Inserts for Vein Occlusion in Retina
NCT00008515PHASE1COMPLETEDFluocinolone Implant to Treat Macular Degeneration
NCT01781936PHASE1COMPLETEDPilot Study of a Fluocinolone Acetonide Intravitreal Insert (FA-i) to Treat Intermediate-, Posterior-, or Panuveitis
NCT05592717Not specifiedRECRUITINGA Study of YUTIQ® 0.18 mg Intravitreal Implant for the Management of Chronic Non-infectious Uveitis
NCT01060787Not specifiedCOMPLETEDEvaluation of Corneal Endothelial Cell Density in Subjects Who Have Had a Fluocinolone Acetonide Implant
NCT01743690Not specifiedCOMPLETEDThe Use of Probiotics in Patients With Symptomatic Oral Lichen Planus
NCT03145025Not specifiedCOMPLETEDCorneal Endothelial Cell Density in Eyes Treated With a Fluocinolone Acetonide Intravitreal Implant
NCT04340505Not specifiedCOMPLETEDImaging of Uveitis Patients Receiving Injectable Fluocinolone Acetonide Implant
NCT07345507Not specifiedCOMPLETEDComparison of Efficacy of Metformin Gel 30% vs Triple Combination Cream (Hydroquinone 4%, Flucinolone Acetonide 0.01%, Tretinoin 0.025%) in Treatment of Melasma in Tertiary Care Hospital Karachi

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.

173 molecules share ≥1 primary target. Top 100 by shared-target count:

MoleculeSourceStatusShared targets
FULVESTRANTChEMBL + PubChemPhase 4 (approved)NR3C1
PODOFILOXChEMBL + PubChemPhase 4 (approved)NR3C1
REGORAFENIBChEMBL + PubChemPhase 4 (approved)NR3C1
ACENOCOUMAROLChEMBLPhase 4 (approved)NR3C1
ALCLOMETASONE DIPROPIONATEChEMBLPhase 4 (approved)NR3C1
AMCINONIDEChEMBLPhase 4 (approved)NR3C1
AMIODARONEChEMBLPhase 4 (approved)NR3C1
APREPITANTChEMBLPhase 4 (approved)NR3C1
AURANOFINChEMBLPhase 4 (approved)NR3C1
BAZEDOXIFENEChEMBLPhase 4 (approved)NR3C1
BECLOMETHASONE DIPROPIONATEChEMBLPhase 4 (approved)NR3C1
BENZBROMARONEChEMBLPhase 4 (approved)NR3C1
BETAMETHASONEChEMBLPhase 4 (approved)NR3C1
BETAMETHASONE DIPROPIONATEChEMBLPhase 4 (approved)NR3C1
BETAMETHASONE PHOSPHORIC ACIDChEMBLPhase 4 (approved)NR3C1
BETAMETHASONE VALERATEChEMBLPhase 4 (approved)NR3C1
BUDESONIDEChEMBLPhase 4 (approved)NR3C1
BUTOCONAZOLEChEMBLPhase 4 (approved)NR3C1
CANDESARTAN CILEXETILChEMBLPhase 4 (approved)NR3C1
CANRENONEChEMBLPhase 4 (approved)NR3C1
CHLORMADINONEChEMBLPhase 4 (approved)NR3C1
CICLESONIDEChEMBLPhase 4 (approved)NR3C1
CLOBETASOL PROPIONATEChEMBLPhase 4 (approved)NR3C1
CLOFAZIMINEChEMBLPhase 4 (approved)NR3C1
CLOTRIMAZOLEChEMBLPhase 4 (approved)NR3C1
CORTISONEChEMBLPhase 4 (approved)NR3C1
DANAZOLChEMBLPhase 4 (approved)NR3C1
DAUNORUBICINChEMBLPhase 4 (approved)NR3C1
DEFLAZACORTChEMBLPhase 4 (approved)NR3C1
DESOGESTRELChEMBLPhase 4 (approved)NR3C1
DESONIDEChEMBLPhase 4 (approved)NR3C1
DESOXIMETASONEChEMBLPhase 4 (approved)NR3C1
DESOXYCORTICOSTERONE PIVALATEChEMBLPhase 4 (approved)NR3C1
DEXAMETHASONEChEMBLPhase 4 (approved)NR3C1
DEXTROTHYROXINEChEMBLPhase 4 (approved)NR3C1
DIENESTROLChEMBLPhase 4 (approved)NR3C1
DIETHYLSTILBESTROLChEMBLPhase 4 (approved)NR3C1
DIFLORASONE DIACETATEChEMBLPhase 4 (approved)NR3C1
DOXORUBICINChEMBLPhase 4 (approved)NR3C1
DROSPIRENONEChEMBLPhase 4 (approved)NR3C1
ECONAZOLEChEMBLPhase 4 (approved)NR3C1
EFAVIRENZChEMBLPhase 4 (approved)NR3C1
ENZALUTAMIDEChEMBLPhase 4 (approved)NR3C1
EPLERENONEChEMBLPhase 4 (approved)NR3C1
ESTRADIOLChEMBLPhase 4 (approved)NR3C1
ESTRIOLChEMBLPhase 4 (approved)NR3C1
ETHINYL ESTRADIOLChEMBLPhase 4 (approved)NR3C1
EXEMESTANEChEMBLPhase 4 (approved)NR3C1
FELODIPINEChEMBLPhase 4 (approved)NR3C1
FLUDROCORTISONEChEMBLPhase 4 (approved)NR3C1
FLUNISOLIDEChEMBLPhase 4 (approved)NR3C1
FLUOCINONIDEChEMBLPhase 4 (approved)NR3C1
FLUOROMETHOLONEChEMBLPhase 4 (approved)NR3C1
FLUOXYMESTERONEChEMBLPhase 4 (approved)NR3C1
FLURANDRENOLIDEChEMBLPhase 4 (approved)NR3C1
FLUTICASONE FUROATEChEMBLPhase 4 (approved)NR3C1
FLUTICASONE PROPIONATEChEMBLPhase 4 (approved)NR3C1
GLUCAGONChEMBLPhase 4 (approved)NR3C1
HALCINONIDEChEMBLPhase 4 (approved)NR3C1
HYDROCORTISONEChEMBLPhase 4 (approved)NR3C1
HYDROCORTISONE BUTYRATEChEMBLPhase 4 (approved)NR3C1
HYDROXOCOBALAMINChEMBLPhase 4 (approved)NR3C1
HYDROXYPROGESTERONE CAPROATEChEMBLPhase 4 (approved)NR3C1
IDARUBICINChEMBLPhase 4 (approved)NR3C1
ISOCONAZOLEChEMBLPhase 4 (approved)NR3C1
ISRADIPINEChEMBLPhase 4 (approved)NR3C1
KETOCONAZOLEChEMBLPhase 4 (approved)NR3C1
LASOFOXIFENEChEMBLPhase 4 (approved)NR3C1
LOTEPREDNOL ETABONATEChEMBLPhase 4 (approved)NR3C1
MASOPROCOLChEMBLPhase 4 (approved)NR3C1
MEDROXYPROGESTERONEChEMBLPhase 4 (approved)NR3C1
MEDRYSONEChEMBLPhase 4 (approved)NR3C1
MEGESTROLChEMBLPhase 4 (approved)NR3C1
MESTRANOLChEMBLPhase 4 (approved)NR3C1
METHYLPREDNISOLONEChEMBLPhase 4 (approved)NR3C1
METHYLPREDNISOLONE HEMISUCCINATEChEMBLPhase 4 (approved)NR3C1
METHYLTESTOSTERONEChEMBLPhase 4 (approved)NR3C1
METOPROLOLChEMBLPhase 4 (approved)NR3C1
MICONAZOLEChEMBLPhase 4 (approved)NR3C1
MIFEPRISTONEChEMBLPhase 4 (approved)NR3C1
MITOTANEChEMBLPhase 4 (approved)NR3C1
MOMETASONE FUROATEChEMBLPhase 4 (approved)NR3C1
MONTELUKASTChEMBLPhase 4 (approved)NR3C1
NAFTOPIDILChEMBLPhase 4 (approved)NR3C1
NIMODIPINEChEMBLPhase 4 (approved)NR3C1
NISOLDIPINEChEMBLPhase 4 (approved)NR3C1
NOMEGESTROLChEMBLPhase 4 (approved)NR3C1
NORETHINDRONEChEMBLPhase 4 (approved)NR3C1
NORGESTIMATEChEMBLPhase 4 (approved)NR3C1
NORGESTRELChEMBLPhase 4 (approved)NR3C1
OXYMETHOLONEChEMBLPhase 4 (approved)NR3C1
PONATINIBChEMBLPhase 4 (approved)NR3C1
PREDNICARBATEChEMBLPhase 4 (approved)NR3C1
PREDNISOLONEChEMBLPhase 4 (approved)NR3C1
PREDNISONEChEMBLPhase 4 (approved)NR3C1
PROGESTERONEChEMBLPhase 4 (approved)NR3C1
QUINESTROLChEMBLPhase 4 (approved)NR3C1
RACECADOTRILChEMBLPhase 4 (approved)NR3C1
RIBOFLAVIN 5’-PHOSPHATEChEMBLPhase 4 (approved)NR3C1
RIMEXOLONEChEMBLPhase 4 (approved)NR3C1