Isradipine
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Also known as DynacircDynacirc crIsradipinoIsrodipineNSC-759892PrescalSID11114262ISRAPIDINESID144204241SID170465070MMV001493(S)-ISRADIPINEC0164848C0237141
Summary
Isradipine (CHEMBL1648) is an approved small molecule (ATC C08CA03) targeting CACNA1C, CACNA1D, and CACNA1F; indicated across 8 conditions including cardiovascular disorder and hypertensive disorder.
At a glance
- Status: Approved (max clinical phase 4)
- Modality: Small molecule
- ATC class: C08CA03
- Targets: 3 (CACNA1C, CACNA1D, CACNA1F)
- Indications: 8 conditions
- Clinical trials: 8
- Chemistry: 371.4 Da · C19H21N3O5
Identifiers
Drug identity and classification
| Field | Value |
|---|---|
| ChEMBL ID | CHEMBL1648 |
| Name | Isradipine |
| Type | Small molecule |
| Max phase | 4 |
| FDA approved | yes |
| PubChem CID | 3784 |
| ATC | C08CA03 |
| Molecular formula | C19H21N3O5 |
| Molecular weight | 371.4 |
| InChIKey | HMJIYCCIJYRONP-UHFFFAOYSA-N |
SMILES: CC1=C(C(C(=C(N1)C)C(=O)OC(C)C)C2=CC=CC3=NON=C32)C(=O)OC
IUPAC name: 3-O-methyl 5-O-propan-2-yl 4-(2,1,3-benzoxadiazol-4-yl)-2,6-dimethyl-1,4-dihydropyridine-3,5-dicarboxylate
Also known as: Dynacirc, Dynacirc cr, Isradipine, Isradipino, Isrodipine, NSC-759892, Prescal, SID11114262, ISRADIPINE, isradipine, ISRAPIDINE, SID144204241
Patent coverage: 4,951 distinct patent families (20,026 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).
| Gene | Target | Action | pAffinity | Cancer dependency | UniProt |
|---|---|---|---|---|---|
| CACNA1C | Cav1.2 | Antagonist | 8.5 | 0.1% | Q13936 |
| CACNA1D | Cav1.3 | 9.3 | 0.3% | Q01668 | |
| CACNA1F | Cav1.4 | Antagonist | 0% | O60840 |
Broader ChEMBL bioactivity targets: 27 (assay-derived). Sample: Voltage-dependent L-type calcium channel subunit alpha-1C, Sodium channel protein type 5 subunit alpha, Glucocorticoid receptor, Thromboxane A2 receptor, Menin/Histone-lysine N-methyltransferase MLL, Motilin receptor, Delta-type opioid receptor, Kappa-type opioid receptor, Sodium-dependent dopamine transporter, Voltage-gated inwardly rectifying potassium channel KCNH2.
Bioactivity
ChEMBL activities: 14 potent at pChembl ≥ 5 of 34 total. Top 30 by potency (10 = 0.1 nM, 6 = 1 µM):
| Target | pChembl | Type | Value | Unit | Activity ID |
|---|---|---|---|---|---|
| CACNA1C | 8.66 | IC50 | 2.2 | nM | CHEMBL_ACT_15373248 |
| P22002 | 8.35 | AC50 | 4.5 | nM | CHEMBL_ACT_25119642 |
| CACNA1C | 7.02 | AC50 | 95 | nM | CHEMBL_ACT_25159103 |
| P15381 | 6.97 | IC50 | 107 | nM | CHEMBL_ACT_13362877 |
| P27732 | 6.66 | IC50 | 221 | nM | CHEMBL_ACT_13362871 |
| SCN5A | 5.53 | AC50 | 2985 | nM | CHEMBL_ACT_25158931 |
| CYP2C9 | 5.44 | IC50 | 3660 | nM | CHEMBL_ACT_15445897 |
| CYP2D6 | 5.32 | IC50 | 4790 | nM | CHEMBL_ACT_15445896 |
| CYP2C8 | 5.3 | IC50 | 5000 | nM | CHEMBL_ACT_15447375 |
| NR1I2 | 5.28 | AC50 | 5300 | nM | CHEMBL_ACT_25188219 |
| PDE4D | 5.05 | AC50 | 9000 | nM | CHEMBL_ACT_25185393 |
| CYP3A4 | 5 | Potency | 10000 | nM | CHEMBL_ACT_4957420 |
| CYP3A4 | 5 | Potency | 10000 | nM | CHEMBL_ACT_5026777 |
| CYP3A4 | 5 | AC50 | 10000 | nM | CHEMBL_ACT_6049119 |
Target pathways
Aggregated over 3 target gene(s): CACNA1C, CACNA1D, CACNA1F.
Top Reactome pathways
16 total, by targets touching each:
| Pathway | Targets | Genes |
|---|---|---|
| Developmental Biology | 2 | CACNA1C, CACNA1D |
| Metabolism | 2 | CACNA1C, CACNA1D |
| Integration of energy metabolism | 2 | CACNA1C, CACNA1D |
| NCAM signaling for neurite out-growth | 2 | CACNA1C, CACNA1D |
| Adrenaline,noradrenaline inhibits insulin secretion | 2 | CACNA1C, CACNA1D |
| NCAM1 interactions | 2 | CACNA1C, CACNA1D |
| Regulation of insulin secretion | 2 | CACNA1C, CACNA1D |
| Axon guidance | 2 | CACNA1C, CACNA1D |
| Nervous system development | 2 | CACNA1C, CACNA1D |
| Muscle contraction | 1 | CACNA1C |
| Cardiac conduction | 1 | CACNA1C |
| Phase 0 - rapid depolarisation | 1 | CACNA1C |
| Phase 2 - plateau phase | 1 | CACNA1C |
| Sensory processing of sound | 1 | CACNA1D |
| Sensory processing of sound by inner hair cells of the cochlea | 1 | CACNA1D |
| Sensory Perception | 1 | CACNA1D |
Dominant GO biological processes
| GO term | Targets |
|---|---|
| calcium ion transmembrane transport | 3 |
| calcium ion import across plasma membrane | 3 |
| monoatomic ion transport | 3 |
| calcium ion transport | 3 |
| monoatomic ion transmembrane transport | 3 |
| transmembrane transport | 3 |
| positive regulation of adenylate cyclase activity | 2 |
| cardiac muscle cell action potential involved in contraction | 2 |
| membrane depolarization during cardiac muscle cell action potential | 2 |
| regulation of heart rate by cardiac conduction | 2 |
| muscle contraction | 2 |
| cell communication | 2 |
| signaling | 2 |
| immune system development | 1 |
| positive regulation of cytosolic calcium ion concentration | 1 |
Indications & clinical
Indications
8 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).
| Indication | Trial phase | MONDO | EFO |
|---|---|---|---|
| cardiovascular disorder | 4 | MONDO:0004995 | EFO:0000319 |
| hypertensive disorder | 4 | MONDO:0005044 | EFO:0000537 |
| Parkinson disease | 3 | MONDO:0005180 | MONDO:0005180 |
| bipolar disorder | 2 | MONDO:0004985 | MONDO:0004985 |
| opiate dependence | 1 | MONDO:0005530 | EFO:0005611 |
| drug dependence | 1 | MONDO:0005303 | EFO:0003890 |
| nicotine dependence | 0 | MONDO:0008575 | EFO:0003768 |
1 further indication record had no mapped disease name (EFO/MeSH-only) or were duplicates, and are omitted.
Clinical trials
Total trials: 8.
Phase distribution
| Phase | Trials |
|---|---|
| Not specified | 2 |
| PHASE2/PHASE3 | 1 |
| PHASE3 | 1 |
| PHASE2 | 1 |
| PHASE1/PHASE2 | 1 |
| PHASE1 | 1 |
| EARLY_PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT01007994 | PHASE2/PHASE3 | COMPLETED | Reduction of Night-time Blood Pressure in Pediatric Renal Transplant Recipients |
| NCT02168842 | PHASE3 | COMPLETED | Efficacy of Isradipine in Early Parkinson Disease |
| NCT01784666 | PHASE2 | TERMINATED | Adjunctive Isradipine for the Treatment of Bipolar Depression |
| NCT01895270 | PHASE1/PHASE2 | COMPLETED | Improving Buprenorphine Detoxification Outcomes With Isradipine |
| NCT00593463 | PHASE1 | COMPLETED | Drug Discrimination in Methadone-Maintained Humans Study 1 |
| NCT03083353 | EARLY_PHASE1 | COMPLETED | Isradipine Enhancement of Virtual Reality Cue Exposure for Smoking Cessation |
| NCT01658150 | Not specified | COMPLETED | Evaluating Isradipine for Cognitive Enhancement in Schizophrenia and Schizoaffective Disorder |
| NCT02136823 | Not specified | UNKNOWN | Impact of Persistent Conductances on Motor Unit Firing in SCI |
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.
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.
113 molecules share ≥1 primary target. Top 60 by shared-target count:
| Molecule | Source | Status | Shared targets |
|---|---|---|---|
| AMIODARONE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| AMITRIPTYLINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| CHLORPROMAZINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| CILOSTAZOL | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| CLOZAPINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DIAZEPAM | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DILTIAZEM | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DOFETILIDE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DONEPEZIL | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DROPERIDOL | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DULOXETINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| FLECAINIDE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| HALOPERIDOL | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| IBUTILIDE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| IMIPRAMINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| LAMIVUDINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| LORATADINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| METHADONE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| MEXILETINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| MITOXANTRONE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| NIFEDIPINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| NILOTINIB | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| NIMODIPINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| NISOLDIPINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| PAROXETINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| PHENYTOIN | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| PIMOZIDE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| QUINIDINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| RISPERIDONE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| SAQUINAVIR | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| SOLIFENACIN | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| SUNITINIB | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| THIORIDAZINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| VERAPAMIL | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| ASTEMIZOLE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| BEPRIDIL | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| CISAPRIDE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| DASATINIB | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| HALOFANTRINE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| MIBEFRADIL | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| SERTINDOLE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| SPARFLOXACIN | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| TACRINE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| TERFENADINE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| TERODILINE | ChEMBL | Phase 4 (approved) | CACNA1C, CACNA1D, CACNA1F |
| AJMALINE | ChEMBL | Phase 3 | CACNA1C, CACNA1D, CACNA1F |
| NITRENDIPINE | ChEMBL | Phase 3 | CACNA1C, CACNA1D, CACNA1F |
| CIFENLINE | ChEMBL | Phase 2 | CACNA1C, CACNA1D, CACNA1F |
| GALLOPAMIL | ChEMBL | Phase 2 | CACNA1C, CACNA1D, CACNA1F |
| Belzutifan | PubChem | Approved | CACNA1C, CACNA1D, CACNA1F |
| Moxifloxacin | PubChem | Approved | CACNA1C, CACNA1D, CACNA1F |
| Paliperidone | PubChem | Approved | CACNA1C, CACNA1D, CACNA1F |
| AMLODIPINE | ChEMBL + PubChem | Phase 4 (approved) | CACNA1C, CACNA1D |
| Ceftriaxone | PubChem | Approved | CACNA1D, CACNA1F |
| Disopyramide | PubChem | Approved | CACNA1D, CACNA1F |
| Linezolid | PubChem | Approved | CACNA1D, CACNA1F |
| Melatonin | PubChem | Approved | CACNA1D, CACNA1F |
| Metronidazole | PubChem | Approved | CACNA1D, CACNA1F |
| Pemigatinib | PubChem | Approved | CACNA1D, CACNA1F |
| Pentobarbital | PubChem | Approved | CACNA1D, CACNA1F |
Related Atlas pages
- Genes: CACNA1C, CACNA1D, CACNA1F
- Diseases: cardiovascular disorder, hypertensive disorder, Parkinson disease
- Drugs: Amiodarone, Amitriptyline, Chlorpromazine, Cilostazol, Clozapine, Diazepam, Diltiazem, Dofetilide, Donepezil, Droperidol, Duloxetine, Flecainide, Haloperidol, Ibutilide, Imipramine, Lamivudine, Loratadine, Methadone, Mexiletine, Mitoxantrone, Nifedipine, Nilotinib, Nimodipine, Nisoldipine, Paroxetine, Phenytoin, Pimozide, Quinidine, Risperidone, Saquinavir, Solifenacin, Sunitinib, Thioridazine, Verapamil, Astemizole, Bepridil, Cisapride, Dasatinib, Halofantrine, Mibefradil, Sertindole, Sparfloxacin, Tacrine, Terfenadine, Terodiline, Ajmaline, Nitrendipine, Belzutifan, Moxifloxacin, Paliperidone, Amlodipine, Ceftriaxone, Disopyramide, Linezolid, Melatonin, Metronidazole, Pemigatinib, Pentobarbital